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.

@dcm8299

Absolutely agree about the shortness of breath being miserable. An endoscopy goes down your throat. It’s suppose to scope your esophagus. With GERD, stomach acid can climb the esophagus and harm the lining of one’s esophagus. Stomach acid can also slide down the windpipe into the lungs. I’m going to look into the Primitene Mist Spray. Although, for me, I’m starting to wonder if it’s not diaphragm and musculoskeletal skeletal related since I constantly have discomfort in the area of the sternum/xyphoid process.

Jump to this post

@dcm8299 I had an endoscopy done many years ago and that's when they diagnosed me with GERD. I've been taking omeperazole ever since. I had some irritation in my esophagus. The breathing issue could be diaphragm related. I've seen people mention on here about the possibility of a weaker diaphragm that doesn't fully function for whatever reason. Almost like it doesn't fully expand when breathing normally. And as you mentioned in your recent comment, the air hunger issue still persists for most people even with normal O2 saturation.

Breathing exercises have helped me keep symptoms at bay most of the time, and moderate exercise also helps. I don't push myself too hard. You mentioned about feeling almost normal while running. I used to run a lot but had to stop because one day I came back from running and the air hunger got worse. So now I walk or lightly jog until I'm mildly out of breath, but not too much.

I would suggest diaphragm exercises, and I will look into that myself. It probably doesn't hurt to do some strengthening exercises even if that's not the problem. 🙂 Have you looked into other breathing exercises like the Buteyko method, or just breathing exercises in general to slow down the breath?

REPLY
@shels

I have not been able to complete a deep breath for over 2 weeks. I feel a need to yawn and it gets stuck in my chest…. Pulmonologist found nothing, ENT said I have GERD. ( no symptoms). I’m now taking allergy meds, nasal sprays and Omeprazole with no relief…. This is making me anxious and uncomfortable.
I don’t know where to turn for help. This has never happened before. I’m a senior citizen with no health issues except for this

Jump to this post

@shels, I'm so sorry you've started to experience this breathing issue and associated anxiety. I know how it feels! I am glad that you found this forum shortly after your started so that you can start searching for answers right away.

That's good that your pulmonologist didn't find anything- have you had your heart examined?

Do you recall any event or anything that happened that might have started this up, or did it start out of the blue?

REPLY
@zkingsley

It is daily, and throughout the day. I use breathing exercises which definitely help. I just wish it would go away.

Jump to this post

@zkingsley I hear you! I wish it go away for all of us. I'm glad you're getting some relief with the breathing exercises. What sort of exercises are you doing? Maybe these will also help others who are going through the same struggle.

REPLY
@dcm8299

I’ve been on Protonix now for over a month. I’ve NOT noticed a difference in my breathing. Although the GERD still appears from time to time. The excessive yawning continues, the need to take a deep breath more often than normal continues. Sometimes I get that deep breath easier than others. It appears to be happening more frequently. As per the advice of another poster, I’m trying the Primatene spray although it doesn’t seem to be having much effect. Nothing beyond has seemingly changed. I still run freely and without much interference with my breathing. I’ve noticed recently that more strenuous exercise like climbing hills or stairs make my legs more tired that I remember but that could be just normal aging, conditioning or lack thereof issues. Still wake u every morning with normal BP and an O2 Sat of 98-99%. Maybe it’s a diaphragm issue?!?! At my height, I could probably stand to lose 20 lbs. perhaps the diaphragm is compressing and now allowing the lungs to properly expand?!?

Jump to this post

REPLY

I find the above product to be very helpful. I got information about this through a lady in the UK I've done zoom appointments with. She is a respiratory physiologist and works with people with Breathing Pattern Disorder. Always breathe through your nose!
This tool is a diaphragm strengthener. I use it as she directed, twice a day, 30 reps, at 2.0, my goal being 2.5 effortlessly. Overall, I am not cured. But I'm feeling better. Some days, as many as 10-12 with normal breath all day. Best Wishes.

REPLY
@sheebacat

I find the above product to be very helpful. I got information about this through a lady in the UK I've done zoom appointments with. She is a respiratory physiologist and works with people with Breathing Pattern Disorder. Always breathe through your nose!
This tool is a diaphragm strengthener. I use it as she directed, twice a day, 30 reps, at 2.0, my goal being 2.5 effortlessly. Overall, I am not cured. But I'm feeling better. Some days, as many as 10-12 with normal breath all day. Best Wishes.

Jump to this post

You're awesome. Thank you. I'm ordering one now. Great reviews too.

REPLY
@dcm8299

You're awesome. Thank you. I'm ordering one now. Great reviews too.

Jump to this post

If you have any questions about using it, you can contact me here. Carol

REPLY
@dcm8299

I’ve been on Protonix now for over a month. I’ve NOT noticed a difference in my breathing. Although the GERD still appears from time to time. The excessive yawning continues, the need to take a deep breath more often than normal continues. Sometimes I get that deep breath easier than others. It appears to be happening more frequently. As per the advice of another poster, I’m trying the Primatene spray although it doesn’t seem to be having much effect. Nothing beyond has seemingly changed. I still run freely and without much interference with my breathing. I’ve noticed recently that more strenuous exercise like climbing hills or stairs make my legs more tired that I remember but that could be just normal aging, conditioning or lack thereof issues. Still wake u every morning with normal BP and an O2 Sat of 98-99%. Maybe it’s a diaphragm issue?!?! At my height, I could probably stand to lose 20 lbs. perhaps the diaphragm is compressing and now allowing the lungs to properly expand?!?

Jump to this post

Please consider trying the breathing exercises. I take Protonix. It’s mostly but not always helpful. The endoscopy showed a sliding hiatal hernia. Doc said not causing shortness of breath.
Breathing conscientiously has helped!

REPLY
@mdrickards

Please consider trying the breathing exercises. I take Protonix. It’s mostly but not always helpful. The endoscopy showed a sliding hiatal hernia. Doc said not causing shortness of breath.
Breathing conscientiously has helped!

Jump to this post

Thank you! I’ll certainly try the breathing exercises. I’ve often thought about GERD as a cause or even perhaps a hiatal hernia. Will have to follow up

REPLY
@sheebacat

i agree about it being worse when I think (obsess) about it.
I'm still not 100% sure this is not long covid since I started 6 days before I got other symptoms and tested positive. Some docs think it could be. Some think it's anxiety. I've been on anti anxiety meds for 6 months. Still in same recover/relapse pattern.
I have to say diaphragm strengthening tool has helped I think. Also doing diaphragm breathing throughout thd day.I also take an antihistamine and cut out sugar, alcohol and high histamine foods. I've started a very clean diet. Lost 23 pounds. If not for this breathing, I'd be the healthiest girl on the planet!

Jump to this post

I've never had Covid that I know of? But this all started when Covid first came on the scene. I was scared to death to go to the doctor. So maybe I had it and didn't even know it? It's been part of my life now for over two years. It comes and goes, I'll have days where it is always there then I'll I have days where it dosen't bother me and I feel good and can get decent full breaths. I've read alot of the comments on this thread and most all of the people here are experiencing the exact same thing. Doctors are worthless! They look at you like it's all in your head! No one really understands unless they've had this issue. I'm hoping that some day it just magically disappears!

REPLY
Please sign in or register to post a reply.