Breathless on small effort? Blood tests that can help find why

Getting out of breath after climbing two floors when you used to manage easily is a change worth checking. Anaemia, thyroid problems, asthma, extra weight and heart or lung conditions are common reasons. Blood tests cannot replace a doctor's examination, ECG or chest X-ray, but they quickly rule common causes in or out.

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Tests to ask about

Complete blood count (CBC)

Anaemia is a common, easily missed cause of breathlessness.

₹330 Book Details

Thyroid profile (T3, T4, TSH)

An overactive thyroid can cause a fast heart and breathlessness.

₹1,200 Book Details

Lipid profile (cholesterol)

Part of checking heart risk.

₹620 Book Details

HbA1c

Diabetes raises heart risk and can hide heart symptoms.

₹420 Book Details

NT-proBNP (if doctor advises)

Used by doctors when heart weakness is suspected.

₹1,800 Book Details

Common reasons doctors look for

Anaemia – less haemoglobin to carry oxygen
Asthma or allergy, often with wheeze and night cough
Heart problems – often with swelling of feet or breathlessness lying flat
Overactive thyroid causing a racing heart
Lung infection or long-term smoking-related lung disease
Being overweight or out of shape

How to prepare

CBC and thyroid need no fasting. If your package includes lipid profile or fasting sugar, fast 10–12 hours (water is fine).

When to see a doctor

Call for emergency help or go to the nearest hospital if breathlessness comes suddenly or at rest, with chest pain or pressure, sweating, bluish lips, confusion, coughing blood, or if you cannot speak a full sentence. Do not wait for blood test results in these situations.

Breathlessness – FAQs

Which blood test is done for breathlessness?

Doctors commonly start with CBC, thyroid, sugar and lipid profile. Depending on the case they may order heart markers, an ECG, chest X-ray or lung function test.

Can anaemia cause breathlessness?

Yes. Low haemoglobin means less oxygen delivery, so you may feel breathless on effort. A CBC checks this.

Can a blood test detect heart failure?

A blood test called NT-proBNP is often used by doctors along with examination and echo. It is decided by your doctor.

Is a full body checkup useful here?

It covers common causes like anaemia, thyroid, sugar and cholesterol, but breathlessness also needs a doctor visit.

This page is general information, not medical advice or a diagnosis. Please talk to a doctor about your symptoms.

