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Does Excessive Stress And Anxiety Lead To Lung Disease?

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Posted on Sat, 5 Mar 2016
Question: I have not spoken to you in a while, I have been working on stress/anxiety/panic reduction. I have had considerable success, though not where I want to be.
I have been visiting with a psychiatrist who like you believes that my issues are all anxiety driven.
I know you are trained in medicine and specialize in Pulmonology, so your answers to that topic would outweigh the psychiatrists who specializes in the mental and conscious behaviors.
He recently asked me a question in regards to my issue. he asked "why is it hard to accept that this is psychosomatic, why would things be easier if this was a physical illness despite all the evidence showing us it is not" I have not answered this but after thinking of this, i believe that after once being diagnosed that there was nothing wrong with my heart, I end up in hospital a few weeks later with a angiogram showing collateral circulation. I guess I am hesitant.

Since I am working toward acceptance, I need to know a few things.
I have been informed by a Internal Dr. that "generally" people with COPD can not sleep laying down. Well I do that well.
I have good PFT with Midflows up and down.
I have no symptoms of Bronchitis, nor any restrictive disease.

Since I generally have a breathing issue on exertion such as after climbing steps (not while climbing but after)
Or when I carry a 40 lb bag of groceries in to the house, I feel a bit of pressure on chest as I try to take a breath but am limited to how much my chest will expand.
I am not obese at all but if i can get a few inches off my upper abdomen and stomach, i may breath easier, If i pull my stomach in as if i were doing yoga, I find i can get a greater or larger breath of air.
So Your expertise is Pulmonology but can you explain what long term anxiety and panic can do to breathing and i know panic can slow digestion causing my stomach to push upward. Can the stress tighten the upper chest muscles causing a reduced expansion to upper lungs.

Oh, please tell me if upper lungs can be damaged and lower still work.
doctor
Answered by Dr. Drkaushal85 (4 hours later)
Brief Answer:
No direct effect of stress, anxiety on lungs or rib cage.

Detailed Answer:
Thanks for your question on Health Care Magic.
I can understand your concern.
It's good that you are improving.
And this fact proves that you are not having lung disease and your all symptoms are due to anxiety and panic disorder.
Actually these diseases have no direct impact on lungs. But they made you feel air hunger.
So you start breathing more rapidly.
So the breathing time is less and you feel your lungs are not getting enough air and your chest expansion is reduced.
This is the effect of anxiety and panic disorder.
Once you remove the fear from your mind, you will no longer feel air hunger and the consequences.
And this is what your psychiatrist suggested.
Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Drkaushal85 (9 hours later)
Thanks for your response, it is very helpful and gives credence to the statements of my psychiatrist and his responses.

The following is what I mentioned to him from an incident that i used to progress and work to eliminate the anxiety

I was thinking that I needed a bit of scolding or firm handedness to shake some sense into me and realize that there is other factors at work here and look at them and stop them (worrying). The thought/question was once again upon climbing the stairs at work and being out of breath and unable to talk for a few moments. What I wondered was, If I am out of Breath, what caused it if I exclude COPD, Age (we have decreased lung functions as we age, but we do not have a death sentence as if we had COPD), is it being out of shape?, is it symptoms of Anxiety and Panic. I thought it could be combination of 1, 2, or all three,but none have a death sentence to them. Again you partially answered it with the lack of fitness over 7 years.

I think it will progress further, comment if you like.

I will keep you informed. Thanks for your patience, your help, and your expertise.
doctor
Answered by Dr. Drkaushal85 (1 hour later)
Brief Answer:
In my opinion, it is mostly anxiety and panic disorder.

Detailed Answer:
Thanks for your follow up question on Health Care Magic.
I can understand your concern.
You stick to your thoughts very firmly.
Believe me, it's only and only anxiety and panic disorder.
Avoid thinking about breathing difficulty when you are climbing stairs or lifting weight.
Divert your mind from breathing difficulty. Focus on other things like work, music etc.
Don't worry, you will be alright.
And I would love to hear your progress, so keep me updated.
Hope I have solved your query.
If you are not having further queries, then please close the conversation and rate my answer.
You can ask me directly on bit.ly/askdrkaushalbhavsar.
Wish you good health. Thanks.
Note: For further follow up on related General & Family Physician Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Drkaushal85

Pulmonologist

Practicing since :2008

Answered : 14997 Questions

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Does Excessive Stress And Anxiety Lead To Lung Disease?

Brief Answer: No direct effect of stress, anxiety on lungs or rib cage. Detailed Answer: Thanks for your question on Health Care Magic. I can understand your concern. It's good that you are improving. And this fact proves that you are not having lung disease and your all symptoms are due to anxiety and panic disorder. Actually these diseases have no direct impact on lungs. But they made you feel air hunger. So you start breathing more rapidly. So the breathing time is less and you feel your lungs are not getting enough air and your chest expansion is reduced. This is the effect of anxiety and panic disorder. Once you remove the fear from your mind, you will no longer feel air hunger and the consequences. And this is what your psychiatrist suggested. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.