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.

Wow!!!! I am so happy I found this place. Here is my experience.

In 2014 I had a stint of this weird breathing phenomenon. It would start about an hour after taking my antipsychotic medication for bipolar one. It would last all night and I would wake up and it would be gone. Then the cycle started all over again in the evening. It eventually stopped, and I was still continuing the medicine so, not sure how it stopped or why.

In January of this year it started up again. This time for two weeks. I had been having panic attacks and just kind of woke up like this. It continued until I was put onto a beta blocker (propranolol) and it stopped that same day.

Now onto my most recent adventure. I woke up April 7th with this again. But this time I am super distressed about it because it follows an episode of severe bronchitis that I had to treat with a zpack. It started the day I ended the zpack. And I know I didn't have coronavirus.

I will take a deep breath anywhere from every 1 minute to only a few times a day. It's this urge that builds and if I take a deep breath, be it a yawn or just a deep deep breath, I feel satisfied and the urge stops for a bit. I never have trouble reaching the deep breath. It's almost as if I remember "hey, time to take that deep breath." It is so annoying.

But I am being aggressive this time. I have been to the cardio already, did an echo (normal) heart monitor for two weeks (normal) asthma/allergist told me I was normal other than seasonal allergies (albuterol test yielded no change) and next Tuesday I go to the gastro because I do have severe reflux.

I am also almost ten weeks pregnant but this started before I became pregnant.

Interestingly enough, on my depression/anxiety group on Facebook I have seen numerous posts that people put up about this very sensation. And I am in contact with a couple. One had resolved hers with Zoloft. The breathing patterns stopped at three weeks in. I have been holding into a bottle of lexapro for months now. An ER doctor told me it is a pattern due to anxiety and that it will resolve once I stop thinking about it so much.

I have noticed it does not occur while sleeping. I wake up and fall asleep breathing normal. But as soon as I wake up the thoughts start and BAM it's back and unstoppable until I get to sleep again.

It is debilitating. I am afraid it is some insidious disease that will do harm before I know it. I am also afraid for my baby. The constant feeling of suffocation coupled with anxiety and allergies is almost too much to bear.

Anyway, I'm happy to have found this but also grieved so many people are plagued by this mystery. I've almost made it my mission to figure this out and share what fixed it.

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@felicityr

Hi Nick43 🙂
"there are days I wake up knowing it will be bad because of the dreaded unfulfilling yawns; even while lying in bed before getting up in the morning (ughhh it's here already)."
Yes indeed!! I know exactly this feeling. Sorry I didn't see your post earlier. Am just about to get out to plant our strawberries (!!) but would like to try and give you some thoughts on your questions above before too long.
I agree with you totally, I believe something in the study of the autonomic nervous system will give us clues to this.

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I have a sense of urgency in my chest. Like unrest. I wonder sometimes if this is some form of tar dive dyskinesia or a tourette's like syndrome.

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@lidiaboglarka

Thank you for sharing this with us!

What made me think was the part about Tourette's syndrome. I started reading after it and realized that when I was a child, I kept having these "habits" caused by "stress", which were exactly described in one of the articles I cannot link here.
I had nose twitching for some time, and when it stopped, I started grimacing on my forehead (translate sais frowning, but not sure if this is the right expression). I was like 12 then, and I clearly remember how creepy I felt in the classroom, but I couldn't do anything with that. It came back again some time after it'd stopped but didn't last long (some month altogether). I hope I got rid of them for good.

Another remark which might be connected. Now it's pretty cold in the flat, and sitting all day doesn't help. I'm sometimes even shaking. And when it starts, I feel my muscles contracted, and it makes SOB even worse. When I get some warmth, taking a deep breath gets much much easier.

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@lidiaboglarka- I'm not so sure that Tourette's syndrome is the name to put on your descriptions as a young child. Sometimes we mimic other's expressions, just to try a few times and we get carried away. I also did something with my upper lip, curling it up toward my nose. Must have looked very pretty! Have you spoken to a doctor about this?

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@bbspore12

Hi everyone. I've felt a sense of relief that there are people out there who are experiencing the same breathing issues as me and is receiving no answers! My doctor took a bunch of blood tests and determined that I had walking pneumonia. I have felt no improvement in my breathing since taking the antibiotics. I'm getting so frustrated.

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@bbspore12- Good morning and welcome to Mayo Clinic Connect. We are not medical professionals but patients helping others who have been through similar things. A lot of people think that pneumonia should be cleared up with antibiotics. Sometimes more medicine is needed or a different medicine is needed. And sometimes symptoms linger because of the damage the strain of bacteria or virus causes. I can take a long time to heal. A few years ago I was hospitalized for pneumonia and it took months after that for me to feel human again. How long has it been since you stopped your last medicine for pneumonia?

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Hi All, maybe it's a silly question and already discussed, but I'm wondering if our sighing dyspnea can be connected to any mineral or vitamin deficiency, such as magnesium.
I am jumping from one research to another, and keep arriving back to magnesium deficiency as a possible cause. I'm wondering if you've already experimented with taking it as a supplement, and whether it helped.
I started taking Mg citrate today, I feel better, but one day is not representative. It could be easily just the fact that it's finally a sunny Satruday, and my mood is higher 🙂

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@lidiaboglarka

Hi All, maybe it's a silly question and already discussed, but I'm wondering if our sighing dyspnea can be connected to any mineral or vitamin deficiency, such as magnesium.
I am jumping from one research to another, and keep arriving back to magnesium deficiency as a possible cause. I'm wondering if you've already experimented with taking it as a supplement, and whether it helped.
I started taking Mg citrate today, I feel better, but one day is not representative. It could be easily just the fact that it's finally a sunny Satruday, and my mood is higher 🙂

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@lidiaboglarka- This is a great question. Among the most serious symptoms of magnesium deficiency is a heart arrhythmia, or irregular heartbeat However, in some people, it may cause heart palpitations, which are pauses between heartbeats. Other possible symptoms of arrhythmia include lightheadedness, shortness of breath, chest pain, or fainting. Do you have any of these? Has you magnesium level been tested? I take 400 mg with my calcium

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@qbug

I have a sense of urgency in my chest. Like unrest. I wonder sometimes if this is some form of tar dive dyskinesia or a tourette's like syndrome.

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@qbug- Welcome to Mayo Connect! Having anything interrupt our breathing is very alarming! Have you been to a doctor about your symptoms?

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@merpreb

@bbspore12- Good morning and welcome to Mayo Clinic Connect. We are not medical professionals but patients helping others who have been through similar things. A lot of people think that pneumonia should be cleared up with antibiotics. Sometimes more medicine is needed or a different medicine is needed. And sometimes symptoms linger because of the damage the strain of bacteria or virus causes. I can take a long time to heal. A few years ago I was hospitalized for pneumonia and it took months after that for me to feel human again. How long has it been since you stopped your last medicine for pneumonia?

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Thank you for the welcome! I am not done with my 2 week dose yet. I have 3 days left. I have not felt much improvement.

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@bbspore12

Thank you for the welcome! I am not done with my 2 week dose yet. I have 3 days left. I have not felt much improvement.

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@qbug- Please continue to drink water! It really does help with phlegm.

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@merpreb

@qbug- Welcome to Mayo Connect! Having anything interrupt our breathing is very alarming! Have you been to a doctor about your symptoms?

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Yes as you can see in my other reply I have been to ER, PCP and several specialists.

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