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.

Hi Frank, welcome. You'll notice that I moved your message to this existing discussion about shortness of breath. I did this so you can connect with other members like @gabrielm @merpreb @sueinmn @gorgievski @owensbt and others. I encourage you to read the past posts.

Frank, have you tried breathing exercises like pursed lip breathing?

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@tamaracaitlin

Yes! I do have a similar experience with the yawning. I will try to take a deep breath and if it doesn't feel like enough, then I keep trying to yawn until it does. Sometimes I feel I cant even yawn! That is when I spiral.
Looks like were kinda in the same boat then, I'm willing to try something for my anxiety because of this recent panic attack. That sure was not fun, and I want to avoid that happening again!

I am going to look I to dysfunctional breathing, I just did for a moment and it's very intriguing. I've also read up alot on sighing dyspnea.

I really need to try some of these breathing exercises. I'm a little scared but I should try.

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I also wanted to add that you may want to check out Sal51’s comments about dysfunctional breathing/hyperventilation (April 2021) in case you have not done so. Sal51 identifies themselves as a medical doctor and I have found their comments about SOB very helpful. Ultimately, based on their comments, I still have the reason to hope that I could overcome this issue by addressing my underlying mental health issues (e.g. anxiety).
On the other hand, I have just read some older comments on this forum by another medical doctor Felicityr (June 2, 2020). Felicityr talks about the idea that this condition may be related to some kind of pulmonary (lung) blood vessel stretch receptor issue which the medical science has little knowledge of and current tests do not show. Basically, the way I understood it, Felicityr attributes this condition more to organic factors (like a faulty alarm system) rather than psychogenic factors. I have to say that I have found this explanation quite discouraging because if this theory is correct, I do not see how the treatment of my anxiety could resolve my SOB.
Once again, I appreciate and respect everyone’s comments here, I just want to find a reason to believe that sooner or later this issue will go away.
Thank you

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Are you still experiencing this? If not what was the issue ? I’ve been having the same thing

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@tamaracaitlin

Hello everyone. I just wanted to post an update on all the tests I've had since last posting.
To recap, I went to the ER I august 2019 for this new sob. They did a chest xray, two ct scans, lots of blood work and a heart ultrasound. All they found was a small air bubble trapped in my chest cavity. They said it would clear on it's own but referred me to a lung specialist. Since seeing this specialist I've had two pulmonary function tests, another ct scan, many many chest xrays, lots of blood work, a lung scan, another heart ultrasound, endoscopy, bronchoscopy, I wore a heart monitor for 72 hours, and an allergy test. I think that's all, but at this point I may be forgetting a test or two. All of these tests were ordered by the lung specialist and a respirologist and it's not over yet because I'm now waiting for a referral to a gastroligist. All the tests came back perfect except the endoscopy. The endoscopy showed high amounts of eosinophil in my esophagus. Which means I have Eosinophilic esophagitis. This is is a chronic, allergic inflammatory disease of the esophagus. It occurs when a type of white blood cell, the eosinophil, accumulates in the esophagus. This is why I was referred to the allergist who gave me an allergy test but I am not allergic to anything he tested me for. He basically said I'm going to have to have another endoscopy to see if its clearing on it's own and if it isnt there are topical steroids I can take to see if it helps or I have to try to eliminate certain foods to see if a food is causing this.

So they have no idea if the Eosinophilic esophagitis is causing my shortness of breath but this is all they have found so far and are just trying to treat that and see what happens.

I still experience this bizarre shortness of breath every day. But according to the tests, I'm healthy. My heart and lungs are great, so I still don't understand what is causing this.

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I’m experiencing the same shortness of Breath and they are going to look at my esophagus as well let me know if treatment for your esophagus cures your shortness of breath problem

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I’m experiencing shortness of breath along with chest wall , back jaw, headache,and shoulder pain and tingling pinky and ring finger does anyone know what this can be..? Was in super health prior to this 56 year old male -also have bad fatigue in the AM when I’m normally full of energy have had it for 5 months now.. thanks!

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@gabrielm

@nick43 I applied the method when I learned it very stringently every day, 3 times a day. I did this until my symptoms decreased considerably, and now I do the 'Steps' exercise about every morning to every other morning just as 'maintenance'. (Steps is an exercise part of the method that everyone learns in the class). And then I take a walk every day as do light to moderate weight lifting which also helps with symptoms.

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I saw this message thread a couple of months ago....I felt the need to come back and try to find it and opened an account just to reply to all of you. I had the same issue - started a year or so ago and seemed to come from nowhere. Thought for sure it was iron related. I have been taking supplements. It seemed to work. It is the kind of thing that comes and goes for sure. I run too, which makes dealing with it harder. Then of course the more I think of it, the more I have to yawn. Well......this week is is getting noticeably better every single day. WHY? I think I know - and will leave this here and let you all decide for yourselves. I have had an ongoing issue with a compression in my shoulderblade/neck. MUCH massage therapy wasn't helping. I was working out through the discomfort but it was basically chronic. I saw an advertisement for a local chiropractor so decided to go see him. I have had the scans and the x rays and I see for myself how messed up my spine is. I have had three adjustments and my need to yawn is getting BETTER. I still do - especially if I overthink it. But it doesn't ache at the bottom, and the yawn gets "over the hill". The adjustments are HELPING. I didn't think I would find a solution and after reading your posts I thought I would be like you. But it is HELPING. I hope you consider it. It could help you too. Read up on how spine and lungs are related.

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@brockstrickland

I’m experiencing shortness of breath along with chest wall , back jaw, headache,and shoulder pain and tingling pinky and ring finger does anyone know what this can be..? Was in super health prior to this 56 year old male -also have bad fatigue in the AM when I’m normally full of energy have had it for 5 months now.. thanks!

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see my reply below - could help you too

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@karenlouise

see my reply below - could help you too

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Hi Karen nothing attached.. thanks a lot!

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Look for my comment right below your last one I believe.

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@nickntn20

I’m experiencing the same shortness of Breath and they are going to look at my esophagus as well let me know if treatment for your esophagus cures your shortness of breath problem

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Hi Nick, welcome. What tests will you be having done to check your esophagus? What are they suspecting?

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