There can be many causes for the CHS. Most common are the mental causes, basically stress related. But besides the metnal causes there are also a number of physical causes that can lead to the CHS in all it's 'glory'. Click on hte links below to read about these causes.
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About the causes of hyperventilation a lot of publications have been released, but still very little is clear what the exact causes are. The non-psychological causes can be asthma, pain, pneumonia, anemia, chest- or heart complaints, fever, long speeches, altitude, diabetes, kidney- and liver disorders, elevated progesterone levels, Pfeiffer’s disease, viral infections, and so on. But mostly hyperventilation is caused by the psychosocial stress we live under and therefore the disease is marked as a psychosomatic disorder.
For example deep inhaling when smoking cigarettes can be seen as a way of hyperventilating and it can develop into the real hyperventilation syndrome with all it's symptoms! Also with the so called caffeïsm (superfluous use of caffeïne). The effects appear exactly the same. Caffeïne can be found in coffee, cola, tea, chocolate milk (theobromia), but also aspirin, nicotine and amphetamines can excite the respiratory center in the brain. In all mentioned cases the patient breathes more then is necessary. Because of this the CO2-buffers of the body are slowly depleted. See hyperventilation description
Prior to the first clear attack the patient experienced a long period of psychosocial stress, anxiety, worries or depression. Frustration, anger or grief of someone close dying for example, divorce, being dismissed, unemployment, moving house, war, puberty are not expressed enough. It is likely that there are more factors that contribute to the syndrome of chronic hyperventilation.
People that hyperventilate are usually internally unbalanced, keep up the appearance of being strong and self supporting, are afraid to show a weak, childish impression and set very high standards for them selves. Usually they show an exaggerated sense of duty and perfectionism. Under circumstances of psychosocial stress they keep going on as if "there is nothing wrong", sometimes even until they drop down literally. They show a tendency to control or push aside their emotions and frustrations. Also loneliness brings an elevated risk of developing a hyperventilation syndrome.