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.

@haleynicole1223

After reading this post I am curious if maybe it’s something I am eating as well. I do lift heavy at CrossFit and I’m curious if I’m more susceptible to a certain food. I don’t eat any type of nuts but the one thing I can think of that I consistently eat is peanut butter. Maybe I’ll try and cut it out for a week and see how I feel. I actually took a food intolerance test a while back for skin/breakout issues and since then I’ve cut out beef and tuna and my skin has completely cleared up. I know first hand how closely related skin and gut health is but seems like I am cutting out so many foods just to feel “normal” which is really stressful.

Jump to this post

What kind of food intolerance test?

REPLY

The one I did was the US food intolerance. It was a hair follicle test. I’m not sure exactly how accurate the results are but it worked for me in terms of acne breakouts!

REPLY
@sueinmn

That burning feeling in the back of your throat is a clear sign of reflux - acid escaping from where it is supposed to be. There are a few things you can try to avoid that feeling after eating - one is to limit liquids before and during meals to sips of water, milk or mild herbal teas. This will keep your stomach from becoming so full. Another is to eat smaller, more frequent meals.
I do have a question - heavy lifting in CrossFit often goes with a life committed to healthy eating, which often includes supplements, smoothies and protein powders or drinks. Many supplements and protein powders come loaded with unfamiliar herbs, minerals & fillers, as well as pea or bean proteins. Your body may be sensitive or allergic to one or more of them. I was using a protein supplement that changed its formula to include tree nut extract, and suddenly it was making me ill!

Might this describe your lifestyle? If so, perhaps stopping those things for a few weeks, then adding back one at a time very slowly could help you find the problem.
Sue

Jump to this post

I do agree that my signs and symptoms point to some type of reflux whether it be silent reflux or maybe even a hiatal hernia. I’ve been experiencing this dyspnea for about 3 weeks now and I actually just started counting my macros again today which does include high amounts of protein but more so just balancing carbs, fats, proteins, and calorie intake. I will look more into the ingredients in my protein shake and collagen powder but all my other protein sources come from chicken and turkey because I do not eat beef or tuna.

I feel though that this all started once I switched to night shift. I’ve been reading articles about GERD/acid reflux and the being more susceptible being a “night shifter”. Seems almost as if since my eating schedule is so all over place depending on the day (I only work three shifts a week and flip on the other days), my body doesn’t know when to produce acid for food absorption. Just a guess but I just hate that it happened so randomly and now even sitting on the couch it’s hard to get a “satisfying” breath.

REPLY
@haleynicole1223

I do agree that my signs and symptoms point to some type of reflux whether it be silent reflux or maybe even a hiatal hernia. I’ve been experiencing this dyspnea for about 3 weeks now and I actually just started counting my macros again today which does include high amounts of protein but more so just balancing carbs, fats, proteins, and calorie intake. I will look more into the ingredients in my protein shake and collagen powder but all my other protein sources come from chicken and turkey because I do not eat beef or tuna.

I feel though that this all started once I switched to night shift. I’ve been reading articles about GERD/acid reflux and the being more susceptible being a “night shifter”. Seems almost as if since my eating schedule is so all over place depending on the day (I only work three shifts a week and flip on the other days), my body doesn’t know when to produce acid for food absorption. Just a guess but I just hate that it happened so randomly and now even sitting on the couch it’s hard to get a “satisfying” breath.

Jump to this post

I started taking Nexium yesterday to see if it will help any before scheduling an appointment with the GI doctor. I know the first thing the physician will want to put me on is protonix which shouldn’t be used long term nor do I feel fixes the underlying problem. I’m young, exercise daily, eat healthy and there’s just no reason I should be having acid reflux “all of the sudden” - so strange!!

REPLY

Understand, as my journey was 91/2 years to find solution to SOB with minimal exertion. Only last year did I developed SOB like the hyperventilating. Good news is that my first problem was solved by ACDF surgery with a herniated disc being removed and a spacer put in C5/6. The other SOB like yours is still there, and I’m beginning to wonder if it isn’t a pinched nerve at C4/5… Maybe have an X-ray?

