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.

@jmichael8170

I just saw this and am experiencing the same exact thing as you. And same with you, I don’t think I suffer from anxiety, GERD or anything else that I can tell. Frankly, I thought I might be having heart issues so I got a complete work up and all came out fine. I was thinking maybe Long Haul Covid since my symptoms seemed to start when I had covid for the second time. But I work out, eat healthy, etc. and it does not really bother me when I work out or even sleep. It actually feels worse when I am sedentary. Very frustrating. Hopefully it does not get worse.

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Hi @jmichael8170, I hope it doesn't get worse for you either. It's no fun dealing with it. That's good that it doesn't bother you when work out or sleep. Have you had any other tests done besides the heart ones?

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@jackson71

Hello friend. Have you tried take papaya enzymes? I have been fighting with this same issue with the breathing problems. It gets pretty bad sometimes feels like I’m going to die. I take Xanax when it gets really bad to calm me down. But I noticed taking papaya enzymes for inflammation has been helping. I know GERD causes acid gas like fumes to get into the lungs and then it causes shortness of breath. The papaya hasn’t taken it away completely but it does work. I used to take the chewable ones but they taste awful to me. So I went on Amazon and got the capsule form and they’re much better. They might work better if I took them daily. It might be acid reflux causing your issues too. Or GERD. I know it’s frustrating trying to figure this all out. I’ve been suffering for years. But out of everything I’ve tried the papaya enzymes seem to work best for me. Sometimes eating too much sugar will cause inflammation and then the breathing problems start or sometimes milk does it. Or sometimes nothing causes it. It’s so weird. Some foods cause it to act up. I hope this helps.

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your breathing problems start when you get inflamed?

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Hi Gabe! Thank you for sharing your story and keeping us updated. Your symptoms sound exactly like mine. I have constant air hunger 24/7 for the past two years. Most tests come back fine, the only thing they have ever discovered was silent reflux. I tried ppi's for 6 months to get the reflux under control along with proper diet and exercise but saw zero improvement.

I am interested in your success with the butekeyo method. I see a lot of variation in how to do it online. Could you share exactly what you do (for example, how long you hold at the end of your exhales, and the amount of time you practice this on the days you do it?)

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Hey Gabe,

I have had a very similar situation for about 2.5 years. Came on suddenly one day then went away for a few days and now constant. I have tried Wim Hof breathing and various other options to no avail. It affects my daily life and is very difficult to converse or enjoy myself. It has never affected my actual sleep only my ability to actually fall asleep. It seems to be worse now and is a constant in my daily life. I am very active and find that it is better after a run or some physical event. I have done lung tests and heart tests. I was diagnosed with asthma but I don’t think that is what I am feeling. Inhalers don’t help either. It is more a bodily need to take a deep breath but can’t followed with frequent yawnings. Yawns and some deep breaths feel full but most do not making me feel constantly starved for a breath. I can’t relax and read or watch tv as it is always there. Looking for answers…

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Hello,
I’m glad I found this thread.
It’s been few months since I have trouble taking a deep breath during sleep.
Did anyone figure it out anything else since this first post?
Thank you

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@alex126

Hi Gabe! Thank you for sharing your story and keeping us updated. Your symptoms sound exactly like mine. I have constant air hunger 24/7 for the past two years. Most tests come back fine, the only thing they have ever discovered was silent reflux. I tried ppi's for 6 months to get the reflux under control along with proper diet and exercise but saw zero improvement.

I am interested in your success with the butekeyo method. I see a lot of variation in how to do it online. Could you share exactly what you do (for example, how long you hold at the end of your exhales, and the amount of time you practice this on the days you do it?)

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Hi Alex. I started off doing some Buteyko exercises I found in a book by Patrick McKeown. I then took a course through learnbuteykoonline.net. It was a few online classes where they teach you the method which includes lifestyle and exercise. It's a few hundred dollars but well worth it for me since I still use the principles and some of the exercises to this day.

