Presentation
ANALYSIS OF DATA Values for PC 20 FEV 1 were log transformed to allow statistical analysis and presented as a geometric mean. All other data are presented as mean with standard deviation (SD) or standard error (SE). [thorax.bmj.com]
This is regardless of silly ideas about the overbreathing present in popular medical sources, such as Wikipedia: click here. [normalbreathing.com]
Our experience indicates, to the contrary, that these syndromes are common, generally have a chronic course, present diverse clinical pictures that often mimic serious organic disease, and are usually attended by marked disability. 1 PATHOGENESIS In 1937 [jamanetwork.com]
Overview Hyperventilation syndrome is one of the most common causes of dizziness and paresthesias presenting to neurologists, and yet, it is underdiagnosed. [medlink.com]
Entire Body System
- Weakness
[…] reduced loss of smell heart palpitations sweating syncope (fainting) dizziness trembling slurred speech cold, tingling, or numb lips or extremities nausea or irritable bowel syndrome aching muscles or joints, or tremors tiredness, unsteadiness, or diffuse weakness [inspire.com]
They tend to focus on other physical symptoms – chest pain, feeling dizzy or faint, palpitations, digestive complaints, weakness, irritability and sleep disturbance among many others. [drweil.com]
The dizziness inability to concentrate, weakness. The fact that's it's all in my head and other people have suffered years with it, I can't do that. I can't imagine a prolonged life this way, it's making me severely depressed to the point of tears. [patient.info]
People with HVS may have symptoms such as Shortness of breath, confusion, chest pain, tightness in the chest, irregular heart beats, tiredness, weakness, muscle twitching and sweating. [depression-guide.com]
- Fever
Fever Although a fever technically is any body temperature above the normal of 98.6 F (37 C), in practice, a person is usually not... [medicinenet.com]
"Buteyko" is famous throughout the world as a natural asthma treatment and to improve allergies and hay fever. What is less well known is that Buteyko is also successful at reducing problems with sleep, such as snoring, sleep apnoea and insomnia. [buteykoworks.com]
Causes Hyperventilation may be caused by extreme emotional stress, anxiety, fever, medications and even intense exercise. Other risk factors include cardiac disorders, infections, sepsis head injuries, asthma, and emphysema. [symptomfind.com]
- Sepsis
Sepsis Sepsis (blood poisoning) is a potentially deadly infection with signs and symptoms that include elevated heart rate, low or high... Shock (Medical) Medical shock is a life-threatening medical condition. [medicinenet.com]
Other risk factors include cardiac disorders, infections, sepsis head injuries, asthma, and emphysema. People who suffer panic disorders and lung diseases are more likely to experience episodes of hyperventilation. [symptomfind.com]
Other less common causes include stimulant use; excessive use of aspirin; pulmonary disease such as asthma, chronic obstructive pulmonary disease (COPD), and pulmonary embolism ; infection such as pneumonia or sepsis; heart disease such as congestive [wikiofscience.wikidot.com]
- Anemia
Anemia Anemia is the condition of having less than the normal number of red blood cells or less than the normal quantity of hemoglobin... [medicinenet.com]
[…] sucking of the gas during labour and it would take 4-6 mos to go away. well my son will be a year in 2 weeks and i still dont have my life back to the way id like it to be, apparently i am anemic too which these docs just decided to tell me apparently anemia [steadyhealth.com]
- Severe Pain
Bleeding, heart or lung disease, panic attack, pregnancy, stress, anxiety, infection and severe pain are common causes of hyperventilation syndrome. [depression-guide.com]
Other causes include: Severe pain or trauma Stimulants Ketoacidosis and other similar medical conditions Bleeding Certain drugs or drug overdose Those who might be suffering from chronic hyperventilation may require special treatment for training in proper [symptomfind.com]
Respiratoric
- Yawning
But most off all I yawn hundreds if not thousands of times a day just to get a breath and one yawn to get breathe can last 15 p 20 seconds then feel dizzy as stopped all oxygen getting to my brain. [patient.info]
Hyperventilation can occur in anxious person, mouth breathers, frequent sighing and yawning. An acute episode of hyperventilation is easy to spot as it develops during anxiety and stress. [tandurust.com]
Do you sigh or yawn a lot? Yes No [physiotherapyforbpd.org.uk]
So I'm just writing about our experience and suggesting that, if you find yourself sighing, yawning, and feeling like you are not getting a deep breath, having joint aches, stomach problems, headaches, fatigue, and all other kinds of aches, you may have [ourhealth.com]
- Cough
