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Mysterious shortness of breath: What has helped you?
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.
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PS I wanted to comment some things that I read on other posts:
1. If you take a pill, like a vitamin for example, and you think it works right away , it probably works like a placebo as most of them need at least a month to see a noticeable difference
2. There is a difference of phase between the stress and the symptoms. You will, mostly , not feel the SOB while you are stressed but right after.
Definitely keep us informed on your journey, especially when you get checked for a hernia or reflux. It's always good to know what people find out to possibly learn of any connection to the breathing issues which may help others look into similar things.
Wow that's interesting. It seems it was a good tool and worthwhile to do. It's definitely a good thing to keep in mind especially if anyone suspects something might be going on with their heart. I'd imagine that doctors wouldn't have caught this without the device; you now know to rest more!
Hi @dcm82999, thank you for sharing. This is great, especially for those who want to focus on more natural treatments. Please check in and let us know how your health is with this supplement. It'd be great to know if it improves your symptoms and overall health.
Hi @arikalisanne, have you gotten a blood test done?
At least you ruled out many things by getting the tests done. The symptoms don't seem to line up with your anxiety- are you aware of anything that it could align with or does it come and go seemingly randomly?
Also, what kind of exercise do you do?
Actually no. The holter monitor is a fairly passive investigation, where you pace yourself through the day. At the time I was still able to walk about a hundred metres at a time before I needed to stop and rest for a while and I was able to do this while wearing the monitor. That was my mistake. It didn't find any evidence of a problem at the time and the cardiac ward wouldn't allow me to perform the cardiac stress test because I was out of breath from the moment they began to speed up the machine. For myself, it wasn't until I finally performed the 6 minute monitored walk as part of pulmonary function testing that the problem became apparent. Unlike the holter monitor I treated the test as a de facto opportunity to perform the cardiac stress test. The result was that the test had to be discontinued due to my heart rate reaching dangerous levels because I wasn't trying to pace myself but kept pushing myself to keep walking no matter how out of breath I became.
Yes had lots of blood works, all came back normal. Seems come and go randomly. I walk - both on the treadmill and outside and I do Pilates once a week. Thanks!!
Omg my experience was so similar. I was extremely stressed out from the Covid of it - never had Covid but still mask indoors, and it was during the pandemic this all manifested.
Also have been to a lot of doctors, also was on a ppi for years for no reason (though sometimes I Still wonder if it’s gerd bc for a while the meds seemed to help - placebo effect I think. For me exercises helps a bit and doesn’t make it worse. Will start looking into cortisol i don’t know if I’ve ever had that checked but it would make sense…
Has your physician been watching your liver enzyme tests? I had a really negative response to the antidepressants which I was put on, when they misdiagnosed my liver failure as psychological, and it took ages to establish what occurred. Buspirine (Buspar) is regarded as a relatively safer antidepressant for people with liver issues.
Hm. We’ll add it to the list of things to look into but I’m generally very healthy, don’t drink or smoke, and have taken very few medications over the years so I’m unlikely to have liver issues I think!! But who knows? I do get comprehensive blood work every year. That said, my son has a disability and takes a lot of meds so we have done a genetic test on him for his reaction to medications and he is missing an enzyme or something it turns out so maybe I have the same problem. Anyway other than this breathing issue (and some controlled elevated blood pressure, and weighing about 15-20 pounds more than I should… ) my physical health is okay. We also considered my blood pressure medication (I’m on Toprol which is a cardioselective beta blocker) as a possible cause but my cardiologist says no. But I may as well ask here if anyone else having this problem happens to be on beta blockers. They CAN cause shortness of breath but per my doctor it would be the normal kind, like while exercising or during exertion not at rest etc.