Mysterious shortness of breath: What has helped you?
I will try to make this as short as possible, but this has been going on for over 5 years, so it might be farily long.
Beginning in summer of 2012, I began having shortness of breath (SOB) with no other symptoms. I felt a constant need to yawn, and every few breaths wouldn't satisfy the SOB. I would take a deep breath, and felt like it would get "stuck" before satisfying the air hunger feeling. About every 3-5 deep breaths would satisfy it, only for it to return a minute later.
I got an endoscopy and other tests done, which revealed that I had some esophageal erosion due to acid reflux and a slight hiatal hernia and was diagnosed with GERD. I had always have bad heartburn, so I was prescribed with Prilosec, which I have been taking daily since them. I've tried stopping it a few times but the reflux always comes back a lot worse.
Lung tests and x-rays were normal. Heart tests normal. Blood test revealed a slight anemia but otherwise pretty normal.
I did some research reading forums where someone suggested taking vitamin B-12. Strangely, I took it and the SOB disappeared almost instantly. However, it only lasted a few days for it to return just as bad. I then started taking an iron supplement, which again made the SOB disappear quickly- same thing; symptom returned days later.
After further research, I came across a breathing exercise method called the Buteyko method. Essentially you do a lot of breath holding to build up CO2 and reduce breathing as the theory is that I had chronic hyperventilation causing too much CO2 to exit my body. After applying the method and reducing my breathing, the SOB disappeared after only 2 days and I felt completely normal. I continued the method a few more days then no longer felt the need to pursue the exercises. I was normal for a whole year when the SOB once again returned with some chest tightness. I applied the method again and the symptom went away, this time with a little more effort; after about 3 weeks. I included physical exercise which also helped with my breathing.
After that, I was normal for about 2 years. I mistakenly stopped or at least slowed down exercise and the SOB returned once again. I applied the method and began running for exercise but the SOB kept getting worse. It got so bad, I had multiple panic attacks and the feeling of completely empty lungs with the inability to satisfy it with deep breaths. I had to stop exercise altogether, apply the Buteyko method and do breathing exercises very carefully with very light and slow exercise. This helped, but it took many weeks for the SOB to improve. Then, it was almost normal when over a year ago as I was running, I couldn't get a deep breath to satisfy exercise-induced SOB. I have had SOB continuously since then (a year and a half).
I once again started doing breathing exercises and slowly building up physical exercise, but I can't do any prolonged cardio activity because the SOB gets to a point where deep breathing will not satisfy it. While the breathing exercises have helped, they have had very little effect compared to previous efforts. It seems that every time the symptom returned, greater effort yields few results.
I suspect there is something, some underlying cause that is causing the SOB that has alluded me this entire time.
So for the past few months to a year, the SOB is worse on some days, better on others, but never gone. There's no rhyme or reason or pattern for it. It's just there, sometimes affecting my sleep. I sometimes can't get a deep breath to satisfy it every now and then, but for the most part, a big gulp of air will satisfy it. But it returns seconds to minutes later. It's as though every breath doesn't deliver what it's supposed to, the SOB builds up, and then I have to take a big gulp of air to get rid of the feeling, pattern repeats. My breathing pattern is normal, however. I don't feel like anything physical is happening, but sometimes it feels like my airways and nostrils are slightly inflamed due to allergies, but when I don't feel inflammation the SOB is still there.
Recent lung function tests show normal- I don't have asthma, or any other problems with my lungs. Heart tests are normal though I did have about a two week bout of heart palpitations which came and went. Haven't had any for a while- it just mysteriously started happening then stopped. Blood tests are normal, though tests always show a slight elevation of biliruben which my doc thinks is Gilbert's disease.
I don't have sleep apnea (normal test), bloody oxygenation is normal, heart rate normal.
I recently saw local naturopath (since mainstream docs aren't able to help) who immediately suspected a liver problem when I described my SOB, possibly liver inflammation. He used an electrodermal testing machine to test his theory which did seem to show a problem with my liver and gallbladder. He gave me digestive enzymes and a gallbladder formula to help clear a bile duct clog, thus reducing liver inflammation. He also determined with the machine that I have an egg sensitivity so I've been avoiding eggs.
Been taking this and avoiding eggs for a couple of months, but there has been no noticeable improvement. Everything else is normal. Emotionally I'm normal- no anxiety, depression, etc. The SOB seems to be the only symptom of something, but always comes back worse, until a year and half ago when it came back and has remained since. I feel like I shouldn't have to do breath holding exercises every day just to maintain my breathing well enough to do every day things.
Does anyone have any idea of a possible underlying cause?
2021/2022 UPDATE:
Since my original post about 3-1/2 years ago, a lot has happened, so I’d like to update the post to share with others who come across this what I’ve done since then.
I have maintained a weekly Buteyko method breathing exercise regimen where I do a few of these breathing exercises 3-4 times a week in the morning. This, in combination with daily light to moderate exercise (specifically weight lifting, with 1 or 2 days a week of walking and light jogging), I feel has kept the air hunger symptoms tolerable and manageable. I have mostly good days with some not-so-good days, but doing a breathing exercise and knowing that it’ll get better again helps me get through those times.
