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.

@windwalker

@uzairkashtwari92 Hello. My daughter has OCD. She went to a very kind woman who is a hypnotherapist. She taught my daughter ways to deal with not only the OCD, but her anxiety attacks also. I am not saying that a hypnotherapist would be an answer for you, because I think it was more that my daughter related well with this woman. My daughter takes paxel eevery day and that seems to help her. You could try a psychiatrist and meds, it is the only way you will know if it can help you. You cannot really go by other people's experiences for that kind of thing; as treatment is tailor-made for your situation. They can now do genetic testing to see what meds your body will metabulize the best. That cuts back on the trial and error of being put on various medications. As far as stigma goes, that it starting to go away. The brain is a complex thing, and people are starting to get more educated about mental health. Finding a Good psychiatrist is the tricky part. You may want to ask around for a recommendation from others. If you do not know of anybody to ask, then contact your local NAMI chapter in your area. They are a wonderful mental health organization that can offer you many resources for help. They also have wonderful support groups and classes (free). I took the 12 week Family-to-Family course and it was a real eye opener. Did you want to share what symptoms you are experiencing right now?

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Thanks for your reply! The same thing, urge to take a deep breath and it doesnt seem satisfying! I try couple of times and may be one breath comes out satisfying! It is frustrating as normal breathing doesnt seem satisfying! I hope the meds work and i take my mind away from this!!! N yes i do have genetic overloading, my dad, grandpa and maternal aunt suffer from one or the other form of psychiatric issue! So for me m sure it is psychiatric! But m thinking is, will i ever stop this, coz it is breathing that u can not take your mind away from coz you’re doing it thousands of times everyday! I dont know it is debilitating

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@uzairkashtwari92

Has anyone tried going to a psychiatrist? I mean i know there is a social stigma attached to it but i know someone who said we could be stuck in sort of an OCD to take deep satisfying breaths! It is like a vicious cycle! Anyone has tried SSRI medications?

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Yes and yes. That's not a solution. It helps though

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@merpreb

@romarabbasi- It sounds as if you are very frustrated and don't know where to turn. SOB can be one of the most balling and frustrating condition. I suggest you go to a gastroenterologist for some tests and maybe medicine to calm your "innards" down. A lot of people have had bad experiences with doctors for various reasons but I think that for your own comfort and well being seeing one now is your best bet. Also if you let this go too long (and I don't know the timeline for this statement) you could be in bigger trouble. Acid can really affect more than just your digestive system.

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Acid reflux is not the answer. It's a symptom

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I have the same issue. I cannot afford health insurance so I do not have check up done since 2015 (I can't get affordable insurance with my Visa status). Before that I was in India and none of the tests reveled anything. Big gulp of inhalation helps and even then it feels something stuck in thoracic area which is very uncomfortable and this feeling is every time I inhale. What do you recommend? B12 and iron supplement?

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@dishwalla9

Yes and yes. That's not a solution. It helps though

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If i may ask, how long have you taken the meds and what meds were you prescribed? And to what extent do you say meds help?

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@dishwalla9

Not easy to handle at all. Medication patience and seeking answers. . I meant yawning is the only way to get a satisfying breath when this is happening. Something is causing the lungs to not fully expand. Autonomic dysfunction and fibromyalgia I think the culprits here for many people. I've also heard that people may have lungs slightly too small for their body which causes this. Not sure if that's true

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We need to understand that when we normally used to breathe, we were taking the same volume of air as we are right now! Just that we dont feel satisfied anymore! Only feel satisfied by a larger volume of breath which comes with a yawn? So we have set a point of satisfaction in our mind which is a bit higher! For me it happened after a panic attack so i am feeling that it is psychological! But then i dont know i started meds n if it is a wise decision to take psychiatric meds!

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@a123456789

I have the same issue. I cannot afford health insurance so I do not have check up done since 2015 (I can't get affordable insurance with my Visa status). Before that I was in India and none of the tests reveled anything. Big gulp of inhalation helps and even then it feels something stuck in thoracic area which is very uncomfortable and this feeling is every time I inhale. What do you recommend? B12 and iron supplement?

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Hi @a123456789 and welcome to Mayo Clinic Connect! That does sound like a very uncomfortable feeling - have you considered trying the Buteyko breathing method? Even though it doesn’t get to the root of the problem, it seems to have helped some members with their symptoms.

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Hi everybody. I was very happy to stumble across this discussion because now I know I'm not the only one experiencing this. It looks to be at least a year since anyone responded on here but I'll give it a shot and hope you guys are still on this thread.

