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.

Some were put off by the words alkaline diet. I've also used the term plant based. It just means you eat healthy and limit foods that cause acidity and inflammation in the body. Those foods may vary from person to person. Someone may tolerate a little meat. Someone else may feel better on plant based protein. It's an individual journey. Whatever you're dealing with, even cancer, you will find benefit in eating healthy and making sure you have proper levels of vitamins and minerals.
Here is an article on eating plant based. Some may call it alkaline. The terms don't matter. Think of it as fuel for your body to run efficiently. If it came out of a box or was cooked to death there's probably not much in there for your body to use.
https://www.medicalnewstoday.com/articles/326176.php

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@theomonster

I asked my dr to see other specialists. But he insists I see a nutritionist first I have seen a lot of doctors, but always come up with no answers. I also feel like there is probably some underlying issues, but at this point things are moving slowly, and I’m getting nowhere fast.

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If your gut is telling you that something is wrong, you may want to try another doctor. I would follow my intuition. Hopefully it will turn out to be something you can 'fix' with the help of a nutritionist. I'd also try to find a doctor who is health centered and will work with you to find what's wrong. If they come in, talk 5 minutes and write a script, I'd move on, providing there's financial means to see another physician. Just my opinion.

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@theomonster

I asked my dr to see other specialists. But he insists I see a nutritionist first I have seen a lot of doctors, but always come up with no answers. I also feel like there is probably some underlying issues, but at this point things are moving slowly, and I’m getting nowhere fast.

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@theomonster- How terrible for you. Since the appointment is nearly here you might as well see her but meanwhile seek out a new doctor. I agree that following your intuition is best and agree with you that something is wrong. You come first. Have you tried going to the ER and talk to one of the docs there?

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@merpreb

@theomonster- How terrible for you. Since the appointment is nearly here you might as well see her but meanwhile seek out a new doctor. I agree that following your intuition is best and agree with you that something is wrong. You come first. Have you tried going to the ER and talk to one of the docs there?

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I have been to the ER 10
Times this year, and they always suggest seeing one specialist or another but nothing ever pans out.

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@theomonste- Oh boy. Well then, the nutritionist it is. Perhaps she will have other ideas!

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Just wanted to pop in and offer some encouragement for those who think they can't change their diet. Start slow. Any change you make helps. For example, I had a taste for pancakes this morning...not the healthiest I know so what did I do? I made them from pancake mix, added in dry oats, put in chia seeds, pumpkin seeds and wild blueberries. Took about a minute to add in the additional stuff and now I have pancakes with antioxidants, fiber, vitamins and minerals. Once you get started. it's not that hard. And the good thing is the nutrient density will keep me from being hungry all day like I used to be when I had empty carbs for breakfast. Small changes add up.

You can also throw dark chocolate chips, coconut, raisins and a few nuts into a yogurt for a nutrient dense snack or desert.

Health is wealth!

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Hi! Any update on this? Seems to have the same problem. Hunger for deep breath while yawning. It is like scooping for air from the inside. Sometimes, i feel that the air being “scooped” is only halfway and so no satisfaction so I have to wait until the full deep breath is achieved. It feels terrible. I have this problem for a year already and I noticed that my 7yo child is showing the same symptoms. No yawning but catching deep breath.

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@gabrielm First of all I just want to say thank you for starting this thread, I suffer from this air hunger or something like it for almost ten years now and sometimes I just feel so alone and it’s hopeless. @tisch im right there with you.

So, my specific issue is the feeling that about every minute or so I take this huge chest breath that feels like it’s barely getting over this “hump” followed by shorter breaths. A never ending and definitely un natural cycle. I identify with sooooo many of your guys symptoms, but one symptom I have that I can’t really find anyone else with is I CANT TALK WITHOUT LOSING MY BREATH. Literally 90% of the time I speak I run out of breath before I can finish, and I don’t mean I feel like I’m running out breath, I mean I literally do. Anxiety or no anxiety, reading to myself at home or speaking to a stranger. Always, no matter what.

I can run for miles though. Strange, right? It has gotten less dominant over the years and at least it’s manageable, there were months where I wouldn’t even get out of bed because living out the whole day with every breath uncomfortable was too much. I’m 26 by the way. I have seen doctors for anxiety meds, pulmonary tests, speech therapy where they even looked at my vocal cord for dysfunction, asthma inhalers - absolutely nothing!

Whenever I take that deep chest breath, it physically feels so good, like a shot of relief of cool air creeping into my lungs. But I know it’s not natural. I know I shouldn’t be feeling that. My next step is to see a breathing specialist that takes all factors into account so I can keep checking them off the list. I don’t even expect to find a cure to this at this point, but I gotta keep trying just in case.

Thank you for reading this whoever does. I will read what you write to and I sympathize with your problems. Y’all aren’t alone. This shit sucks! I just want to breathe normal!!!!

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@rigenadaku

Ok so I’ve been having the same exact symptoms as you. I read someone say it can be caused my anxiety, I was on anxiety medication that helped get rid of my anxiety BUT the SOB was ALWAYS there. For the past 2 years now, 24/7 a day I struggle with this. My relatives they had the problems to but I dont recall any of the taking deep breaths frequently or yawning to take a satisfying breath. They told me they had it sometimes. That was no help since mine is a part of my life now. The only time I dont feel the erge to take a deep breath is when I am super busy and am not aware of my breathing. As soon as I sit down, it starts. I’ve seen every doctor every specialist. Ive seen a natural doctor, ive even went to see a omish doctor. I feel like giving up! I live with pain everyday due to me trying to stop myself from taking a breath over and over just to get stuck. When I stop myself i feel so much pressure in my chest and throat. I used to drink vinegar in the morning for my GERD and it helped me with the lump and the pressure in my throat, i stopped when they went away, but the SOB never went away. I stopped my anxiety medication and am having withdrawals which sucks because I hate being on medication. There’s literally only ONE more hope for me and that’s going to see a therapist who ONLY specializes in a technique called “The Alexander Technique” this technique helps with the posture of your body, it helps you get rid of bad habits we have gotten used to and now our mind THINK we need to take a deep breath, when in reality we DONT! The more i take the deep breaths my body tells me to, the more exhausted and out of breath I am. The one I will be traveling to is in North Carolina and she knows exactly what I am going through because she has helped MANY with this issue. Her own husband had this issue before they knew eachother and he went to her for this issue and we personally spoke and he had the same story as me over 10 years ago. Everyone who is physically healthy and has this issue, let me reassure you, its ALL in our heads. Its a bad habit we have taught our bodies to want and NOT need! Mine started after a panic attack and my body got used to my panic attacks and hyperventilation to the point where this is apparently the new “norm” for my breathing. But it isnt! We DONT need to take these breaths, Our bodies, don’t need it.

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Hey, I also have this 24/7 feeling that I need to take a deep chest breath, but for me it’s been going on close to 8 years. And just like you, I contacted Simon, the man who wrote the article on the Alexander technique, and I am considering going to North Carolina to see his wife! This is horrible what we have to go through. I’m not ruling out physical causes yet, but I have this deep feeling that my body just forgot how to breathe properly because of really bad anxiety, and it’s just stuck like this - a never ending cycle impossible to get out of. I hope you see this message and let me know if you ever saw someone about the Alexander technique and if it helped you. It just seems so impossible to keep myself from taking that unnatural deep breath, it’s so deeply ingrained in me. Please get back to me thank you

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@gabrielm

@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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Have you ever done a buteyko method in person class in person? Or just online? How has that been going for you lately, and everything else?

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