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.

The diltiazem does slow my hr but I would like to know why I have tachycardia.

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@peterson

The diltiazem does slow my hr but I would like to know why I have tachycardia.

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I don't blame you.

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@krisv

Just wanted to share my experience with a similar problem. I recently ended up with a pretty bad case of breathing issues that sound a lot like what many are describing. Inability to take a full, satisfying breath which leads to obsessive need to get a full breath - causing constant (every minute, all day long) sighing and yawning. I would be pace around the room in the evening in complete desperation to take these breaths and it was a very debilitating experience. I noticed that it seemed to happen shortly after a particularly nasty business meeting. Never woke up at night and also seems to go away when in a sleepy state (laying in bed awake in the early morning or late night). As soon as I was fully conscious - it started and lasted all day. I would wake up and as soon as I remember about the breathing issue, I would attempt to keep breathing normal and calm as I would be breathing naturally - and this would work until my mind would take over and start to go into the vicious cycle of trying to "take that deep breath". Would not get worse or better with activity. This went on for several weeks. Nothing could distract me from it or take my attention away.

From researching online and from the patterns, I was pretty sure that there was no issue related to lungs or heart. Based on when it seemed to have started, I was pretty sure it was stress related. Decided to avoid going to the doctor as I felt the tests attempting to find a likely non existing issue would just add to the problem and likely help develop a deeper habit that would be even harder to break.

What helped me: I started to work on assuring myself that the problem is phycological and I would not actually suffocate. I would try to "extend" those moments when just waking up (when the problem was not noticeable) by continuing slow and controlled breathing as I was laying awake in bed and use that as "proof" that there is no issue. Problem would still persist as soon as I would get up and stop the breathing 'exercises' but it was important to assure myself of the nature of the problem. Attempted to take some Bendadryl to increase sleepiness in the evening and relax. If it did make me sleepy (which in most cases it did not) - it helped. Little by little, the problem would start to get better. Not much and not for long, but it would give enough reassurance. Used those moments to further "teach myself" that this is just a cycle that needs to be broken. I very much believe that "some reassurance" helped a little, which would improve the issue briefly or a little and then I would pay very close attention to these patterns and use those positive moments to further reassure myself and it would build up and build up and improve. Negative thoughts on the other hand (feeling of desperation often times) would make the issue a lot worse. Ended up going to a wedding and realized that the issue did not come up at all as long as I did not remember about it at the wedding. Still came up a bit in the eve but I was now 100% sure and this reassurance helped remove the problem completely within the next few days. The key I believe was that I was already in a "positive and assured state" that the problem is resolvable by the time of the wedding. I believed it 100% due to the things described above. Until that day or so, nothing could have distracted me from the breathing issues.

I wanted to share this in case anyone is experiencing something similar. Obviously causes of the same issues can be varied so please do not skip out on medical attention if you feel you need it.

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I had similar breathing issues, and a CT scan revealed a small hiatal hernia, which I now believe is related to some digestive issues (including H Pylori). I am treating it with specific exercises and a change in diet, along with supplements.

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@collage

I had similar breathing issues, and a CT scan revealed a small hiatal hernia, which I now believe is related to some digestive issues (including H Pylori). I am treating it with specific exercises and a change in diet, along with supplements.

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@collage _ I found out that I also had a hiatal hernia and that was the cause of my GERD. Are you taking something for that?

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@merpreb

@collage _ I found out that I also had a hiatal hernia and that was the cause of my GERD. Are you taking something for that?

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I am taking gaviscon or pepsin (not on the same day) to determine which is more effective. Gerd and acid reflux symptoms are minimal but I still have the occasional mild nausea. Mostly, I have changed my diet: no coffee or caffeine teas, minimal chocolate, no raw onions; minimal tomatoes and citrus fruits; no white flour, minimal sweeteners; limiting spices. I am following an anti-inflammatory diet.......and generally feel well. The occasional symptoms are mildly annoying.

