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Dyspnea: definition, causes and proven treatment

Dyspnea definition and overview

Dyspnea (pronounced as ‘disp-ne’ah” is characterized as the inability of an individual to take a satisfying deep inspiration. This is an extremely weird definition, and there are good chances that it was invented by proponents of breathing more – as if breathing more than the medical norm is going to offer additional health benefits!

This short YouTube video “Shortness of Breath (Dyspnea)” features Dr. Artour Rakhimov who explains development of dyspnea in people with chronic diseases.

The causes of dyspnea and its pathophysiology

Causes of dyspneaThe major cause of dyspnea lie in the changes that have taken place in air composition during the past 2 million years. When the very first prototypes of lungs started evolving, the air consisted of about 7-12% CO2, and less than 1% O2. This was prior to the time when green life was advanced. As a result, overbreathing proved highly beneficial for increased tissue oxygenation. However, the situation has truly reversed now, although humans continue to possess this ancient pathological reflex known as ‘dyspnea’. In modern times, overbreathing has the potential to reduce body oxygenation, which has the potential to intensify the desire to breathe, thereby creating a vicious circle.

Dyspnea is basically triggered by overbreathing or deep breathing, chest breathing and mouth breathing. All of these activities have the potential to cut down on body and brain oxygenation, and trigger the feeling of air hunger. To begin with, let us initially provide a bit of evidence related to chronic deep breathing in people who suffer from dyspnea. Just imagine, how would you feel while waiting to acquire your test results – that’s how the shortness of breath triggered by dyspnea is going to make you feel.

Minute ventilation rates (chronic diseases)
For references, visit NormalBreathing.com.

Condition Minute
ventilation
Number of
people
References
Normal breathing 6 L/min Medical textbooks
Healthy Subjects 6-7 L/min >400 Results of 14 studies
Heart disease 15 (~+-~4) L/min 22 Dimopoulou et al, 2001
Heart disease 16 (~+-~2) L/min 11 Johnson et al, 2000
Heart disease 12 (~+-~3) L/min 132 Fanfulla et al, 1998
Heart disease 15 (~+-~4) L/min 55 Clark et al, 1997
Heart disease 13 (~+-~4) L/min 15 Banning et al, 1995
Heart disease 15 (~+-~4) L/min 88 Clark et al, 1995
Heart disease 14 (~+-~2) L/min 30 Buller et al, 1990
Heart disease 16 (~+-~6) L/min 20 Elborn et al, 1990
Pulm hypertension 12 (~+-~2) L/min 11 D’Alonzo et al, 1987
Cancer 12 (~+-~2) L/min 40 Travers et al, 2008
Diabetes 12-17 L/min 26 Bottini et al, 2003
Diabetes 15 (~+-~2) L/min 45 Tantucci et al, 2001
Diabetes 12 (~+-~2) L/min 8 Mancini et al, 1999
Diabetes 10-20 L/min 28 Tantucci et al, 1997
Diabetes 13 (~+-~2) L/min 20 Tantucci et al, 1996
Asthma 13 (~+-~2) L/min 16 Chalupa et al, 2004
Asthma 15 L/min 8 Johnson et al, 1995
Asthma 14 (~+-~6) L/min 39 Bowler et al, 1998
Asthma 13 (~+-~4) L/min 17 Kassabian et al, 1982
Asthma 12 L/min 101 McFadden, Lyons, 1968
COPD 14 (~+-~2) L/min 12 Palange et al, 2001
COPD 12 (~+-~2) L/min 10 Sinderby et al, 2001
COPD 14 L/min 3 Stulbarg et al, 2001
Sleep apnea 15 (~+-~3) L/min 20 Radwan et al, 2001
Liver cirrhosis 11-18 L/min 24 Epstein et al, 1998
Hyperthyroidism 15 (~+-~1) L/min 42 Kahaly, 1998
Cystic fibrosis 15 L/min 15 Fauroux et al, 2006
Cystic fibrosis 10 L/min 11 Browning et al, 1990
Cystic fibrosis* 10 L/min 10 Ward et al, 1999
CF and diabetes* 10 L/min 7 Ward et al, 1999
Cystic fibrosis 16 L/min 7 Dodd et al, 2006
Cystic fibrosis 18 L/min 9 McKone et al, 2005
Cystic fibrosis* 13 (~+-~2) L/min 10 Bell et al, 1996
Cystic fibrosis 11-14 L/min 6 Tepper et al, 1983
Epilepsy 13 L/min 12 Esquivel et al, 1991
CHV 13 (~+-~2) L/min 134 Han et al, 1997
Panic disorder 12 (~+-~5) L/min 12 Pain et al, 1991
Bipolar disorder 11 (~+-~2) L/min 16 MacKinnon et al, 2007
Dystrophia myotonica 16 (~+-~4) L/min 12 Clague et al, 1994

