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.

@itsnotanxiety

Well.. I just came back from the ENT. Just got a scope down my nose which reveled inflammation down by the larynx caused by reflux. He also dropped my prescription of pantoprazole since I told him I saw minimal results from pantoprazole and prescribed me an H2 blocker called famotidine (if I recall the name of the medication correctly, if I'm wrong about the medication name ill just update this comment when i pick it up from the pharmacy). I also asked about vocal cord dysfunction being a possibility and was told it looked normal and most likely isn't the cause of this. I also asked if this is commonly developed after a viral cold and was told it is possible because viral illnesses tend to mess with the nerves that control it. Cant eat 2 hours before i go to sleep and sleep with a wedged pillow. Honestly what was more comforting is that out of all the specialist's I've seen this one seems more confident that this is what is causing the shortness of breath and frequent yawning.

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That’s great that you felt more confident with this dr. And very interesting. I also have reflux and am in pantoprazole 2x a day for years!! And take carafate 4x a day. I also have the SOB and frequent yawning

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@tonim

That’s great that you felt more confident with this dr. And very interesting. I also have reflux and am in pantoprazole 2x a day for years!! And take carafate 4x a day. I also have the SOB and frequent yawning

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Have you been to an ENT lately to get scoped? For me pantoprazole had minor success at kicking the SOB, like i noticed some improvement but I still had it. Here's to hoping the 40mg of famotidine works.
😀

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@itsnotanxiety

Have you been to an ENT lately to get scoped? For me pantoprazole had minor success at kicking the SOB, like i noticed some improvement but I still had it. Here's to hoping the 40mg of famotidine works.
😀

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No I haven’t been to one yet. That will be my next step I guess. Fingers crossed it works too!

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@merpreb

@tammyjbell- Hello. I can hear how scared you are. It's always shocking when we go to take a breath, something that we have relied upon all our lives, and have trouble doing it!
Is your heart fluttering or pounding, or beating after than it was? Stress, exercise, medications, a medical condition can trigger them. Although heart palpitations can be very worrisome, they're usually harmless. Although they don't seem harmless at the time.

When you say heart palpitations what do you mean? Has anything changed in your life to bring this on that you can think of? What kind of doctor did you see?

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I call them palpitations because of the fastness of it. So, as soon as I start to move it goes up. And when I'm walking it can get to 120 or sometimes a little more. And its fast. It use to feel like it was beating out of my chest. It sometimes still does that. I notice them because of my fitbit. Both symptoms came on suddenly. I started on a blood thinner and 2 weeks later they started. However prior to that it felt like my heart was "jumping" and I couldn't sleep. Then that stopped. Then did it again for awhile. Then that stopped. Now its fast heart rate. When I sit down it goes down. Sometimes to 59. These symptoms happen on exertion and sometimes when I'm sitting I feel like I have to take a deep breath and can't

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@oldkarl

@tammyjbell, I admit it is worrisome, but don't worry too much. I have had palps for about 70 years now, and I am just as sweet and handsome and smart of I ever has been! Anyway, I think that often the palps come with some DNA issue, especially cardiomyopathy. I get mine from Gelsolin and Fukutin LGMD. The worst I have ever had has been at times I was resting. I do not worry about them when I run or dance. They seem to be just part of who I am.

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Mine happen daily. Mostly on exertion. It goes down once I am resting. Sometimes it drops to as low as 59. They can get as high as 120 or more. Not when sitting though. Had 2 echos. Neither one showed cardiomyopathy.

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@merpreb

@tammyjbell- Hello. I can hear how scared you are. It's always shocking when we go to take a breath, something that we have relied upon all our lives, and have trouble doing it!
Is your heart fluttering or pounding, or beating after than it was? Stress, exercise, medications, a medical condition can trigger them. Although heart palpitations can be very worrisome, they're usually harmless. Although they don't seem harmless at the time.

When you say heart palpitations what do you mean? Has anything changed in your life to bring this on that you can think of? What kind of doctor did you see?

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I have seen 3 cardiologist. First one said I had LVH, mildly dialated left atrium and Trace tricuspid regurgitation. The 2nd one revealed no LVH, no dialated atrium. There was I say was because I believe in God and His healing. They said I have(had) TRACE tricuspid, mitral and pulmonic regurgitation. I was told by the cardiologist, pcp and 2 nurses these do not cause symptoms. In fact, they are normal findings. I've seen a pulmonary specialist who said my spirometry test was "normal". He did a bike stress test turns out my oxygen intake I believe at cessation of exercise was only 56%. He said that is mildly low and should not cause shortness of breath. I would not know because I do not know anything about these numbers.