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ALLERGY
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ALLERGY 1TOTAL IGE
ANEMIA 1RETICULOCYTE COUNT (%)
ARTHRITIS 6ANTI CCP (ACCP)ANTI NUCLEAR ANTIBODIES (ANA)COMPLEMENT 4 (C4)PHOSPHOROUSRHEUMATOID FACTOR (RF)ANA TITRE (IMMUNOFLUORESCENCE)
AUTOIMMUNITY 7ANTI THYROGLOBULIN ANTIBODY (ATG)COMPLEMENT 3 (C3)ANTI - DSDNAIMMUNOGLOBULIN A (IGA)IMMUNOGLOBULIN G (IGG)IMMUNOGLOBULIN M (IGM)TISSUE TRANSGLUTAMINASE - IGA (TTG)
CANCER MARKERS 4CA-125CA 15.3CA 19.9CARCINO EMBRYONIC ANTIGEN (CEA)
CARDIAC 1NT-PROBNP
CARDIAC RISK MARKERS 10APO B / APO A1 RATIO (APO B/A1)APOLIPOPROTEIN - A1 (APO-A1)APOLIPOPROTEIN - B (APO-B)C-REACTIVE PROTEIN (CRP)HOMOCYSTEINEHIGH SENSITIVITY C-REACTIVE PROTEIN (HS-CRP)LACTATE DEHYDROGENASE (LDH)Lipoprotein (a) [Lp(a)]LP-PLA2SMALL DENSE LDL
COMPLETE HEMOGRAM 30BASOPHILS - ABSOLUTE COUNTEOSINOPHILS - ABSOLUTE COUNTLYMPHOCYTES - ABSOLUTE COUNTMONOCYTES - ABSOLUTE COUNTNEUTROPHILS - ABSOLUTE COUNTBASOPHILSEOSINOPHILSHEMOGLOBINIMMATURE GRANULOCYTES(IG)IMMATURE GRANULOCYTE PERCENTAGE(IG%)TOTAL LEUCOCYTES COUNT (WBC)LYMPHOCYTEMEAN CORPUSCULAR HEMOGLOBIN(MCH)MEAN CORP.HEMO.CONC(MCHC)MEAN CORPUSCULAR VOLUME(MCV)MENTZER INDEXMONOCYTESMEAN PLATELET VOLUME(MPV)NEUTROPHILSNUCLEATED RED BLOOD CELLSNUCLEATED RED BLOOD CELLS %PLATELETCRIT(PCT)HEMATOCRIT(PCV)PLATELET DISTRIBUTION WIDTH(PDW)PLATELET TO LARGE CELL RATIO(PLCR)PLATELET COUNTTOTAL RBCRED CELL DISTRIBUTION WIDTH (RDW-CV)RED CELL DISTRIBUTION WIDTH INDEX (RDWI)RED CELL DISTRIBUTION WIDTH - SD(RDW-SD)
COMPLETE URINE ANALYSIS 24SPECIFIC GRAVITYAPPEARANCEBACTERIAURINARY BILIRUBINURINE BLOODUROBILINOGENBILE PIGMENTBILE SALTCASTSCOLOURCRYSTALSEPITHELIAL CELLSURINARY GLUCOSEURINE KETONELEUCOCYTE ESTERASEURINARY LEUCOCYTES (PUS CELLS)MUCUSNITRITEPARASITEPHURINARY PROTEINRED BLOOD CELLSVOLUMEYEAST
DIABETES 7AVERAGE BLOOD GLUCOSE (ABG)C-PEPTIDEFASTING BLOOD SUGAR(GLUCOSE)HbA1cHOMA INSULIN RESISTANCE INDEXINSULIN - FASTINGURINARY MICROALBUMIN
ELECTROLYTE 1BICARBONATE
ELECTROLYTES 3CHLORIDEPOTASSIUMSODIUM
HEMATOLOGY 1TROPONIN I HEART ATTACK RISK
HEPATITIS PANEL 1ANTI HEPATITIS C VIRUS (ANTI HCV) - TOTAL
HORMONE 2CORTISOL SERUM (MORNING SAMPLE 6AM -10AM)TESTOSTERONE
INFECTION 1HELICOBACTER PYLORI - IGG
INFECTIOUS DISEASES 3HIV I and IIHEPATITIS B SURFACE ANTIGEN (HBSAG)VDRL (RPR) FOR SYPHILIS
INFERTILITY 817 OH PROGESTERONEANTI MULLERIAN HORMONE (AMH)DHEA - SULPHATE (DHEAS)FOLLICLE STIMULATING HORMONE (FSH)FREE TESTOSTERONELUTEINISING HORMONE (LH)PROLACTIN (PRL)SEX HORMONE BINDING GLOBULIN (SHBG)
IRON DEFICIENCY 5% TRANSFERRIN SATURATIONFERRITINIRONTOTAL IRON BINDING CAPACITY (TIBC)UNSAT.IRON-BINDING CAPACITY(UIBC)
LIPID 10TOTAL CHOLESTEROLHDL CHOLESTEROL - DIRECTHDL / LDL RATIOLDL CHOLESTEROL - DIRECTLDL / HDL RATIONON-HDL CHOLESTEROLTC/ HDL CHOLESTEROL RATIOTRIG / HDL RATIOTRIGLYCERIDESVLDL CHOLESTEROL
LIVER 12SERUM ALB/GLOBULIN RATIOALKALINE PHOSPHATASEBILIRUBIN -DIRECTBILIRUBIN (INDIRECT)BILIRUBIN - TOTALGAMMA GLUTAMYL TRANSFERASE (GGT)SGOT / SGPT RATIOPROTEIN - TOTALALBUMIN - SERUMSERUM GLOBULINASPARTATE AMINOTRANSFERASE (SGOT )ALANINE TRANSAMINASE (SGPT)
METABOLIC 1MAGNESIUM
OTHER COUNTS 1ERYTHROCYTE SEDIMENTATION RATE (ESR)
PANCREATIC 2AMYLASELIPASE
Pregnancy 1ALPHA FETO PROTEIN
PREGNANCY 3BETA HCGESTRADIOL/OESTROGEN (E2)PROGESTERONE
RENAL 8BUN / Sr.CREATININE RATIOBLOOD UREA NITROGEN (BUN)CALCIUMCYSTATIN CCREATININE - SERUMUREA / SR.CREATININE RATIOUREA (CALCULATED)URIC ACID
THYROID 8Anti-TPO antibody (Anti-Thyroid Peroxidase)CALCITONINFREE TRIIODOTHYRONINE (FT3)FREE THYROXINE (FT4)TOTAL TRIIODOTHYRONINE (T3)TOTAL THYROXINE (T4)THYROGLOBULIN (TG)TSH - ULTRASENSITIVE
TOXIC ELEMENTS 14ALUMINIUMARSENICBARIUMCADMIUMCOBALTCHROMIUMCOPPERMERCURYMANGANESENICKELLEADSELENIUMTHALLIUMZINC
VITAMIN 8VITAMIN AVITAMIN B-12VITAMIN B1/THIAMINVITAMIN B2/RIBOFLAVINVITAMIN B6/PYRIDOXAL - 5 - PHOSPHATEVITAMIN B9/FOLIC ACID25-OH VITAMIN D (TOTAL)VITAMIN E