So it has definitely helped me a lot and it helps me keep my symptoms at bay. It's hard to share exactly what I did to a T, since there different things but in general when my symptoms were at their worst, I did the breath holding exercises 3 times a day for a few weeks and tapered down to twice a day, the once a day, and now about 3 times per week for maintenance.

Keep in mind that this is what I did, which differs among people depending on your own skill and ability. You build up the breath holds over time to be able to do more and more. The goal is increase your Control Pause over time by sticking with the exercises daily until your symptoms improve.

I did various exercises (sitting breath holds, steps, controlled low volume nasal breathing, etc.) throughout the day. You would typically do 3 reps at a time with about 3 or so minutes resting in between each rep and measure your Control Pause before and after.

That's the gist of it, but there's definitely a lot more to it that you can learn either through Patrick McKeown's books or through Learnbuteykoonline.net.

Let me know if you have any more questions, keeping in mind this method takes time and effort to learn since you're incorporating other things throughout the day and night to establish good breathing habits, such as taping your mouth at night, reducing your breathing first thing in the morning, eating smaller meals, etc...all things that contribute to the method

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@magdalena81

Hello,
I’m glad I found this thread.
It’s been few months since I have trouble taking a deep breath during sleep.
Did anyone figure it out anything else since this first post?
Thank you

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Hi @magdalena81, many people have learned a lot of things through others who have commented in this thread. There are a lot of pages, so probably unrealistic to read through them all, but I would suggest skimming through as many comments as you're able to see what others have done.

Many people discover various issues through tests at the doctor and then establish a regimen to deal with those issues, which sometimes help with the breathing. I always suggest breathing exercises and learning how to breathe properly as a way to help with symptoms as people search for answers.

You mentioned that your breathing struggle happens at night. Is your breathing normal during the day?

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@tfitz88

Hey Gabe,

I have had a very similar situation for about 2.5 years. Came on suddenly one day then went away for a few days and now constant. I have tried Wim Hof breathing and various other options to no avail. It affects my daily life and is very difficult to converse or enjoy myself. It has never affected my actual sleep only my ability to actually fall asleep. It seems to be worse now and is a constant in my daily life. I am very active and find that it is better after a run or some physical event. I have done lung tests and heart tests. I was diagnosed with asthma but I don’t think that is what I am feeling. Inhalers don’t help either. It is more a bodily need to take a deep breath but can’t followed with frequent yawnings. Yawns and some deep breaths feel full but most do not making me feel constantly starved for a breath. I can’t relax and read or watch tv as it is always there. Looking for answers…

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Hi @tfitz88, I hear you about it affecting your daily life. It did so for me as well when it was at its worst, and does from time to time now but to a lesser degree thankfully.

You're describing exactly the sensations I was experiencing when it began for me. I still experience it, but it's light and manageable.

What other things have you tried besides the Wim Hof method?

How long do you run during your exercise sessions and do you push yourself pretty hard?

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@gabrielm

Hi @magdalena81, many people have learned a lot of things through others who have commented in this thread. There are a lot of pages, so probably unrealistic to read through them all, but I would suggest skimming through as many comments as you're able to see what others have done.

Many people discover various issues through tests at the doctor and then establish a regimen to deal with those issues, which sometimes help with the breathing. I always suggest breathing exercises and learning how to breathe properly as a way to help with symptoms as people search for answers.

You mentioned that your breathing struggle happens at night. Is your breathing normal during the day?

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Thank you for replying,
My breathing is normal during the day. Last night I couldn’t fall asleep because I was yawning and trying to get a deep breath.
And this happened to me few times, after I was sick with Covid and bronchitis.
That was two months ago.
From that time I would woke up during the night gasping for air, then I would calm down and normally would breath.
Thank you

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@amber1234

What is happening is simply excess stomach or intestinal gas ( or in same cases it’s the matter of sensitivity not necessarily the excess) is triggering vagus nerve response . Any GI condition causing bloating can trigger it. In most people on this forum it’s HH. Surgery to fix HH in those cases, doesn’t usually work because it causes so called bloat syndrome and only adds up to the problem.

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Hello, what's the solution for this syndrome?

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