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Abnormal breathing can cause symptoms such as chest tightness and
breathlessness, which may be misattributed to other diseases. These
symptoms may be improved by explanation and breathing retraining exercises. Symptomatic hyperventilation and dysfunctional breathing have been linked to asthma in patients treated in secondary care settings, but have not been investigated in primary care situations. Thomas et al (p 1098) used a symptom based questionnaire to
look for dysfunctional breathing in adults treated for asthma in the community. They found positive screening scores in a third of women and
a fifth of men. If confirmed, these findings may point towards new
treatments for asthma.