What causes chest tightness and difficulty breathing?

I often feel chest tightness and difficulty breathing when I take a deep breath. I always have to breathe through my mouth and feel that deep breathing is particularly comfortable. Sometimes normal people may also experience this phenomenon. Chest tightness is a subjective feeling. Many cardiopulmonary diseases will have symptoms of chest tightness and difficulty breathing at the beginning. So don’t ignore it. So, what’s the matter with always feeling chest tightness and difficulty breathing deeply? Let me introduce it to you now.

Chest tightness caused by organic reasons:

One is cardiac chest tightness - chest tightness and dyspnea after fatigue, or paroxysmal dyspnea at night. Patients may wake up from sleep due to suffocation. It is seen in heart disease patients with pulmonary congestion and heart failure. Chest tightness can also be a manifestation of angina pectoris when myocardial ischemia occurs in coronary heart disease. Younger people should pay attention to the possibility of myocarditis.

The second is pulmonary chest tightness, which is seen in bronchial asthma, pleural effusion, spontaneous pneumothorax, pulmonary fibrosis, etc.

Chest tightness caused by neurological functional reasons - common in cardiovascular dysfunction. Patients feel chest tightness and shortness of breath, and subjectively feel that there is not enough air and breathing difficulties. They often breathe like sighs and feel comfortable after exhaling a long breath. Sometimes they are also accompanied by palpitations, stabbing pain in the precordial area, as well as neurological symptoms such as fatigue, dizziness, confusion, panic, anxiety, sweating, and insomnia. Most of the patients suffer from this disease, and its characteristic is that the symptoms are numerous and changeable, which are similar to coronary heart disease and angina pectoris, but no organic lesions are found in electrocardiogram, cardiac B-ultrasound and other examinations.

In addition, organic chest tightness often occurs after exercise or fatigue, while functional chest tightness often occurs during rest; organic chest tightness can be significantly improved after sitting up, while functional chest tightness often does not change due to changes in body position.

The mechanism of this disease is autonomic dysfunction and increased sympathetic nerve tension, which causes a series of functional symptoms and manifestations of the cardiovascular system.

When patients have obvious symptoms of chest tightness and shortness of breath, they should undergo chest X-ray, electrocardiogram, cardiac ultrasound or myocardial enzyme examinations to rule out pathological and organic lesions of the heart and lungs. If no abnormalities are found during the examination, they are mostly neurological functional symptoms. There is no need to worry too much. After mental conditioning, strengthening physical fitness, or necessary rest and drug treatment, they will gradually improve and be cured.

If this is the first attack for the patient, he or she needs to see a doctor to find out whether the difficulty breathing is caused by tension or other reasons. Do not eat food that is too sweet or too salty, do not smoke or drink, do not eat raw, cold or irritating food, and do not eat food that is prone to cause allergies, such as tomatoes, milk, seafood, etc. Patients should choose food according to their physical condition.