Lung Cancer: Managing Shortness of Breath
Dyspnea is the medical word for difficulty breathing. It's a common symptom in people
who have lung cancer or have cancer that has spread to the lungs. Dyspnea happens
when you have trouble moving air in and out of your lungs. You can also have dyspnea
if your lungs aren't getting enough oxygen.
People who have dyspnea describe it as difficulty in breathing or shortness of breath.
They often compare it to feeling like they are suffocating or being smothered. In
many cases, you may feel anxious or panic if you think you cannot breathe. Often your
anxiety and fears can make the dyspnea worse. By panicking, you can become more breathless
and begin a cycle that is hard to stop.
Who gets dyspnea?
You may have dyspnea if you have lung cancer. Or you may have it if you have another
type of cancer, such as breast cancer, that has spread to the lungs. It can also happen
if you have any of these health issues:
Some cancer treatments may damage the lungs and cause dyspnea. These include lung
surgery, radiation to the lungs, and certain medicines used to treat lung cancer.
How is dyspnea diagnosed?
Each person may experience dyspnea in a slightly different way. You may be asked to
describe your breathlessness as mild, moderate, or severe.
Dyspnea may keep you from doing things you normally do with ease. Your healthcare
provider may ask you how your dyspnea affects your daily life and quality of life.
To help you talk with your healthcare provider about dyspnea, it may help to keep
track of how it affects you. Keep a journal of when you have it, what makes it better,
and what makes it worse.
Your provider may also order tests to find out what is causing your dyspnea, if the
cause isn't clear. These might include blood tests or tests of your heart or lungs.
How is dyspnea treated?
Dyspnea is usually treated by treating its cause. For example, if fluid is collecting
in your lung, your healthcare provider may need to drain the fluid to ease the dyspnea.
You may need chemotherapy or radiation therapy to shrink a tumor that is causing the
dyspnea. If dyspnea is caused by an infection, you may need antibiotics. If a blood
clot is found in your lung, you may need to take blood thinners.
Your healthcare provider may treat dyspnea with medicine. The type of medicine will
depend on the cause. You may need:
Bronchodilators to open your airways. This will relieve the dyspnea.
Steroids to help reduce swelling in the lungs. The swelling may be causing the shortness
Antianxiety medicines to help break the cycle of panic. This cycle can lead to more
Pain medicines to make breathing easier
Your provider may also prescribe oxygen to help with your breathing. Ask your healthcare
team about breathing and relaxation techniques you can try on your own.
Living with dyspnea
You may find relief by doing relaxation exercises, meditation, or breathing techniques.
You may also be helped by conserving your energy and limiting your activities. These
techniques may also help control your anxiety. This is an important part of treating
You may also find relief by changing the way you sit or sleep. Try sitting upright
in a chair, leaning forward slightly, and resting your forearms on the arms of the
chair or on your knees. This can help your lungs expand. Sleeping with several pillows
or in a recliner can also help.
Here are two types of breathing exercises to help manage dyspnea. Always talk with
your healthcare provider before trying these techniques. You can also talk with a
respiratory or physical therapist for hints on how to manage dyspnea.
Diaphragmatic breathing. This is also called abdominal breathing. To do this type
of breathing, first find your diaphragm. Here's how: Place your fingers just below
your breastbone and breathe in. The muscle that moves is the diaphragm. You can also lie on
your back and put a book on your belly (abdomen). Watch your breathing pattern as
the book rises and falls. Your goal is to make the book rise and fall with each breath.
Pursed-lip breathing. To do this type of breathing, keep your lips pressed together
tightly, except for the very center. Take normal breaths. Breathe in through the nose.
Then take twice as long to breathe out through the center of your mouth.