I cough and clear my throat when there is nothing to clear, and i swallow air lots. And I can't hold my breath for more than 20 seconds and I have a small wheeze. [inspire.com]
During this time, I developed a very bad cough and was constantly light headed and felt dizzy (whooping cough was going around at the time within our school) and so after break, I to the doctor for some answers. This was January 4th 2005. [healthboards.com]
This can cause us to cough, or sneeze. Again, this triggers a rapid escape of air from the body, triggering hyperventilation. SYMPTOMS: Coughing, sneezing, allergies 7. COLD AND HOT ENVIRONMENT Dogs tend to pant heavily in hot environments. [breathingexpert.com]
A cough seems to be one of the best ways to mess up your breathing pattern, and many of my clients tell me “I was fine until I had that cough/chest infection, and I never really got my health back!!” [breathingremedies.co.uk]
- Nasal Congestion
Learn more: Causes of hyperventilation Common symptoms of hyperventilation include bronchospasm, constipation, coughing, muscle cramps, anxiety, nasal congestion, sighing, shortness of breath, angina pain, ... [normalbreathing.com]
Nasal congestion and hyperventilation syndrome. Am J Rhinol. 2005 Nov-Dec. 19(6):607-11. [Medline]. Castro PF, Larrain G, Perez O, et al. Chronic hyperventilation syndrome associated with syncope and coronary vasospasm. [emedicine.medscape.com]
- Dry Cough
I also have a dry cough when I exert myself. I recently saw a pulmonologist as my family doc had done a walking oximetry and my oxygen saturations dropped significantly. He did the oxygen test again and it was normal. [medhelp.org]
- Chest Wall Pain
Also according to her book, some possible symptoms of Hyperventilation Syndrome (HVS) include but are not limited to: Breathlessness at rest for no apparent reason Frequent deep sighs or yawns Chest wall pain Palpitations Light headedness and feeling [invitedbygrace.com]
Gastrointestinal
- Nausea
[…] sighing or yawning chest pains not heart related chest tightness coughing wheezing breathlessness sneezing reduced loss of smell heart palpitations sweating syncope (fainting) dizziness trembling slurred speech cold, tingling, or numb lips or extremities nausea [inspire.com]
After surgery, or illness, or prolonged social or physical stress Symptoms Acute Attack - agitation, rapid upper chest breathing and heart-rate, chest pains, shortness of breath, nausea, tingling dizziness, clammy hands, dilated pupils, perhaps fainting [healthnavigator.org.nz]
Nausea and other digestive problems. Excessive irritability Erratic rise and lowering of blood pressure. People suffering from chronic hyperventilation syndrome often suffer a miserable life if the condition remains unrecognized and untreated. [tandurust.com]
ACUTE ATTACK - agitation, rapid upper chest breathing and heart-rate, chest pains, shortness of breath, nausea, tingling dizziness, clammy hands, dilated pupils, perhaps fainting and general weakness. [familydoctor.co.nz]
- Flatulence
[…] unsteadiness, or diffuse weakness restless sleep, insomnia, or nightmares sexual problems anxiety or phobias fear that perhaps you're a hypochondriac bad breath, dry mouth, dental problems pressure in throat or difficulty swallowing bloating, belching, flatulence [inspire.com]
Digestive: Dry mouth, flatulence and belching, duodenal spasm, vomiting, bloating, constipation, epigastric pain, aerophagia, diarrhea. [iamheart.org]
This results in the following abdominal symptoms like bloating, burping, passing excess gas (flatulance), pressure sensation in the abdomen, Also, anxiety with increased air movement through the mouth can cause a dry mouth feeling. [emedicinehealth.com]
- Constipation
Learn more: Causes of hyperventilation Common symptoms of hyperventilation include bronchospasm, constipation, coughing, muscle cramps, anxiety, nasal congestion, sighing, shortness of breath, angina pain, ... [normalbreathing.com]
Digestive: Dry mouth, flatulence and belching, duodenal spasm, vomiting, bloating, constipation, epigastric pain, aerophagia, diarrhea. [iamheart.org]
- Abdominal Bloating
Digestive symptoms include reflux, abdominal bloating, frequent belching and sub-costal pain. Less severe hyperventilation may be associated with a tendency for headaches, as well as neck, back and shoulder pain. [massagetherapy.com]
Cardiovascular
- Palpitations
They tend to focus on other physical symptoms – chest pain, feeling dizzy or faint, palpitations, digestive complaints, weakness, irritability and sleep disturbance among many others. [drweil.com]
The most commonly noted symptoms of hyperventilation syndrome are an ill-defined lightheadedness associated with perioral and digital paresthesias, tightness in the chest, a lump in the throat, sweating, trembling, palpitations, and possible ringing in [depression-guide.com]
