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.

@merpreb

@lauretta16- Welcome to Mayo Connect. I'm glad that you are joining us. It is very frustrating not being able to catch a full inhale of air when you expect it. SOB is caused by so many things but yours seem to be more gastric than lung related. What kind of doctors have you seen so far?

Jump to this post

Thank you for the great responses as I now feel there are people out there who actually understand. I have seen gastric specialists and some have said GERD, whilst others have said it could be the actual movement of the muscles, causing spasms. However, they don't know what the cause of this could be. I've been put on PPIs but they give me hiccups and constipation!! There's always something. Still, may breathing has improved since I've been on them.

REPLY
@pandakay727

I’ve run across this post as I am sitting on my couch struggling to breathe at 1:45ish in the morning. Does anyone else fight to take a deep breath so hard that they pull muscles in their chest? I don’t have asthma but I’m starting to think after reading it could be undiagnosed acid reflux or something set off my allergies. I took some Benadryl and came to the couch cause just the sound of my boyfriends even breathing messes me up trying to focus on my own. If he turns my direction I feel like he’s taking all the oxygen and I struggle more. Even the cat trying to snuggle by my face was to much. I do have anxiety and depression but the only thing that has me anxious is the struggling for air, I was fine before hand. I don’t have this very often, maybe every few months but once I have “an attack” it follows me for a bit since I literally pull muscles to try to breathe. Any advice. I’m going to try an acid reducer once I can go to the store. But is there anything else? I did have my windows open today and I want to blame it on the neighbor burning yard waste but I really don’t know. It’s so random when it happens that I can’t be certain. Any advice is appreciated. Sorry if this is all over the place but I feel like I need to cut my chest open to let air in.

Jump to this post

It does seem like what I feel too. I have been told that my pain and SOB is muscle related...Also, the doctors have said anxiety can worsen this. Have you tried an acid reducer? Since I've been on one the breathing has improved but I still feel there's something in my throat.

REPLY
@gabrielm

@lauretta16, If you have a large hiatal hernia, I'm surprised that you don't have GERD/acid reflux. That seems to accompany a hiatal hernia everywhere I've seen. I have a sliding hiatal hernia, but I don't know if it is the cause of my SOB. It's always in the back of my mind that it could be the cause or a contributor but I'm just not sure. Regarding your anxiety/depression, you should enroll in a Cognitive Based Therapy program either in person or online. Very effective for long-term treatment of anxiety/depression. It will be one less thing to deal with, so you can focus on other aspects of your health like getting rid of the SOB. I too have been anemic though lately blood tests seem to show that I'm no longer anemic. If you take iron, it should be done carefully as your body can absorb too much iron which can cause problems. Take it with food to help alleviate the stomach issue. But do get tested again to see if the iron supplements are helping with the anaemia and to make sure your iron levels are right. It certainly wouldn't hurt to get tested for allergies. I think that will be my next step.

Jump to this post

This is exactly what I've been telling the doctors but my last gastroscopy showed no signs of a hiatus hernia. I said that maybe is was no longer there as mine is sliding too. Hmmm? Thanks for the information about anaemia and anxiety. I'm going to have a look... 🙂

REPLY
@lauretta16

It does seem like what I feel too. I have been told that my pain and SOB is muscle related...Also, the doctors have said anxiety can worsen this. Have you tried an acid reducer? Since I've been on one the breathing has improved but I still feel there's something in my throat.

Jump to this post

I haven’t tried the acid reducer yet. I did look up that breathing technique mentioned in the original post. I’ve been doing that. My breathing has somewhat returned to normal. I just have soreness from when it started and I was forcing as many deep breaths as I could. It only acts up when I feel the pain or I think about it to much. I did sleep most of yesterday away which is why I’m probably up so early. I think the fact that a lot of my neighbors are burning yard waste isn’t helping. It’s causing non stop sinus drainage that then causes stomach pain and sore throat.

REPLY
@merpreb

@shartsock- Good morning and Welcome to Connect. I am so glad that you are feeling better. What did you change that you can contribute to this improvement?

Jump to this post

Lots of prayer and I started taking prilosec. Noticed I started belching a lot. Now I feel so much better. Thank God for leading me to this web site. And thank God for everyone on here. I feel so much better.

REPLY
@dayeke

I am almost certain I have figured it out!
The last time this happened, I totally ruled out asthma...no way I had asthma. However, this time around I treated like it was allergy induced asthma. I was told to take inhaler 2x morning and 2x at night and 24 hour allergy med. THIS has worked. Completely back to normal. This makes sense, because I tend to get this when the seasons change-always in early spring and late summer.

Jump to this post

@dayeke- Welcome to Connect. Am so glad that you have joined us. Sometimes it's very difficult to remember from season to season what happens. On my calendar I mark down the start of anything medical or keep it in my journal. Then you can refer back to it next year- before it hits you, you will be all set. Also with the globe warming there will be more and more things causing us problems. Do you have any residual soreness?

REPLY
@pandakay727

I haven’t tried the acid reducer yet. I did look up that breathing technique mentioned in the original post. I’ve been doing that. My breathing has somewhat returned to normal. I just have soreness from when it started and I was forcing as many deep breaths as I could. It only acts up when I feel the pain or I think about it to much. I did sleep most of yesterday away which is why I’m probably up so early. I think the fact that a lot of my neighbors are burning yard waste isn’t helping. It’s causing non stop sinus drainage that then causes stomach pain and sore throat.

