Breathlessness

Breathlessness, shortness of breath, or dyspnea may be due to an underlying condition if it’s frequent, severe, or you experience it when resting. Diagnosis and treatment are key to stopping it from becoming more serious.

What is breathlessness?

Breathlessness and shortness of breath are terms to describe difficulty breathing. The medical term for this is dyspnea. Most of us experience a mild form at various points in our lives, especially during exercise or if we have allergies. However, it can be more serious if it’s frequent, severe, or you experience it when you’re at rest.


Our respiratory physicians and radiologists at our custom-built Lung Health centre work together using the latest diagnostic medical technology to investigate and treat breathlessness. They may also work with our cardiologists to provide the best available care.

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The symptoms of breathlessness are often described as:

  • shortness of breath

  • a tight or heavy feeling in your chest

  • not being able to get enough air or catch your breath

  • gasping for air

  • rapid breathing

  • feeling like you can’t breathe 

  • feeling like it takes more effort to breathe

Several of your brain and body’s systems are involved in breathing. This means there are many potential causes of breathlessness linked to each area. These include:

  • lungs: asthma, chronic obstructive pulmonary disease (COPD), pulmonary hypertension, lung cancer

  • heart: angina, heart failure, abnormal heart rhythms, structural heart disease

  • muscles: myopathy, deconditioning

  • nervous system: hyperventilation, breathing pattern disorders, dysautonomia

  • blood and endocrine: anaemia, thyroid disease

Risk factors for breathlessness

You may have a higher chance of experiencing breathlessness if you:

  • smoke

  • are overweight 

  • are anaemic 

  • have anxiety and/or panic attacks

  • have a chest infection

At Welbeck, you’ll see a consultant for an initial consultation. You’ll be asked to talk through your symptoms, medical history, and any medications you’re taking. 

Usually, your consultant will be able to narrow down which system needs investigating after your consultation. But in some cases, a wider series of tests is required to pinpoint the cause. 

The tests our consultants use to investigate breathlessness and make an accurate diagnosis are:

  • blood tests

  • lung function

  • exercise testing

  • echocardiogram

  • lung and heart imaging

Once your consultant has identified the cause, they’ll be able to provide the most effective treatment plan for your breathlessness.

If you have an underlying condition, treating the condition is the most effective way to prevent your breathlessness.

You can also reduce your risk of breathlessness by stopping smoking, maintaining a healthy weight, and managing your mental health.

On a day-to-day basis, the following may help to reduce your symptoms:

  • practising breathing techniques

  • avoiding breathing in irritating substances such as paint or car exhaust fumes

  • avoiding physical activity when it’s very hot, cold, or humid

  • avoiding physical activity outdoors when pollution levels are high

Mild breathlessness on its own doesn’t usually cause further complications. However, living with breathlessness that stops you from doing your day-to-day activities can impact your mental wellbeing and quality of life. 

Breathlessness can be serious and potentially life-threatening if you have an underlying condition and you don’t treat it. If you get a diagnosis and receive effective treatment, your symptoms should greatly reduce and may even go away.

Your treatment options will be based on your diagnosis. Your consultant may recommend 1 or more of the following in addition to targeted treatment for any underlying condition:

  • oral medication

  • inhaled medication

  • oxygen therapy

  • breathing therapy 

At Welbeck, our respiratory specialists are experts in their field and are dedicated to providing world-class care to every patient.

With access to colleagues across other specialties, our consultants are also able to refer within the Welbeck ecosystem if required to ensure you receive the treatment you need as quickly as possible, all under one roof.  

All appointments, testing, treatment, and follow-up appointments take place within our state-of-the-art facilities, enabling us to deliver accurate diagnostics and advanced treatments.

Your health is important to us, so we strive to offer same-day appointments whenever possible.

Our consultants are recognised by the major health insurance companies. If you have private health insurance, your treatment at Welbeck can begin once you have obtained authorisation. We also provide care to self-paying patients. Learn more about the different payment options at Welbeck.

Get in touch today to book an appointment. 

Our locations

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London

1 Welbeck Street
Marylebone
London
W1G 0AR

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Frequently asked questions

You should go to A&E or call 999 if:

  • you have severe or sudden difficulty breathing

  • you have pain in your back, neck, arms, or jaw

  • your lips, skin, or nails are turning very pale or blue

  • if you have a fever, or if you suddenly feel very confused

The most effective way to find out what’s causing your breathlessness is to see a respiratory specialist. Signs that your symptoms may be linked to your heart include swelling in your legs, ankles, or feet, a rapid or irregular heartbeat, fatigue, wheezing, or a cough that won’t go away.

Your lung function naturally declines as you get older. This usually starts around age 35, and can make breathing feel more difficult.

When you’re anxious or having a panic attack, your breaths may be small, shallow, quick, or gasping. You may also feel a tightness in your chest. These symptoms can be serious and caused by another underlying condition, so it’s important to see a respiratory specialist if you experience them.

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