Breathing Disorders: Understanding, Causes and Management

Shahrokh Javaheri^*
*Correspondence: Shahrokh Javaheri, Department of Internal Medicine, University of Detroit, Detroit, USA, Email:

Introduction

Breathing is a fundamental and automatic process that sustains life. We inhale oxygen and exhale carbon dioxide, a simple yet crucial exchange that takes place every moment of our existence. However, for millions of people around the world, this natural process becomes disrupted due to various breathing disorders, which can range from mild inconveniences to lifethreatening conditions. This article delves into the world of breathing disorders, exploring their types, causes, symptoms, diagnosis and treatment options. Breathing disorders encompass a wide spectrum of conditions that affect the respiratory system, which includes the nose, throat, larynx, trachea, bronchial tubes and lungs. These disorders can be broadly categorized into the following groups. In obstructive disorders, the airway becomes partially or completely blocked, making it difficult for a person to exhale effectively. Common examples of obstructive disorders include asthma, Chronic Obstructive Pulmonary Disease (COPD) and bronchiectasis [1].

Description

These disorders affect the lung tissue's ability to expand, leading to reduced lung volume. Conditions like pulmonary fibrosis and interstitial lung disease fall under this category. Infections such as pneumonia, tuberculosis and bronchitis can cause inflammation and fluid buildup in the lungs, making it harder to breathe. Conditions that affect the nerves and muscles involved in breathing can result in weak respiratory muscles. Neuromuscular disorders like Amyotrophic Lateral Sclerosis (ALS) and muscular dystrophy are examples. Conditions like sleep apnea and snoring disrupt normal breathing patterns during sleep, leading to oxygen deprivation and fragmented sleep. Allergic conditions like hay fever and allergic rhinitis can cause nasal congestion and difficulty breathing. Exposure to environmental factors, such as smoke, pollution, or toxic fumes, can lead to breathing difficulties and conditions like occupational lung disease [2].

Anxiety and panic disorders can cause rapid, shallow breathing or hyperventilation, resulting in discomfort and distress. Breathing disorders can have various underlying causes, often rooted in genetics, lifestyle choices, environmental factors, or a combination of these. Certain breathing disorders, such as cystic fibrosis, are genetically inherited, meaning they are passed down through generations. Tobacco smoke is a leading cause of respiratory issues like COPD and lung cancer. Smoking damages the airways and leads to chronic inflammation. Allergens such as pollen, dust mites, pet dander and mold can trigger allergic reactions, leading to conditions like asthma and allergic rhinitis. Exposure to air pollutants, industrial chemicals and hazardous substances in the workplace can contribute to breathing disorders like occupational lung disease. Respiratory infections, including viral, bacterial and fungal infections, can lead to conditions like pneumonia, bronchitis and tuberculosis. Excess body weight can put pressure on the diaphragm and chest, making it harder to breathe, particularly during sleep. This is often associated with sleep apnea [3].

Conditions that affect the nerves and muscles involved in breathing, such as ALS, can weaken the respiratory muscles, leading to breathing difficulties. Psychological factors can cause breathing disorders, particularly hyperventilation or panic attacks, where breathing becomes rapid and shallow. The symptoms of breathing disorders can vary widely depending on the specific condition, its severity and the individual. Feeling unable to get enough air or struggling to breathe normally. Persistent coughing, often with or without mucus production, is a common symptom of many respiratory conditions. A high-pitched whistling sound when breathing often associated with asthma or bronchitis. Discomfort or pain in the chest while breathing can indicate various respiratory problems. Bluish or grayish discoloration of the lips, fingers, or nails due to a lack of oxygen in the blood. Feeling unusually tired or lethargic due to decreased oxygen supply. Recurrent respiratory infections, such as bronchitis, may be a sign of an underlying breathing disorder. Symptoms of sleep-related breathing disorders, including loud snoring and interrupted sleep [4].

Diagnosing a breathing disorder typically involves a combination of medical history, physical examinations and various diagnostic tests. These tests measure lung capacity and airflow. They include spirometry and peak flow measurements to assess lung function. X-rays, CT scans and MRIs can help visualize the lungs and airways, allowing doctors to identify structural abnormalities or infections. Blood samples can reveal the levels of oxygen and carbon dioxide in the bloodstream and help identify infections or other abnormalities. A procedure in which a thin, flexible tube with a camera is inserted into the airways to view and diagnose issues in the lungs. Allergen-specific testing may be necessary to identify allergic triggers in cases of conditions like asthma or allergic rhinitis. Polysomnography is used to diagnose sleep-related breathing disorders such as sleep apnea. The treatment and management of breathing disorders depend on the specific condition and its underlying causes. In many cases, medications can help manage and control symptoms. Bronchodilators and corticosteroids are commonly used for conditions like asthma and COPD. Antibiotics are prescribed for bacterial infections and antiviral medications for viral infections [5].

Conclusion

Quitting smoking, maintaining a healthy weight and avoiding environmental triggers or allergens can be crucial in managing breathing disorders. Techniques such as breathing exercises and chest physiotherapy can help improve lung function and clear mucus from the airways. In cases of severe respiratory insufficiency, supplemental oxygen can be prescribed to ensure adequate oxygen levels in the blood. Surgical interventions may be required in cases of structural abnormalities, lung cancer, or severe obstructive disorders. Lung transplantation is an option for some patients with end-stage lung disease. This comprehensive program includes exercise, education and support to help individuals with chronic respiratory conditions better manage their symptoms. CPAP therapy is used to treat sleep apnea by providing a constant flow of air to keep the airway open during sleep.

Acknowledgement

None.

Conflict of Interest

There are no conflicts of interest by author.

References

1. Skatrud, James B. and Jerome A. Dempsey. "Interaction of sleep state and chemical stimuli in sustaining rhythmic ventilation." J Appl Physiol Respir Environ Exerc Physiol 55 (1983): 813-822.

Google Scholar, Crossref, Indexed at

2. Badr, M. Safwan and Shahrokh Javaheri. "Central sleep apnea: A brief review." Curr Pulmonol Rep 8 (2019): 14-21.

Google Scholar, Crossref, Indexed at

3. Dempsey, Jerome A. "Crossing the apnoeic threshold: Causes and consequences." Exp Physiol 90 (2005): 13-24.

Google Scholar, Crossref, Indexed at

4. Javaheri, Sh and J. A. Dempsey. "Central sleep apnea." Compr Physiol 3 (2013): 141-163.

Google Scholar, Crossref, Indexed at

5. Dempsey, Jerome A. "Central sleep apnea: Misunderstood and mistreated!." F1000Res 8 (2019).

Google Scholar, Crossref, Indexed at