Mysterious shortness of breath: What has helped you?

Posted by Gabe, Volunteer Mentor @gabrielm, May 31, 2018

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.

@tonyagregg

@gabrielm @merpreb I alo can do intense exercise and feel good while doing it. It actually started when I started running and I thought I just I was deconditioned but months later I am still trying to catch a deep breath. My oxygen level is good as well as my EKG and pulmonary function test all normal! I am 43 in good heath and never have I had any heartburn or problems with reflux nor do i have allergies. I am constant yawning or trying to get that deep breth that only last for 30sec or so. I guess i wouldnt call it SOB its just that I have the need to fill my lungs up by yawning or sighing. I read about psedodyspnea and it bascially talks about anexity and reflux and again I dont have. I am happy at my place in life. I just dont understand why all of a sudden this started. Is it a neuro thing i wonder at times? I have tried breathing txs and that does nothing. I guess I can live with it but at times its annoying and I just want it to go away. I am on no meds and have a health lifestyle. I would like to keep in touch with you guys just in case there is a miracle answer. Thanks for listening

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Welcome @tonyagregg. I'm also including @gabrielm in this post. I'm glad that you have spoken up. It's always disconcerting when something suddenly changes in our body, especially breathing! What kind of a doctor did you go to? It sounds like the doctor tested for the usual causes of shortness of breath. Did they also do any blood work? If you are planning to live with this than you at least should know what is causing it and how to manage it. I know that there are things in life that can't be explained, but a lot can. And there are a lot of things that you weren't tested for. If need be please make an appointment with a good Pulmonologist. They are the specialists.
Mayo has a great explanation of the usual explanations:https://www.mayoclinic.org/symptoms/shortness-of-breath/basics/causes/sym-20050890
I have exercise induced asthma. No tests shows that I have asthma.or Exercise-induced bronchoconstriction
https://www.mayoclinic.org/diseases-conditions/exercise-induced-asthma/symptoms-causes/syc-20372300
I wish you the best in trying to find the cause. Please let me know if you do!

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@tonyagregg

@gabrielm @merpreb I alo can do intense exercise and feel good while doing it. It actually started when I started running and I thought I just I was deconditioned but months later I am still trying to catch a deep breath. My oxygen level is good as well as my EKG and pulmonary function test all normal! I am 43 in good heath and never have I had any heartburn or problems with reflux nor do i have allergies. I am constant yawning or trying to get that deep breth that only last for 30sec or so. I guess i wouldnt call it SOB its just that I have the need to fill my lungs up by yawning or sighing. I read about psedodyspnea and it bascially talks about anexity and reflux and again I dont have. I am happy at my place in life. I just dont understand why all of a sudden this started. Is it a neuro thing i wonder at times? I have tried breathing txs and that does nothing. I guess I can live with it but at times its annoying and I just want it to go away. I am on no meds and have a health lifestyle. I would like to keep in touch with you guys just in case there is a miracle answer. Thanks for listening

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Yes @tonyagregg, I'd like to keep in touch with you. Sounds like what you have is pretty similar to me. It's been much worse before, but it's stabled out. Still not gone by any means, but I can at least live with it. Let's stay in touch. Maybe we can tag team our research or let each other know if we find some kind of answers.

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@gabrielm

Yes @tonyagregg, I'd like to keep in touch with you. Sounds like what you have is pretty similar to me. It's been much worse before, but it's stabled out. Still not gone by any means, but I can at least live with it. Let's stay in touch. Maybe we can tag team our research or let each other know if we find some kind of answers.

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@gabrielm Thanks! I sure will keep you informed.

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I have some of the same symptoms
Feel like I can’t take a satisfying deep breath
If I don’t dwell on it I’m good most of the time
But it comes and goes.

First time was 30 years ago and almost nothing since then and then this aug it started up again
Had a stress bloods taken all good. Just waiting for for it to dissapear

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@joeyosi215

I have some of the same symptoms
Feel like I can’t take a satisfying deep breath
If I don’t dwell on it I’m good most of the time
But it comes and goes.

First time was 30 years ago and almost nothing since then and then this aug it started up again
Had a stress bloods taken all good. Just waiting for for it to dissapear

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30 years ago did you see a doctor and blood test taken? If so, what did they diagnose you with? I have notice my breathing is rapid and shallow and some days i am constantly trying to take a deep satisfying breath. I am so tired of feeling this way. I am going back to the doctor next week for more test.

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@tonyagregg

30 years ago did you see a doctor and blood test taken? If so, what did they diagnose you with? I have notice my breathing is rapid and shallow and some days i am constantly trying to take a deep satisfying breath. I am so tired of feeling this way. I am going back to the doctor next week for more test.

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He said its probably stress but he is referring me to a pulmanologist and we'll see

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@tonyagregg

30 years ago did you see a doctor and blood test taken? If so, what did they diagnose you with? I have notice my breathing is rapid and shallow and some days i am constantly trying to take a deep satisfying breath. I am so tired of feeling this way. I am going back to the doctor next week for more test.

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Hopefully they help get some answers @tonyagregg. I don't have answers yet, and been trying to find some since 2012. It's manageable and more stable, but I'd still like to get to the bottom of it so it doesn't get worse again. Let us know if you find out anything.

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Hi, I am really new to this site but I saw your post and felt the need to respond. I also deal with air hunger on a pretty regular basis- I often say that it feels like my lungs are too small or that I just can't get enough oxygen! The severity varies. This symptom, air hunger, was a clear indicator of having an infection with Babesia, which is a coinfection of Lyme Disease. Have you done any research into Lyme disease and its co-infections? It might be worth a shot to see a Lyme-Literate doctor (LLMD) in your area if this air hunger persists. Babesia is a coinfection of Lyme, and one can become infected with Lyme (or babesia or the other coinfections) without knowing or having the bulls eye rash. The issue with this infection in general is that it is very difficult to get an accurate test done, which is why seeing an LLMD is SO important.

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@jessitu- Good morning and welcome to Mayo Connect. A big thank you in pointing out another reason for Dyspepsia, or "air hunger". I've had Lyme 3 times and Anaplasmosis once, but had it with Lyme. I believe that doctors especially have to begin looking outside the box for medical explanations for symptoms. As the world heats it will be even more important to be vigilant. When did you have have Babesia? Are you still being treated? How are you feeling now?
For all of us:
https://www.lymedisease.org/lyme-basics/co-infections/babesia/

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I am so happy I came across this post. I've had the same issues since July 2018. I'm a healthy, 23 year old and have never had problems like this in my life. I got married back in July, went on my honeymoon to the Bahamas, and when I came back home, I experienced shortness of breath and have ever since. Some days it's better than others, but it's always there. It almost feels uncomfortable to breathe deep. I've been to so many doctors appointments. My blood work is perfect and my lung/heart tests came back good. I even had my gallbladder checked and it's good. This is so frustrating and I hope we can all work together to find an answer!

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