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.

For those that have said they had this condition "off and on", do you recall if in your off periods you just happened to forget about the breathing? Perhaps distracted by something else during that time? Or were you still aware of your breathing, but it actually felt normal?

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@kka

For those that have said they had this condition "off and on", do you recall if in your off periods you just happened to forget about the breathing? Perhaps distracted by something else during that time? Or were you still aware of your breathing, but it actually felt normal?

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Hi @kka, how are your symptoms? I know you had Covid sometime last year and you also posited that your breathing issue could also be from acid reflux. Has your breathing improved since then?

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Does anyone find exercise / movement brings it on? Get your spine checked. I had a breathing problem caused by a pinched nerve. Good luck.

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Hello everyone, i hope you all are doing fine. I have had the same issue for a couple years now. I am hear to tell you that there is nothing wrong with you. The deep breaths we take, its completely normal. The only thing that makes it a issue for us, is that we are paying too much attention to it, because we think there is something wrong. Everybody takes a deep breath like every 5 minutes or so, because otherwise our lungs would collapse. The thing is, everybody does it unconsiously, we pay attention to it. What we do have is OCD. You need to go see a psychologist, and learn to let go of the feeling, and learn to breath shallow, so that nobody can hear your breathing. A healthy breathing is a quite breathing. And please remember you are fine, you just need a little help to learn to accept and control it.

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@ayilmaz12358

Hello everyone, i hope you all are doing fine. I have had the same issue for a couple years now. I am hear to tell you that there is nothing wrong with you. The deep breaths we take, its completely normal. The only thing that makes it a issue for us, is that we are paying too much attention to it, because we think there is something wrong. Everybody takes a deep breath like every 5 minutes or so, because otherwise our lungs would collapse. The thing is, everybody does it unconsiously, we pay attention to it. What we do have is OCD. You need to go see a psychologist, and learn to let go of the feeling, and learn to breath shallow, so that nobody can hear your breathing. A healthy breathing is a quite breathing. And please remember you are fine, you just need a little help to learn to accept and control it.

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Hi @ayilmaz12358, thank you for stopping in and sharing. I think for many of us there certainly may be an element of paying too much attention to the breathing. There are a variety of causes and triggers for different people, and I think dealing with this sort of thing can lead to focusing on it too much. Or perhaps some people's breathing becomes "off" for whatever reason and so it's worth it to try various things like breathing exercises to get it back on track. It's also good to reassure others that we're going to be ok. Many people may start to think something is seriously wrong (like I did when it first started for me) and learning how to cope with it and manage symptoms helps with the mental aspect of it. Valuable insight, thanks again for sharing!

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@gabrielm

Hi @kka, how are your symptoms? I know you had Covid sometime last year and you also posited that your breathing issue could also be from acid reflux. Has your breathing improved since then?

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Hi @gabrielm

That's nice you remembered. I stopped taking the acid reflux meds ( didn't want to continue them for long term) and I started noticing the breathing issue again. However, even when I was taking the meds, I'm not sure if my breathing actually changed or if I just stopped noticing it because my acid reflux wasn't bothering me as much. That's why I'm wondering for those that say they have had this issue "on and off", do they mean that they just stopped noticing it for some time period (maybe distracted by something else) or did their breathing actually change? Here is an interesting article that claims that this issue could be psychological caused by a number of triggers:
https://www.frontiersin.org/articles/10.3389/fphys.2018.00782/full

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@kka

Hi @gabrielm

That's nice you remembered. I stopped taking the acid reflux meds ( didn't want to continue them for long term) and I started noticing the breathing issue again. However, even when I was taking the meds, I'm not sure if my breathing actually changed or if I just stopped noticing it because my acid reflux wasn't bothering me as much. That's why I'm wondering for those that say they have had this issue "on and off", do they mean that they just stopped noticing it for some time period (maybe distracted by something else) or did their breathing actually change? Here is an interesting article that claims that this issue could be psychological caused by a number of triggers:
https://www.frontiersin.org/articles/10.3389/fphys.2018.00782/full

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Thanks for sharing the article, I will check it out and I'm sure many others will find it helpful. It's definitely possible people stop noticing it when they're distracted. I know for me, if I'm in deep thought to deep concentration on something, I don't really notice an air hunger sensation but do tend to notice it more when I'm not focused on anything or if I'm focused too much on my breathing.

