Feeling short of breath? Don't delay

In emergency departments like the one where I work in New York City, shortness of breath remains one of the most common complaints, accounting for approximately 3 million visits in the United States each year. Also known by medical professionals as dyspnea, shortness of breath has many possible causes, many of which are life-threatening if not urgently identified and treated.  In Robin Williams' case, his symptoms were due to aortic stenosis, a heart condition that affects the aortic valve.  In addition to lung diseases such as asthma, COPD, pneumonia, and pulmonary fibrosis, other common causes of shortness of breath include CHF, heart attack, arrhythmia, pulmonary embolism, severe anemia, and allergic reactions- all very serious medical problems deserving prompt medical attention.

Surprisingly enough, denial plays a role in determining when a person becomes concerned enough to seek medical attention. For example, most people living with asthma and COPD are familiar with the danger of delaying medical care when an exacerbation strikes, yet they often delay going to the hospital for hours or even days.  In fact, it's not unusual for a person with mild shortness of breath to wait several days before seeking help- only to have further progression and worsening of symptoms before finally arriving at an emergency department.

Whether it's shortness of breath at rest (dyspnea), lying down at night (orthopnea), or with physical activity (dyspnea on exertion), be sure to pay attention and tell your doctor if you've noticed a change in your breathing. Also take note of other concerning symptoms like pain, fever, palpitations, and changes in mental status. Above all, don't delay- call your doctor or 911 when new symptoms arise.