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.

Hi @kperry and welcome to Mayo Clinic Connect. I see you've quickly connected with other members who have had similar experiences as you and provided some support. I understand your need to feel validated in what you are experiencing.

Following your doctor stating he/she thinks it is anxiety or anxiety-related, I'm wondering what the recommendations were for you in terms of next steps? Have you considered reaching out to a therapist to explore the anxiety suspicion?

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@amandajro

Hi @kperry and welcome to Mayo Clinic Connect. I see you've quickly connected with other members who have had similar experiences as you and provided some support. I understand your need to feel validated in what you are experiencing.

Following your doctor stating he/she thinks it is anxiety or anxiety-related, I'm wondering what the recommendations were for you in terms of next steps? Have you considered reaching out to a therapist to explore the anxiety suspicion?

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He suggested a therapist which I have. I asked him for a chest X-ray. It’s just a matter of leaving my house to get it.

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@kalebmatthew445

Hello everyone my name is Kaleb I’m 22 years old healthy male about 6’3 mid weight and just about 2 weeks ago I noticed I got sick I have asthma and high blood pressure which are all under control with medication and I didn’t think much of it I thought it was a bug COVID-19 was ruled out as two test results came back negative Well now they sent me home I felt fine all day long then at about 11 at night I noticed I couldn’t catch my breathe or I was constantly fighting to get a good deep one in and it scared me so I go into the er and they take blood work for heart disease blood clots pneumonia etc chest x ray and they are telling me it’s all coming back ok so i come back home do a neb treatment Nd my inhalers and I’m okay again but still struggling for that good deep breath I can get it in but it takes a lot well now fast forward next day it’s unbearable I feel like I can’t get a good one In so Here iam back at the er again and they are telling me it’s fine but I don’t feel fine so they release me again and I’m home once again in my bed crying just struggling to catch my breathe well my mother lives in a different town a few hours away so she tells me she’s coming to get me and that the doctors there are a little better so she comes for me and I go to the er there and once again nothing they are telling me it’s anxiety but as someone who’s had anxiety his whole life I kno something else is wrong I’m tired I’m frustrated I feel alone I’m scared I’m going to go to sleep and I won’t wake back up I’m losing my appetite I don’t even eat I’m just constantly drinking water and laying in my bed this isn’t normal juust 3 weeks ago I was so happy with my life no stress I was always out walking around doing things all the time I was never home for so long ever since this started I’ve completely gone into full depression mode I’m sacred I’m going to die so just yesterday my doctor put me on an anxiety pill but I with all my honest heart don’t believe that is where this problem is Ik I can tell I’ve had anxiety my whole life there is ways to work through that I wanna be normal again I don’t wanna feel this way how can I make this go away who do I need to go see I’m terrified and reading everyone else’s comments makes me feel not so alone.

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Have you found any relief? I am in the same boat.

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@jorgeolmedom

Hello everyone
I am desperate with a problem that I have had for about seven months. I have a throat problem with frequent swellings, weekly episodes of shortness of breath, and a feeling of plugged ears. Medical tests indicate that there is a problem with my immune system. Eosinophils are very high (4700) and I have a history of over ten years of skin allergies. I think these allergies have now mutated into my body, causing the symptoms I describe. Doctors in Colombia have not been able to help me. Tests also indicate that I have chronic gastritis and gastric reflux laryngitis. I have been prescribed proton pump inhibitors, allergy pills like cetirizine and loratadine, but the symptoms are getting worse. I am desperate because I feel that in one of these episodes of shortness of breath, something serious may happen to me. The feeling of a lump in the throat is exasperating, as well as the sensation of having wounds. When the inflammation and the sensation of wounds in the throat is strong, I get muscle aches in the neck and shoulders. I cannot speak for more than half an hour at a time because the sensation of inflammation is unbearable. I had endoscopy and nasolaryngoscopy, but they only show a little swelling.
no tumors or bumps have been found. Please, I need help, I don't know what to do or what treatment can help me. I have lab test results that I can share. (Although they are in Spanish, I don't think there is any difficulty in interpreting them). Thank you very much for your collaboration and God bless you.