Jump to this post

I've dealt with bouts of SOB since my early 20s (now 32). The last time I experienced an episode, it lasted almost 3 months and completely freaked me out. Went for all the test and exams etc.
Another episode came up about 2 weeks ago. I treated it like it was allergy induced asthma and for the FIRST time...something WORKED. Your experience sounds very similar to me.
I was given a prescription for a an inhaler when I went to the ER the last time I had an episode. I didnt use it as prescribed because I didnt believe I had asthma. However, used it as prescribed this time around with an allergy med and it is all gone! Finally able to breathe. Chest muscles have relaxed.

REPLY
@merpreb

@dayeke- Welcome to Connect. Am so glad that you have joined us. Sometimes it's very difficult to remember from season to season what happens. On my calendar I mark down the start of anything medical or keep it in my journal. Then you can refer back to it next year- before it hits you, you will be all set. Also with the globe warming there will be more and more things causing us problems. Do you have any residual soreness?

Jump to this post

That's a great idea! Thanks. My chest was a little sore because of the tightness..but all good now.

REPLY
@gabrielm

Hi @pandakay727, sorry that you're experiencing this. I know just how you feel! I'm struggling tonight myself - my sinuses are quite inflamed since I have allergies so my shortness of breath is particularly bothersome, and I'm trying to get a big deep breath, but can't a lot of the time. I know it will pass, but it's very uncomfortable. Have you gotten tests done to rule things out? Lung function test, blood tests, EKG, gastroenterology tests, etc.? You should see your doctor and see what he/she says about your symptoms. If they rule things out, then you will have to keep searching for answers like most of us here. Try to control your breathing as much as possible in the meantime. Try not to take deep breaths through your mouth. Use your nose instead. It seems counterintuitive but it helps me regulate my breathing a bit. When I have these bouts of SOB when it gets worse, I utilize what I've learned using the Buteyko Breathing Method. But I would definitely see your doctor and when you do, keep us informed on what he/she says.

Jump to this post

@pandakay727 @gabrielm You might want to investigate allergies as the source of the shortness of breath issues. Certainly there are other causes, but this is easily overlooked. This happens to me. My lungs react after I'm exposed to something by producing phlegm, and when there is enough of that and it's constant, the phlegm interferes with the absorption of oxygen. Many people are allergic to cats, me included, but I missed that connection. I didn't think I was allergic because I don't sneeze around the cats, but my doctor tested me and I have a significant cat allergy and I have 3 of them. I made some changes at home with the location of my HEPA filter so it blows on my face at night when I'm sleeping, and I started wearing some disposable surgeon's masks with 99% efficiency in filtration at night. Now, if a cat is curled up by my head, it doesn't bother me, and I don't wake up with excess phlegm that I need to clear.

This had been an ongoing problem for a couple years, and I was doing allergy shots for the cats all along, but it and antihistamines were not enough. I would get periodic chest infections because I wasn't clearing the phlegm. We are most vulnerable at night because we are laying down and it doesn't clear. I also try to vacuum often, change the bed often and keep it covered with sheets, so these are easily changed. You can also take Mucinex (or generic) to thin the mucous so it's easier to clear. I have allergies to a lot of tings, molds, dust, tree pollen, weeds, ragweed, etc, and I do allergy shots and testing for all of that. Exposure to mold spores causes airways and lung tissue to swell with inflammation. I also wipe my cats down with my wet hand pretty often to try to clean the dander which is their dried saliva that becomes an air born dust. That dust settles and floats in the air and cats running around will stir it up from the floor as well. Allergies are cumulative, so you have to treat them all. If you have allergies, you have to be more vigilant about prevention. I thought I had a serous reoccurring lung infection, but I didn't. It was just my allergies, and the cats top that list. I can coexist with them and still breathe well with the changes that I made. It's important to control allergies affecting the lungs because it can cause permanent changes and remodeling of the airways. The masks I use at 3M #1820 Procedure masks with ear loops instead of ties, latex free with >99% filtration of 0.1 Micron particles which is equivalent to a HEPA filter. You can always try them and see if they help which will confirm that allergies are contributing to an issue.

REPLY
@pandakay727

I do have anxiety sometimes but it’s normally stress from work. The SOB does make me anxious when it starts. I don’t take any of the medications that an antacid would block. I am not on any medication on a daily basis. I used to take allergy medicine everyday but I stopped because eventually it stopped being as effective. So now I take it when I really need it. I’m glad I ran across this forum last night. Most things you google come back asthma related or you’re having a heart attack. I am going to call my doctor about an albuterol inhaler and an antacid.

Jump to this post

@pandakay727 You are correct. Using antihistamines all the time for allergies causes them to loose their effectiveness. My doctor told me this. Allergy shots are better, but they need to be retested every couple years and the doses readjusted. Your exposure to high levels will affect your response and it will need to be tested more often. Stress also affects this and may require a dose change in allergy shots. It takes more time and money, but the results are better. My doctor tests these things individually by injecting it under the skin, and then makes a custom extract for my injections. For example, each mold species is tested individually, it is not a mix of things tested all at once, and they find the maximum dose that I can tolerate for each one that doesn't cause a skin reaction, and that is the treating dose that is mixed into my extracts for injections. The doctor is an environmental medicine doctor who does this. I have to do allergy shots about every 4 days when things are in season. They trained me how to do them, and that makes it easy.

REPLY
Please sign in or register to post a reply.