Overbreathing, or chronic hyperventilation has the potential to trigger alveolar hypocapnia or CO2 deficiency. This is fairly normal, particularly in people who suffer from asthma, heart disease, cancer, COPD, diabetes, cystic fibrosis, and many other conditions including pregnancy. The known effect of overbreathing is low brain oxygenation.

It is just about impossible for one to perform healthy, normal breathing, for the simple reason that it is extremely small – 500 ml for tidal volume, 10-12 breaths/min, and 6 L/min for minute ventilation at rest for a person weighing 70-kg. On the other hand, dyspneic patients have more than 12 L/min for their ventilation rates, and more than 18 breaths/min for respiratory frequency at rest. If truth be told, all of these simple ideas are literally unknown to a majority of doctors – the same can be confirmed through this article on Wikipedia, which is dedicated to dyspnea.

What causes dyspnea?

Hyperventilation has the ability to trigger increased work of breathing. This is caused mainly because of large minute ventilation rates. However, there are other effects that it can lead to as well. For instance, alveolar hyperventilation just about always triggers cell hypoxia, irrespective of ventilation-perfusion ratio.

The major physiological factors or causes of dyspnea that have the potential to increase the work of breathing are:

·  Reduced oxygen tension within the chest muscles and diaphragm because of reduced oxygen transportation

·  Constriction of airways because of alveolar hypocapnia

·  Tensed states of the diaphragm and chest muscles, caused by arterial hypocapnia

Exacerbating causes in the pathophysiology of dyspnea are inclusive of:

·  Chest breathing (because of reduced arterial oxygenation)

·  Mouth breathing (due to a severe drop in the absorption of nitric oxide and alveolar CO2)

·  The onset of inflammation and mucus within the airways, which further obstructs or narrows down the flow of air

Other known causes of hyperventilation include:

  • Exercise with mouth breathing
  • Exertion
  • Overheating
  • Meals (particularly overeating)
  • Anxiety
  • Stress
  • Deep breathing exercises
  • Attempts to breathe deeply
  • Night sleep
  • Sleeping in the horizontal position (particularly supine sleep)
  • Pregnancy
  • Poor posture etc.

For instance, physical exertion, caused by anaerobic cell respiration at rest, and elevated resting blood lactate worsens the exchange of gas, and triggers the onset of overbreathing. This can cause acute exertional dyspnea.

Acute dyspnea can further trigger even heavier breathing, which is caused by negative feedback in breathing control. This is due to a substantial oxygen driver or air hunger, rather than normal CO2-based regulation of respiration. Low brain-oxygenation is senses by respiratory receptors that are located in the brain, which creates a feeling of air hunger, thereby trying to enhance ventilation. 

Treatment of dyspnea

You will be able to get rid of most symptoms related to dyspnea the moment you get more than 20 s for the body-oxygen test. Although this number is 2 times less than the medical norm of 40 second, it still is sufficient enough to help you resolve problems with shortness of breath at rest.

However, over 30 s for body O2 test is required to be totally free from symptoms of dyspnea and cure it completely and naturally. Success.

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