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is the consequence of the biochemical disturbances caused WHY DO NOT ALL HYPERVENTILATORS GET ASTHMA?
by an abnormally low level of carbon dioxide. So why do some people who breathe too much get asthma,
Your immune system is a finely tuned biochemical warfare others get arthritis and others get high blood pressure?
mechanism designed to seek out invaders and destroy them.
It has to distinguish between invaders that will cause you
harm and the harmless material you get in your blood after a
meal, or some pollens you may have inhaled. The immune
system cannot function properly if its biochemical building
blocks are disturbed. People who have abnormal allergic
reactions have an immune system which is failing to perform
its functions correctly. In the case of arthritis, the disorder
causes the body’s immune system to turn on itself. In
asthmatics the immune system has trouble differentiating
between serious and harmless foreign material. That’s why
harmless pollens can cause inflammation of the airways,
triggering hay fever or even asthma in people who breathe
too much.
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WHAT CAUSES CHRONIC HYPERVENTILATION? discharged and it is short lived. But today we face new
kinds of stresses for which we were not designed.
There are many factors that can make you habitually breathe
too much. One of them is the popular idea that breathing If the stress lasts for a long time, then biochemical
more than you need is good for you, although there is no changes take place inside the body that makes breathing
scientific basis for this notion. Eating too much, not too much become a habit.
exercising enough and keeping too warm can also make you Stresses faced by modern man often remain
breathe too much. But the one we all know to be the cause undischarged and linger on for a very long time.
of many diseases is chronic stress. And this is how it works: Examples include work related stresses, social stresses
The body sometimes and financial worries.
deliberately produces
a shortage of carbon STRESS HYPERVENTILATION
dioxide. It does so as
part of a process
HABITUAL
designed to deal with
a physical threat to life STRESS × TIME HYPERVENTILATION
known as the fight or flight response. A chain of biological
changes comes about as we are faced with a life threatening The resulting low carbon dioxide causes many of the
situation. These are intended to normal fight or flight responses intended for
enhance our chances of survival. preservation of the individual to turn into debilitating
All stresses we face, including disorders.
pleasant ones, elicit this response
to some extent. We are familiar
with the sweaty palms, pounding
heart, rapid breathing and
heightened nervous activity
whether before an exam, a
romantic encounter or from seeing
moving shadows in a dark alley.
These effects are very real and are well understood by
doctors. They cause no harm provided the stress is properly
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HOW DOES BUTEYKO THERAPY HELP? SYMPTOMS OF HYPERVENTILATION SYNDROME
In the same way that over breathing for too long becomes a See references p15-16
habit, so Buteyko therapy reverses this process. By Biochemical Spastic colon12
Electrolyte changes 4,12 Dysphagia3,8
learning to breathe less over a long time you can restore Dry mouth1,10,15
Elevated Lactic Acid8
CO2 back to a healthy level. The effect of this is that Elevated lipids12 Flatulence and belching1,3,10,15
hyperventilation disorders, such as asthma, disappear as your Elevated calcium ionisation inside cells12 Irritable bowel syndrome12
Elevated sugar levels12 Dry throat3,15
CO2 level is raised. Hiatus hernia12
Hypophosphatemia10,13,15
Accommodation to low CO24,12,13 Duodenal spasm12
Learning to do this is something Elevated uric acid12 Globus3,8,14,15
Loss of CO2 and base reserve8,12 Vomiting8
like learning Yoga or a martial Low Calcium ions8 Bloating8,10
art. Typically you are taught the Poor oxygenation due to Bohr effect4, 8,13 Constipation8
method by a Buteyko Epigastric Pain8
Aerophagia3,8,12,14
practitioner who will: Diarrhoea8
• Explain your condition to you. General
Migraines3,12
• Demonstrate the posture and Failure of Transurethral resections12
breathing technique that will Edema12
Restlessness12
help you reduce your Da Costa's Syndrome10,12,13
breathing. Cardio-vascular Excessive sweating3,13,14
Palpitations1,3,4,8,10,12,13, Burnout12
• Ensure that you perform the breathing exercises Cardiac neurosis1,3,12 Raynaud's disease8,12
correctly. Angina pain12 Chest Pains1,3,4,8,10,12,13
Myocardial infarction12 Post traumatic stress disorders12
• Teach you how to measure your breathing correctly. Wolfe-Parkinson-White syndrome12 Weakness, listlessness1,3,8,10,12,13
Arrhythmias3,4,12 Genito-urinary disturbances3,12
• Advise on life style changes as they affect you Stenosis of coronary artery4,12,13,15 Nausea14
personally. Tachycardia3,8,12,14,14 Renal colic12
Failure of coronary bypass grafts12 Influenza-like symptoms12
• Help identify problems that may hold up your progress. Right ventricular ectopy12 Sleep disturbances3,8,12,15
Silent ischaemia12 Exhaustion3
• Provide motivation, support and follow up. Elevated blood pressure12 Fatigueability, exercise
ECG: Flat or inverted T-wave4,12,13,14 intolerance8,10,14,15
Vasoconstriction3,4,8,12,13 Neuro-muscular
Reduced cerebral blood flow3,8,10,13,15 Muscular stiffness and aching8,12
Mitral prolapse1,3,12,14 Myalgia (muscle pain)3,8
Low cardiac output/stroke volume15 Cramps3
13 Digestive
Muscle spasm3,4,8,12,13 Psychologic 5. Guyton AC, Hall JE, "Textbook of medical physiology", Chemical control of
Tetani3,8,15 Tension 3,8,15 respiration, PUBLISHER: WB Saunders; ISBN:0-7216-5944-6; 1996; EDITION:
Fibromyositis15 Fear of insanity3 9; PAGES: 527-528.