My SOB started about 2-3 months ago. It's about exactly as @tonyagregg and @gabrielm are describing. Some days worse than others but it's there all the time, everyday.
I find myself often reaching for a deep breath and getting no satisfaction. I then find myself looking for yawns constantly with no full relief or satisfaction. Then after maybe 3-7 attempts I get a satisfying deep breath that feels good. Of course this doesn't last long and I'll find myself searching for that next deep breath that doesn't fully materialize, cycle repeats. Very annoying, disappointing, it affects my well-being by bringing on anxiety and then the situation gets worse.
I am in good shape, 43 yrs old, eat healthy, I go for long bike rides, I can jog 3 miles at will. Exercise is not a problem but the same symptoms exist while exercising. It doesn't matter if I'm biking up a big hill or laying in bed trying to sleep at night.
Like @gabrielm, I don't feel like my life or my job is stressful. I have had GERD for many years but Prilolsec once a day keeps it in check. The only thing I'm allergic to is cat hair/dander. I get similar asthma symptoms but all I would need to do is leave the cat house and I'm better. I can't do that with the SOB I have now.
My Oxygen level is fine, normally around 98. Resting heartrate is normally around 70. Blood pressure mostly steady at 120/80.
The Dr has prescribed an Albuterol inhaler which doesn't help and Singular allergy medicine that also doesn't help. I'm going back soon for a pulmonary airway test were you blow into a tube and it measures airflow and other things. I believe this will rule out any asthma related things but I do not know where to go after this. I'm experiencing some anxiety since its on my mind often and also have been having trouble getting to sleep at night, sometimes I'm up for hours.
I'm wondering if it could be psychosomatic if there is actually nothing physically wrong. Has anyone made any progress on figuring out this mystery?

Thanks

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@nick43

Hi everybody. I was very happy to stumble across this discussion because now I know I'm not the only one experiencing this. It looks to be at least a year since anyone responded on here but I'll give it a shot and hope you guys are still on this thread.

My SOB started about 2-3 months ago. It's about exactly as @tonyagregg and @gabrielm are describing. Some days worse than others but it's there all the time, everyday.
I find myself often reaching for a deep breath and getting no satisfaction. I then find myself looking for yawns constantly with no full relief or satisfaction. Then after maybe 3-7 attempts I get a satisfying deep breath that feels good. Of course this doesn't last long and I'll find myself searching for that next deep breath that doesn't fully materialize, cycle repeats. Very annoying, disappointing, it affects my well-being by bringing on anxiety and then the situation gets worse.
I am in good shape, 43 yrs old, eat healthy, I go for long bike rides, I can jog 3 miles at will. Exercise is not a problem but the same symptoms exist while exercising. It doesn't matter if I'm biking up a big hill or laying in bed trying to sleep at night.
Like @gabrielm, I don't feel like my life or my job is stressful. I have had GERD for many years but Prilolsec once a day keeps it in check. The only thing I'm allergic to is cat hair/dander. I get similar asthma symptoms but all I would need to do is leave the cat house and I'm better. I can't do that with the SOB I have now.
My Oxygen level is fine, normally around 98. Resting heartrate is normally around 70. Blood pressure mostly steady at 120/80.
The Dr has prescribed an Albuterol inhaler which doesn't help and Singular allergy medicine that also doesn't help. I'm going back soon for a pulmonary airway test were you blow into a tube and it measures airflow and other things. I believe this will rule out any asthma related things but I do not know where to go after this. I'm experiencing some anxiety since its on my mind often and also have been having trouble getting to sleep at night, sometimes I'm up for hours.
I'm wondering if it could be psychosomatic if there is actually nothing physically wrong. Has anyone made any progress on figuring out this mystery?

Thanks

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Hi, if all of your tests are normal! I am sure this is psychosomatic! Why don’t you visit a psychiatrist? No shame in trying? I have had this problem for two months and i discussed with my psychiatrist who explained it to me that it has become sort of an OCD! I am on meds, just started them! I think they have helped a bit so far! At least I don’t panic no more, and dont frequently gasp or urge for deeper breaths but it takes time!!!! It is a habit that our body has started and to break it, i at least needed meds! M not sure if it is the complete cure but i do feel a bit better! You need to trust yourself, the meds and be hopeful! I still have days where i have urges and since these urges grow when we think about it, it means it is psychological! If it were organic, it wouldn’t even let you sleep a bit! This is my piece of advice to go to a psychiatrist!

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