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.

@debkl

After 2+ years of similar symptoms, it turns out my SOB is from cervical and thoracic spondylosis. SOB and muscle weakness flare after various activities. I'm awaiting a consult to discuss the plan of treatment. Already have been told no overlead pulldowns, anything twisting, leaning forward for triceps workout, ab crunches.

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Hey @debkl, I’m glad you found what the issue was and a solution! It definitely makes me happy when those are dealing with this finds a solution! Keep
us updated on how you’re doing

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@payald

Hi Gabriel
I was checking google for help and came across your issue here. I'm exactly in the same boat as yours. I have no issues or GERD but trouble taking a deep breath and have to yawn to be able to take a deep breath. It only started after I started working out a day ago. Sore body is common after workout but I have issues breathing.

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Hi @payald, I’m glad you found this forum. I was like you and googling for answers when it was at its worst.

Have you gotten checked for GERD or any kind of reflux? I know you mentioned you don’t have it but there is “silent reflux” which is acid reflux but without the heartburn feeling which would require getting checked.

Did you over exert yourself when you were exercising? How is the rest of your health?

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I too had sob for 1 and a half yrs...lungs are clear....oddly enough my cause was found because of severe spine pain which was separate from the shortness of breath.....I had an E M G muscle test done that showed abnormal findings....my muscles are weak in my diaphragm and I was diagnosed with a very, very rare disease called "Stiff Person Syndrome" that effects the brain and spinal cord/central nervous system....had I not gotten that E M G, I would have never gotten an answer.....many muscle diseases can effect breathing.....I suggest you get an E M G (muscle test) done to find your answer....everything else has been normal or very close to normal....there is ALWAYS a cause for shortness of breath !

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@southerncharm

I too had sob for 1 and a half yrs...lungs are clear....oddly enough my cause was found because of severe spine pain which was separate from the shortness of breath.....I had an E M G muscle test done that showed abnormal findings....my muscles are weak in my diaphragm and I was diagnosed with a very, very rare disease called "Stiff Person Syndrome" that effects the brain and spinal cord/central nervous system....had I not gotten that E M G, I would have never gotten an answer.....many muscle diseases can effect breathing.....I suggest you get an E M G (muscle test) done to find your answer....everything else has been normal or very close to normal....there is ALWAYS a cause for shortness of breath !

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Hi again
I didnt over exert myself. I did have nausea and acidity a few months ago but not anymore (im following a naturopath)
I had to take a sleeping pill to be able to get some sleep at night. You recommend getting tested for acid reflux?

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@payald

Hi again
I didnt over exert myself. I did have nausea and acidity a few months ago but not anymore (im following a naturopath)
I had to take a sleeping pill to be able to get some sleep at night. You recommend getting tested for acid reflux?

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I would ask for an Electromyleogram.....I know its a long word but it is a "muscle test"....sometimes shortness of breath can be from weakened muscles in your rib cage (diaphragm) when there is no other cause........ it takes muscles for your lungs to move....inhale and exhale

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@southerncharm

I would ask for an Electromyleogram.....I know its a long word but it is a "muscle test"....sometimes shortness of breath can be from weakened muscles in your rib cage (diaphragm) when there is no other cause........ it takes muscles for your lungs to move....inhale and exhale

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Also a "sleep study" to see if you have sleep apnea.....these test are very important....shortness of breath is important to find the cause.....earlier than later.....sleep apnea can damage organs.....body needs to rest and if you are not going into a "deep sleep" your organs are not resting such as heart, lung, kidneys etc....

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@southerncharm

I would ask for an Electromyleogram.....I know its a long word but it is a "muscle test"....sometimes shortness of breath can be from weakened muscles in your rib cage (diaphragm) when there is no other cause........ it takes muscles for your lungs to move....inhale and exhale

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Thanks. I will speak to my doctor about this. I go to the chiropractic every week for my back issues and whenever I try to workout and go to hin the next day, he says a few ribs are out of place and he has to adjust accordingly. Not sure if the 2 are related. I'm scared now so I have stopped working out. it get worse in the evening so bad that I can't even eat

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@colleenyoung

Hi Sue, I noticed that you wished to post links to articles 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 links you wanted to post are not spam. Please allow me to post them for you.
- Dysfunctional breathing: a review of the literature and proposal for classification https://err.ersjournals.com/content/25/141/287
- When Breathing Goes Awry https://www.scientificamerican.com/article/when-breathing-goes-awry/

Have you had success with retraining your breathing?

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Thank you Colleen!

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@gabrielm

Hi @sueran1, thanks for the input. Did your exams discover any issues? I think there is an element of dysfunctional breathing for sure; like our breathing has been “off” for some reason. I think breathing exercises help to retrain the breath. But yeah, the tough question is what is causing the breathing to become off in the first place. How long have you been dealing with this?

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Hi Gabe

Exams uncovered no issues.

Yes I wonder if there is an underlying physiological cause or (in my case at least) whether my anxiety is the underlying cause - athough this seems unlikely for most reading through some of the posts as many have mentioned they do not suffer from anxiety. And it is also interesting to note that I have tried to take a benzo when my symptoms are bad to see if it helps but whilst I feel much calmer my breathing is still the same.

I have been experiencing this now for around 5 months (the symptoms started gradually went away for a bit and then came back worse).

I was actually at the ED tonight because along with the SOB in the last few weeks I have had trouble swallowing - is this a symptom that has been mentioned before? The dr in the ED recommend a swallow test.

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@colleenyoung

Hi Sue, I noticed that you wished to post links to articles 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 links you wanted to post are not spam. Please allow me to post them for you.
- Dysfunctional breathing: a review of the literature and proposal for classification https://err.ersjournals.com/content/25/141/287
- When Breathing Goes Awry https://www.scientificamerican.com/article/when-breathing-goes-awry/

Have you had success with retraining your breathing?

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I have only just started with some of the breathing techniques - I will keep you posted if they provide any relief!

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