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.

@helpnywhereucan

I'm noticing a pattern with others in regards to acidity. Dehydration is definitely a trigger for both GERD and anxiety. Make sure you are getting the amount of water your body needs per day. It is important to choose a high quality water. Distilled, some filtered and even some bottled water contain no minerals at all. Evian, Perrier, San Pellegrino and other mineral waters will not only supply your body with minerals it could be lacking but will also buffer acids as well. Gerolsteiner is high in Calcium and will help if your issue is related to a calcium deficiency. If your diet contains sufficient dairy etc try waters that are lower in calcium since elevated calcium levels can lower magnesium. It really is a lot of research and trial and error. I posted a video for a recipe for homemade mineral water if you're on a budget. You can also look for a water pitcher that leaves the full spectrum of minerals in the water (Clearly Filtered, Aquagear). If all else fails, drink straight from the tap. Acidity is a clue that our bodies need minerals and tap water is a convenient way to build them back up.

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Thank you for the reminder.

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It’s good to know I’m not alone in this, a year ago I was driving home and out of the blue I couldn’t take a deep breath. I was also a little itchy I thought I had gotten into something. the next day the problem was worse went to the er. Was give a steroid, was sent to an allergy specialist ( no luck). Went to a pomologist it showed that I had some bronchial spasms was prescribed two inhalers ( none of them worked)
I had chest X-ray, CT scans, upper endoscopy, saw an ENT, saw phych, Thyroid testing, Lymph node biopsy All normal. I was prescribed ant acids and some ulcer meds nothing helped. In October I went to the ER because of stomach pains, they said my liver enzymes were up did a scan that showed my gallbladder wasn’t functioning. I had it removed on the 30th of December. But the issue with the deep breath continues. I also have throat weakness, often I have difficulty swallowing. I have also had rapid unexplained weight loss, and extreme fatigue.
Before all this I was a very healthy active person.
Does anyone else struggle with fatigue? Has anyone else had weight loss? I eat pretty healthy and take vitamins. I have not tried an alkaline diet so I think that would be my next step. Any other suggestions would be greatly appropriated.

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@theomonster

It’s good to know I’m not alone in this, a year ago I was driving home and out of the blue I couldn’t take a deep breath. I was also a little itchy I thought I had gotten into something. the next day the problem was worse went to the er. Was give a steroid, was sent to an allergy specialist ( no luck). Went to a pomologist it showed that I had some bronchial spasms was prescribed two inhalers ( none of them worked)
I had chest X-ray, CT scans, upper endoscopy, saw an ENT, saw phych, Thyroid testing, Lymph node biopsy All normal. I was prescribed ant acids and some ulcer meds nothing helped. In October I went to the ER because of stomach pains, they said my liver enzymes were up did a scan that showed my gallbladder wasn’t functioning. I had it removed on the 30th of December. But the issue with the deep breath continues. I also have throat weakness, often I have difficulty swallowing. I have also had rapid unexplained weight loss, and extreme fatigue.
Before all this I was a very healthy active person.
Does anyone else struggle with fatigue? Has anyone else had weight loss? I eat pretty healthy and take vitamins. I have not tried an alkaline diet so I think that would be my next step. Any other suggestions would be greatly appropriated.

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Definitely struggle with fatigue ! I have tried everything as well and LITERALLY, this is gonna sound stupid to some, but the only things that helped me was anxiety meds(which took me years to agree to and I eventually got off of) but the one thing that helped me aside from that was yoga, breathing exercises in a yoga class!!! So find breathing classes for yoga or YouTube it and it will work! But I suggest you going to an actual yoga place and having instructor teach you how to do it and do a class with them that way you can do it at home on your own on a daily basis when you finish learning from them! It’s all about consistency what I think happened with us as we forgot how to breathe properly as stupid as that sounds and the best way to fix it is to go to classes to re-learn how to breathe but you can’t do it once and think you’re healed you have to be consistent with it until you do it as a second nature! I hope this helps

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@theomonster

It’s good to know I’m not alone in this, a year ago I was driving home and out of the blue I couldn’t take a deep breath. I was also a little itchy I thought I had gotten into something. the next day the problem was worse went to the er. Was give a steroid, was sent to an allergy specialist ( no luck). Went to a pomologist it showed that I had some bronchial spasms was prescribed two inhalers ( none of them worked)
I had chest X-ray, CT scans, upper endoscopy, saw an ENT, saw phych, Thyroid testing, Lymph node biopsy All normal. I was prescribed ant acids and some ulcer meds nothing helped. In October I went to the ER because of stomach pains, they said my liver enzymes were up did a scan that showed my gallbladder wasn’t functioning. I had it removed on the 30th of December. But the issue with the deep breath continues. I also have throat weakness, often I have difficulty swallowing. I have also had rapid unexplained weight loss, and extreme fatigue.
Before all this I was a very healthy active person.
Does anyone else struggle with fatigue? Has anyone else had weight loss? I eat pretty healthy and take vitamins. I have not tried an alkaline diet so I think that would be my next step. Any other suggestions would be greatly appropriated.

