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.

@fefemagee

I have, I have had a nuclear stress test and been to lung specialists.

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How were the results on those?

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@gabrielm

How were the results on those?

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All the tests came back good. My heart is good and my lungs are normal.

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@barry98888

I don't know whether this will help but it helped to explain my issues. It isn't exactly in the news that a lot of foods in our diets can contain the heavy metal cadmium. Prior to my discovery of my allergy to gluten mine was wheat. Grains seem to love absorbing cadmium and I made the mistake of switching to rice, another grain high in cadmium. Unfortunately, I also had the added issue of working in a glass factory, with cadmium used as a colouring of the glass emitted in gaseous form during production. I've been surprised by the range of issues such seemingly insignificant exposures can cause, including shortness of breath.

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I have not heard of the heavy metal cadmium. That is interesting

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@husy

So I am checking in 6 months after the onset of my shortness of breath (January this year).

Things have improved quite a bit. most of the time I don't notice it that much, but things have been relatively stable in terms of intensity since April (no improvements since then really...

It's at its worst:

-first thing in the morning.
-after meals, particularly meals that rich in sugar. breakfast (cereal and dairy) in particular, and today I was fine until I had a pint of lime juice... And that flared things up for about 3 hours after.

Has anyone else noticed a worsening with sugar intake / is there a suspected correlation with blood sugar? post meal spikes seem to be the main spikes for me.

weirdly, I have not noticed anything major if I drink alcohol though, which would sort of invalidate that...

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I just sent a message to Gabriel the other day stating that after I eat, I feel as if it’s worse. My lungs and diaphragm feel they won’t expand.

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@fefemagee

I have not heard of the heavy metal cadmium. That is interesting

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The idea that dietary and glass production related cadmium exposures might have played a role in my own respiratory failure caught me by surprise. However it makes sense as it's a major cause of smoker related pulmonary disease.

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@husy

So I am checking in 6 months after the onset of my shortness of breath (January this year).

Things have improved quite a bit. most of the time I don't notice it that much, but things have been relatively stable in terms of intensity since April (no improvements since then really...

It's at its worst:

-first thing in the morning.
-after meals, particularly meals that rich in sugar. breakfast (cereal and dairy) in particular, and today I was fine until I had a pint of lime juice... And that flared things up for about 3 hours after.

Has anyone else noticed a worsening with sugar intake / is there a suspected correlation with blood sugar? post meal spikes seem to be the main spikes for me.

weirdly, I have not noticed anything major if I drink alcohol though, which would sort of invalidate that...

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@husy, I'm glad your symptoms have improved. That's always a good sign.

If you're anything like me, I was a snorer and mouth breather throughout the night. I believe this contributed to me also feeling a bit worse in the morning. Large volume of breathing that I think caused me to hyperventilate somewhat and took a while for me to breath normally.

There's a little trick as part of the Buteyko method where you tape your mouth shut at night with cotton athletic tape, a small piece running vertically under the nose and down to the chin. The idea being it makes you reduce your breathing throughout the night. I kept this up for a few weeks and it seemed to improve things. Just a thought for you to consider.

I definitely notice mine to be worse after heavy meals. I have since changed my diet to be less carb-centric and more fruit, vegetable, fiber, and protein focused. I eat smaller and incorporate intermittent fasting so as to not feel so full of food so much. I think this has slowly helped my breathing improve a bit more over the past few weeks. I've also incorporated daily walking in addition to mild weight lifting.

I'm not sure if there's a direct correlation to blood sugar, but those of us that are sensitive to breathing issue I think sugar can affect it perhaps in ways we don't understand. But I say it's always worth a try to modify certain things in your lifestyle to see what works. I'm always experimenting!

Alcohol was hit or miss for me. I'm not much of a drinker, but times that I've had 2-3 beers in a sitting, I noticed that sometimes it affected me and sometimes it didn't. Alcohol does make me a lot hungrier and thus makes it more likely to overeat so cutting it down a while back to the occasional drink I think also helped, but hard to tell on that one.

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@nooz1985

Sounds like costochondritis. I have costochondritis. I mightve had covid in March 2020. Not sure since my main symptom was shortness of breath and pressure on my chest. I also have endometriosis. And suspect thoracic endometriosis now. I'm a female. Age 35.

