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.

@merpreb

@alexm1994 - This must be very frustrating for you. Have you had a COVID-19 test for antigens and antibodies? It probably will be worth your time.
https://www.mayoclinic.org/diseases-conditions/coronavirus/expert-answers/covid-antibody-tests/faq-20484429

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I did have a recent Covid test! I’ve taken antihistamines and decongestant! I just can’t get any relief

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@itsnotanxiety

So I've been taking pantoprazole for about a month now and have seen little improvement so I'm skeptical that it's totally acid related. But however i did come across a International Journal of Pulmonary and Respiratory Sciences Study/Opinion article that this is actually a common side effect from Covid-19 called Vagal neuropathy more specifically Postviral vagal neuropathy, here's a few links if anyone is interested:

https://juniperpublishers.com/ijoprs/pdf/IJOPRS.MS.ID.555641.pdf <--- (this one is interesting and similar to a lot of people in this post)
https://pubmed.ncbi.nlm.nih.gov/11464321/
Most of the foods in one of the article that they say to stay away from, I usually ingest multiple times a week like Flavored sodas, Bottled iced tea and tomato sauce so that might explain a bit.

Has anyone here checked out the possibilities that this could be some sort of vocal cord dysfunction with the vocal fold not closing correctly?

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@itsnotanxiety I thought about you when I read this article. It's about a saliva test that can predict if Covid has gotten into your lungs. https://www.yalemedicine.org/news/saliva-test-covid-19-severity

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@nla4625;@itsnotanxiety- Good morning. I love that science moves on to improve things for us and that scientists keep on keeping on! I don't mind the nose swab tests but it would be less invasive if I could just a bit of saliva was taken. This test has only been done in labs and not on humans. Let's keep our fingers crossed for better, quicker, and more accurate testing!

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@merpreb

@nla4625;@itsnotanxiety- Good morning. I love that science moves on to improve things for us and that scientists keep on keeping on! I don't mind the nose swab tests but it would be less invasive if I could just a bit of saliva was taken. This test has only been done in labs and not on humans. Let's keep our fingers crossed for better, quicker, and more accurate testing!

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@merpreb According to what I read in this article, it was tested on some basketball players. Where it is in the process of getting approved by the FDA and distributed widely, I don't know.

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@nla4625

@merpreb According to what I read in this article, it was tested on some basketball players. Where it is in the process of getting approved by the FDA and distributed widely, I don't know.

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@nla4625- DId I miss something? I'll have to go back and re-read. Off to the dr.. I'll get back to you a bit later.

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@merpreb

@nla4625- DId I miss something? I'll have to go back and re-read. Off to the dr.. I'll get back to you a bit later.

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@merpreb. It's not necessary to get back to me. I have no need to be right or argue with you about it.

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@nla4625

@merpreb. It's not necessary to get back to me. I have no need to be right or argue with you about it.

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No, that's not what I meant. Just to gab about it or maybe how you are feeling.

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@enyeart7680

I have exactly the same symptoms down to a T exactly. I’ve only been experiencing these things since November 2020. Nothing I do seems to make it feel any better, the doctor has no idea what’s wrong with me. Sometimes I freak out because I can’t take a deep breath I try to yawn but I can’t get enough air in my lungs I don’t have asthma I don’t smoke cigarettes I don’t have anything wrong with my heart or my lungs.

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@enyeart7680 Welcome to Mayo Clinic Connect, a place to give and get support. You've already connected with a member that is experiencing the same symptoms.

The feelings that you cannot breathe deep must be extremely unsettling. Did anything change in November that might be related to your symptoms? For example, did you contract COVID-19, lose a job or experience another significant loss, etc.? Has your provider mentioned utilizing meditation, acupuncture, biofeedback, or other anxiety reducing treatments?

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@merpreb

No, that's not what I meant. Just to gab about it or maybe how you are feeling.

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@merpreb. Sorry it's a headache day when I'm not fit for man or beast. I am watching THE most amazing 9 part series about the relationship between the gut and brain that you might find really interesting too. Functional doctors and researchers, who are looking for root causes of diseases instead of treating symptoms, now believe that depression, anxiety, and a myriad of other problems are caused by poor gut health and leaky gut. I'm writing a summary of the first 2 episodes for a post for the anxiety depression group. For the lung group, a symptom of leaky gut is shortness of breath. This is the most exciting thing I've learned in years and one of the answers some of us have been looking for for unanswered questions. Episodes Feb 15-23. 8pm Eastern, Gut-Brain Solution. They keep each episode up for 24 hours, so you could still access Episode 2. I'm afraid if I close this to get the precise website, I'll lose it. A husband and wife team from Australia interviewed 30 functional doctors and gut researchers and put this together. It is excellent! Her name is Sarah Otto, Gut/Brain Solution, sponsored by goodnesslover. Any of those will probably take you there. Hopefully tomorrow will be a non headache day. Storms moving through really do a number on my brain chemistry. Nancy

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@erikas

@enyeart7680 Welcome to Mayo Clinic Connect, a place to give and get support. You've already connected with a member that is experiencing the same symptoms.

The feelings that you cannot breathe deep must be extremely unsettling. Did anything change in November that might be related to your symptoms? For example, did you contract COVID-19, lose a job or experience another significant loss, etc.? Has your provider mentioned utilizing meditation, acupuncture, biofeedback, or other anxiety reducing treatments?

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Hello! No I’ve been checked for Covid! My mother passed away in December suddenly and very violently! I have been prescribed anxiety medication but it doesn’t seam to help!

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