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.

@gabrielm
The AF absolutely caused breathing and athletic performance issues when exercising which is what drove me to the ablation surgery. I have had an echocardiogram and multiple ECGs, and no recurrence of AF when exercising so I know that's been corrected by the procedure last June.
Stress is a very interesting theory. I know my wife believes it is stress, and part of me wants to believe that also. That said, I've taken some steps to relieve stress, including a long period of leave from work, and the issue is still present so I am just not sure. The fact the severity fluctuates also makes me believe it could be stress.
Chronic hyperventilation is also something I've discussed with the GP. I don't think he believes this could be causal, and so currently I am not doing anything at all in this space. Do you know what sort of treatments / techniques exist for this, whether induced by mouth breathing or induced by sighing / yawning getting out of control?

REPLY

Hey, I have the literally the EXACT same symptoms as you and currently trying to work out with a doctor what is going on. Keen to keep following this post and see if any answers pop up.

REPLY

Anyone else suffer panic attacks from not being able to get a full deep breath and it just spirals? It's happened twice to me since my mysterious shortness of breath started 4 years ago. The second time just happened yesterday and I'm so incredibly frustrated with this condition. Noone knows what's wrong with me (us) and year after year the problem remains.

REPLY
@marcuscurypko

@gabrielm
The AF absolutely caused breathing and athletic performance issues when exercising which is what drove me to the ablation surgery. I have had an echocardiogram and multiple ECGs, and no recurrence of AF when exercising so I know that's been corrected by the procedure last June.
Stress is a very interesting theory. I know my wife believes it is stress, and part of me wants to believe that also. That said, I've taken some steps to relieve stress, including a long period of leave from work, and the issue is still present so I am just not sure. The fact the severity fluctuates also makes me believe it could be stress.
Chronic hyperventilation is also something I've discussed with the GP. I don't think he believes this could be causal, and so currently I am not doing anything at all in this space. Do you know what sort of treatments / techniques exist for this, whether induced by mouth breathing or induced by sighing / yawning getting out of control?

Jump to this post

I believe that for me, chronic hyperventilation was something I was doing- not necessarily the direct cause of the breathing issue, and that I had developed 'big' breathing habits overtime eventually leading to snoring and mouth breathing and then air hunger symptoms. I'm not sure of any cause/effect relationship, just that it probably contributed to my air hunger sensation.

Through my research years ago, I came across the Butyeko breathing method and took a course with practitioners on how to incorporate the method in every day life. This includes practicing nasal breathing through all activities including exercise, resisting the urge to take deep breaths whenever possible, and incorporating learned breathing exercises throughout the day. This has definitely helped the air hunger go way down, and for a few years even went away almost entirely. So it's still a journey to get the symptoms to go away completely, but I believe through the Buteyko method, walking, moderate weight lifting and just an overall health lifestyle, has kept the symptoms at bay.

REPLY
@emmaf1999

Hey, I have the literally the EXACT same symptoms as you and currently trying to work out with a doctor what is going on. Keen to keep following this post and see if any answers pop up.

Jump to this post

Yes please do follow this post. There are many pages of comments of people who have similar symptoms, and while it's not feasible to go through them all, I recommend skimming through a few pages to see what me and others have suggested as ways to cope and help with the symptoms when they arise.

REPLY
@tamaracaitlin

Anyone else suffer panic attacks from not being able to get a full deep breath and it just spirals? It's happened twice to me since my mysterious shortness of breath started 4 years ago. The second time just happened yesterday and I'm so incredibly frustrated with this condition. Noone knows what's wrong with me (us) and year after year the problem remains.

Jump to this post

I used to get panic attacks years ago when this first started for me as well. Finding ways to deal with symptoms and tell myself that I'm ok is what helped the occurrences of the panic attacks become less. Slow, nasal breathing and reduced breathing is what helped me breathe less in general, but also helped reduce the air hunger symptoms. Have you tried any coping strategies or breathing exercises?

REPLY
@tamaracaitlin

Anyone else suffer panic attacks from not being able to get a full deep breath and it just spirals? It's happened twice to me since my mysterious shortness of breath started 4 years ago. The second time just happened yesterday and I'm so incredibly frustrated with this condition. Noone knows what's wrong with me (us) and year after year the problem remains.

Jump to this post

You might ask your dr to prescribe Zoloft. It has helped me for years.

REPLY
@catsmeow1959

You might ask your dr to prescribe Zoloft. It has helped me for years.

Jump to this post

Funny you suggest that because I saw my doctor yesterday and he's putting me back on my anxiety meds at my request

REPLY
@gabrielm

I used to get panic attacks years ago when this first started for me as well. Finding ways to deal with symptoms and tell myself that I'm ok is what helped the occurrences of the panic attacks become less. Slow, nasal breathing and reduced breathing is what helped me breathe less in general, but also helped reduce the air hunger symptoms. Have you tried any coping strategies or breathing exercises?

Jump to this post

Saturday, when my panic attack happened, I tried calming breathing exercises, I went outside and walked and sat down, I put an ice back on my chest, nothing seemed to help in the moment. It wasn't until I drove home (I was at work) that the combination of concentrating on driving and blasting ac on my face did I start to really calm down and got a few good consecutive breaths in.

I haven't done breathing exercises everyday though.

REPLY
@tamaracaitlin

Saturday, when my panic attack happened, I tried calming breathing exercises, I went outside and walked and sat down, I put an ice back on my chest, nothing seemed to help in the moment. It wasn't until I drove home (I was at work) that the combination of concentrating on driving and blasting ac on my face did I start to really calm down and got a few good consecutive breaths in.

I haven't done breathing exercises everyday though.

Jump to this post

Yes, I remember when I had panic attacks, having something to distract myself with and get myself into deep concentration helped me out greatly along with breathing exercises.

REPLY
Please sign in or register to post a reply.