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Old 10-26-2002, 01:12 AM   #1
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Question Dizziness, shortness of breath when talking

In the past month, I've developed shortness of breath (off and on) along with lightheadedness and dizziness when talking, particularly for longer periods of time -- or when reading aloud. That is when the lightheadedness tends to come on. I'll be having a conversation then very suddenly get dizzy and feel as though I have to catch my breath. Sometimes -- not usually -- it's accompanied by a sense of blacking out and nausea. I had some associated chest tightness and dry coughing, and because of that, had some cardiac tests done (EKG, blood tests). All negative. The specialist did not feel I was at any risk for heart problems (due to age, low risk factors, symptoms, physical) but I'm scheduled for a follow-up echocardiogram to be sure. Doctor thinks it could be anxiety but I've never had anxiety to this degree (I'm female, almost 40). As I follow up, are there other tests I should be requesting or questions I ought to be asking? Could this even indicative of a lung problem, based on the symptoms I describe? I feel as though I always have to be my own sleuth in health matters and would like any suggestions on other things I may need to inquire about. (I did not have a chest x-ray or oxygen intake. I requested them but the doctor felt I had no signs of pulmonary problems that would justify the expense of the added tests.) Any opinions? Thanks so much.

 
Old 10-26-2002, 09:33 AM   #2
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Yes, it could be indicative of a lung problem, but if if this is your only symptom, it doesn't seem likely to me.

When you're talking, try to slow down and take relaxed breaths. You can give yourself this feeling by breathing too much and too fast through your mouth, as is likely happen when you're talking for a long period of time. I'm such a chatterbox, this happens to me all the time. I'm also asthmatic.

Do you get these feelings any other times? Examples: cold air, when around certain substances (cigarette smoke and dust are two great ones), when exercising? Or is it just when you're talking?

It just sounds to me like you're getting a bit worked up (not necessarily anxiety but just deep fast breathing) when you talk. Just try to slow down, make sure you exhale fully. See if that works. (I find I tend to feel this way more when I'm nervous around people; the anxiety isn't necessarily causing the breathihng problem, it more or less is just the fact that when I get nervous I tend to talk really fast.)

I don't think it's anything to worry about unless you really feel like you're choking.

 
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Old 10-26-2002, 09:36 PM   #3
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Thanks so much for your quick reply. I haven't been able to make a connection between these lightheaded episodes, shortness of breath and any external event. I have tried to find commonality, but they've occurred in different places, different times -- when I've been active or sedentary. I will pay more attention to preceding events or exposures and see if any pattern develops. Your comments much appreciated.

 
Old 11-09-2002, 10:19 PM   #4
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I have had the same symptoms for the past year, not only when talking for extended periods but also when I sing. The latter is the more severe. When I talk I just get the lightheadedness and sense of impending blackout. When I sing the same occurs, but after a bit my body stops me and forces me to take several quick, sharp breathes. This is a very frightening experience, so I've pretty much stopped singing, even though I'm a songwriter. My EKG and blood work was normal as well...other symptoms I have are a constant sense of fullness/pressure in my head and ears, and weakness and fatigue. How about you?

 
Old 11-30-2002, 09:06 PM   #5
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i too get dizzy and tingly if i sing or read outloud i suffer from eustachian tube dysfunction and if my ears are full or its raining or there is low pressure in the air it makes it a lot worse.across my forehead gets tingly too like to know what causes it my doctor says its the ears not pressurising properly
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Old 11-30-2002, 09:16 PM   #6
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i too suffer from dizziness and sick tingling feeling when i sing or read outloud. i have eustachian tube dysfunction and when its raining or there is a low pressure system over the area my ears block and pull on my vocal cords if its really bad it even causes me to feel tight in the chest and you can feel the pulling sensation all the way down yoyr ears throat and into the top of your chest i yawn a lot too and i am always trying to get a big breath i hate it
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Old 05-24-2008, 10:18 AM   #7
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Re: Dizziness, shortness of breath when talking

I've recently started experiencing the exact same thing. Am male, age 50, athletic, never had any such experiences but am currently under tremendous pressure at work. So I've had meetings with people one after the other where I have to mobilize and give rapid and detailed advice, often spending up to 5 minutes talking before the other person can respond. Suddenly I have started to feel like I'm going to pass out, as though the speech part of my brain is sucking up too much oxygen. It is the strangest thing. So doctors appt, stress test, and now scheduled for an angiogram - but I have no risk factors - no family history, non smoker, light social drinks only, regular squash player. But the medical people seemed very concerned about the dizziness so we going forward with cardiac tests. Any thoughts appreciated - I find it hard to believe I've get cardiac disease. How careful does a person have to be??

 
Old 05-30-2008, 06:55 PM   #8
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Re: Dizziness, shortness of breath when talking

If that was happening to me, I would see a neurologist and have them check my brain. The brain does strange things. If it was happening to me.

 
Old 06-11-2008, 10:46 AM   #9
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Re: Dizziness, shortness of breath when talking

I've had this happen a few times, usually when im driving (singing along with radio) or talking. I do get little dizzy, I do have UILD thought it was from lack of o2 to the brain ?. I feel this way after having a coughing fit too.
My doctor also told me it was panic/anxiety attacks, gave me some meds. THey do seem to help, but make me sleepy so can't take them during the day.

 
Old 07-24-2008, 04:51 AM   #10
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Re: Dizziness, shortness of breath when talking

I have been suffering from these same symptoms on/off for the past 4 years. I have seen so many doctors and specialists, checking my heart and insisting i had anxiety attacks which just wasn't true. After a while I thought about it rationally, I got dizzy and almost fainted (but like all of you, you never actually faint just black out but kind of jolt yourself out of it) whenever I talked loudly, laughed or sang, even at one point if I sat in a chair wrong with my neck bent funny I would get these symptoms. So I thought about it, it's all to do with my throat (laughing talking singing) and neck (funny positions), and so I paid close attention to my enck and how it felt. It was really damn tight!

I have been studying chinese medicine for the last five years and saw many acupuncturists and had friends treat me and sometimes myself! In the end I saw an osteopath, who works on manipulating soft tissue (muscle mainly) to correct misalignments in the body and get things working properly. The guy I saw in Sydney Australia is named Geoff Ward and he released my neck and virtually cured me. I saw him twice and after that had none of these symptoms reccur for two years! It recently returned but I know now it is neck tension so I do meditations on relaxing my jaw and neck and it gets better by itself now. I beleive the main muscle that was causing my problems was the splenius capitis. Good luck to the rest of you, this was crippling to my going out social life (try yelling over loud music when you have this problem) and had to see all my friends in quiet places haha. Good luck all.

 
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