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This sounds like a magnesium deficiency. I had many of the same symptoms...weight loss, difficulty swallowing, bronchial spasms (scary), allergic reactions. I also had acid reflux pretty severely. Magnesium deficiency can also cause gallstones (not sure if it can cause the gallbladder to stop functioning). My magnesium level was showing up normal on blood tests. There's a complicated reason for this but many people have had blood show normal range for Magnesium and when they supplemented, their symptoms resolved. I decided to start taking it in spite of what the test was showing and my symptoms improved greatly. I tell anyone experiencing unexplained symptoms consider looking into taking magnesium. It could take while to build up in your system and you have to find the right form for you (see previous post). Research it. Find people with similar symptoms. Keep up the faith. There is an answer somewhere, you just have to find it. It's time we all listen to our bodies. It's telling us something in our lives is not right.

When one is pretending, the entire body revolts. ~Anais Nin

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@ecassidymitchell

Definitely struggle with fatigue ! I have tried everything as well and LITERALLY, this is gonna sound stupid to some, but the only things that helped me was anxiety meds(which took me years to agree to and I eventually got off of) but the one thing that helped me aside from that was yoga, breathing exercises in a yoga class!!! So find breathing classes for yoga or YouTube it and it will work! But I suggest you going to an actual yoga place and having instructor teach you how to do it and do a class with them that way you can do it at home on your own on a daily basis when you finish learning from them! It’s all about consistency what I think happened with us as we forgot how to breathe properly as stupid as that sounds and the best way to fix it is to go to classes to re-learn how to breathe but you can’t do it once and think you’re healed you have to be consistent with it until you do it as a second nature! I hope this helps

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Thank you for the response. I think yoga is a great idea and I’m happy to know it’s worked for someone. Do you mind if I ask what anxiety medicine worked at this point I’d try anything. Because I just had surgery I will unfortunately have to wait a little while before taking any classes.

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@helpnywhereucan

This sounds like a magnesium deficiency. I had many of the same symptoms...weight loss, difficulty swallowing, bronchial spasms (scary), allergic reactions. I also had acid reflux pretty severely. Magnesium deficiency can also cause gallstones (not sure if it can cause the gallbladder to stop functioning). My magnesium level was showing up normal on blood tests. There's a complicated reason for this but many people have had blood show normal range for Magnesium and when they supplemented, their symptoms resolved. I decided to start taking it in spite of what the test was showing and my symptoms improved greatly. I tell anyone experiencing unexplained symptoms consider looking into taking magnesium. It could take while to build up in your system and you have to find the right form for you (see previous post). Research it. Find people with similar symptoms. Keep up the faith. There is an answer somewhere, you just have to find it. It's time we all listen to our bodies. It's telling us something in our lives is not right.

When one is pretending, the entire body revolts. ~Anais Nin

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I will definitely look into getting some magnesium. Thank you for the advice I appreciate it.

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Have the same issues.. struggling to breath to get a decent breath, ox sat high, docs cant find anything wrong with me.. please keep posting... will also if/when find anything... have irratable bowl syndrome, sinus issues ... feels like my rib cage fight me to breath

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Yea , the more u think about it the worse it gets. I have been to every doctor since age 18 when it started out of no where. Please try rhythmic breathing with a health coach or ok YouTube (be careful)

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@theomonster

Thank you for the response. I think yoga is a great idea and I’m happy to know it’s worked for someone. Do you mind if I ask what anxiety medicine worked at this point I’d try anything. Because I just had surgery I will unfortunately have to wait a little while before taking any classes.

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Klonopin ... or Xanax , just be careful with it and if you want to try something natural go for this https://lostempireherbs.com/product/ashwagandha-tincture/?ref=63&campaign=ash ... it’s an adaptogenic that naturally LEVELS out imbalances in your body. Ex: if blood sugar is low Or high it will level it to a healthy number. It does this with so many parts of body and works with anxiety and sleep ! Also if u take vitamins... please consult with ur doc to get a blood panel bc u can easily take a vitamin(the recommended magnesium) your body is plenty sufficient in and actually harm it more than help it!

Here’s a YouTube video review on the Ashwagandha
https://youtu.be/hKXJfzdWK-4

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Here is some additional evidence-based information about ashwagandha

- From Memorial Sloan Kettering Cancer Center https://www.mskcc.org/cancer-care/integrative-medicine/herbs/ashwagandha
- 12 Proven Health Benefits of Ashwagandha https://www.healthline.com/nutrition/12-proven-ashwagandha-benefits#1
- An Overview on Ashwagandha: A Rasayana (Rejuvenator) of Ayurveda https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3252722/

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