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.

@mariab

Hello, I just started having this same issue with not being able to take full breaths and weirdly, I just started exercising on my new treadmill for the past 5 days. I had this issue when I was pregnant and the doctors said it was due to my hormones. I was totally fine after pregnancy but now all of a sudden I can’t take a deep breath and am constantly yawning. I also started taking Nutrafol supplements two days ago when this all started so I’m stopping that ASAP. Has anything worked for you?

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@mariab- Good morning and welcome to Mayo Clinic Connect. When I was pregnant, especially in my last 2 months I found it hard to breathe too. Other than hormones I'm sure that there was a lot of pressure on all of your organs. How long ago did you deliver?

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@merpreb

@mariab- Good morning and welcome to Mayo Clinic Connect. When I was pregnant, especially in my last 2 months I found it hard to breathe too. Other than hormones I'm sure that there was a lot of pressure on all of your organs. How long ago did you deliver?

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Hello - with my daughter it may have been pressure because the SOB started towards the end of my pregnancy but with my son, it started in the first trimester and I wasn’t even showing. That was almost two years ago.
This is making me feel so anxious because all I can think about is breathing. When I was pregnant I figured it was temporary but I’m starting to feel worried reading that some have this as a long term issue.

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@mariab

Hello - with my daughter it may have been pressure because the SOB started towards the end of my pregnancy but with my son, it started in the first trimester and I wasn’t even showing. That was almost two years ago.
This is making me feel so anxious because all I can think about is breathing. When I was pregnant I figured it was temporary but I’m starting to feel worried reading that some have this as a long term issue.

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@mariab- I can imagine how this makes you feel. It's very scary and it's a cycle. Do you think that it's time to see a doctor? A pulmonologist might be a good start. Just to make sure that you have no underlying lung disease it might be wise to get a lung function test done.

DO you remember any changes before this happened, in your life? You have a 2-year-old and remembering back on my son the terrible twos was an understatement. With everything happening in our country right now including COVID-19 could your anxiety level crept up on you?

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@merpreb

@itsnotanxiety- This is just wonderful news. Please be aware that these medications can cause bone loss so make sure that you are also doing weight-bearing exercises too. What a relief this must be for you!

WHat changes have you made to your diet?

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Cut out:
Fried food,
Dark chocolate ( milk chocolate in small quantity seems fine),
Tomato Sauce,
Sodas and high pH juices,

Started eating more, cashews and peanuts as snacks throughout the day.

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Hi guys, I'm not really active here, but I did share some of my experiences almost an year or two ago about applying ghee (pure clarified butter) in the nostrils just in case someone is suffering from symptoms of a dry nose.
My shortness of breath hasn't become worse, but it hasn't gone away too. Recently, I kind of discovered that if I meditated at least once in a day (especially before bed), I slept well and my symptoms disappeared for next few days. I also have a feeling that sleeplessness and the unknown anxieties are the main reasons for shortness of breath. Have you guys ever tried to calm your mind for a few minutes and suddenly felt that you were breathing well? I also googled and found the below link. Please meditate and check for yourselves if symptoms are improving. If they are, I can definitely research and find some meditation sounds or videos for everyone here.
https://www.sciencedaily.com/releases/2013/04/130422102026.htm#:~:text=Summary%3A,function%20and%20impaired%20breathing%20control.

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@mariab

Hello - with my daughter it may have been pressure because the SOB started towards the end of my pregnancy but with my son, it started in the first trimester and I wasn’t even showing. That was almost two years ago.
This is making me feel so anxious because all I can think about is breathing. When I was pregnant I figured it was temporary but I’m starting to feel worried reading that some have this as a long term issue.

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@mariab- Good morning. I'm just checking in to see how you are doing and feeling.

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Hello Merry and thank you for checking in. My doctor wasn’t being very responsive or helpful so I decided to take over the counter acid reflux medication on my own (I was desperate) and it’s helping a lot although it’s not completely gone yet. I feel so much better on day 4 of taking Omeprazole and I am able to take deep breaths most of the time now. I’m staying away from all the spicey foods I love so much and food that will irritate acid reflux. I would have never thought that this was a symptom of acid reflux but apparently it may be the acids from my stomach going up into my lungs. Once I’m diagnosed, I will check back in.

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@mariab

Hello Merry and thank you for checking in. My doctor wasn’t being very responsive or helpful so I decided to take over the counter acid reflux medication on my own (I was desperate) and it’s helping a lot although it’s not completely gone yet. I feel so much better on day 4 of taking Omeprazole and I am able to take deep breaths most of the time now. I’m staying away from all the spicey foods I love so much and food that will irritate acid reflux. I would have never thought that this was a symptom of acid reflux but apparently it may be the acids from my stomach going up into my lungs. Once I’m diagnosed, I will check back in.

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@mariab- Actually acid doesn't go into your lungs. Here is a great explanation of GERD and what can cause it what it affects.

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@saigurucharan

Hi guys, I'm not really active here, but I did share some of my experiences almost an year or two ago about applying ghee (pure clarified butter) in the nostrils just in case someone is suffering from symptoms of a dry nose.
My shortness of breath hasn't become worse, but it hasn't gone away too. Recently, I kind of discovered that if I meditated at least once in a day (especially before bed), I slept well and my symptoms disappeared for next few days. I also have a feeling that sleeplessness and the unknown anxieties are the main reasons for shortness of breath. Have you guys ever tried to calm your mind for a few minutes and suddenly felt that you were breathing well? I also googled and found the below link. Please meditate and check for yourselves if symptoms are improving. If they are, I can definitely research and find some meditation sounds or videos for everyone here.
https://www.sciencedaily.com/releases/2013/04/130422102026.htm#:~:text=Summary%3A,function%20and%20impaired%20breathing%20control.

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@saigurucharan- Hello. It's nice to meet you and I am so glad that you posted some help for us. Relaxation exercises surely will benefit everyone, especially after this past year. But I am stymied about your use of ghee. Isn't it a butter reduction? Wouldn't a salve specific for noses work as well?

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@merpreb

@mariab- Actually acid doesn't go into your lungs. Here is a great explanation of GERD and what can cause it what it affects.

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Thank you for this video!

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