Inklingo
How to say

I am having trouble breathing

in Spanish

Me cuesta respirar

/meh KWEH-stah reh-spee-RAHR/

The most natural, idiomatic way to say breathing is difficult or laborious. It literally means 'it costs me to breathe.'

Level:A2Formality:neutralUsed:🌍

💬Other Ways to Say It

Me falta el aire

★★★★★

/meh FAHL-tah el EYE-reh/

neutral🌍

Literally 'I am lacking air.' Very common for shortness of breath, asthma, or anxiety.

When to use: Use this to describe the sensation of not getting enough oxygen or feeling winded.

No puedo respirar

★★★★★

/noh PWEH-doh reh-spee-RAHR/

neutral🌍

Direct translation of 'I can't breathe.' This implies a complete or severe inability to breathe.

When to use: Use in urgent situations or emergencies where airflow is blocked or extremely restricted.

Tengo dificultad para respirar

★★★★

/TEHN-goh dee-fee-kool-TAHD PAH-rah reh-spee-RAHR/

formal🌍

A more descriptive, medical way to state the problem.

When to use: Best used when explaining symptoms to a doctor or triage nurse in a calm setting.

Siento que me ahogo

★★★☆☆

/SYEN-toh keh meh ah-OH-goh/

informal🇪🇸 🌎

Means 'I feel like I'm drowning/choking.' Describes a suffocating sensation.

When to use: Use to express high distress, panic attacks, or severe congestion.

Estoy asfixiándome

★★☆☆☆

/ehs-TOY ahs-fix-YAHN-doh-meh/

neutral🌍

Means 'I am suffocating' or 'I am asphyxiating.'

When to use: Specific to choking or being physically unable to get air due to blockage.

🔑Key Words

Key Words to learn:

📊Quick Comparison

Different ways to express breathing issues based on the specific sensation.

PhraseLiteral MeaningBest ForAvoid When
Me cuesta respirarGeneral difficulty, labored breathingYou have completely stopped breathing (use 'no puedo')
Me falta el aireShortness of breath, asthma, anxietyYou are physically choking on food
No puedo respirarEmergencies, blockages, severe asthmaIt's just a mild stuffy nose

📈Difficulty Level

Overall Difficulty:beginnerMaster in 30 minutes
Pronunciation2/5

Generally easy, but rolling the R in 'respirar' can be tricky for some.

Grammar3/5

Requires understanding reflexive-style verbs like 'me cuesta' or 'me falta' which don't translate directly to English structure.

Cultural Nuance2/5

Straightforward medical/physical description, low risk of cultural offense.

Key Challenges:

  • Rolling the R in 'respirar'
  • Remembering to use 'Me cuesta' instead of 'Soy'

💡Examples in Action

Emergency situation asking for assistanceA1

Ayuda, por favor, no puedo respirar bien.

Help, please, I can't breathe well.

Medical consultation describing symptomsA2

Doctor, desde ayer me cuesta respirar cuando camino.

Doctor, since yesterday I've had trouble breathing when I walk.

Describing anxiety or claustrophobiaB1

Siento que me falta el aire en lugares cerrados.

I feel short of breath (lack air) in closed spaces.

Specific complaint about congestion/coldA2

Tengo problemas para respirar por la nariz.

I have trouble breathing through my nose.

🌍Cultural Context

Describing Body Sensations

In Spanish, physical sensations often happen *to* you rather than you possessing them. While English says 'I have trouble,' Spanish often uses 'Me cuesta' (It costs me/It is hard for me). This shifts the focus to the difficulty of the action itself.

The Concept of 'Lacking Air'

The phrase 'Me falta el aire' (Air is missing to me) is deeply ingrained in Hispanic culture. It covers everything from asthma attacks to the shortness of breath caused by anxiety, heat, or exhaustion. It is a very descriptive and universally understood way to express respiratory distress.

Emergency Numbers

If you are using this phrase in a real emergency, know the number! In Mexico and many Latin American countries, it is 911. In Spain and most of Europe, the emergency number is 112.