In addition, our smooth muscles of our blood vessels, airways and gut tighten increasing histamine release, allergic responses, palpitations, air hunger … total terribleness. [invitedbygrace.com]
Abstract A 37-year-old woman complained of dyspneic sensation, headache, easy fatigability, cold sensation at the extremities and palpitation for a year. [jstage.jst.go.jp]
She also had restless legs, dizziness, chest pains, palpitations, anxiety, lots of mucus and debilitating fatigue. [breatheability.com]
Musculoskeletal
- Muscle Spasm
This directly affects the ability of of smooth muscle to relax. Hence, hyperventilation is associated with spasms in smooth muscle. [iamheart.org]
The symptoms of acute hyperventilation are mainly caused by the hypocalcemia. 4 Symptoms Tachypnea Muscle spasms Paresthesia Dizziness Anxiety Spasms of the muscles of the lower arm and hands ( hyperventilation tetany ) can lead to the characteristic [flexikon.doccheck.com]
Excessive breathing can cause dizziness, lightheadedness, weakness, shortness of breath, a sense of unsteadiness, muscle spasms in the hands and feet, and a tingling feeling around the mouth and fingertips. [medicinenet.com]
However, low carbon dioxide levels in the blood also have a number of physical effects, including: dizziness bloating feeling lightheaded numbness or muscle spasms in the hands and feet discomfort in the chest area confusion dry mouth tingling in the [healthline.com]
- Muscle Cramp
Learn more: Causes of hyperventilation Common symptoms of hyperventilation include bronchospasm, constipation, coughing, muscle cramps, anxiety, nasal congestion, sighing, shortness of breath, angina pain, ... [normalbreathing.com]
These patients complained not only of anxiety or panic, but also feelings of air hunger, chest pain, dizziness and faintness, visual disturbances, fatigue, muscle cramps and poor sleep. [yogaphysiology.wordpress.com]
- Leg Pain
[…] including backaches, abdominal pain, muscle pain, neck, arm, and leg pain, and relieves side affects from cancer and AIDS. [tmswiki.org]
- Trousseau Sign
Trousseau's sign (also called 'main d'accoucheur' or carpopedal spasm) is muscle spasm in the hands, with the tips of the fingers and thumb apposed and the fingers straight. It results from hypocalcaemia. [patient.info]
Skin
- Sweating
People with HVS may have symptoms such as Shortness of breath, confusion, chest pain, tightness in the chest, irregular heart beats, tiredness, weakness, muscle twitching and sweating. [depression-guide.com]
: shortness of breath for no apparent reason frequent sighing or yawning chest pains not heart related chest tightness coughing wheezing breathlessness sneezing reduced loss of smell heart palpitations sweating syncope (fainting) dizziness trembling [inspire.com]
Acute hyperventilation During an acute hyperventilation attack, the patient often gets dizzy, they see the world around them spin, faints and starts sweating. [15minutes4me.com]
Some of these symptoms are: headache gas, bloating, or burping twitching sweating vision changes, such as blurred or tunnel vision problems with concentration or memory loss of consciousness ( fainting ) Make sure to let your doctor know if you have recurring [healthline.com]
General: Failure of transurethral resections, edema, restlessness, Da Costa;s Syndrome, excessive sweating, burnout, Raynaud's Disease, chest pains, weakness and listlessness. [iamheart.org]
Psychiatrical
- Anxiety Disorder
Abstract Arterial blood gases were measured and base excess calculated in 18 nonpanicking panic disorder (PD) patients, 12 subjects suffering from other anxiety disorders, and 18 normal control subjects. [ncbi.nlm.nih.gov]
Most patients require treatment for underlying mood or anxiety disorders; such treatment includes cognitive therapy, stress reduction techniques, drugs (eg, anxiolytics, antidepressants, lithium ), or a combination of these techniques. [msdmanuals.com]
Panic Disorder: A Hyperventilation Interpretation. In Cognitive-behavioral assessment and treatment of anxiety disorders, (eds. L. Michelson and M. Ascher). Guilford Press, New York. Google Scholar Lum, L. C. (1976). [link.springer.com]
Anxiety on the other hand has a definite relation to syncopal attacks. Also you have mentioned that you are afraid of open spaces (agarophobic). This also results in syncope by adding to your anxiety disorder. [doctorspring.com]
Neurologic
- Tingling
Symptoms include shortness of breath, chest pain, and tingling in the fingertips or around the mouth. Often, people with CHS feel they cannot get enough air. [patientslikeme.com]
Palpitations, for instance, may be interpreted as the beginning of a heart attack, or tingling sensations as symptomatic of a brain tumor. The problem is the way the symptoms are perceived. [myptsd.com]
"They go to their GP with all these vague symptoms like racing heart, tingling fingers, stiff shoulders and insomnia, but no one can find anything wrong, so they are fobbed off with tranquillisers. [independent.co.uk]
