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Hyperventilation - Overview

Alternative Names

Rapid deep breathing; Breathing - rapid and deep; Overbreathing; Fast deep breathing; Respiratory rate - rapid and deep

Definition of Hyperventilation:

Hyperventilation is rapid or deep breathing that can occur with anxiety or panic. It is also called overbreathing, and may leave you feeling breathless.

See also: Rapid shallow breathing

Considerations:

When you breathe, you inhale oxygen and exhale carbon dioxide. Excessive breathing leads to low levels of carbon dioxide in your blood. This causes many of the symptoms you may feel if you hyperventilate.

Feeling very anxious or having a panic attack are the usual reasons that you may hyperventilate. However, rapid breathing may be a symptom of a disease, such as:

  • Bleeding
  • Heart or lung disorder
  • Infection

Your doctor will determine the cause of your hyperventilation. Rapid breathing may be a medical emergency -- unless you have experienced this before and have been reassured by your doctor that your hyperventilation can be self treated.

Often, panic and hyperventilation become a vicious cycle. Panic leads to rapid breathing, and breathing rapidly can make you feel panicked.

If you frequently overbreathe, you may have hyperventilation syndrome that is triggered by emotions of stress, anxiety, depression, or anger. Occasional hyperventilation from panic is generally related to a specific fear or phobia, such as a fear of heights, dying, or closed-in spaces (claustrophobia).

If you have hyperventilation syndrome, you might not be aware you are breathing fast. However, you will be aware of having many of the other symptoms, including:

  • Belching
  • Bloating
  • Chest pain
  • Confusion
  • Dizziness
  • Dry mouth
  • Lightheadedness
  • Muscle spasms in hands and feet
  • Numbness and tingling in the arms or around the mouth
  • Palpitations
  • Shortness of breath
  • Sleep disturbances
  • Weakness

Common Causes:

  • Reviewed last on: 7/22/2010
  • Linda Vorvick, MD, Seattle Site Coordinator, Lecturer, Pathophysiology, MEDEX Northwest Division of Physician Assistant Studies, University of Washington School of Medicine. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

References

Duffin J, Phillipson EA. Hypoventilation and hyperventilation syndromes. In: Mason RJ, Broaddus CV, Martin TR, et al. Murray & Nadel's Textbook of Respiratory Medicine. 5th ed. Philadelphia, Pa: Saunders Elsevier; 2010:chap 78.

Winter AO, Purcell TB. Somatoform disorders. In: Marx JA, ed. Rosen’s Emergency Medicine: Concepts and Clinical Practice. 7th ed. Philadelphia, Pa: Mosby Elsevier; 2009:chap 111.

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