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.

@gabrielm

Hi @tamaracaitlin welcome to the thread. When I posted the original post two years ago, I never thought it would get so much response from people with similar issues! But here we are, pages and pages later full of posts of people seeking relief. That's interesting about the air bubbles in the chest cavity. I wonder how it would gotten there- I guess I didn't know there wasn't supposed to be air there. But when I was at your point with my air hunger problem, I was also seeking doctors and specialists just to rule things out. I would keep getting various tests to rule out as much as you can. But now I am managing it on my own. The Buteyko breathing method I mentioned in the original post is what is helping me to manage the issue along with mild to moderate exercise, as much as my breathing will allow. I hope yours goes away entirely, but there are many things to try to at least manage it to where it's not so bothersome all the time.

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@gabrielm- Air or gas gets trapped when you drink certain drinks, chew gum, or just swallow air. Do you remember as a young lad swallowing air with your buddies to see who could burp the loudest? Yes, I have a son! I'm so glad that he is way beyond the stage, lol.
https://www.medicalnewstoday.com/articles/320995#symptoms

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@merpreb

@gabrielm- Good morning. I want to thank you for all the support and compassion you have given to those of us who have SOB. Your patience and clear explanations have helped make this discussion very helpful and insightful. I especially love your encouragement in telling people to never give up, and to find a solution. I want to especially thank you for helping me to understand more about dyspnea, the medical term for shortness of breath, and for all of your help in answering posts. You are truly what Connect is all about. Thank you

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No problem Merry. Glad I could be of help, and glad that we now have a community of people with similar issues that can help each other with potential solutions.

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@gabrielm

Yes @tonyagregg, I'd like to keep in touch with you. Sounds like what you have is pretty similar to me. It's been much worse before, but it's stabled out. Still not gone by any means, but I can at least live with it. Let's stay in touch. Maybe we can tag team our research or let each other know if we find some kind of answers.

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Wow I am just reading this after googling my symptoms for over a year! I have exactly every Thing that you mentioned- I had all the blood work you can imagine, lung xrays, breathing tests, heart test, saw and ENT who said I had mild throat irritation from possible acid reflux... the SOB comes in waves. My bilirubin was high as well and my doctor said I have Gilbert’s disease but then other tests showed normal bilirubin levels - it’s so confusing not truly knowing what happens because it becomes so uncomfortable, I get irritable around people as I’m trying to gather myself to catch my breath and it’s not until I sigh or get a deep yawn that it goes away, only to come back. I’m not sure if it’s good allergies, caffeine reaction, environmental.... I haven’t had allergies tested but once this covid 19 is over with I’d like to check off the rest of “possibles” off my list...

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@kmontene

Wow I am just reading this after googling my symptoms for over a year! I have exactly every Thing that you mentioned- I had all the blood work you can imagine, lung xrays, breathing tests, heart test, saw and ENT who said I had mild throat irritation from possible acid reflux... the SOB comes in waves. My bilirubin was high as well and my doctor said I have Gilbert’s disease but then other tests showed normal bilirubin levels - it’s so confusing not truly knowing what happens because it becomes so uncomfortable, I get irritable around people as I’m trying to gather myself to catch my breath and it’s not until I sigh or get a deep yawn that it goes away, only to come back. I’m not sure if it’s good allergies, caffeine reaction, environmental.... I haven’t had allergies tested but once this covid 19 is over with I’d like to check off the rest of “possibles” off my list...

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@kmontene- Welcome to Mayo Connect. I'm glad that you found us! It sounds like a situation that would drive me to be scared and very frustrated too. You don't mention if you have seen a GI doctor for medications for GERD or if you exercise a lot. Do you have any other symptoms other than shortness of breath?

I encourage you to read as many posts as you can in this discussion. So many people have helped with sharing their stories.

Is it possible that you might have changed your diet in any way?