❌ Common Pitfalls

Using 'Soy' instead of 'Tengo'

Mistake: "Saying 'Soy difícil respirar' or 'Soy problemas respirando'."

Correction: Me cuesta respirar / Tengo problemas para respirar

Literal Translation of 'Trouble'

Mistake: "Saying 'Tengo molestia respirando' (I have bother breathing)."

Correction: Me cuesta respirar

💡Pro Tips

Prioritize Clarity in Emergencies

If you are in a true emergency, keep it short. 'No puedo respirar' (I can't breathe) is the fastest way to get attention and conveys urgency immediately.

Use Gestures

In medical situations where language barriers exist, pointing to your chest or throat while saying 'Aquí' (Here) and 'Me cuesta' (It's hard) is very effective.

Describing Severity

You can add 'mucho' (a lot) or 'un poco' (a little) to 'Me cuesta respirar' to help the doctor understand the severity of the situation.

🗺️Regional Variations

🇪🇸

Spain

Preferred:Me cuesta respirar / Me ahogo
Pronunciation:Standard Castilian pronunciation
Alternatives:
Me siento ahogadoMe falta el aliento

In Spain, 'me ahogo' (I'm drowning/choking) is frequently used to describe the feeling of being stifled, overheated, or short of breath, even if not literally drowning.

⚠️ Note: None specifically.
🌍

Mexico & Latin America

Preferred:Me falta el aire
Pronunciation:Standard Latin American
Alternatives:
Siento ñáñaras en el pecho (very colloquial slang for weird sensation)No me entra el aire

'Me falta el aire' is extremely common in songs and daily life across Latin America to describe both physical breathing issues and romantic heartbreak, so context is key!

⚠️ Note: None specifically.

💬What Comes Next?

A doctor or paramedic asks for more detail

They say:

¿Le duele el pecho?

Does your chest hurt?

You respond:

Sí, me duele aquí.

Yes, it hurts here.

They ask if you have a condition

They say:

¿Padece de asma o alergias?

Do you suffer from asthma or allergies?

You respond:

Tengo asma.

I have asthma.

Someone is trying to calm you down

They say:

Intenta respirar despacio.

Try to breathe slowly.

You respond:

Lo estoy intentando.

I am trying.

🔄How It Differs from English

English speakers usually 'have' trouble (possession). Spanish speakers often express that the action 'costs' them effort (me cuesta) or that air is 'missing' from them (me falta). Spanish is often more descriptive of the sensation/experience rather than stating the problem as a noun.

False Friends & Common Confusions:

"I am choking"

Why it's different: In English 'choking' usually means food is stuck. In Spanish 'ahogarse' can mean food is stuck OR just a general feeling of suffocation/shortness of breath.

Use instead: Use 'atragantarse' specifically for food stuck in the throat.

🎯Your Learning Path

➡️ Learn Next:

How to say I need a doctor

The logical next step if you are having trouble breathing.

How to say my chest hurts

Often accompanies breathing difficulties.

How to say I am dizzy

A common symptom that happens alongside shortness of breath.

✏️Test Your Knowledge

💡 Quick Quiz: I am having trouble breathing

Question 1 of 3

You are running and suddenly feel like you can't get enough oxygen. What is the most natural thing to say?

Frequently Asked Questions

Can I just say 'asthma' in Spanish?

Yes! The word is very similar: 'Asma' (pronounced AHS-mah). You can say 'Tengo asma' (I have asthma) and people will immediately understand why you are having trouble breathing.

What is the difference between 'Me cuesta respirar' and 'No puedo respirar'?

'Me cuesta respirar' means it is difficult or laborious, but you are still doing it. 'No puedo respirar' means you physically cannot do it. Use 'No puedo' for severe emergencies.

Is 'respirar' pronounced like 'respire'?

No. In English 'respire' has a 'p' sound like 'pie'. In Spanish, the 'i' sounds like 'ee' (ree-spee-RAHR), and the final R is tapped or rolled.

How do I say I need an inhaler?

You can say 'Necesito mi inhalador' (neh-seh-SEE-toh mee een-ah-lah-DOR).

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