Managing breathlessness

Breathlessness is frightening. A plan can help you feel more in control.

Learn practical ways to pace activity, recover after exertion and recognise when a change in breathing needs urgent medical help.

Call 999 for severe breathing difficulty

Call 999 if you are gasping, choking, unable to get words out, have a tight or heavy chest, blue or grey lips or skin, or sudden confusion.

During an episode of familiar breathlessness

  • Stop and give yourself time to recover.
  • Sit or stand in a supported position that feels comfortable.
  • Relax your shoulders where possible.
  • Use your reliever inhaler exactly as prescribed.
  • Follow breathing techniques taught by your respiratory professional.

Fixed breathing counts are not suitable for everybody. Do not force or hold your breath if it increases distress.

Planning activity

  • Break larger tasks into smaller stages.
  • Keep frequently used items within easy reach.
  • Allow recovery time before the next task.
  • Use a slower, steady pace.
  • Ask an occupational therapist or pulmonary rehabilitation team about practical adaptations.
Avoid becoming completely inactive

Fear of breathlessness can lead to less activity, reduced fitness and more breathlessness. Ask about safe, tailored exercise and pulmonary rehabilitation.

Trusted sources