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.

@bizzy12

@tonyagregg @gabrielm
I also suffer from SOB and have GERD. I found this discussion very interesting and also comforting to know I am not the only one feels the way you both do. I find if I stop thinking about my SOB it relaxes a bit and I don’t feel the feed yo take a deep breathe however I also notice I suffer more after eating?? Do you also feel this way?

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Hi @bizzy12, yes I too find that eating can affect my breathing. At this point it’s mostly my sinus issues that have the most effect on it but if I eat too much, it can contribute to the feeling of air hunger

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Hi Gabriel, How’s it going with this? I’ve dealt with nearly the exact same problem and potential solutions (sinus issues, GERD, Buteyko), as well as recurrence after a couple of years without issues.
I’ve noticed that the SOB/air hunger coincides with going back on a low-carb diet. This led me to suspect GERD from foods with a higher fat content at first, but after reading a post on a different forum, I’m now looking into histamine intolerance and a few foods that I tend to eat a lot more (and probably way too much) now that I’m eating less carbs (namely almonds, almond products and other nuts, 100% cacao, and fermented dairy), all of which are known for triggering histamine intolerance.
I do notice though, that a psychological element also comes into play once the symptoms appear, as I begin to obsess over my breathing and its mysterious cause, and it definitely exacerbates the problem. I also find that the issue subsides when I’m deeply engrossed in a task but immediately returns the moment I realize I haven’t felt the need to yawn or sigh in a while.
Anyway, just looking to commiserate and brainstorm if you haven’t resolved the problem yet. Take good care,
Kristina

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@kikiriki

Hi Gabriel, How’s it going with this? I’ve dealt with nearly the exact same problem and potential solutions (sinus issues, GERD, Buteyko), as well as recurrence after a couple of years without issues.
I’ve noticed that the SOB/air hunger coincides with going back on a low-carb diet. This led me to suspect GERD from foods with a higher fat content at first, but after reading a post on a different forum, I’m now looking into histamine intolerance and a few foods that I tend to eat a lot more (and probably way too much) now that I’m eating less carbs (namely almonds, almond products and other nuts, 100% cacao, and fermented dairy), all of which are known for triggering histamine intolerance.
I do notice though, that a psychological element also comes into play once the symptoms appear, as I begin to obsess over my breathing and its mysterious cause, and it definitely exacerbates the problem. I also find that the issue subsides when I’m deeply engrossed in a task but immediately returns the moment I realize I haven’t felt the need to yawn or sigh in a while.
Anyway, just looking to commiserate and brainstorm if you haven’t resolved the problem yet. Take good care,
Kristina

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Welcome to Mayo Clinic Connect @kikiriki. I'm glad that you have joined us, Kristina. You have hit on something that seems to be prevalent in a lot of us; that is having a psychological element that shows up. It's hard not to obsess when our breathing changes. It's a shock when what you think is automatic, a breath, changes and you can't get what you expect.

Thank you for your suggested food avoidances.

How long have you been dealing with SOB?

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@kikiriki

Hi Gabriel, How’s it going with this? I’ve dealt with nearly the exact same problem and potential solutions (sinus issues, GERD, Buteyko), as well as recurrence after a couple of years without issues.
I’ve noticed that the SOB/air hunger coincides with going back on a low-carb diet. This led me to suspect GERD from foods with a higher fat content at first, but after reading a post on a different forum, I’m now looking into histamine intolerance and a few foods that I tend to eat a lot more (and probably way too much) now that I’m eating less carbs (namely almonds, almond products and other nuts, 100% cacao, and fermented dairy), all of which are known for triggering histamine intolerance.
I do notice though, that a psychological element also comes into play once the symptoms appear, as I begin to obsess over my breathing and its mysterious cause, and it definitely exacerbates the problem. I also find that the issue subsides when I’m deeply engrossed in a task but immediately returns the moment I realize I haven’t felt the need to yawn or sigh in a while.
Anyway, just looking to commiserate and brainstorm if you haven’t resolved the problem yet. Take good care,
Kristina

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Hi @kikiriki, still about the same for me- manageable but not gone. I'm going to get allergy tested for various environmental things and food to see if getting a handle on allergies will help with the sinus issues. I notice that when my sinuses aren't as inflamed my breathing is better and I don't experience as much air hunger.

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@gabrielm

Hi @kikiriki, still about the same for me- manageable but not gone. I'm going to get allergy tested for various environmental things and food to see if getting a handle on allergies will help with the sinus issues. I notice that when my sinuses aren't as inflamed my breathing is better and I don't experience as much air hunger.

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Good morning @gabrielm. It's always nice to hear from you. Have you tried any nasal sprays?

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@merpreb

Good morning @gabrielm. It's always nice to hear from you. Have you tried any nasal sprays?

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@merpreb Yes, I have tried many nasal sprays. Going to the allergist I think will help give me an idea of what allergies I have and what severity, and getting that taken care of may help my sinus issues.

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@gabrielm

@merpreb Yes, I have tried many nasal sprays. Going to the allergist I think will help give me an idea of what allergies I have and what severity, and getting that taken care of may help my sinus issues.

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Let me know. Good luck!

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Hello, do you recall having any dental procedures prior to the initial shortness of breath came on? Someone I know had an extraction last year and then one week later started to have shortness of breath. They never had an issue with shortness of breath prior to that.

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@zoelife

Hello, do you recall having any dental procedures prior to the initial shortness of breath came on? Someone I know had an extraction last year and then one week later started to have shortness of breath. They never had an issue with shortness of breath prior to that.

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@zoelife- Is this to me or @gabrielm?

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@merpreb

Hi Merry, this question was to @Gabgabrielm in response to his post since he hadn’t seemed to come up with an explanation of the cause of his issues.

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