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Published on: 11/18/2024

What Are the Post-COVID-19 Symptoms of "Shortness of Breath" ?

Post-COVID-19 symptoms of "shortness of breath" can persist for weeks or months after recovery from the initial infection. These symptoms may vary in severity and can be caused by a range of factors, including lung damage, anxiety, and other respiratory issues.

answer background

Explanation

Prevalence of Shortness of Breath:

Many individuals who have recovered from COVID-19 report experiencing shortness of breath, also known as dyspnea, as a lingering symptom. Studies have shown that a significant percentage of patients experience this symptom even after the acute phase of the illness has passed. The prevalence of post-COVID dyspnea can vary, but it is a common complaint among those who had moderate to severe cases of the virus.

Potential Causes of Post-COVID Shortness of Breath:

  • Lung Damage: COVID-19 can cause inflammation and damage to the lungs, leading to scarring (pulmonary fibrosis) or reduced lung function. This damage can result in ongoing breathing difficulties and a sensation of shortness of breath.
  • Inducible Laryngeal Obstruction: Some patients may experience shortness of breath due to conditions like inducible laryngeal obstruction, where the airway narrows during breathing. This can lead to a feeling of tightness in the throat and difficulty breathing, especially during physical activity or stress.
  • Anxiety and Stress: The psychological impact of having had COVID-19 can also contribute to feelings of shortness of breath. Anxiety and stress can lead to hyperventilation or a heightened awareness of breathing, making individuals feel as though they are struggling to breathe.
  • Deconditioning: Prolonged illness and reduced physical activity during recovery can lead to deconditioning, where the body becomes less fit. This can result in shortness of breath during exertion, as the body may not be able to handle physical activity as well as before the illness.

Risk Factors for Persistent Symptoms:

Certain factors may increase the likelihood of experiencing post-COVID shortness of breath. These include:

  • Severity of the initial COVID-19 infection
  • Pre-existing respiratory conditions (e.g., asthma, COPD)
  • Age and overall health status
  • Length of hospitalization during the acute phase

Management and Support:

If you experience persistent shortness of breath after recovering from COVID-19, it is important to seek medical advice. Healthcare providers can assess your symptoms, conduct necessary tests, and recommend appropriate treatments or rehabilitation programs. Pulmonary rehabilitation, breathing exercises, and psychological support may be beneficial for managing symptoms and improving quality of life.

(References)

  • Grewal JS, Carlsten C, Johnston JC, Shah AS, Wong AW, Ryerson CJ. Post-COVID dyspnea: prevalence, predictors, and outcomes in a longitudinal, prospective cohort. BMC Pulm Med. 2023 Mar 13;23(1):84. doi: 10.1186/s12890-023-02376-w. PMID: 36907855; PMCID: PMC10008721.

  • Abou-Elsaad T, Saad M, Zayed AM, Farahat M, Mesallam TA, Malki KH. Persistent Shortness of Breath in Post-COVID-19 Patients: Inducible Laryngeal Obstruction Can Be a Cause. J Voice. 2024 Feb 22:S0892-1997(24)00017-1. doi: 10.1016/j.jvoice.2024.01.018. Epub ahead of print. PMID: 38395655.

  • Daines L, Zheng B, Elneima O, Harrison E, Lone NI, Hurst JR, Brown JS, Sapey E, Chalmers JD, Quint JK, Pfeffer P, Siddiqui S, Walker S, Poinasamy K, McAuley H, Sereno M, Shikotra A, Singapuri A, Docherty AB, Marks M, Toshner M, Howard LS, Horsley A, Jenkins G, Porter JC, Ho LP, Raman B, Wain LV, Brightling CE, Evans RA, Heaney LG, De Soyza A, Sheikh A. Characteristics and risk factors for post-COVID-19 breathlessness after hospitalisation for COVID-19. ERJ Open Res. 2023 Feb 20;9(1):00274-2022. doi: 10.1183/23120541.00274-2022. PMID: 36820079; PMCID: PMC9790090.

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Dr. Kenji Taylor

Family Medicine, Primary Care Roots Community Health Center, Hippo Education, Kameda Medical Center

Kenji Taylor, MD

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