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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Persistent Shortness Of Breath?

It seems so many folks have the same problem my elderly mother is dealing with and no medical professionals she has seen can find the reason for her Shortness Of Breath. Her pulmonologist and her cardiologist say that her lungs and heart are perfect. And her SpO2 reading is always 95% or higher. Yet my mother complains frequently of Shortness of Breath when she is just sitting or lying down in bed doing absolutely nothing. My siblings and I are left with the unsatisfactory conclusion that her SOB iscaused by anxiety. Xanax however does not help it.
Wed, 10 Feb 2016
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General & Family Physician 's  Response
Thank you for your query.
I would like a few clarifications.
1) how old is your mom? Is she overweight or obese?
2) Is she on any medications other than Xanax?
3) does she feel this shortness of breath even when she stands and moves about or only when she sits or lies down?
4) Does she visibly strain to breathe?or is it more of a discomfort like something is preventing her from taking a deep breath?
5) Does she breath primarily through her nose or mouth?( is she a mouth breather?)
6) has she been checked for any thyroid issues?
7)How long has this shortness of breath lasted?
8)Does she have any other health issues including allergies, bronchitis, asthma, varicose veins, anemia?
9) any digestion problems or heartburn?

Given that her heart and lung are in a good condition, which is great by the way, I would like to focus on other modifiable factors for which I've asked for the above clarifications.
Being obese could put pressure on the lungs while sitting or lying down, which could prevent full expansion of lungs.
Mouth breathers have problems with moisturise of the air they breathe in. if the weather is dry, it accentuates the reduced moisture content. If she has a deviated nasal septum, and a recent cold , it. oiled block her nose and cause the shortness of breath.
Hiatal hernia( abdominal organs pushing through the diaphragm into the chest cavity due to a defect in the diaphragm ) could cause these symptoms.
Anemia can cause shortness of breath because the body tries to deliver the required amount of oxygen to the body by increasing heart rate and oxygenation to make up for the reduced number of red blood cells or hemoglobin
Certain thyroid problems can cause it too.

Anxiety can cause shortness of breath too but the person usually is not relaxed during that time. they would be agitated or irritable and hyperventilating.
it would be advisable to monitor when she gets it and factors associated with it like after a meal, body position, after a bowel movement, when she wakes up. also note the time of the day, frequency in which it occurs and count the rate of breathing( How many in a minute).

it will help her doctor understand the situation better and treat accordingly.
hope this helps. feel free to get back to us if you need any clarification.
Wish you all good health
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What Causes Persistent Shortness Of Breath?

Thank you for your query. I would like a few clarifications. 1) how old is your mom? Is she overweight or obese? 2) Is she on any medications other than Xanax? 3) does she feel this shortness of breath even when she stands and moves about or only when she sits or lies down? 4) Does she visibly strain to breathe?or is it more of a discomfort like something is preventing her from taking a deep breath? 5) Does she breath primarily through her nose or mouth?( is she a mouth breather?) 6) has she been checked for any thyroid issues? 7)How long has this shortness of breath lasted? 8)Does she have any other health issues including allergies, bronchitis, asthma, varicose veins, anemia? 9) any digestion problems or heartburn? Given that her heart and lung are in a good condition, which is great by the way, I would like to focus on other modifiable factors for which I ve asked for the above clarifications. Being obese could put pressure on the lungs while sitting or lying down, which could prevent full expansion of lungs. Mouth breathers have problems with moisturise of the air they breathe in. if the weather is dry, it accentuates the reduced moisture content. If she has a deviated nasal septum, and a recent cold , it. oiled block her nose and cause the shortness of breath. Hiatal hernia( abdominal organs pushing through the diaphragm into the chest cavity due to a defect in the diaphragm ) could cause these symptoms. Anemia can cause shortness of breath because the body tries to deliver the required amount of oxygen to the body by increasing heart rate and oxygenation to make up for the reduced number of red blood cells or hemoglobin Certain thyroid problems can cause it too. Anxiety can cause shortness of breath too but the person usually is not relaxed during that time. they would be agitated or irritable and hyperventilating. it would be advisable to monitor when she gets it and factors associated with it like after a meal, body position, after a bowel movement, when she wakes up. also note the time of the day, frequency in which it occurs and count the rate of breathing( How many in a minute). it will help her doctor understand the situation better and treat accordingly. hope this helps. feel free to get back to us if you need any clarification. Wish you all good health