Head and Back pain14 Depersonalization3,14 6. Hibbert GA, Pilsbury DJ, "Demonstration and Treatment of Hyperventilation
Tremors or shaking3,8,14 Hallucination3 Causing Asthma", British J. of Psychiatry, VOL 153, 1988, 687-689
Neurological Lack of concentration and memory 7. Kazarinov VA, "Buteyko Method: The experience of implementation in medical
Paresthesia, numbness1,3,4,8,10,12,13 loss1,3,15 practice", The biochemical basis of KP Buteyko's theory of the diseases of deep
Twitching Eyelids8 Nightmares3,8 respiration, EDITOR: Buteyko KP; PUBLISHER: Patriot Press Moscow; 1990;
Headaches8 Unreal feelings3,14,15 PAGES: 198-218. [Available: http://www.wt.com.au/~pkolb/biochem.htm]
Increased sympathetic tone8,10,13,14,15 Panic attacks3,12 8. Lum LC, "Hyperventilation: The tip and the iceberg", J Psychosom Res, VOL 19,
Nerve irritability threshold altered15 Anorexia10 1975, 375-383
Decreased parasympathetic tone3 Depression10 9. Magarian GJ, "Hyperventilation syndrome: infrequently recognized common
Unilateral paresthesia or Feelings of inadequacy10 expressions of anxiety and stress.", Medicine, VOL 61, 1982, 219-36
numbness(left)14 Anxiety8,12,13,15 10. Magarian GJ, Middaugh DA, Linz DH, "Hyperventilation Syndrome: a
EEG abnormalities13 Maladjustments in life10 diagnosis begging for recognition", West J Med, VOL 138, 1983, 733-736
Diplopia8 Phobias1,3,8,10,12 11. McFadden WR, Lyons HA, "Arterial-Blood Gas Tension in Asthma", The New
Syncope, fainting3,4,8 Obsessional behaviour10 England Journal of Medicine, VOL 278:19, 9 May 1968, 1027-1032
Feeling of chilliness14 Respiratory 12. Nixon PGF, "Hyperventilation and cardiac symptoms", Internal Medicine, VOL
Hot/cold sensations14 Asthma3,4,8,12,13 10:12, December 1989, 67-84
Visual Disturbances3,4,8,13,15 Choking14 13. Sher TH, "Recurrent chest tightness in a 28-year-old woman", Annals of allergy,
Dizziness, light headedness, Chest Tightness3,4,8,13 VOL 67, September 1991, 310-314
giddiness1,3,4,8,10,13 Irritable cough3,8,15 14. Tavel ME, "Hyperventilation syndrome - Hiding behind pseudonyms?", Chest,
Intolerance of bright light & noise3 Sighing and yawning3,8,13,14,15 VOL 97, 1990, 1285-1288
Hyperactivity3 Dyspnea4,10,12,13,14 15. Waites TF, "Hyperventilation - chronic and acute", Arch Intern Med, VOL 138,
Auditory Disturbances4 Bronchoconstriction14 1978, 1700-1701
Seizures, epileptic fits4,8,13 Shortness of breath, air hunger1,4,8,10,12,13
Peter Kolb
Mobile: 041-991-6325
Messages: 08-9293-5414
REFERENCES E-Mail: pkolb@westnet.com.au
1. Bass C, "The hyperventilation syndrome", Respiratory Diseases in Practice,
Oct/Nov 1990, 13-16
2. Bowler S, Green A, Mitchell C, "Buteyko breathing and asthma: a controlled
trial", Medical J. of Australia, VOL 169, December 1998, 575-578 Produced by Peter Kolb BSc(Eng), MSc(Med)
3. Cluff RA, "Chronic Hyperventilation and its treatment by physiotherapy: Illustrations by Victor Lunn-Rockliffe—Clipart from McMillan
discussion paper", J of the Royal Society of Medicine, VOL 77, September 1984, Perth, Western Australia
855-861
4. Demeter SL, Cordasco EM, "Hyperventilation syndrome and asthma", The
American Journal of Medicine, VOL 81, December 1986, 989-994
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