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.

@robkern3

@tonyagregg @gabrielm I know this thread is over a year old by now but I just discovered it for the first time. I started having SOB about 4 months ago and haven't been able to find a solution since. My doctor looked into anxiety, asthma, and we finally settled on GERD. Unfortunately, the Omeperazole I was prescribed doesn't seem to have a meaningful impact. I have good days and I have bad days but I can't seem to shake the SOB for more than a few days at a time. It's always present to some degree even on the best of days. Have you found any success since this thread was initially posted?

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@robkern3 Unfortunately we have not found a solution to the issue. Mine is also present on a daily basis to some degree. It is manageable, though, after having discovered the Buteyko breathing method of breathing exercises. I can manage it with that and light to moderate weight lifting. It doesn't bother me as much anymore, though I do have some bad days where it's a little worse, but for the most part, it's manageable.

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Helicobacter pylori is what I’m currently being treated for.

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@merpreb

@jwiegers17- I know, it can be very overwhelming and frustrating not to know the cause of something that causes breathing problems. You don't have to feel like your symptoms are less important than anyone else. You have SOB. It affects you and it's difficult. I don't feel that I have it easier with my cancer than someone else because mine hasn't metastasized. We are all different. When do you experience this the most?

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It’s always the same from when I wake up to go to bed. It’s just there no matter what. I have a doctors appointment soon but I don’t even know what to say at this point, any where I go is a long shot of actually helping and will probably just be a waste of money.

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@gabrielm

@robkern3 Unfortunately we have not found a solution to the issue. Mine is also present on a daily basis to some degree. It is manageable, though, after having discovered the Buteyko breathing method of breathing exercises. I can manage it with that and light to moderate weight lifting. It doesn't bother me as much anymore, though I do have some bad days where it's a little worse, but for the most part, it's manageable.

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@gabrielm I looked up the Buteyko method and it looks pretty interesting. Do you have any specific videos or methods as a party of Buteyko that you use? I'd like to try it out but I'm not sure where to start.

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Have you been tested for allergies I have had the same issue and it was mold in the complex I lived.

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Hey Gabriel, I have a similar problem. It’s been happening on and off for 5 years. I feel like I can’t take a satisfying breath of air, and I have to really force my lungs to take a deep yawn. I feel relieved for a few seconds and then I feel like I’m not getting enough air again. It makes me extremely anxious. I originally started experiencing this when I was very stressed and sleep deprived. It just came back recently, ever since my baby started fussing relentlessly. I’m tired and extremely stressed out, and now with this on top of it, I feel hopeless about it. Have you made any more developments on this condition? This is my first time reaching out to someone about it.

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Hey guys wanted to pop in and just remind people with SOB to try to get their hands on a mask with the whole Coronavirus thing going around. If you're already short of breath this is the last thing you need. I know they say don't buy a mask but I disagree. If everyone wore a mask it would remove the stigma and people who have it and don't know it will be prevented from coughing or sneezing in public and spreading germs. At the very least it keeps you from touching your face which is one way the virus enters the body. If you don't have a mask, use a bandanna and keep it free of germs. Again, it will keep you from touching your face if you find it difficult.

I couldn't imagine having a respiratory infection when I was already short of breath. When I first came down with SOB last year, I had a cold and nasal congestion and I was so miserable I thought this must be how they punish people in hell.

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@helpnywhereucan

Hey guys wanted to pop in and just remind people with SOB to try to get their hands on a mask with the whole Coronavirus thing going around. If you're already short of breath this is the last thing you need. I know they say don't buy a mask but I disagree. If everyone wore a mask it would remove the stigma and people who have it and don't know it will be prevented from coughing or sneezing in public and spreading germs. At the very least it keeps you from touching your face which is one way the virus enters the body. If you don't have a mask, use a bandanna and keep it free of germs. Again, it will keep you from touching your face if you find it difficult.

I couldn't imagine having a respiratory infection when I was already short of breath. When I first came down with SOB last year, I had a cold and nasal congestion and I was so miserable I thought this must be how they punish people in hell.

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It's funny you mentioned that because that thought had crossed my mind. I actually contacted my doctor about it today and this was his response: "Thus far, you have zero evidence of lung disease or heart disease so despite your subjective shortness of breath, this will likely have no bearing on severity of illness should you contract covid- 19. overall, young people your age develop mild symptoms (common cold; mild flu) and you should not be concerned."

So while I'm sure the SOB won't make things any more fun... it doesn't really fall into the category of being an underlying respiratory issue. It seems like most people in this thread have ruled out serious heart/lung issues and are exploring other causes such as GERD, anxiety, and breathing method. I'll be doubling up on the hand washing nonetheless!

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@robkern3

@gabrielm I looked up the Buteyko method and it looks pretty interesting. Do you have any specific videos or methods as a party of Buteyko that you use? I'd like to try it out but I'm not sure where to start.

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@robkern3 I signed up for the instruction here; http://learnbuteykoonline.com/. It's a live class where they teach you the method properly and they coach you on how to raise your CP (if you don't know what that is, you will learn!). It's around $300 or so for many sessions- there's some cost, but well worth it because I still use some of the exercises to this day.

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@waresave

Hey Gabriel, I have a similar problem. It’s been happening on and off for 5 years. I feel like I can’t take a satisfying breath of air, and I have to really force my lungs to take a deep yawn. I feel relieved for a few seconds and then I feel like I’m not getting enough air again. It makes me extremely anxious. I originally started experiencing this when I was very stressed and sleep deprived. It just came back recently, ever since my baby started fussing relentlessly. I’m tired and extremely stressed out, and now with this on top of it, I feel hopeless about it. Have you made any more developments on this condition? This is my first time reaching out to someone about it.

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Hey @waresave - I'm sorry that you're going through this. I know exactly how you feel! I understand feeling hopeless about it since it's very unpleasant and mysterious. Hang in there- I know it's tough, but you WILL get better! Even if not all the way, you just have to keep trying different things and there will be something that will help. For me, it was the Buteyko breathing method. It took away the air hunger for a good while, but it came back, and I applied the method again and it helped a great deal. Mine isn't all the way gone, but doing breathing exercises and daily moderate exercise keeps it tolerable and manageable.

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