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.

@jeddles

Hi gabe, know it’s been a couple years since you have posted on this thread. However I stumbled upon your post and feel like I have started to struggle with the same symptoms. It feels like every minute I have to take a deep breathe and even then it doesn’t feel like it’s satisfied me. I rang my doctor and she said I may be breathing incorrectly. However it’s been a few days and this still affects me. Wondering if you’ve had any more luck

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Hi @jeddles , you've come to the right place because this thread is very active! So many people are dealing with the same sorts of symptoms so it's nice to have a group of people who support each other and remind us that we're not alone. It sounds like it has started fairly recently for you. Was there any sort of event that took place that you think may have kick started the issue, or has it been more gradual?

Since I first started dealing with the daily dyspnea, there have been many ups and down but I've been at a place over the past few years where the symptoms come and go but aren't as severe as when it first started. Doing breathing exercises, doing physical exercise and taking walks when I can, learning to slow the breath and only breathe through my nose have all been things that have helped me improve. There are still other areas of my health that need work (I could be eating better), I feel like the exercises have helped greatly.

Are you active and if so, does exercise or some level of physical activity affect the breathing?

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@gabrielm

Hi @ailuj70, so sorry you've been dealing with this so long and now especially that it's on a daily basis. There's a lot of information that has been share over the past 3 years or so since I originally posted in the forum and as @merpreb mentioned, the comments provide a lot of insight from people who have tried different things. As for me, doing breathing exercises primarily using the Buteyko Breathing method has helped me a lot and I have learned to control my breathing over the years. While the air hunger hasn't gone away completely, it's been manageable and tolerable.

Even though it's been happening on a daily basis for you, are you still able to get a deep, satisfying breath occasionally?

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Hello Gabe,
Your message was the first I read (I'm new to this forum -didn't realize there was one. The Mayo Clinic site is my favourite to look up health issues).
I was somewhat relieved to read your comments and many others on this SOB.
Although I've had this all my life .. but as I mentioned in one of my threads, it was maybe once a year and usually when it was very humid out - in summer.
I'm 71 now and maybe there's issues that I don't know of and no one has discovered.
As soon as I see my Dr, I will mention the Buteyko method.
I'd like to see what he says about this Dyspnea. As I mentioned before he is a new Dr for me.
Yes I am eventually able to get a breath but it's with much work as I need to somehow get to yawn which as you know is sometimes difficult to do as yawning is usually automatic, otherwise I just have to try and wait to catch a deep breath. This is every couple of minutes so I'm very frustrated and tired and sometimes I just have to cry to relieve myself.
Didn't mean for this to be so long..
I will just quickly say this and not sure if there's any relation or maybe it's just made worse but it wasn't until I had the vaccine that I noticed this happening daily.
I'm triple vaxxed so the last one was mid January. The one before was in July and I had a short-lived episode of SOB.
Way too much info I know..
Having said all that, I'm hoping that this Dr will be able to help me in finding a solution for me if there is one as it's interfering with living.
Thanks so much for replying and I wish you great moments of easy breathing.

Julia

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@ailuj70

Hello Gabe,
Your message was the first I read (I'm new to this forum -didn't realize there was one. The Mayo Clinic site is my favourite to look up health issues).
I was somewhat relieved to read your comments and many others on this SOB.
Although I've had this all my life .. but as I mentioned in one of my threads, it was maybe once a year and usually when it was very humid out - in summer.
I'm 71 now and maybe there's issues that I don't know of and no one has discovered.
As soon as I see my Dr, I will mention the Buteyko method.
I'd like to see what he says about this Dyspnea. As I mentioned before he is a new Dr for me.
Yes I am eventually able to get a breath but it's with much work as I need to somehow get to yawn which as you know is sometimes difficult to do as yawning is usually automatic, otherwise I just have to try and wait to catch a deep breath. This is every couple of minutes so I'm very frustrated and tired and sometimes I just have to cry to relieve myself.
Didn't mean for this to be so long..
I will just quickly say this and not sure if there's any relation or maybe it's just made worse but it wasn't until I had the vaccine that I noticed this happening daily.
I'm triple vaxxed so the last one was mid January. The one before was in July and I had a short-lived episode of SOB.
Way too much info I know..
Having said all that, I'm hoping that this Dr will be able to help me in finding a solution for me if there is one as it's interfering with living.
Thanks so much for replying and I wish you great moments of easy breathing.

Julia

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@ailuj70, I hope your new doctor will be able to provide some sort of answer.

No worries about too much info! Feel free to provide as much as you feel comfortable with. Everyone here is here to help each other and try to aid in getting to the bottom of our conditions.

A few Buteyko exercises might help you in the meantime. There are a few exercises you can look up on YouTube to try to do daily.

I assume your doctor will run various tests to see if anything unusual that might be contributing to this. Let me know how your doctor visit goes. It’d be interesting to know what he or she finds out.

Any known anxiety or GI issues? I ask because I’m finding that a lot of people with breathing issues have GERD or other GI issues so just curious if you do as well.

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@gabrielm

@ailuj70, I hope your new doctor will be able to provide some sort of answer.

No worries about too much info! Feel free to provide as much as you feel comfortable with. Everyone here is here to help each other and try to aid in getting to the bottom of our conditions.

A few Buteyko exercises might help you in the meantime. There are a few exercises you can look up on YouTube to try to do daily.

I assume your doctor will run various tests to see if anything unusual that might be contributing to this. Let me know how your doctor visit goes. It’d be interesting to know what he or she finds out.

Any known anxiety or GI issues? I ask because I’m finding that a lot of people with breathing issues have GERD or other GI issues so just curious if you do as well.

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Thanks for your reply.
Now that you ask, I was taking medication for indigestion but it went away (beginning of 21) but it is now back as of yesterday. I can't get a hold of my Dr as he discontinued those meds but the pharmacy is giving me something else. (I am taking baking soda in the meantime).
Meanwhile I'm trying to make an apt with my Dr.
Thanks so much for listening.

Julia

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These are supposed to be the 'Golden Years' - I beg to differ. Lol

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@ailuj70

These are supposed to be the 'Golden Years' - I beg to differ. Lol

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Hah, my mom always said that too, and then qualified it with, “But beware of fool’s gold.” 🙃

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@loribmt

Hah, my mom always said that too, and then qualified it with, “But beware of fool’s gold.” 🙃

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Oh good one!
I will add that next time I quote that phrase.
Thanks for that.

Everyone is so helpful on this site, medically or comically - happy I joined.

Wonderful day to all.

Julia

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I too have this condition but the only thing that I haven't seen mentioned yet is that sometimes I have what I call some type of spasms with inspiration, but not always... every day though. ... like 3 quick "hiccups but not" as I'm breathing in.

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@justme22

I too have this condition but the only thing that I haven't seen mentioned yet is that sometimes I have what I call some type of spasms with inspiration, but not always... every day though. ... like 3 quick "hiccups but not" as I'm breathing in.

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Hi,
Not to downplay that but it's unique for sure.
I don't like hiccups so I hope that doesn't start. 🥴
Have you found anything on the internet that describes that?

Julia

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@ailuj70

Thanks for your reply.
Now that you ask, I was taking medication for indigestion but it went away (beginning of 21) but it is now back as of yesterday. I can't get a hold of my Dr as he discontinued those meds but the pharmacy is giving me something else. (I am taking baking soda in the meantime).
Meanwhile I'm trying to make an apt with my Dr.
Thanks so much for listening.

Julia

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You’re welcome! I just find it interesting that many of us with breathing issues also have GI issues. Not sure what the correlation is if any, but I’m always trying to research ways that they might be connected and contribute to breathing problems

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