Rapid shallow breathing
Tachypnea; Breathing - rapid and shallow; Fast shallow breathing; Respiratory rate - rapid and shallowA normal breathing rate for an adult at rest is 12 to 20 breaths per minute. For an infant, a normal rate is 30 to 60 breaths per minute.
Tachypnea is the term that your health care provider uses to describe your breathing if it is too fast, especially if you have fast, shallow breathing from a lung disease or other medical cause.
The term hyperventilation is usually used if you are taking rapid, deep breaths. This can be due to lung disease or because of anxiety or panic. The terms are sometimes used interchangeably.
Hyperventilation
Hyperventilation is rapid and deep breathing. It is also called overbreathing, and it may leave you feeling breathless.
Causes
Shallow, rapid breathing has many possible medical causes, including:
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Asthma
Asthma
Asthma is a chronic disease that causes the airways of the lungs to swell and narrow. It leads to breathing difficulty such as wheezing, shortness o...
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- Choking
- Chronic obstructive pulmonary disease (COPD) and other chronic lung diseases
COPD
Lung disease is any problem in the lungs that prevents the lungs from working properly. There are three main types of lung disease:Airway diseases -...
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Heart failure
Heart failure
Heart failure is a condition in which the heart is no longer able to pump oxygen-rich blood to the rest of the body efficiently. This causes symptom...
Read Article Now Book Mark Article - Infection in the smallest air passages of the lungs in children (bronchiolitis)
Bronchiolitis
Bronchiolitis is swelling and mucus buildup in the smallest air passages in the lungs (bronchioles). It is usually due to a viral infection....
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Pneumonia or other lung infection
Pneumonia
Pneumonia is a breathing (respiratory) condition in which there is an infection of the lung. This article covers community-acquired pneumonia (CAP). ...
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Transient tachypnea of the newborn
Transient tachypnea
Transient tachypnea of the newborn (TTN) is a breathing disorder seen shortly after delivery, most often in early term or late preterm babies. Transi...
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Anxiety and panic
Anxiety
Generalized anxiety disorder (GAD) is a mental disorder in which a person is often worried or anxious about many things and finds it hard to control ...
Read Article Now Book Mark Article - Other serious lung disease, such as interstitial lung disease or bronchiectasis
Bronchiectasis
Bronchiectasis is a disease in which the large airways in the lungs are damaged. This causes the airways to become permanently wider. Bronchiectasis...
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Home Care
Rapid, shallow breathing should not be treated at home. It is generally considered a medical emergency (unless anxiety is the only cause).
If you have asthma or COPD, use your inhaler or nebulizer medicines as prescribed by your provider. You may still need to be checked by a provider right away if you have rapid shallow breathing. Your provider will explain when it is important to go to the emergency room.
When to Contact a Medical Professional
Call 911 or the local emergency number, or go to the emergency room if you are breathing rapidly and you have:
- Bluish or grayish color to the skin, nails, gums, lips, or the area around the eyes (cyanosis)
Cyanosis
A bluish color to the skin or mucous membrane is usually due to a lack of oxygen in the blood. The medical term is cyanosis.
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- Chest wall is pulling in with each breath (intercostal retractions)
- Fever
- Labored or difficult breathing
- Never had rapid breathing before
- Symptoms that are getting more severe
What to Expect at Your Office Visit
The provider will do a thorough exam of your heart, lungs, abdomen, and head and neck.
Tests that may be ordered include:
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Arterial blood gas and pulse oximetry to check your oxygen level
Arterial blood gas
Blood gases are a measurement of how much oxygen and carbon dioxide are in your blood. They also determine the acidity (pH) of your blood.
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Chest x-ray
Chest x-ray
A chest x-ray is an x-ray of the chest, lungs, heart, large arteries, ribs, and diaphragm.
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Chest CT scan
Chest CT scan
A chest CT (computed tomography) scan is an imaging method that uses x-rays to create cross-sectional pictures of the chest and upper abdomen....
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Complete blood count (CBC) and blood chemistries
Complete blood count
A complete blood count (CBC) test measures the following:The number of white blood cells (WBC count)The number of red blood cells (RBC count)The numb...
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Electrocardiogram (ECG)
Electrocardiogram
An electrocardiogram (ECG) is a test that records the electrical activity of the heart.
Read Article Now Book Mark Article - Ventilation/perfusion scan of your lungs
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Comprehensive metabolic panel to check the body's chemical balance and metabolism
Comprehensive metabolic panel
A comprehensive metabolic panel is a group of blood tests. They provide an overall picture of your body's chemical balance and metabolism. Metaboli...
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Treatment will depend on the underlying cause of the rapid breathing. Treatment may include oxygen if your oxygen level is too low. If you are having an asthma or a COPD attack, you'll receive treatment to stop the attack.
Many times, this evaluation will need to be done in an emergency room setting.
References
Kraft M. Approach to the patient with respiratory disease. In: Goldman L, Schafer AI, eds. Goldman-Cecil Medicine. 26th ed. Philadelphia, PA: Elsevier; 2020:chap 77.
McGee S. Respiratory rate and abnormal breathing patterns. In: McGee S, ed. Evidence-Based Physical Diagnosis. 5th ed. Philadelphia, PA: Elsevier; 2022:chap 19.
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Diaphragm - illustration
The diaphragm is a thin dome-shaped muscle which separates the thoracic cavity (lungs and heart) from the abdominal cavity (intestines, stomach, liver, etc.). It is involved in respiration, drawing downward in the chest on inhalation, and pushing upward in exhalation.
Diaphragm
illustration
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Diaphragm and lungs - illustration
The diaphragm, located below the lungs, is the major muscle of respiration. It is a large, dome-shaped muscle that contracts rhythmically and continually, and most of the time, involuntarily. Upon inhalation, the diaphragm contracts and flattens and the chest cavity enlarges. This contraction creates a vacuum, which pulls air into the lungs. Upon exhalation, the diaphragm relaxes and returns to its domelike shape, and air is forced out of the lungs.
Diaphragm and lungs
illustration
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Respiratory system - illustration
Air is breathed in through the nasal passageways, travels through the trachea and bronchi to the lungs.
Respiratory system
illustration
-
Diaphragm - illustration
The diaphragm is a thin dome-shaped muscle which separates the thoracic cavity (lungs and heart) from the abdominal cavity (intestines, stomach, liver, etc.). It is involved in respiration, drawing downward in the chest on inhalation, and pushing upward in exhalation.
Diaphragm
illustration
-
Diaphragm and lungs - illustration
The diaphragm, located below the lungs, is the major muscle of respiration. It is a large, dome-shaped muscle that contracts rhythmically and continually, and most of the time, involuntarily. Upon inhalation, the diaphragm contracts and flattens and the chest cavity enlarges. This contraction creates a vacuum, which pulls air into the lungs. Upon exhalation, the diaphragm relaxes and returns to its domelike shape, and air is forced out of the lungs.
Diaphragm and lungs
illustration
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Respiratory system - illustration
Air is breathed in through the nasal passageways, travels through the trachea and bronchi to the lungs.
Respiratory system
illustration
Review Date: 5/3/2023
Reviewed By: Denis Hadjiliadis, MD, MHS, Paul F. Harron Jr. Professor of Medicine, Pulmonary, Allergy, and Critical Care, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA. Also reviewed by David C. Dugdale, MD, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.