Trouble breathing, or shortness of breath, can result from many underlying causes related to the lungs, heart, airways, or other health conditions. Common causes include asthma, allergies, infections such as colds or pneumonia, chronic lung diseases like COPD, heart problems including heart failure or arrhythmias, blood clots in the lungs (pulmonary embolism), and physical obstruction or choking. Other causes may be anxiety or panic attacks, anemia, obesity, or environmental factors like high altitudes or allergens. Sudden or severe difficulty breathing requires immediate medical attention as it may indicate a serious condition. If breathing trouble is sudden, severe, or accompanied by chest pain, dizziness, fainting, or blue-tinged skin, seek emergency care immediately. For ongoing or mild symptoms, consult a healthcare provider to identify the specific cause and receive appropriate treatment.