Breathing

Editor-In-Chief: Prab R Tumpati, MD
Obesity, Sleep & Internal medicine
Founder, WikiMD Wellnesspedia &
W8MD medical weight loss NYC and sleep center NYC

Breathing
Synonyms	Respiration
Pronounce	N/A
Specialty	N/A
Symptoms	Dyspnea, Tachypnea, Bradypnea
Complications	Respiratory failure, Hypoxia, Hypercapnia
Onset	Varies depending on underlying condition
Duration	Varies
Types	N/A
Causes	Asthma, COPD, Pneumonia, Pulmonary embolism
Risks	Smoking, Air pollution, Obesity
Diagnosis	Spirometry, ABG analysis, Chest X-ray
Differential diagnosis	Heart failure, Anxiety disorder, Pneumothorax
Prevention	Avoidance of smoking, regular exercise, vaccination
Treatment	Bronchodilator, Oxygen therapy, Mechanical ventilation
Medication	Inhaled corticosteroids, Beta-agonists, Anticholinergics
Prognosis	Depends on underlying cause and treatment
Frequency	Common
Deaths	Varies by condition

The medulla oblongata (in red)

Animation of how the diaphragm (in green) works

An inhaler

The physiological process of respiration in humans and animals

Breathing, also known as respiration, is the biological process by which living organisms inhale oxygen and exhale carbon dioxide to sustain life. It is an essential function that enables gas exchange, supporting cellular respiration and energy production. In humans and many animals, breathing is regulated by the respiratory system, which consists of the lungs, airways, diaphragm, and associated muscles. The process is primarily controlled by the autonomic nervous system, allowing it to occur involuntarily, though it can also be consciously controlled.

Physiology of Breathing

Breathing involves two primary phases: inhalation (inspiration) and exhalation (expiration).

Inhalation (Inspiration)

• During inhalation, the diaphragm contracts and moves downward, creating negative pressure in the chest cavity.
• The external intercostal muscles expand the ribcage, increasing lung volume.
• Air is drawn into the lungs through the nose or mouth, traveling down the trachea into the bronchi and reaching the alveoli, where oxygen is exchanged with carbon dioxide in the capillaries.

Exhalation (Expiration)

• The diaphragm relaxes and moves upward, decreasing lung volume.
• The intercostal muscles relax, allowing the ribcage to return to its resting state.
• Air is expelled from the lungs, carrying carbon dioxide out of the body.

Control of Breathing

Breathing is regulated by the medulla oblongata and pons in the brainstem. These centers respond to:

• Carbon dioxide levels in the blood (primary regulator).
• Oxygen levels (secondary factor).
• pH balance (acid-base homeostasis).

The chemoreceptors in the brain and arteries monitor blood gas concentrations, adjusting breathing rate and depth as needed.

Components of the Respiratory System

The respiratory system consists of the following structures:

Upper Respiratory Tract

• Nasal cavity – Filters, humidifies, and warms incoming air.
• Pharynx – Connects the nasal cavity to the larynx.
• Larynx – Houses the vocal cords and prevents food from entering the airway.

Lower Respiratory Tract

• Trachea – The windpipe that conducts air into the bronchi.
• Bronchi – Two main branches that lead into each lung.
• Bronchioles – Smaller air passages that distribute air within the lungs.
• Alveoli – Tiny air sacs where gas exchange occurs.

Muscles Involved in Breathing

• Diaphragm – The primary muscle responsible for breathing.
• Intercostal muscles – Assist in expanding and contracting the ribcage.
• Accessory muscles – Used during deep or labored breathing (e.g., sternocleidomastoid and scalene muscles).

Types of Breathing

Breathing patterns can vary based on activity, health conditions, and environmental factors.

Normal Breathing Patterns

• Eupnea – Normal, unlabored breathing at rest.
• Costal breathing – Shallow breathing using rib movements.
• Diaphragmatic breathing – Deep breathing using the diaphragm.

Abnormal Breathing Patterns

• Tachypnea – Rapid breathing (increased respiratory rate).
• Bradypnea – Slow breathing (decreased respiratory rate).
• Dyspnea – Difficulty breathing or shortness of breath.
• Hyperventilation – Excessive breathing, leading to decreased carbon dioxide levels.
• Hypoventilation – Inadequate breathing, leading to carbon dioxide buildup.
• Apnea – Temporary cessation of breathing.

Functions and Importance

Breathing serves multiple vital functions, including:

• Oxygen Supply – Delivers oxygen to the bloodstream for cellular respiration.
• Carbon Dioxide Removal – Expels carbon dioxide, a metabolic waste product.
• pH Balance – Regulates blood acidity by controlling CO‚ÇÇ levels.
• Speech Production – Airflow through the larynx enables vocalization.
• Thermoregulation – Evaporation of moisture from respiratory surfaces helps maintain body temperature.

Factors Affecting Breathing

Several factors influence breathing patterns and efficiency:

Physiological Factors

• Exercise – Increases respiratory rate and oxygen demand.
• Age – Lung capacity and efficiency decline with age.
• Altitude – High altitudes reduce oxygen availability, triggering faster breathing.
• Pregnancy – Hormonal changes and fetal growth affect lung function.

Environmental Factors

• Air pollution – Irritants can impair lung function.
• Temperature and humidity – Extreme conditions affect breathing efficiency.
• Toxic gases and smoke – Exposure can cause respiratory distress.

Respiratory Disorders and Conditions

Several medical conditions can affect breathing efficiency:

Common Respiratory Diseases

• Asthma – Chronic inflammation causing airway narrowing.
• Chronic obstructive pulmonary disease (COPD) – Progressive lung disease that obstructs airflow.
• Pneumonia – Infection causing inflammation in the lungs.
• Pulmonary fibrosis – Scarring of lung tissue reducing elasticity.
• Lung cancer – Uncontrolled cell growth in lung tissue.

Sleep-Related Breathing Disorders

• Sleep apnea – Repeated breathing interruptions during sleep.
• Hypopnea – Shallow breathing episodes during sleep.

Breathing Techniques and Exercises

Breathing techniques can improve respiratory efficiency, reduce stress, and enhance overall well-being.

Diaphragmatic Breathing

Also known as belly breathing, this technique focuses on using the diaphragm rather than the chest.

Pursed-Lip Breathing

A method used to control shortness of breath by slowing exhalation.

Box Breathing

A technique involving equal-duration inhalation, holding breath, exhalation, and another hold.

Alternate Nostril Breathing

A practice used in yoga and meditation to balance oxygen intake and reduce stress.

See Also

• Respiration
• Pulmonary function test
• Lung capacity
• Gas exchange
• Ventilation (physiology)
• Oxygen therapy
• Carbon dioxide retention

External Links

• NCBI – Research on Breathing
• American Lung Association

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