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Glad that I came across this post last night, at a moment when I was struggling with the SOB symptom while trying to fall asleep, after reading a few pages of comments, I felt more relaxed (that I'm not alone!) and eventually dozed off. My SOB (or constantly feel the need to breathe deeply, yawn excessively, nausea and dry throat caused by yawning too much in the cold air...) first appeared in the late fall of 2020 and lasted about a month, like many of you guys described, it can be sometimes intense, but better when distracted. At that time I did blood test for common allergens (like 20+ things) - nothing stood out. Tried inhaler - didn't work, for it kept my attention on breathing, which made things worse. Tested for covid and covid antibodies - wasn't ever infected back then.
Now, after 2+ years, the same symptom came back since about a week ago. Going to see a doctor this week and we'll see how it goes. So far my top 3 suspicions: something related to GERD (in my case I almost always feel minor heartburn & painful throat), allergy related to cold air (both times the symptoms hit in winter, I exercise regularly, sometimes outdoors - and the symptoms get exacerbated), anxiety/stress/panic (I get anxious easily and recently had a few moments of stress, but this wasn't the case when I experience SOB back in 2020). Thanks to all of you for sharing, hope you are coping with it ok these days.

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I honestly almost cried when I read this article! What you shared is exactly what I have been experiencing since Sept 2021 and I feel like I’m going crazy because of it. I continue going to the different specialist and nothing abnormal is found. They pretty much said I have GERD but I am not convinced this is my real problem. The worry surrounding my breathing is beginning to become unbearable. I’m getting no answers. I felt like I was alone until I read this article. I will try the breathing exercises and working out you suggested in hopes that it will help me. I am so desperate right now to find a solution. I just want to feel normal again. I never had any health issues and I’m only 39. For a long time I thought the breathing problems where due to covid which I got in September. 2 week after covid, is when I starting noticing a change in my breathing and I’ve had the issue ever since then. It’s been about 1 year and 3 months that I’ve been dealing with this situation and I’m really concerned that it won’t get any better. It interferes with my daily life to a point where I am beginning to have anxiety because of it. I want to thank you so much for sharing your experience and knowledge about it. I will continue reading up on this issue and hopefully I will get some results

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@entno8

Glad that I came across this post last night, at a moment when I was struggling with the SOB symptom while trying to fall asleep, after reading a few pages of comments, I felt more relaxed (that I'm not alone!) and eventually dozed off. My SOB (or constantly feel the need to breathe deeply, yawn excessively, nausea and dry throat caused by yawning too much in the cold air...) first appeared in the late fall of 2020 and lasted about a month, like many of you guys described, it can be sometimes intense, but better when distracted. At that time I did blood test for common allergens (like 20+ things) - nothing stood out. Tried inhaler - didn't work, for it kept my attention on breathing, which made things worse. Tested for covid and covid antibodies - wasn't ever infected back then.
Now, after 2+ years, the same symptom came back since about a week ago. Going to see a doctor this week and we'll see how it goes. So far my top 3 suspicions: something related to GERD (in my case I almost always feel minor heartburn & painful throat), allergy related to cold air (both times the symptoms hit in winter, I exercise regularly, sometimes outdoors - and the symptoms get exacerbated), anxiety/stress/panic (I get anxious easily and recently had a few moments of stress, but this wasn't the case when I experience SOB back in 2020). Thanks to all of you for sharing, hope you are coping with it ok these days.

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@entno8, I'm glad you came across this post too! I'm glad it helps you. You saw just how many people are struggling with this and what many have done to manage symptoms. Just feeling like you're not alone is a huge help when experiencing something unnerving and new like this.

How severe is your anxiety when it comes on? Do you have any methods to deal with the anxiety?

Keep me updated on what the doctor says. He/she may put you on GERD medication temporarily if indeed you have GERD and I hope that helps alleviate the breathing symptoms, but keep us posted!

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