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Why Do Lungs Hurt When Running?

Published in Exercise Physiology 3 mins read

The pain felt in your lungs when running is often due to Exercise-Induced Bronchoconstriction (EIB), which is sometimes called exercise-induced asthma.

Understanding Exercise-Induced Bronchoconstriction (EIB)

EIB doesn't necessarily mean you have asthma, although it can happen in people who have it. Instead, it's a temporary narrowing of your airways due to the physical demands of exercise. When you run, you breathe more rapidly, which can lead to the following:

Cause of EIB

According to the provided reference, EIB is primarily caused by:

  • Loss of Heat: Rapid breathing during exercise can cause heat loss from the airways.
  • Loss of Water: The quick exchange of air also results in water loss from the airways.
  • Both Heat and Water Loss: Often, a combination of heat and water loss triggers EIB.
    The rapid breathing in drier air than what is already present in the body is the main culprit.

Symptoms of EIB

The symptoms of EIB often include:

  • Chest tightness or pain
  • Coughing
  • Wheezing
  • Shortness of breath
    • These symptoms usually appear within a few minutes after you begin exercising.
    • Symptoms typically continue for about 10 to 15 minutes after finishing your workout.

How Running Triggers EIB

When running, especially in colder or drier air, you breathe more deeply and rapidly. The rapid airflow across your airways can trigger the loss of heat and moisture, causing the airways to narrow as a protective mechanism. This constriction is what leads to the discomfort or pain people describe as "lung pain."

How to Help Prevent or Manage EIB

While EIB can be uncomfortable, there are several strategies that might help to prevent or manage symptoms.

  • Warm-up: Start your workouts with a gradual warm-up.
  • Breathe Through Your Nose: When possible, try to breathe through your nose, as it can help warm and humidify the air before it enters your lungs.
  • Cool-Down: End your exercise session with a cool-down.
  • Avoid Triggers: If certain conditions, like cold weather, seem to trigger symptoms, try to avoid exercising in those conditions if possible.
  • Use Medications: If the above doesn't help, consult with your healthcare provider who may prescribe medication to help.
  • Stay Hydrated: Drink water before, during and after exercise.
    • These preventative measures can significantly reduce the likelihood and intensity of EIB symptoms.
Aspect Description
Primary Cause Rapid breathing during exercise leads to heat and water loss from airways
Symptoms Chest pain or tightness, coughing, wheezing, shortness of breath; usually beginning a few minutes after exercise and lasting for 10-15 minutes after stopping.
Management Gradual warm-up, breathing through your nose, cool-down exercises, medication as needed
Additional Info It is not always asthma-related.

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