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DIABETES (3 TEST)
CANCER MARKER (2 TEST)
ELECTROLYTES (2) test
Vitamin (2 TEST)
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CANCER MARKERS 2CA-125CARCINO EMBRYONIC ANTIGEN (CEA)
CARDIAC RISK MARKERS 5APO B / APO A1 RATIO (APO B/A1)APOLIPOPROTEIN - A1 (APO-A1)APOLIPOPROTEIN - B (APO-B)HIGH SENSITIVITY C-REACTIVE PROTEIN (HS-CRP)Lipoprotein (a) [Lp(a)]
COMPLETE HEMOGRAM 28BASOPHILS - ABSOLUTE COUNTEOSINOPHILS - ABSOLUTE COUNTLYMPHOCYTES - ABSOLUTE COUNTMONOCYTES - ABSOLUTE COUNTNEUTROPHILS - ABSOLUTE COUNTBASOPHILSEOSINOPHILSHEMOGLOBINIMMATURE GRANULOCYTES(IG)IMMATURE GRANULOCYTE PERCENTAGE(IG%)TOTAL LEUCOCYTES COUNT (WBC)LYMPHOCYTEMEAN CORPUSCULAR HEMOGLOBIN(MCH)MEAN CORP.HEMO.CONC(MCHC)MEAN CORPUSCULAR VOLUME(MCV)MONOCYTESMEAN PLATELET VOLUME(MPV)NEUTROPHILSNUCLEATED RED BLOOD CELLSNUCLEATED RED BLOOD CELLS %PLATELETCRIT(PCT)HEMATOCRIT(PCV)PLATELET DISTRIBUTION WIDTH(PDW)PLATELET TO LARGE CELL RATIO(PLCR)PLATELET COUNTTOTAL RBCRED CELL DISTRIBUTION WIDTH (RDW-CV)RED CELL DISTRIBUTION WIDTH - SD(RDW-SD)
COMPLETE URINE ANALYSIS 24SPECIFIC GRAVITYAPPEARANCEBACTERIAURINARY BILIRUBINURINE BLOODUROBILINOGENBILE PIGMENTBILE SALTCASTSCOLOURCRYSTALSEPITHELIAL CELLSURINARY GLUCOSEURINE KETONELEUCOCYTE ESTERASEURINARY LEUCOCYTES (PUS CELLS)MUCUSNITRITEPARASITEPHURINARY PROTEINRED BLOOD CELLSVOLUMEYEAST
DIABETES 3AVERAGE BLOOD GLUCOSE (ABG)FASTING BLOOD SUGAR(GLUCOSE)HbA1c
ELECTROLYTES 2CHLORIDESODIUM
IRON DEFICIENCY 5% TRANSFERRIN SATURATIONFERRITINIRONTOTAL IRON BINDING CAPACITY (TIBC)UNSAT.IRON-BINDING CAPACITY(UIBC)
LIPID 10TOTAL CHOLESTEROLHDL CHOLESTEROL - DIRECTHDL / LDL RATIOLDL CHOLESTEROL - DIRECTLDL / HDL RATIONON-HDL CHOLESTEROLTC/ HDL CHOLESTEROL RATIOTRIG / HDL RATIOTRIGLYCERIDESVLDL CHOLESTEROL
LIVER 12SERUM ALB/GLOBULIN RATIOALKALINE PHOSPHATASEBILIRUBIN -DIRECTBILIRUBIN (INDIRECT)BILIRUBIN - TOTALGAMMA GLUTAMYL TRANSFERASE (GGT)SGOT / SGPT RATIOPROTEIN - TOTALALBUMIN - SERUMSERUM GLOBULINASPARTATE AMINOTRANSFERASE (SGOT )ALANINE TRANSAMINASE (SGPT)
PANCREATIC 2AMYLASELIPASE
RENAL 7BUN / Sr.CREATININE RATIOBLOOD UREA NITROGEN (BUN)CALCIUMCREATININE - SERUMUREA / SR.CREATININE RATIOUREA (CALCULATED)URIC ACID
THYROID 3TOTAL TRIIODOTHYRONINE (T3)TOTAL THYROXINE (T4)TSH - ULTRASENSITIVE
TOXIC ELEMENTS 22SILVERALUMINIUMARSENICBARIUMBERYLLIUMBISMUTHCADMIUMCOBALTCHROMIUMCAESIUMMERCURYMANGANESEMOLYBDENUMNICKELLEADANTIMONYSELENIUMTINSTRONTIUMTHALLIUMURANIUMVANADIUM
VITAMIN 2VITAMIN B-1225-OH VITAMIN D (TOTAL)