REPLY
@farahj1

I started having shortness of breath in Dec 2019 till today which is more than 2 years some days it’s fine and some days I’m literally suffering it’s like there’s no breath to take at all I would just try to yawn to catch some breath but that doesn’t always help, I went to more than 5 doctors over the 2 years and made tests everything was fine. some days I’m not able to sleep because of it and some days it’s better but it NEVER goes away never !!

Jump to this post

@farahj1, I’m sorry to hear you’ve been dealing with this for this long. I assume you had blood tests done as well do see if you were deficient in anything? Have you tried any breathing exercises and do you do any physical exercise?

REPLY
@haleynicole1223

After reading this post I am curious if maybe it’s something I am eating as well. I do lift heavy at CrossFit and I’m curious if I’m more susceptible to a certain food. I don’t eat any type of nuts but the one thing I can think of that I consistently eat is peanut butter. Maybe I’ll try and cut it out for a week and see how I feel. I actually took a food intolerance test a while back for skin/breakout issues and since then I’ve cut out beef and tuna and my skin has completely cleared up. I know first hand how closely related skin and gut health is but seems like I am cutting out so many foods just to feel “normal” which is really stressful.

Jump to this post

@haleynicole1223- You certainly are having a difficult time. I have had dyspnea for a long time and am taking Omeprazole. My GI doctor suggested that when I have "breakthroughs" to take FD Guard. It's for recurring indigestion. It is caraway oil and l-menthol. It works for me. It is pricey but well worth it for me.

Another thing that I noticed is that you lift heavyweights. This can actually be a problem as the higher weight that you lift the more pressure you put on your body, asking it to perform, perhaps too much. Have you tried lifting less weight? Maybe going back to the weight that you were using prior to your dyspnea? Have you considered using less weight and increase the number of reps you do?

When you reduced the types of food that you stopped eating did you do it one food at a time? I'm worried that you might not be getting enough protein. Do you take any supplemental protein?

REPLY
@grandma72

Understand, as my journey was 91/2 years to find solution to SOB with minimal exertion. Only last year did I developed SOB like the hyperventilating. Good news is that my first problem was solved by ACDF surgery with a herniated disc being removed and a spacer put in C5/6. The other SOB like yours is still there, and I’m beginning to wonder if it isn’t a pinched nerve at C4/5… Maybe have an X-ray?

Jump to this post

@grandma72- It does sound like an X-ray is a good idea now. What does your doctor say?

REPLY
@haleynicole1223

I started taking Nexium yesterday to see if it will help any before scheduling an appointment with the GI doctor. I know the first thing the physician will want to put me on is protonix which shouldn’t be used long term nor do I feel fixes the underlying problem. I’m young, exercise daily, eat healthy and there’s just no reason I should be having acid reflux “all of the sudden” - so strange!!

Jump to this post

@haleynicole1223 - Sometimes it does just happen overnight. There can be many reasons for dyspnea and when your body reaches its optimal stress point it fights back. It makes me nervous that you are taking a medication on your own that changes the chemical acidity of your body, along with changing in your diet, stressing your body with heavyweights,... Something is off-balance, even if you are young.

There comes a point when your body reacts and pushes back if it's too much of a good thing. Perhaps you are stretching yourself too much? What do you think?

REPLY
@farahj1

I started having shortness of breath in Dec 2019 till today which is more than 2 years some days it’s fine and some days I’m literally suffering it’s like there’s no breath to take at all I would just try to yawn to catch some breath but that doesn’t always help, I went to more than 5 doctors over the 2 years and made tests everything was fine. some days I’m not able to sleep because of it and some days it’s better but it NEVER goes away never !!

Jump to this post

@farahj1- Welcome to Mayo Clinic Connect. You are not alone in your journey with dyspnea. I hope that you have read at least some posts! Did something change in your life in December of 2019? Have you considered that anxiety might be the cause?

REPLY
Please sign in or register to post a reply.