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.

@laurasue The method is called Buteyko Breathing Method. The best way to learn it is through an online instruction through this organization based in the UK; https://learnbuteykoonline.net. It costs a little bit of money (around $300ish) but well worth it. I think it will help you. It won't cure you but will make your condition much more manageable. You just have to make sure you follow and are diligent about the exercises. It's a lot of breath-holding which can at times be uncomfortable, but you're essentially retraining your body to breathe less, which helps you breathe more normally.

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@gabrielm

Thanks for the reply! I have explored the possibility of anxiety and stress, but I don't experience any of that, at least beyond the norm. I might have a stressed out day now and then, but I'm not a stressful person and am pretty easy-going. I don't have anxiety. The SOB is just always there. Always. Whether I'm at work, at home, stressed, not stressed, but stress for me is very uncommon. I have a low-stress job. So I'm not convinced it's that. So I still have no idea what it is; I'm looking into submitting my case to CrowdMed.

I'm doing alright, thank you for asking. I would say that over the past 6 months I have experienced periods of improvement from days to even weeks. Not 100%, but enough to where I didn't really notice it all day. Then I would have random bouts where it would get kind of bad, where I just can't get a deep breath, and when I do it doesn't last long before I'm desperately needing another. That would go on for a few days, and then it would get better again. So it's still up and down, and it's manageable but not normal at all. I still do exercise when I can, to an intensity that my breathing will allow- some weightlifting sessions allow me to lift a decent amount of weight with not as much rest in between, and other times I have to cut my sessions short after lifting light weights and having to rest for 5 minutes in between sets. So it all depends on the day I guess.

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I have had some similar symptoms with breathing for about a month ever since I did some running. Feels like I'm trying to breathe through a concrete wall. Hard to get a good, deep breath. But my chest (right side) has also been hurting...feels like it hurts straight through to my back right next to my shoulder blade. My doctor thinks it is anxiety and threw pills at me. I do not think it is anxiety. I shouldn't be in constant pain and discomfort for a month. I hope you get some answers.

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@helena4000

I have had some similar symptoms with breathing for about a month ever since I did some running. Feels like I'm trying to breathe through a concrete wall. Hard to get a good, deep breath. But my chest (right side) has also been hurting...feels like it hurts straight through to my back right next to my shoulder blade. My doctor thinks it is anxiety and threw pills at me. I do not think it is anxiety. I shouldn't be in constant pain and discomfort for a month. I hope you get some answers.

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The same thing is happening to me except left side pain. Which is pretty scary considering I always think it’s my heart

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@laurasue

The same thing is happening to me except left side pain. Which is pretty scary considering I always think it’s my heart

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What about pleurisy?

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@tonyagregg

@davek yes, it could be. I tried treating mine at first with prilosec with no relief, so my doctor put me on something stronger (protonix ) this medicine not only stops the acid but heals the esophagus too.

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@tonyagregg - I saw my primary care doctor on Friday. He prescribed me with Protonix 40mg for my GERD, switched from Prilosec. How long did it take for you to notice a difference in your breathing when you first started taking it?

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@gabrielm- Good morning. I've put this on here before but I want to suggest taking FDgard on top of your Rx. It made a huge difference when I had several bad flare-ups last year.

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@merpreb

@gabrielm- Good morning. I've put this on here before but I want to suggest taking FDgard on top of your Rx. It made a huge difference when I had several bad flare-ups last year.

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Is that for breathlessness?

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@helena4000- Good morning. No, it's for bad stomach pains from GERD

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@laurasue

I have had shortness of breath for over 7 months straight now. I have been to a pulmonologist and ENT, two cardiologist and my 2 primary care drs. I’ve had several test done and been to the ER around 15x. They all tell me I’m clear and after they couldn’t find anything they told me it appeared to be anxiety ( which I really wonder) I had a very peaceful, calm life before this. It all happened one early morning. I just woke up gasping for air and it never went away. How did this shortness of breath start for others ? Also has anyone found a solution ? One more thing recently I have been getting this head pressure every now and then.

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The more doctors I see who just say it’s allergies the more I am starting to think mine is from silent acid reflux. I have been reading a lot recently on how to cure it with natural supplements and not medications that haven’t worked yet for me. Have you looked into any acid problems? I have had no symptoms but think I am starting to recognize I do have some like the feeling of a lump in my throat and some possible burning is starting to happen. I am going to try a high alkaline diet to see if there is any improvements from that. Just can’t wait for it to stop once and for all. Every now and again I have a day where I don’t have it and it is so wonderful, and so freeing!

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@gabrielm

@tonyagregg - I saw my primary care doctor on Friday. He prescribed me with Protonix 40mg for my GERD, switched from Prilosec. How long did it take for you to notice a difference in your breathing when you first started taking it?

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@gabrielm I think I started noticing it getting better around the 4th or 5th day. I sure hope that helps you like it did me. Keep me informed

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