What does shortness of breath feel like with COVID-19?

Shortness of Breath is a very common presentation of COVID-19 and may feel like air hunger, chest tightness, or extra effort when breathing. You may notice it while walking, speaking, or resting. It can occur with cough, fever, tiredness, or a feeling that you cannot take a satisfying deep breath. The sensation can change as the illness develops, so worsening breathing matters even if other symptoms seem mild.

COVID-19 can inflame the airways and lung tissue, making breathing feel quicker or more laborious. Some people feel pressure in the chest; others notice that ordinary movement leaves them unusually winded. A blocked nose or anxiety can add to the feeling, but neither should be assumed to explain new or worsening breathlessness. A pulse oximeter, if you have been advised to use one, is only one part of assessment and does not replace attention to how you feel.

Rest, drink fluids as tolerated, and sit upright if breathing feels easier that way. Follow the treatment and isolation advice given by your healthcare professional. Keep a record of changes in breathing, fever, alertness, and ability to walk across a room. Avoid strenuous activity while unwell. Contact a clinician promptly if breathlessness is new, increasing, or interfering with eating, drinking, sleeping, or speaking.

Call emergency services for severe breathing difficulty, blue or grey lips, confusion, collapse, severe chest pain, or inability to speak in full sentences. Urgent assessment is also needed if breathing deteriorates quickly or you cannot stay awake normally. COVID-19 can affect the lungs, and a clinician may need to check oxygen levels and other causes of breathlessness.

Ask how to monitor your breathing, which symptoms should trigger an urgent call, and whether your medical history changes your treatment plan. Ask how long to avoid strenuous activity and what to do if cough, fever, or breathlessness returns after improving.