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@merpreb

@collage _ I found out that I also had a hiatal hernia and that was the cause of my GERD. Are you taking something for that?

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@collage - I also meant to say that it caused my SOB too.

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This is all fascinating. I have had a hard time googling this because it isn't just shortness of breath for me, but almost a sense that I cannot make my lungs fill all the way, then there is a "click" as @felicityr said and I get a full stretch of my lungs. I imagine it like blowing up a balloon, but pinching it in the middle, and finally releasing the air to go all the way in.

I also have GERD or some variation. Intense upper GI issues and have a scan scheduled tomorrow.

A number of us mentioned omeprazole. I wonder if it is an undocumented side effect. I am on it as well.

I will follow this thread. I haven't been experiencing this long, but it is also not the first time.

Another thought... I am emotionally well, but I do recognize my body is under stress with these stomach issues. Reduction of stress could be physical as much as emotional. While I don't need to chill out and take a vacation, I may be under tremendous physical stress as my body is rarely relaxed with the stomach pains.

Thanks for being so articulate @gabrielm. I feel less crazy. And thanks for the encouragement to explore the Buteyko breathing. It is helping a bit. I googled "Buteyko Breathing Exercises in 3 minutes by Patrick McKeown" and watched the youtube video to learn about it. (As a new member, I cannot post links yet)

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@owensbt

This is all fascinating. I have had a hard time googling this because it isn't just shortness of breath for me, but almost a sense that I cannot make my lungs fill all the way, then there is a "click" as @felicityr said and I get a full stretch of my lungs. I imagine it like blowing up a balloon, but pinching it in the middle, and finally releasing the air to go all the way in.

I also have GERD or some variation. Intense upper GI issues and have a scan scheduled tomorrow.

A number of us mentioned omeprazole. I wonder if it is an undocumented side effect. I am on it as well.

I will follow this thread. I haven't been experiencing this long, but it is also not the first time.

Another thought... I am emotionally well, but I do recognize my body is under stress with these stomach issues. Reduction of stress could be physical as much as emotional. While I don't need to chill out and take a vacation, I may be under tremendous physical stress as my body is rarely relaxed with the stomach pains.

Thanks for being so articulate @gabrielm. I feel less crazy. And thanks for the encouragement to explore the Buteyko breathing. It is helping a bit. I googled "Buteyko Breathing Exercises in 3 minutes by Patrick McKeown" and watched the youtube video to learn about it. (As a new member, I cannot post links yet)

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@owensbt I noticed that you wished to post a URL to a video with your post. You will be able to add URLs to your posts in a few days. There is a brief period where new members can't post links. We do this to deter spammers and keep the community safe. Clearly the link you wanted to post is not spam. Please allow me to post it for you.

- Buteyko Breathing Exercises in 3 minutes by Patrick McKeown
https://youtu.be/tKaUEVnducI

How has the breathing been helping you? Does it help to reduce your body's stress?

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@colleenyoung

@owensbt I noticed that you wished to post a URL to a video with your post. You will be able to add URLs to your posts in a few days. There is a brief period where new members can't post links. We do this to deter spammers and keep the community safe. Clearly the link you wanted to post is not spam. Please allow me to post it for you.

- Buteyko Breathing Exercises in 3 minutes by Patrick McKeown
https://youtu.be/tKaUEVnducI

How has the breathing been helping you? Does it help to reduce your body's stress?

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Thanks... I have moderated forums and thought that was smart when the restriction came up. Makes sense. Thanks for posting. I have only been doing it for a day, but it seems to be helping. Thanks.

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Dear @gabrielm, Gluten-Intolerance, can mimic many diseases. I know a few people with this condition that needlessly had their Thyroid Gland removed. Do you keep a food diary? Please try elimination tactics...it takes at least 3 months for the body to return to a non-inflammatory state. That is how Gluten-Intolerance was explained to me! The biggy, pray for God to show you what is causing it. He will come through.

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