- Giddiness
Headache, giddiness, disturbed sleep, and dizziness were "all indicative of disturbed circulation in the cerebro-spinal centres." Da Costa reasoned that "the heart has become irritable, from its over-action and frequent excitement...." [medlink.com]
Treatment
Chronic Hyperventilation treatment really is a rare and wonderful thing. It is rare because there are few practitioners that know how to treat this breathing disorder and wonderful because treatment when you can get it is life altering. [breathingwise.blogspot.com]
The effect was most pronounced in the first 2 weeks of treatment. [ncbi.nlm.nih.gov]
Treatment by metoprolol (80mg/kg) and diazepam (6mg/kg) alleviated symptoms and improved the values in arterial gases as well as the slow recovery of PET CO 2 after HVPT. Diazepam was stopped and treatment was maintained with only metoprolol. [jstage.jst.go.jp]
Both treatment programs were equally effective in reducing symptoms, said Meuret. But CART was the only treatment to physiologically alter panic symptoms by actively reversing hyperventilation in the patients. [sciencedaily.com]
Prognosis
Prognosis Prognosis is generally good but will depend on the underlying cause and comorbidity. [ 12 ] Management of associated disorders (such as agoraphobia) will alter the course of the hyperventilation. [patient.info]
Pneumothorax (Symptoms, Causes, Types, and Prognosis) A pneumothorax is free air in the chest outside the lung, that causes the lung to collapse (collapsed lung). There are two types... [medicinenet.com]
Without the complete withdrawal of medication on long term, a definite healing is impossible Nevertheless that the patient has the subjective feeling of despair about the possibility of healing, the prognosis with the right treatment is good. [15minutes4me.com]
Hyperventilation Prognosis With appropriate training, a person may use stress -reduction techniques, breathing exercises, and certain medications to reduce the number and severity of the hyperventilation attacks. [emedicinehealth.com]
Etiology
Because of its bizarre manifestations and its basic etiology, it is seen by everyone regardless of the limitation of one's practice. Too many of us have been lulled into a sense of false security by medical school teachings. [aafp.org]
Etiology The cause of HVS is unknown, but some persons who are affected appear to have an abnormal respiratory response to stress, sodium, lactate, and other chemical and emotional triggers, which results in excess minute ventilation and hypocarbia. [emedicine.medscape.com]
The etiology of effort syndrome. Am J Med Sci. 1938;196:840-51. [ Links ] 5. Cowley DS, Roy-Byrne PP. Hyperventilation and panic disorder. Amer J Med. 1987;83(5):929-37. [ Links ] 6. Klein DF. [scielo.br]
Epidemiology
Epidemiology It is quite common but precise prevalence is unknown. [patient.info]
[…] addition, asthma status was seen to significantly influence the probability of HVS occurrence, with the ORs for HVS in adolescents with lifetime asthma, current episodic asthma, and current active asthma calculated as 11.2, 8.9, and 41.5, respectively. [4] Epidemiology [emedicine.medscape.com]
Pathophysiology
[…] from Greek: ὑπέρ ("iper") - over and Latin: ventilare - breathe German : Hyperventilation Contents 1 Definition 2 Forms 3 Pathophysiology 4 Symptoms 5 Therapy 1 Definition Hyperventilation is defined as unphysiological deeper and/or faster breathing that [flexikon.doccheck.com]
Adrogue, Metabolic acidosis: pathophysiology, diagnosis and management. J Nephrol. 19 Suppl. 9, S62 (2006) M. Kosch et al., Störungen des Säure-Basen-HaushaltsRationale Diagnostik und ökonomische Therapie. Dtsch. Ärzteblatt 102, B 1603 (2005) Y.S. [charite.de]
However, the underlying pathophysiology has not been clearly elucidated. [emedicine.medscape.com]
Lewis contended that acute and chronic hyperventilation syndrome occurred frequently and described the common and atypical presentations, pathophysiology, and therapy ( Lewis 1953 ). [medlink.com]
Prevention
This means that if you can stop hyperventilating, you can potentially reduce the severity of your panic attacks and perhaps prevent them altogether. [calmclinic.com]
Average trial results show 75 percent fewer symptoms, 90 percent reduction in reliever medication use and 49 percent reduction in preventer medication use just after three months. [faim.org]
Examples of medications for hyperventilation include: alprazolam (Xanax) doxepin paroxetine (Paxil) You can learn breathing and relaxation techniques to help prevent hyperventilation. [healthline.com]
If you find they are hunching, rotate your palms outwards at either side of the body, and this will prevent the shoulders from rising. * A poor posture can prevent this new breathing technique from becoming a habit: the pelvis tipped excessively under [naturalnews.com]