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Did the costochondritis ever go away.

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@fefemagee

I just sent a message to Gabriel the other day stating that after I eat, I feel as if it’s worse. My lungs and diaphragm feel they won’t expand.

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i had same mine turned out to be anxiety, no mental stress or mental anxiety. its your reaction of implortance/danger to the respiratory sensation that makes the feeling stronger and more present

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I would like to tell my story with SOB, but I will have a hard time doing it in English. Anyway, I'll try to do my best (with the invaluable help of Google Translator).
I feel very identified with most of you. I started with the need to sigh, take a deep breath and yawn in January 2021. Sometimes I couldn't complete a satisfactory breath, or I couldn't yawn no matter how many times I tried. Also, I had a strange feeling in my chest, as if something were squeezing me and preventing me from breathing. I even lost the strength in my voice. I went to the hospital urgently and my cardiologist (I had a small heart attack in 2015) got scared and did all kinds of tests (echocardiogram, ECG, stress tests, etc.) which, just like you, gave normal results. So I went to a Pneumologist, who ordered a spirometry and a high-resolution CT scan. The spirometry was normal and CT indicated a very very mild emphysema (as a result of smoking in my youth). He told me that it was practically imperceptible and that it would not progress if I continued without smoking and that, of course, this emphysema was so slight that it could not give me any symptoms.
And here I am, having bad days and worser days, suffering panic attacks when the days are very bad because it really is very distressing.
I have gone through all the paths that many of you have gone through (I have a hiatal hernia and GERD diagnosed by a Gastroenterologist). I have taken psychiatric treatments and therapy with psychologists. Nothing has worked so far.
Sleeping is the only thing I've noticed that works. In the morning I wake up breathing freely. But as the hours go by, everything returns. Sometimes, as soon as I get out of bed, other times it starts hours later. But always, always, the worst comes in the evening and at night: tightness in the chest, yawning, sighs,... always very frustrating.
And here is my testimony. I don't know what else to say, except that if I have any news, I'll let you know.
Thank you very much for reading me. I hope that I have been understood (I do not know if what I have written will have been translated ok). Please, if there is something you don’t understand, feel free to ask me.

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@trast

I would like to tell my story with SOB, but I will have a hard time doing it in English. Anyway, I'll try to do my best (with the invaluable help of Google Translator).
I feel very identified with most of you. I started with the need to sigh, take a deep breath and yawn in January 2021. Sometimes I couldn't complete a satisfactory breath, or I couldn't yawn no matter how many times I tried. Also, I had a strange feeling in my chest, as if something were squeezing me and preventing me from breathing. I even lost the strength in my voice. I went to the hospital urgently and my cardiologist (I had a small heart attack in 2015) got scared and did all kinds of tests (echocardiogram, ECG, stress tests, etc.) which, just like you, gave normal results. So I went to a Pneumologist, who ordered a spirometry and a high-resolution CT scan. The spirometry was normal and CT indicated a very very mild emphysema (as a result of smoking in my youth). He told me that it was practically imperceptible and that it would not progress if I continued without smoking and that, of course, this emphysema was so slight that it could not give me any symptoms.
And here I am, having bad days and worser days, suffering panic attacks when the days are very bad because it really is very distressing.
I have gone through all the paths that many of you have gone through (I have a hiatal hernia and GERD diagnosed by a Gastroenterologist). I have taken psychiatric treatments and therapy with psychologists. Nothing has worked so far.
Sleeping is the only thing I've noticed that works. In the morning I wake up breathing freely. But as the hours go by, everything returns. Sometimes, as soon as I get out of bed, other times it starts hours later. But always, always, the worst comes in the evening and at night: tightness in the chest, yawning, sighs,... always very frustrating.
And here is my testimony. I don't know what else to say, except that if I have any news, I'll let you know.
Thank you very much for reading me. I hope that I have been understood (I do not know if what I have written will have been translated ok). Please, if there is something you don’t understand, feel free to ask me.

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Have you had your spine checked for herniated discs? Perhaps a pinched nerve is causing this?

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