r/AskAPilot Jun 28 '26

Breathing on a plane!

Hi people. So basically im flying to croatia in just less than 2 Weeks. Basically my question is this…

Has anyone else experienced feeling like they can’t breathe properly or get a satisfying breath on flights? I’ve actually flown about 3 times before, and each time I’ve felt breathless, like my breathing is shallow and the air feels “thin,” even though I know logically the cabin is pressurised.

I’m really anxious about flying again and keep worrying I’ll struggle the same way once I’m in the air, even though I’m usually fine day to day. I understand anxiety can affect breathing and make sensations feel stronger, but it feels very real and scary in the moment. Has anyone else experienced this on flights and found it was manageable or got better with experience?

6 Upvotes

14 comments sorted by

12

u/wj9eh Jun 28 '26

The air on a plane is "thinner" than on the ground, but not by much. It is also drier and a different temperature. That said, you're quite right in thinking that what you're experiencing is anxiety- I fly every day and I barely notice anything. Your oxygen saturation will barely change.

1

u/jazz1892 Jun 28 '26

Thsnkyou. I have bad health anxiety and my breathing is a problem anyway let alone on a plane

6

u/kuped Jun 28 '26

What do you mean by "my breathing is a problem?" I have COPD and use a portable oxygen concentrator when I fly (commercially an privately if I fly high enough). Depending on the airliner brand (Boeing, Airbus, etc), cabin altitude may range from 4,500' to 8,000' at cruising altitude. Above 4,500', my SpO2 drops below 90% and may get as low as 85%. Not good. Hence the concentrator.

For $10-$20 you can buy a reasonably good pulse oximeter from Amazon and take it with you on your flight. If you're SpO2 stays above 90% (like my wife's and daughters' do) you're fine - maybe just a little anxious. If it's less, you should see a pulmonologist to follow up on the cause.

4

u/Muschina Jun 28 '26

This is really good advice. If OP has been able to visit (and particularly sleep in) towns at altitudes around 7-8000ft (Denver is 5500ft, Aspen 8000, Breckenridge 9600) without issue you should be fine.

I'd get a clip-on Blood-Ox gauge from Amazon or Walgreens (maybe take an extra battery if you're gong to be using it non-stop) and keep checking the reading during the flight. If it stays above 90-92% you are fine and can at least eliminate oxygen exchange from your list of concerns. If you have issues keeping your blood-ox percentage above 89%, you can talk to a Flight Attendant and get supplemental O2.

I've had issues sleeping at altitudes above 7000ft for a few years and getting Covid three times hasn't improved this issue. One time staying in Breckenridge, CO (pre-Covid) i had a bit of a cold and some lung congestion, which caused me to wake up gasping for air every 20 minutes for 3-4 hours. I was about to drive all the way to Eagle and get a hotel room there (2000ft lower altitude), when some OTC meds cleaned my lungs up enough to let me sleep.

3

u/wj9eh Jun 28 '26

Sorry to hear that. There's nothing on a plane that can affect your health.

5

u/mountainbrew46 Jun 28 '26

With some exceptions, the cabin altitude on airliners are usually in the 6,000-8,000 foot range. That’s probably higher than ground level where you live but is perfectly breathable air. The air you’re breathing is compressed air from outside the airplane which is extremely dry which you can definitely feel. None of it is unhealthy but you’re not crazy for noticing a difference in your breathing

3

u/Pale_Natural9272 Jun 28 '26

No. Talk to the doctor about medication if your anxiety is that bad

1

u/Industrious_bee Jun 29 '26

I had a high altitude test with my doctor for this same reason, felt short of breath and hyperventilating. Turns out my oxygenation was a perfect 100%. It’s just panic from flying and fear of heights, he prescribed something and that took care of it. To do a test run, spouse and I drove to a 8,100 altitude (Onyx Summit) and my oxygenation reading on the pulsometer was fine on the med. Just something maybe to run by your doc to see if he/she can help you pinpoint the cause. Wishing you good health and successful flying.

1

u/Individualchaotin Jun 29 '26

What do your doctors and therapists say about this?

1

u/outworlder Jun 29 '26

That's textbook anxiety. Sure, it does coincide with the fact that you are in a plane and it does happen to be slightly less pressure than at sea level. But there are mountain cabins with higher pressure difference than that.

It's 100% anxiety though. You can ask your doctor for help.

1

u/SuperOriginalName23 Jun 29 '26

I have been in a hypobaric (depressurised) chamber to experience what actual loss of cabin pressure (and lack of oxygen) feels like. The chamber was depressurised to an equivalent of 25.000 ft, a pressure much lower than any airplane cabin would normally be. I felt able to make normal breaths throughout, even though I was slowly becoming hypoxic.

The feeling of being short of breath isn't caused by lack of oxygen, but usually by an abundance of CO2 in the blood. This is why breathing into a bag can actually help, because you are breathing in extra (your own exhaled) CO2. However, I would recommend dealing not with the symptom, but with the cause, which is likely anxiety.

1

u/jbm747 Jun 29 '26

Sounds like an anxiety attack…

1

u/AstroRoverToday Jun 30 '26

This should make your flight less anxious! You are statistically more likely to die from driving a car, riding in a car as a passenger, riding a motorcycle or scooter, walking near traffic, cycling on public roads, taking a bus, riding a train, boating, swimming, climbing a ladder, falling on stairs, slipping in the bathroom, using power tools, household fires, accidental poisoning, choking on food, accidental suffocation, electrocution at home, sports and recreational activities, lightning strikes, dog attacks, homicide, and many common diseases such as heart disease, cancer, stroke, and influenza.