I also have sinus inflammation which can exacerbate the symptoms, but I’ve also managed this, which in turn reduces the severity of the air hunger symptoms.
So, while I haven’t found a cure nor is the problem completely gone, I have been able to maintain normalcy in daily life and manage the symptoms through the strategies I described.
This discussion remains active, alive and well through the comments section where others who have similar symptoms have shared what has helped them as well as suggestions for possible solutions to explore.
Interested in more discussions like this? Go to the Lung Health Support Group.
Hi,
Not sure if this has already been mentioned, but have you looked into your dental health? Any root canals or amalgam?
Very insightful @tophthegoph, thank you for sharing! Indeed, I do think there is some connection with the reflux as when I went on Prilosec I, too, noticed an improvement.
Because they know a LOT of patients with lung disease have a lot of reflux, the folks at National Jewish always test patients for reflux. Optimally treating reflux can indeed help with breathing.
I am new to this group.
As I didn't see a group specifically for asthma, I hope this is where I need to be as an adult, diagnosed 6 months ago with Post Covid Asthma. I was told it would probably resolve. It hasn't and I have suffered most days since diagnosis.
I am currently waiting to see an allergist for trigger testing and my Pulmonologist wants me to consider starting on one of the new injection therapies.
I was on vacation in Montana and Canadian Rockies when I got diagnosed with Covid, I was wheezing, coughing and had low sats, but i continued my vacation wearing a mask and staying somewhat isolated.
My thought now is I probably have always had a very mild reactive airway problem, and the Covid just exacerbated my symptoms.
As this is so new to me and has impacted my life in so many ways, I want to get a better understanding of the disease. I have done enough reading, and researched Dr. Google plenty that I feel it's time to talk to the experts, other people with asthma.
Thank you for any insights, thoughts, references that could help me with my newly diagnosed asthma.
Welcome to Mayo Connect - We are a large and varied support community, so I am not surprised you didn't find the asthma group right away!
Here we are:
https://connect.mayoclinic.org/discussion/adult-onset-asthma/
To me, who has had asthma most of my adult life, six months seems soon to be starting an injectible therapy for newly diagnosed asthma, but I am not completely familiar with the most current protocols.
What treatments has the doctor tried so far? A few years ago, when I was not getting good results from my long-time therapy, my pulmonologist tried Symbicort (actually the generic version) and it has really helped me. Others in the asthma group have found relief from Trelegy or other inhalers originally intended to treat COPD.
What symptoms are you trying to control?
I had this so terribly bad in 2020. I started Lexapro and it vanished within a couple months. Now it’s kind of back. It’s more yawning and being able to complete the yawn. If I’m distracted it disappears. But when I’m focused it’s AWFUL. Just constant trying to yawn and yawn and yawn until I feel satisfied. It’s so annoying. I’ve had a million tests when it first appeared but now I’m wondering if I need to run the gamut again 🙃🥴
I had mild case of COVID late August 2024. Experienced SOB periodically. Could not walk and talk at same time. Went to Internist early November. She immediately put me on 3 liters of oxygen and sent me to cardiologist and pulmonologist. Echo, Heart Cath, cat scan, breathing tests, and blood work all normal. Regular Internist gave me albuterol and said I had Asthma. Went to allergist to learn that I am allergic to pet dander and dust mites. Tried to go without oxygen. Readings dropped as low as 72. Sitting oxygen stays in 90's. Walking level begins at 88 and continues to drop. I am on oxygen 80% of the day. Doctors unable to diagnose cause and/or treatment other than latest was to take Sildenafil. I am 77 years old with controlled type 2 diabetes, residing in a luxury retirement community with a zest for living and good health. Almost daily I learn of another resident with respiratory issues similar and/or much worse than mine.
If this is Long COVID and the virus is lingering, is it not possible to take a mild dose of Ivermectin (or similar) to irradicate the unwanted guests? Any ideas on how to get rid of my oxygen tank?
I’d try to get an appointment to see a lung doctor (called a pulmonologist in the US or a respirologist in some other countries). They are able to test you and help figure out what is going on and what treatments are likely to be helpful.
Unless you have parasites internally and are livestock, invermectin is unlikely to help you can CAN harm you! Please see a professional who is trained to treat humans with breathing problems if you want effective relief.
I have the same problem. Shortness of breath with no explanation. It's been an issue for years but is getting worse now. I wake up breathless and often have to leave the bed to get better breathing when I'm upright. It's scary at times. I've had all the tests and no doctor can explain why. I play tennis and really push the limit for exercise. The breathing is actually a bit better when I do that. The SOB is at its worst when I am idle and at rest.
It is more than annoying. It's impacting my quality of life. One doctor said it may be because of my body type, chest etc. I'm actually long and lean and underweight if anything. So frustrating ...
Thank you for your input. My Pulmonologist has shrugged his shoulders. Says my lungs are normal after viewing Xray, CT Scan and breathing tests. I asked about the Ivermectin and he appeared to seriously consider and wanted to do some research. My research showed that Ivermectin is used to treat a host of issues in humans. I believe that we must think out of the box to solve this malady, free from the typical medical business model and big pharma constraints.