New or worsening breathlessness — even mild — should never be ignored. The causes range from anaemia and de-conditioning to asthma, heart failure, and clots in the lung.
·Breathlessness with leg swelling or recent long travel
·Blue lips or fingertips, confusion
·Wheezing not responding to an inhaler
This is general guidance, not a diagnosis. If you have any of the above, book a same-day consult or seek urgent care.
Common causes a physician will look for
·Asthma or COPD — common with Delhi pollution
·Anaemia — particularly in women with heavy periods
·Heart failure — often missed in older adults
·Anxiety with hyperventilation
·Pulmonary embolism — must be ruled out after long flights or surgery
What to expect at the consult
Examination, oxygen saturation, ECG, chest X-ray, CBC, BNP if heart failure is suspected, and spirometry for airway disease. A working diagnosis is usually clear within the first visit.
Frequently asked
Why am I getting breathless climbing stairs?
Common causes are de-conditioning, anaemia, undiagnosed asthma, and early heart problems. A 30-minute work-up usually separates them.