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 @hrb24, sounds like your SOB issues is pretty new. Is this the first time you've experienced this?
My issue started way back in 2012 to varying degrees of severity until leveled out over the past several years due to a combination of breathing exercises, physical exercise, acceptance, and making changes to improve overall health.
I experienced it one other time when I was expecting but it went away. Now it’s back since Nov 2024 and I can’t get a grip on it, but everything you explained is what I am feeling as well. Was hoping maybe there is a solution, but it seems like you have been battling it for a long time. Are you still seeing any doctors for help, have you traveled outside your normal area?
Hey everyone, new here but this is by far the most responses I’ve seen on any forum sites related to this matter. A little bit of my backstory, I am 27 years old and first dealt with this issue back in 2017 when I was 19. I don’t know where or how it started but I just remember having a feeling in my neck that would cause me to yawn or take a deep breath every few breaths. Whenever I couldn’t get that feeling I would feel my body go into full panic mode until I can get that satisfaction, just for it to start up again. At the beginning this was something very hard for me, I would say for the first year it had me completely at its mercy. Something clicked when I got with my current partner and from the years 2019-present although the issue is still there it was a lot easier to manage. In that time I’ve continued my relationship, graduated college, started driving, traveled. All while still having this flare up from time to time but I felt good because I had very good control of it. I’ve never done any follow up on this issue after all these years because I always had an idea it was anxiety related and as mentioned above the last few years have been relatively good.
Fast forward present day, the last I would say month to month and a half have been absolutely brutal. I have not being able to push this off to the side as I have in years past and it’s even started effecting my day to day activities such as driving. A couple of weeks ago my partner and I went on vacation and the plane ride was unbearable, constantly taking a deep breath or trying to yawn to satisfy that feeling in my neck. It’s taken a toll on me mentally because my partner’s never seen this side and I’m worried it’s effecting her. I have been driving around still but I get in my head about car rides now and instantly start panicking when I’m in my car and feel this. The reason I decided to finally post in a place like this is to ask for advise. I know I’ve done it in the past but it’s been so difficult recently. I’m hoping to get good ideas on what to do to get back control of this, I accepted this issue a while ago and was living well with it but I do not want it to have control over me in this way. Any advice would help!
I definitely try to not take deep breaths as much as I can and when my back starts to hurt and pinch and burn it does get so much. Worse so I’m to be scheduled this week to get a referral to a spine doctor but I’m terrified that if it is the phrenic nerve that it might sever and I’d be screwed and stuck with this forever. I’m a single father of three and have to work I don’t have a choice, I I fail then my kids and I won’t have a house to live in. It’s scary, but now I lay on my back as much as I can and sit when I can to not agitate my back anymore than it needs to be
I'm at the end of my rope with this. I really am.
From about 2012 to 2017 (iirc), I was a pack a day smoker. Very little on and off weed smoking. At some point during 2017, I hit a bong a little too hard multiple times and ended up having a panic attack, vomiting and such. The days following that, I noticed an increased heartbeat, and started noticing my breath getting a little shorter. One afternoon, I got up and started seeing stars. Next thing I knew, I was on the ground.
I brushed it off that night, but got up the next morning unable to get a full breath. Ended up going to a quick care that same day.
They told me I had COPD and then the doctor left. No meds, no recommendations. Nothing. The two weeks that followed had several panic attacks alongside quitting smoking cold turkey.
I'd set up an actual appointment with my doctor but would have to wait two week. But the panic attacks remained. So I ended up going to the ER. Was there for 8 hours, scans, trays, etc. only to be told to COPD again.
Finally went to a doctor. Had breathing tests done, along with blood and urine tests. Came back and was told I had "reactive airways disease". I was given abuterol, told to eat more vegetables, and get more active. Along with saying that there was some dander, dog fur, and cockroach (had an inspection and there was nothing for any bugs, but I've long since moved) in my blood All of which I did. Which is hard given I work a desk job with limited movement.
Between the inhaler and more exercise, things got better for a few years. Still had times without full breaths, but better. At some point, I stopped using the inhaler and kept exercising. I was fine. Until about two days ago. I couldn't get a full breath in again. Thought, maybe I could sleep it off. Nope.
The panic attacks are back. I don't have an inhaler, and can't really afford insurance. I make too much for medicaid, but too little to afford good insurance via health healthlink. I'm going to a quickcare later, but I'm not really expecting much beyond an inhaler. Hopefully.
The only thing that seems to marginally help are Xanax as my friend has given me a few for the panic attacks.
All I want is to breathe normally, even just half the time. It's been almost 8 years of this now. I don't know how much longer I can take it. Nobody I can talk to, no affordable help, no doctor that seems to care.
Like what's the point anymore? Between my RCE (recurrent corneal erosion) and this, I'm just miserable or in pain.
Sorry for the rant, just really toeing a line right now.