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.

@kessme

Hello, I am new to this group. I have had similar complications for 30 years now. My best description of my problems are typical of dyspnea. Air Hunger. I can't get a satisfying breath unless I yawn. I yawn so my I actually am whipped out by the end of the day. I have been to Pulmonologists (multiple) & Allergists. I have had multiple pulmonary function test run along with ABG's, Stress tests, allergy tests, & x-rays. I feel like a hypochondriac when I go to the doctor because everything they run comes back negative. I can't say when it will happen. Sometimes I can have it for months then it goes away. I don't have any problems with it when I sleep. I am 5'4" and weigh 125 lbs. I eat healthy and pretty active. I don't have acid reflux. How I feel is like my diaphragm is pushing up in to my lungs and not relaxing when I inhale. It seems when I finally have had enough to where I want to try the doctor again and make an appointment that it disappears on the day of my appointment. I know it's obviously not a life or death situation or I would be dead by know. I just struggle and would like relief after 30 years. During my 30 year struggle I have had inhalers and they don't do anything. I do take thyroid meds. I know there has to be an answer with as many people I read struggle like me. I am at the point that I will not rack up enormous doctor or test bills to have no diagnosis. It doesn't change with exertion either.

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Try using flagyl every 6hrs for 5days and see the outcome

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@greff

I am consulting with Gastrointerology this Friday about the same issue. I have severe asthma, a repaired hiatal hernia, and take all sorts of lung meds. Nothing works. It has been suggested that my diaphragm is not working or maybe my Barretts is causing the breathing issue. I am also going to ask if they can check to see if there is stenosis of the trachea since I have had many surgeries and procedures done. I wonder if my throat has a stricter as a result. I'll let you guys know what I find out.

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Try using flagyl every 6hrs for five days and see the outcome.
I think this problem is linked to bacteria or parasites from the lower respiratory tracts to the stomach and intestines. Detoxifying my body with flagyl did the magic.

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@greff

I am consulting with Gastrointerology this Friday about the same issue. I have severe asthma, a repaired hiatal hernia, and take all sorts of lung meds. Nothing works. It has been suggested that my diaphragm is not working or maybe my Barretts is causing the breathing issue. I am also going to ask if they can check to see if there is stenosis of the trachea since I have had many surgeries and procedures done. I wonder if my throat has a stricter as a result. I'll let you guys know what I find out.

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Hope you find answers @greff. Fingers crossed.

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@joefocus

Try using flagyl every 6hrs for five days and see the outcome.
I think this problem is linked to bacteria or parasites from the lower respiratory tracts to the stomach and intestines. Detoxifying my body with flagyl did the magic.

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That's so interesting. A lot of people have issues with candida, bacteria and parasites, especially if you have pets. I use pumpkin seeds. They are a natural de-wormer. Thanks for sharing. I hope it helps someone.

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@joefocus

Try using flagyl every 6hrs for five days and see the outcome.
I think this problem is linked to bacteria or parasites from the lower respiratory tracts to the stomach and intestines. Detoxifying my body with flagyl did the magic.

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@joefocus - Good morning and welcome to Mayo Clinic Connect. Your perseverance seems to have paid off! It's very disconcerting to all of a sudden not be able to take a nice deep breath. Good for you. May I ask who prescribed you Flagyl? Have you been to a GI doctor?

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@helpnywhereucan

That's so interesting. A lot of people have issues with candida, bacteria and parasites, especially if you have pets. I use pumpkin seeds. They are a natural de-wormer. Thanks for sharing. I hope it helps someone.

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@helpnywhereucan- Good morning. Nuts and seeds are very healthy for us. However, sometimes the doses that are suggested don't seem to deliver the promises that are made about them. I'm very interested in learning more about them. What sources do you suggest?

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@greff

I am consulting with Gastrointerology this Friday about the same issue. I have severe asthma, a repaired hiatal hernia, and take all sorts of lung meds. Nothing works. It has been suggested that my diaphragm is not working or maybe my Barretts is causing the breathing issue. I am also going to ask if they can check to see if there is stenosis of the trachea since I have had many surgeries and procedures done. I wonder if my throat has a stricter as a result. I'll let you guys know what I find out.

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@greff- Best of luck on Friday! I'll be thinking about you! Scar tissue is a huge problem. I've had a lot of operations and illnesses and sometimes I think that scar tissue is the only thing that is holding me together. I have scars from when I was 7 years old when I had my appendix out.

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@merpreb

@joefocus - Good morning and welcome to Mayo Clinic Connect. Your perseverance seems to have paid off! It's very disconcerting to all of a sudden not be able to take a nice deep breath. Good for you. May I ask who prescribed you Flagyl? Have you been to a GI doctor?

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No one prescribed me flagyl. I just left since I started having the condition was after drinking an expired drink. I realized a detoxifying antibiotics should work. That made me try out flagyl and it worked.

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@lillard87

I have h hernia and i feel better when i lay down so maybe its better for me

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@lillard87; @kessme; - Good morning and welcome to Mayo Clinic Connect. You hit the nail on the head with realizing that sleeping eases some of the side effects of your hernia. "For some reason, this seems to prompt relaxation of the lower esophageal sphincter — the tight ring of muscle connecting the stomach and esophagus that normally defends against reflux. Do sleep on your left side. This is the position that has been found to best reduce acid reflux.Aug 9, 2011" (everydayhealth.com). Is this the side that you sleep on?
Have you been to see a GI doctor recently? Usually, if you have breathing difficulties during the day it's likely to be because your hernia is large. Has your doctor recommended surgery?

Here is some information that you might find helpful.

https://www.mayoclinic.org/diseases-conditions/hiatal-hernia/diagnosis-treatment/drc-20373385
https://www.mayoclinic.org/diseases-conditions/hiatal-hernia/symptoms-causes/syc-20373379

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@joefocus

No one prescribed me flagyl. I just left since I started having the condition was after drinking an expired drink. I realized a detoxifying antibiotics should work. That made me try out flagyl and it worked.

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@joefocus- Isn't Flagyl an otc? I bet that you will check expiration dates form now on!

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