Can asthma present itself as dyspnea when speaking?


Q: Hi and happy new year. Been suffering from chronic dyspnea for a couple months. Been to an endocrinologist, cardiologist and now neumonologist, who believes it could be asthma/broncospasm due to my history of allergic rhinitis, eczema (pompholyx) and slightly elevated eosinophils. I'm confused because I thought asthma presented itself as an obstruction (I basically get breathless when I speak and sometimes at rest as well, but there's no obstruction). Do you agree that it could be asthma? what studies would you recommend if I were your patient?

Symptoms:  Dyspnea when speaking, sometimes at rest, chronic. Speaking causes breathlessness and dizziness. Anxiety probably makes it worse. Used to get breathless when reading aloud as a child but family didn't think much of it. I'm now 34 and it's worse. I seem to be in good shape/strong except for the breathlessness which limits how active I can be.

A:   Hhello,
Thanks for the query
It is indeed possible to have dyspnea due to asthma, considering a history of allergic rhinitis and eczema. If you were to be my patient I would have advised you for an ECG, pulmonary finction tests, ECHO of the heart , absolute eosinophilic counts , allergen identification tests, immunoglobulin tests, check on the thyroid levels, blood sugars and a lipid profile as well. Since you have met a cardiologist and other specialist I am of the opinion that the doctors would have ruled out all the other problems before coming to a conclusion that asthma is the reason for your symptoms. Sometimes it even worsens with anxiety. You may use inhalers twice a day before you start your day and at night, this has to be continued for 3 months,
Also try yoga and deep breathing exercises, they reduce dyspnea,do not attempt cardio without doctor's opinion.Avoid all the allergens which trigger a wheeze. Rule out gastritis as well.
Hope this helps

Related Q&A

Q: My son is mild in education and not showing active interest. Does nootropics drugs help to improve? He is having as...

Q: My 5 year old son has allergy induced asthma every 3-4 months. It lasts only a couple days and we always treat with a...

Q: Hi I am a twenty six year old male. I have GERD. it really has not been that bad until the past couple months. I have...

Q: Hello I am a 26 year old male. The past or so I have been having a constant pressure in my head with shortness of bre...

Q: I live an active bodybuilding lifestyle but suffer often sever asthma, would higher doses of Albuterol such as in pil...


Dr. James Obaji M.D.

  • 247 Reviews
  • Family Physician

Dr. Suneel Sharman M.D.

  • 190 Reviews
  • Family Physician

Dr. Pat Golden M.D.

  • 169 Reviews
  • Cardiologist

Dr. Kunaal Jindal M.D.

  • 112 Reviews
  • Plastic Surgeon