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@tammyjbell

I call them palpitations because of the fastness of it. So, as soon as I start to move it goes up. And when I'm walking it can get to 120 or sometimes a little more. And its fast. It use to feel like it was beating out of my chest. It sometimes still does that. I notice them because of my fitbit. Both symptoms came on suddenly. I started on a blood thinner and 2 weeks later they started. However prior to that it felt like my heart was "jumping" and I couldn't sleep. Then that stopped. Then did it again for awhile. Then that stopped. Now its fast heart rate. When I sit down it goes down. Sometimes to 59. These symptoms happen on exertion and sometimes when I'm sitting I feel like I have to take a deep breath and can't

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@tammyjbell- That must be a relief that your 2 echoes showed no cardiomyopathy. Why did you begin taking blood thinners? Are you taking baby aspirin or one prescribed by a doctor?

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@tonim

I just came across this site and topic.
I’ve been dealing with constant SOB for about 6 months. I’ve normally experienced it when going on vacation, my anxiety goes into high gear. Lol. But it would go away after I came home. Since October 2020 it’s been pretty constant. My dr said it’s anxiety related but I don’t ‘feel’ anxious. I do have GERD (acid reflux). Along with Crohns Disease (remission 25 years), chronic kidney disease, chronic gastritis and gastroparesis. Lots of stomach issues. I did go to dr early in November and he did EKGand all was fine. I tried to do some belly breathing and that sometimes helps. But let me add I sleep fine. No trouble breathing at night. So from reading, this is normal?? Thanks for letting me share.

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I have suffered from what I call “incomplete yawning syndrome” since my 30s at least. It seems to happen periodically with no rhyme or reason. I, too, have anxiety issues and GERD which are probably underlying causes but just today I had my first episode in MONTHS, maybe in a year and so I’m wondering if the trigger is allergies. I don’t have asthma but have noted that these episodes serm to start when the environment has changed. In one case, it was when we were driving across the country and it hit me hard when we reached Iowa. Iowa is where the humid part of the US starts so I was wondering if that triggered it. Today we experienced a warm spell that is rapidly melting a foot of snow and exposing the ground which has been snow-covered for several months. Yesterday I did a lot of dusting. So I’m wondering if one or the other caused me to start having these episodes again. Can anyone else see this pattern? I sure hate it when these gasping episodes begin because they seem to hang on for weeks before they go away.

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Hey I can definitely relate let me tell you about my life.this yawning thing started when I was 13 it’s something I’d experience maybe 3 times a year but usually when I’m around dust but I never paid attention to it. I moved from the Caribbean to the United state i been in the startes for 5 years years I’m 21 now in July 2019 that’s when my life changed. I moved into this apartment since the first time I walked I told my mom I couldn’t breathe well and I started yawning constantly after three days it went away. A year later the yawning came back except this time food was triggering it and I noticed it would happen more with certain food and I thought about allergies went to the doctor it turned out I was allergic to everything so many environmental and food allergies. I tried going on a diet but I started getting worse I was yawning every time I step In the house 30 min after eating and when I wake up nonstop it’s like my lungs is crying for air. I got a check Up I did all the scans you can think of aLl came back normal. I ended up moving to Florida because the pollen in Georgia was making it worse I cut all the foods that triggered my yawning which are, wheat, rice, spices, food in container, juice, fruits, except mango, there's only three foods I can eat only I live in a house where the air conditioner is always on 70 if it's not yawning is triggered also sinus pressure by doing that the yawning stopped completely But my life is miserable right now because I got diagnosed with hypothyroidism, I'm becoming more sensitive to things I keep getting these weird sensations on my body and only thing I'm doing right now is allergy shots to see if that helps with those allergy but it's so unfortunate I have to go through this because I lost 35 pounds I'm 113 now. My worse allergy reaction was with peppermint my whole body started to burn and itch but on the inside I had this increased thirst and dry month which I'm still suffering from my advice is to start your allergy shot as soon as possible.

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@cmohai

I have suffered from what I call “incomplete yawning syndrome” since my 30s at least. It seems to happen periodically with no rhyme or reason. I, too, have anxiety issues and GERD which are probably underlying causes but just today I had my first episode in MONTHS, maybe in a year and so I’m wondering if the trigger is allergies. I don’t have asthma but have noted that these episodes serm to start when the environment has changed. In one case, it was when we were driving across the country and it hit me hard when we reached Iowa. Iowa is where the humid part of the US starts so I was wondering if that triggered it. Today we experienced a warm spell that is rapidly melting a foot of snow and exposing the ground which has been snow-covered for several months. Yesterday I did a lot of dusting. So I’m wondering if one or the other caused me to start having these episodes again. Can anyone else see this pattern? I sure hate it when these gasping episodes begin because they seem to hang on for weeks before they go away.

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I was thinking there is a connection with allergies too. I have year round allergies/sinus issues and have always lived in areas that don’t help (southern US). In fact, my seasonal allergies morphed into oral allergy syndrome so now I’m possibly allergic to a huge list of raw fruits and veggies with no way to test which ones except to eat them, which can cause anaphylaxis. I do notice that when the yawning/air hunger is present, my ears feel very full but I can’t tell if it’s from the yawning or sinus being that full. It’s been a while since my last episode but I’ve been working out and have been trying to keep my stress level down.

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