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

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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Hi Gabrielm

I am going through exactly same condition like yours. I can't get enough of deep breath. Feels like I need more air. N I got my tests done. There's nothing diagnosed by doctor ( I m so thankful to God that there is no major problem). I am so over it. It's almost year and a half now. It's not getting any better. Sometimes I feel like leaving my job and stay at home. Please help me out if you find anything helpful.

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@shif

Hi Gabrielm

I am going through exactly same condition like yours. I can't get enough of deep breath. Feels like I need more air. N I got my tests done. There's nothing diagnosed by doctor ( I m so thankful to God that there is no major problem). I am so over it. It's almost year and a half now. It's not getting any better. Sometimes I feel like leaving my job and stay at home. Please help me out if you find anything helpful.

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I hear you @shif! I know what it's like, but there are some things I think can help you manage this. If you look through the comments (I know, there are a lot) they should contain some things that people have done (including myself) that are worth trying to help you improve.

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@shif

Hi Gabrielm

I am going through exactly same condition like yours. I can't get enough of deep breath. Feels like I need more air. N I got my tests done. There's nothing diagnosed by doctor ( I m so thankful to God that there is no major problem). I am so over it. It's almost year and a half now. It's not getting any better. Sometimes I feel like leaving my job and stay at home. Please help me out if you find anything helpful.

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@shif- Welcome to Mayo Clinic Connect. I agree with @gabrielm, read as many posts as you can to see what has worked for other people. Please tell me what tests you have results for. Have you been to a GI doctor yet?

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@shif

Hi Gabrielm

I am going through exactly same condition like yours. I can't get enough of deep breath. Feels like I need more air. N I got my tests done. There's nothing diagnosed by doctor ( I m so thankful to God that there is no major problem). I am so over it. It's almost year and a half now. It's not getting any better. Sometimes I feel like leaving my job and stay at home. Please help me out if you find anything helpful.

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Hi Gabrielm - I have been experiencing shortness of breath since the beginning of the year and have had seen numerous doctors - had numerous test and blood work done. The CT Scan showed that I have mild bronchiestatis - I have been working with a specialist since I have also had asthma for the past 18 years. He said that he is going to work with me to get me on the right plan. Keep looking there is someone out there who can help you gayle

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Hi all! Just thought I would share my experince with this, I've been experincing this (air hunger and yawning constantly) since November of 2019 after getting a very unusal cold. I have spent thousands on going to doctors, and no conclusive answers other than throwing me anti anxiety medications (which I haven't taken because I strongly doubt it's anxiety related). And have seen congnitive behavior therapists to no avail sadly. The weird part is it only occurs when I'm awake, it doesn't effect my sleep. I'm at my ends on trying to figure out what exactly is wrong with me.

Reading through older posts in this thread I have tried antacid medicine to maybe see if that would work and I found some relief, but what's even more releaving is knowing i'm not going insane and that other people have this same unexplanable feeling as me.

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@shif

Hi Gabrielm

I am going through exactly same condition like yours. I can't get enough of deep breath. Feels like I need more air. N I got my tests done. There's nothing diagnosed by doctor ( I m so thankful to God that there is no major problem). I am so over it. It's almost year and a half now. It's not getting any better. Sometimes I feel like leaving my job and stay at home. Please help me out if you find anything helpful.

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Have the same thing and feeling

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@itsnotanxiety

Hi all! Just thought I would share my experince with this, I've been experincing this (air hunger and yawning constantly) since November of 2019 after getting a very unusal cold. I have spent thousands on going to doctors, and no conclusive answers other than throwing me anti anxiety medications (which I haven't taken because I strongly doubt it's anxiety related). And have seen congnitive behavior therapists to no avail sadly. The weird part is it only occurs when I'm awake, it doesn't effect my sleep. I'm at my ends on trying to figure out what exactly is wrong with me.

Reading through older posts in this thread I have tried antacid medicine to maybe see if that would work and I found some relief, but what's even more releaving is knowing i'm not going insane and that other people have this same unexplanable feeling as me.

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Right there with you.. nearly exhausted in my breath all the same with you, so many tests, no answers

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@itsnotanxiety

Hi all! Just thought I would share my experince with this, I've been experincing this (air hunger and yawning constantly) since November of 2019 after getting a very unusal cold. I have spent thousands on going to doctors, and no conclusive answers other than throwing me anti anxiety medications (which I haven't taken because I strongly doubt it's anxiety related). And have seen congnitive behavior therapists to no avail sadly. The weird part is it only occurs when I'm awake, it doesn't effect my sleep. I'm at my ends on trying to figure out what exactly is wrong with me.

Reading through older posts in this thread I have tried antacid medicine to maybe see if that would work and I found some relief, but what's even more releaving is knowing i'm not going insane and that other people have this same unexplanable feeling as me.

Jump to this post

Right there with you my friend!

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@itsnotanxiety

Hi all! Just thought I would share my experince with this, I've been experincing this (air hunger and yawning constantly) since November of 2019 after getting a very unusal cold. I have spent thousands on going to doctors, and no conclusive answers other than throwing me anti anxiety medications (which I haven't taken because I strongly doubt it's anxiety related). And have seen congnitive behavior therapists to no avail sadly. The weird part is it only occurs when I'm awake, it doesn't effect my sleep. I'm at my ends on trying to figure out what exactly is wrong with me.

Reading through older posts in this thread I have tried antacid medicine to maybe see if that would work and I found some relief, but what's even more releaving is knowing i'm not going insane and that other people have this same unexplanable feeling as me.

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Welcome to Mayo Clinic Connect, @itsnotanxiety. Congratulations on having read through all the posts in this discussion. It's a long one. Besides trying antacids, were there other suggestions in the discussion that you have tried? Did you discover any, like breathing exercises, that you think might be of help to you?

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@colleenyoung

Welcome to Mayo Clinic Connect, @itsnotanxiety. Congratulations on having read through all the posts in this discussion. It's a long one. Besides trying antacids, were there other suggestions in the discussion that you have tried? Did you discover any, like breathing exercises, that you think might be of help to you?

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Hi, Colleen! I have tried Buteyko Breathing that was mentioned earlier in the post (in the past) and that works but at the same time make's me feel like this problem is in control of my life. I mentioned seeing a cognitive behavior therapist who tried hypnosis and a method called EFT tapping to reduce anxiety all of which has worked for a tempory amount of time or who know's it could've just been a placebo effect. I have noticed throughout these months my sinues feel always clogged even though they're not which might be something related. I may just try the SSRI's (Zoloft) and see if I feel any difference even though I doubt they'll work. I'm at the point where it's almost been a year and I'm willing to try just about anything.

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