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@merpreb

@alexm1994- Welcome to Mayo Connect. My husband is like you, or you like him. Whenever something slows his workouts and he's ready to start up again he pushes like crazy- way too soon and too much. You probably should come back more slowly if you have taxed your lungs and thinking that you have had COVID then I would suggest being even slower than usual. If it was COVID then your lungs are probably very irritated.
https://www.mayoclinic.org/diseases-conditions/exercise-induced-asthma/symptoms-causes/syc-20372300
https://www.mayoclinic.org/departments-centers/pulmonary-function-laboratory/overview/ovc-20398545

If your symptoms do not improve I suggest seeing a pulmonologist for lung function tests. Were you ever tested for Covid-19?

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If a person gets tested for CV, does it put you in a master data-base, which in turn places you on the TRACE Act list?

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@rickp- Welcome to Mayo Connect. By CV are you referring to cardiovascular disease? Also, the only thing that I could find about TRACE Act list was about robocalls. How can I further help you with the iinformation that you asked for? Are you having lung problems?

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@alexm1994

I'm 75kgs and 170cm, so on a BMI scale I'm deemed overweight but I have a higher than average muscle mass and less than 15% body fat. I generally workout intensively 4-5 times a week, and can do a 5km run in 30 minutes and 100 burpees in under 12 minutes. So it isn't a fitness or conditioning issue. I'm 100% sure I had covid-19 February/March, as I lost my sense of taste and smell for weeks, was super fatigued, had some cold and sinusitis like symptoms. But I isolated for 3 weeks with that, and have since been isolated since back in the Welsh countryside. So I don't believe this is an after effect of COVID.

I went to the GP on Friday, as I wanted some form of action plan - my stomach was also feeling tender and upset. Went to the doctors, she believes its GERD that has moved up. She prescribed Lansoprazole, I've been taking for 5 days now - it's definitely better now than it was this time last week. But I'm severely hopeful that this will completely clear it. As I'm feeling slightly fatigued and lacking motivation to do my regular exercise. I challenged myself to start doing some lower impact stuff such as a 10km walk and yoga, my breathing was ok in these. So I'll try some weight and HIIT training today.

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My breathing was getting better on the medication for the past 2 weeks, but I've had a highly stressful few days with starting a new job and family issues. As a result my breathing has again become terrible throughout the day, does this happen with anyone else?

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Same! My breathing certainly gets worse when I'm stressed or anxious. Mine also came out of nowhere, I have not been to a gastro doctor. I have been seeing a lung specialist who truely thinks there's nothing wrong with me. Everytime I see him he asks "are you sure it's not just anxiety?"

Yes it gets worse when I'm anxious but I don't have constant anxiety, what I do have is constant sob!! 🙁

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@tamaracaitlin

Same! My breathing certainly gets worse when I'm stressed or anxious. Mine also came out of nowhere, I have not been to a gastro doctor. I have been seeing a lung specialist who truely thinks there's nothing wrong with me. Everytime I see him he asks "are you sure it's not just anxiety?"

Yes it gets worse when I'm anxious but I don't have constant anxiety, what I do have is constant sob!! 🙁

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Agreed! In all honesty, my anxiety ceased when I went to bed last night. But throughout today I've had shortness of breath all day, needing to yawn to get that momentary 'relief', it gets progressively worse through the day. On day's like this I actually go mad and don't know how I can go on with this.

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@alexm1994

Agreed! In all honesty, my anxiety ceased when I went to bed last night. But throughout today I've had shortness of breath all day, needing to yawn to get that momentary 'relief', it gets progressively worse through the day. On day's like this I actually go mad and don't know how I can go on with this.

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Believe me, I totally understand how you feel. I find distracting myself helps. I'm back at work (after being off for the Ontario province shut down due to covid) and I find it's helps having other things to think about. I mean it's still there but my frustrations and anxiety about it are less when I'm distracted.

Some days it's worse than others, today actually has been kind of a bad day. I can't pinpoint the difference between good days and bad days, there's seems to be nothing actually causing the bad days so that's even more frustrating.

How long have you been having this shortness of breath?

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