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Hello,
Sorry your symptoms are very strong.
Wondering if you could have environmental allergies?
Have you seen an ear, nose and throat doctor?
I don’t know much about medicine in Columbia, but symptoms are symptoms.
Years ago I had the lump in the throat feeling. It was due to allergies, and sinus problems that I have to this day.
I use allergy Rx almost daily. The stuffed ear symptom needs to be seen by an ear specialist.
Do you have carpet in your house, animals?
I do not have acid reflex, but my dad did for over 40 years. He had bouts of ulcers, and would take antibiotics, and an over the counter medicine called Gavisgon, not sure of spelling.
As for the skin, are you sensitive to insect bites?
I get contact dermatitis, usually from insects. I get hives also, it’s due to stress. Does your skin itch a lot?
Something as simple as the dye in clothes, or elastic touching the skin can have allergic reactions.
Columbia is a warm weather country, with mountains, so the insect theory is a possibility.
You did not mention your age, so was wondering about that? Do you smoke or drink alcohol?
Are you able to travel to America to see an American doctor?
Medical education is different across the world.
Let me know if this information is helpful.
Funcountess

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@jorgeolmedom

Hello everyone
I am desperate with a problem that I have had for about seven months. I have a throat problem with frequent swellings, weekly episodes of shortness of breath, and a feeling of plugged ears. Medical tests indicate that there is a problem with my immune system. Eosinophils are very high (4700) and I have a history of over ten years of skin allergies. I think these allergies have now mutated into my body, causing the symptoms I describe. Doctors in Colombia have not been able to help me. Tests also indicate that I have chronic gastritis and gastric reflux laryngitis. I have been prescribed proton pump inhibitors, allergy pills like cetirizine and loratadine, but the symptoms are getting worse. I am desperate because I feel that in one of these episodes of shortness of breath, something serious may happen to me. The feeling of a lump in the throat is exasperating, as well as the sensation of having wounds. When the inflammation and the sensation of wounds in the throat is strong, I get muscle aches in the neck and shoulders. I cannot speak for more than half an hour at a time because the sensation of inflammation is unbearable. I had endoscopy and nasolaryngoscopy, but they only show a little swelling.
no tumors or bumps have been found. Please, I need help, I don't know what to do or what treatment can help me. I have lab test results that I can share. (Although they are in Spanish, I don't think there is any difficulty in interpreting them). Thank you very much for your collaboration and God bless you.

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I had another thought, could your symptoms start because of mold?
There are many kinds of mold that cause allergies, and lung/breathing problems. Do you live near water?
Funcountess

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@funcountess

I had another thought, could your symptoms start because of mold?
There are many kinds of mold that cause allergies, and lung/breathing problems. Do you live near water?
Funcountess

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My symptoms definitely started because of mold and I'm still dealing with it guys what should I do I'm desperate can't catch a full breath and I'm constantly yawning.

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@yaramarthe

My symptoms definitely started because of mold and I'm still dealing with it guys what should I do I'm desperate can't catch a full breath and I'm constantly yawning.

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@yaramarthe- Oh, my goodness. You moved, as I remember. I remember when my husband taught science in HS. The labs all had mold and he was so ill so much of the time. And I was too. I think that you also need to re-visit your doctor and see if you have any infections as a result of this. Have you asked the landlord to have your apartment cleaned?

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@kperry

I had a panic attack from not being able to get a deep breath Sept 11th. Everyday since has been pure hell. I have a 7 year old daughter who desperately needs her mother back. I’ve never felt so alone and scared. I worry about being able to get a deep breath 24/7. Blood work came back clean. I asked for a chest X-ray. They say anxiety but I just have this nagging feeling I cannot shake. Anyone who is willing to text private message me. It would bring me so much comfort to have someone who understands and believes me.

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@kperry- I'd also like to welcome you to Mayo Connect. I understand the sense of panic and its domino effect. Unless your lips turn blue rest assured that you are getting enough oxygen. I certainly believe you! I doubt that anyone in this group thinks that this is all made-up. And you are not alone, that's why I'm so happy that you found this group and posted on it! We are a community of patients helping others.

Let me ask a couple of questions. Do you have acid reflux at all? Has your doctor offered you any medications?

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@kperry

He suggested a therapist which I have. I asked him for a chest X-ray. It’s just a matter of leaving my house to get it.

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@kperry- I'm wondering is you have gotten out to get that chest X-ray?

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Did anyone feel it hard to talk/eat without having to feel like you need that breath? I have fine thyroid numbers but I do have a goiter. I am just at my wits end I cannot stand it one more morning waking up to this. I feel like this can’t be anxiety I have anxiety because of it I don’t know I just it’s driving me absolutely insane.

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