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DIABETES (3 TEST)
CANCER MARKER ( 2 TEST)
ELECTROLYTES (2) test
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CANCER MARKERS 2CARCINO EMBRYONIC ANTIGEN (CEA)PROSTATE SPECIFIC ANTIGEN (PSA)
CARDIAC RISK MARKERS 5APO B / APO A1 RATIO (APO B/A1)APOLIPOPROTEIN - A1 (APO-A1)APOLIPOPROTEIN - B (APO-B)HIGH SENSITIVITY C-REACTIVE PROTEIN (HS-CRP)Lipoprotein (a) [Lp(a)]
COMPLETE HEMOGRAM 28BASOPHILS - ABSOLUTE COUNTEOSINOPHILS - ABSOLUTE COUNTLYMPHOCYTES - ABSOLUTE COUNTMONOCYTES - ABSOLUTE COUNTNEUTROPHILS - ABSOLUTE COUNTBASOPHILSEOSINOPHILSHEMOGLOBINIMMATURE GRANULOCYTES(IG)IMMATURE GRANULOCYTE PERCENTAGE(IG%)TOTAL LEUCOCYTES COUNT (WBC)LYMPHOCYTEMEAN CORPUSCULAR HEMOGLOBIN(MCH)MEAN CORP.HEMO.CONC(MCHC)MEAN CORPUSCULAR VOLUME(MCV)MONOCYTESMEAN PLATELET VOLUME(MPV)NEUTROPHILSNUCLEATED RED BLOOD CELLSNUCLEATED RED BLOOD CELLS %PLATELETCRIT(PCT)HEMATOCRIT(PCV)PLATELET DISTRIBUTION WIDTH(PDW)PLATELET TO LARGE CELL RATIO(PLCR)PLATELET COUNTTOTAL RBCRED CELL DISTRIBUTION WIDTH (RDW-CV)RED CELL DISTRIBUTION WIDTH - SD(RDW-SD)
COMPLETE URINE ANALYSIS 24SPECIFIC GRAVITYAPPEARANCEBACTERIAURINARY BILIRUBINURINE BLOODUROBILINOGENBILE PIGMENTBILE SALTCASTSCOLOURCRYSTALSEPITHELIAL CELLSURINARY GLUCOSEURINE KETONELEUCOCYTE ESTERASEURINARY LEUCOCYTES (PUS CELLS)MUCUSNITRITEPARASITEPHURINARY PROTEINRED BLOOD CELLSVOLUMEYEAST
DIABETES 3AVERAGE BLOOD GLUCOSE (ABG)FASTING BLOOD SUGAR(GLUCOSE)HbA1c
ELECTROLYTES 2CHLORIDESODIUM
IRON DEFICIENCY 5% TRANSFERRIN SATURATIONFERRITINIRONTOTAL IRON BINDING CAPACITY (TIBC)UNSAT.IRON-BINDING CAPACITY(UIBC)
LIPID 10TOTAL CHOLESTEROLHDL CHOLESTEROL - DIRECTHDL / LDL RATIOLDL CHOLESTEROL - DIRECTLDL / HDL RATIONON-HDL CHOLESTEROLTC/ HDL CHOLESTEROL RATIOTRIG / HDL RATIOTRIGLYCERIDESVLDL CHOLESTEROL
LIVER 12SERUM ALB/GLOBULIN RATIOALKALINE PHOSPHATASEBILIRUBIN -DIRECTBILIRUBIN (INDIRECT)BILIRUBIN - TOTALGAMMA GLUTAMYL TRANSFERASE (GGT)SGOT / SGPT RATIOPROTEIN - TOTALALBUMIN - SERUMSERUM GLOBULINASPARTATE AMINOTRANSFERASE (SGOT )ALANINE TRANSAMINASE (SGPT)
PANCREATIC 2AMYLASELIPASE
RENAL 7BUN / Sr.CREATININE RATIOBLOOD UREA NITROGEN (BUN)CALCIUMCREATININE - SERUMUREA / SR.CREATININE RATIOUREA (CALCULATED)URIC ACID
THYROID 3TOTAL TRIIODOTHYRONINE (T3)TOTAL THYROXINE (T4)TSH - ULTRASENSITIVE
TOXIC ELEMENTS 22SILVERALUMINIUMARSENICBARIUMBERYLLIUMBISMUTHCADMIUMCOBALTCHROMIUMCAESIUMMERCURYMANGANESEMOLYBDENUMNICKELLEADANTIMONYSELENIUMTINSTRONTIUMTHALLIUMURANIUMVANADIUM
VITAMIN 2VITAMIN B-1225-OH VITAMIN D (TOTAL)