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How to breathe when you are short of breath

Show Alternative Names
Pursed lip breathing
COPD - pursed lip breathing
Emphysema - pursed lip breathing
Chronic bronchitis - pursed lip breathing
Pulmonary fibrosis - pursed lip breathing
Interstitial lung disease - pursed lip breathing
Hypoxia - pursed lip breathing
Chronic respiratory failure - pursed lip breathing

When to use Pursed lip Breathing

Pursed lip breathing helps you use less energy to breathe. It can help you relax. When you are short of breath, it helps you slow the pace of your breathing and can help you feel less short of breath.

Use pursed lip breathing when you do things that make you short of breath, such as when you:

  • Exercise
  • Bend
  • Lift
  • Climb stairs
  • Feel anxious

You can practice pursed lip breathing anytime. Try to practice 4 or 5 times a day when you:

  • Watch TV
  • Use your computer
  • Read a newspaper

How to do Pursed lip Breathing

The steps to do pursed lip breathing are:

  • Relax the muscles in your neck and shoulders.
  • Sit in a comfortable chair with your feet on the floor.
  • Inhale slowly through your nose for 2 counts.
  • Feel your belly get larger as you breathe in.
  • Pucker your lips, as if you were going to whistle or blow out a candle.
  • Exhale slowly through your lips for 4 or more counts.

Exhale normally. Do not force the air out. Do not hold your breath when you are doing pursed lip breathing. Repeat these steps until your breathing slows.

Review Date: 2/3/2024

Reviewed By

Frank D. Brodkey, MD, FCCM, Associate Professor, Section of Pulmonary and Critical Care Medicine, University of Wisconsin School of Medicine and Public Health, Madison, WI. Also reviewed by David C. Dugdale, MD, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.

References

Minichiello VJ. Therapeutic breathing. In: Rakel D, Minichiello VJ, eds. Integrative Medicine. 5th ed. Philadelphia, PA: Elsevier; 2023:chap 89.

Rochester CL, Nici L. Pulmonary rehabilitation. In: Broaddus VC, Ernst JD, King TE, Lazarus SC, Sarmiento KF, Schnapp LM, Stapleton RD, eds. Murray and Nadel's Textbook of Respiratory Medicine. 7th ed. Philadelphia, PA: Elsevier; 2022:chap 139.

Schwartzstein RM, Adams L. Dyspnea. In: Broaddus VC, Ernst JD, King TE, Lazarus SC, Sarmiento KF, Schnapp LM, Stapleton RD, eds. Murray and Nadel's Textbook of Respiratory Medicine. 7th ed. Philadelphia, PA: Elsevier; 2022:chap 36.

Disclaimer

The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed medical professional should be consulted for diagnosis and treatment of any and all medical conditions. Links to other sites are provided for information only -- they do not constitute endorsements of those other sites. No warranty of any kind, either expressed or implied, is made as to the accuracy, reliability, timeliness, or correctness of any translations made by a third-party service of the information provided herein into any other language. © 1997- A.D.A.M., a business unit of Ebix, Inc. Any duplication or distribution of the information contained herein is strictly prohibited.

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Pursed lip breathing - Illustration Thumbnail

Pursed lip breathing

How to do pursed lip breathing. 1. Breathe in (inhale) slowly through your nose for 2 counts. 2. Feel your belly gets larger as you breathe in. 3. Pucker your lips, as if you were going to whistle or blow out a candle. 4. Breathe out (exhale) slowly through your lips for 4 or more counts. 5. Exhale normally. Do not force air out. Do not hold your breath when you are doing pursed lip breathing. 6. Repeat these steps until your breathing slows.

Illustration

 
 
Pursed lip breathing - Illustration Thumbnail

Pursed lip breathing

How to do pursed lip breathing. 1. Breathe in (inhale) slowly through your nose for 2 counts. 2. Feel your belly gets larger as you breathe in. 3. Pucker your lips, as if you were going to whistle or blow out a candle. 4. Breathe out (exhale) slowly through your lips for 4 or more counts. 5. Exhale normally. Do not force air out. Do not hold your breath when you are doing pursed lip breathing. 6. Repeat these steps until your breathing slows.

Illustration

 
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