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Breathing pattern disorder

Syndroma hyperventilationis · Porucha dechového vzorce

What it is

Chronic upper-chest overbreathing that mimics serious disease.

Symptoms & signs

  • Air hunger
  • sighing
  • tingling hands and lips
  • dizziness
  • chest tightness with normal tests

🚩 Get help if…

  • call 112 / 911 now Chest pain spreading to the arm, jaw or back
  • call 112 / 911 now Breathless with a swollen, painful calf, or coughing blood
  • call 112 / 911 now Fainting, or blue or grey lips
  • see a doctor soon Breathlessness that wakes you at night or comes on with effort

Where it strikes

Medical treatment

  • Exclude organic disease first
  • physiotherapy-led breathing retraining
  • treat anxiety

Natural & lifestyle

  • Diaphragmatic breathing
  • slow nasal breathing
  • CO2 tolerance training
  • yoga
  • posture work

Emerging & experimental

  • Capnography-guided biofeedback

Alternative, off-label & anecdotal

Approaches used outside the guidelines, with what their supporters report and what testing has found so far.

  • Heart-rate-variability biofeedback apps — small trials reduce symptoms early / small studies
  • Paper-bag rebreathing — an old remedy; dangerous if the real cause is heart or lung disease anecdotal / traditional
  • Magnesium for anxiety-driven symptoms — widely used; not tested for this anecdotal / traditional

ICD codes