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.

@dcm8299

Wow. Thanks Shels. I can't believe how similar our experiences are. I've been struggling breathing through my nose so I wonder if the nasal passages are inflamed/blocked. the excess yawning is identical and the panic and anxiety are spot on. I get conscientious about my breathing and I get stuck not being able to complete the breath and then I become even more short of breath. My sleep doesn't appear to be affected either. Glad to hear you're seeing significant improvement. Hope it continues. Maybe I'll stop drinking coffee and beer and see how that affects my breathing.

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The ENT helped with the diagnosis . You probably have allergies and GERD The nose sprays and omeprazol took approx 10 days to work. Good luck the doctor said I could have 1 cup of coffee! Breathing is important! Best of luck to you

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@shels

Good Morning.... I was experiencing the need to yawn all the time, but I could not complete the yawn as the breath was not getting down which caused panic on my part .. I was becoming very aware of my breathing patterns, which made it worse! At times, I could compete the breath, but the anxiety it created was consuming me! I found some relief when I got involved in projects where I wasn't thinking about breathing. Sometimes, would be OK for hours at at time, and then it would start again.
It did not seem to effect my sleep.
Ive been OK for a few days now. Im using allergy pills, nasal sprays, omeprazole and change in diet patterns.
I hope you find relief because its torturous!

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Wow. Thanks Shels. I can't believe how similar our experiences are. I've been struggling breathing through my nose so I wonder if the nasal passages are inflamed/blocked. the excess yawning is identical and the panic and anxiety are spot on. I get conscientious about my breathing and I get stuck not being able to complete the breath and then I become even more short of breath. My sleep doesn't appear to be affected either. Glad to hear you're seeing significant improvement. Hope it continues. Maybe I'll stop drinking coffee and beer and see how that affects my breathing.

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Good Morning.... I was experiencing the need to yawn all the time, but I could not complete the yawn as the breath was not getting down which caused panic on my part .. I was becoming very aware of my breathing patterns, which made it worse! At times, I could compete the breath, but the anxiety it created was consuming me! I found some relief when I got involved in projects where I wasn't thinking about breathing. Sometimes, would be OK for hours at at time, and then it would start again.
It did not seem to effect my sleep.
Ive been OK for a few days now. Im using allergy pills, nasal sprays, omeprazole and change in diet patterns.
I hope you find relief because its torturous!

REPLY
@shels

The ENT used a camera scope through my nose and into my throat.(Laryngoscope?) I do feel a post nasal drip and have been diagnosed with GERD... It seems that the two things, together with allergies create the breathing problem.
The pulmonologists tests show my lungs working at 100% capacity.
I will make an appt. with a gastro doctor to make sure nothing else is going on.
Your symptoms sound a lot like mine..

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Good Morning shels! Could you maybe explain your SOB symptoms?? Mine seem to happen through out the day. Some days better than others. I'll breathe what I consider to be relatively normal for 4-5 minutes, may be more, then I feel the desire to take a deep breath (sigh breath the pulmonologist called it). Sometimes I get that deep breath immediately sometimes it takes a 2nd or 3rd try. Lately, I've been struggling getting it (the satisfactory deep breath) through my nose as I feel my nasal passages are inflamed/blocked. Generally, I get that deep breath through my mouth pretty readily. I feel better when I run. My O2 sat levels are 97-99 every morning when I wake up. And two different pulmonology groups in different cities have told me its not COPD, emphysema or any kind of restrictive lung disease. I'm at a loss but this SOB is frustrating to say the least.

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@dcm8299

That’s wonderful news! So just to be clear, the pulmonologist cleared you of any lung disease. May I ask how the silent reflux was diagnosed?!? Was that what was causing your inability to catch a deep breath?!? If so, I’m curious if they explained how that works?? I have some of those symptoms nasal blockages, some drainage, mucus building up in the back of my throat, increasing need to clear my throat, some hoarseness, inability to catch a deep breath.

Jump to this post

The ENT used a camera scope through my nose and into my throat.(Laryngoscope?) I do feel a post nasal drip and have been diagnosed with GERD... It seems that the two things, together with allergies create the breathing problem.
The pulmonologists tests show my lungs working at 100% capacity.
I will make an appt. with a gastro doctor to make sure nothing else is going on.
Your symptoms sound a lot like mine..

REPLY
@shels

This started out of the blue, but since I posted last, I have found relief! The ENT said it would take about 10 days and I can finally breathe again! I was diagnosed with Laryngopharyngeal Reflux.
With 2 nose sprays, allergy meds,and Omeprazole, I’m feeling much better!
It’s also important to stay away from foods that trigger reflux (caffeine, spice, citrus,chocolate, tomatoes, and alcohol!
It’s been scary and very uncomfortable, but I’m so happy to be able to breathe!

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Mine started out of the blue but coincided with getting Covid. December, 2020. Had the same symptoms, air hunger, stutter or anxiety type breathing, yawning, sighing.
I also take the H1 and H2s (Zyrtec and Pepcid AC). It defintely helps. I use an allergy spray called Nasalcrom. I stay away from histamine also in foods.

I had a scope done of my esophagus. Nothing was found out of the ordinary.
My relief is up and down, it may be great for a stretch of time (up to 12 days), then return for a few. But overall I'm improving. It's been scary for about 18 months but slowly, slowly, I'm improving. Glad you're better and it's nothing to do with your lungs!

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@shels

This started out of the blue, but since I posted last, I have found relief! The ENT said it would take about 10 days and I can finally breathe again! I was diagnosed with Laryngopharyngeal Reflux.
With 2 nose sprays, allergy meds,and Omeprazole, I’m feeling much better!
It’s also important to stay away from foods that trigger reflux (caffeine, spice, citrus,chocolate, tomatoes, and alcohol!
It’s been scary and very uncomfortable, but I’m so happy to be able to breathe!

Jump to this post

That’s wonderful news! So just to be clear, the pulmonologist cleared you of any lung disease. May I ask how the silent reflux was diagnosed?!? Was that what was causing your inability to catch a deep breath?!? If so, I’m curious if they explained how that works?? I have some of those symptoms nasal blockages, some drainage, mucus building up in the back of my throat, increasing need to clear my throat, some hoarseness, inability to catch a deep breath.

REPLY
@shels

This started out of the blue, but since I posted last, I have found relief! The ENT said it would take about 10 days and I can finally breathe again! I was diagnosed with Laryngopharyngeal Reflux.
With 2 nose sprays, allergy meds,and Omeprazole, I’m feeling much better!
It’s also important to stay away from foods that trigger reflux (caffeine, spice, citrus,chocolate, tomatoes, and alcohol!
It’s been scary and very uncomfortable, but I’m so happy to be able to breathe!

Jump to this post

Wow I'm so glad you found relief! It's always a joy and also a ray of hope for others on here when someone finds relief of their symptoms and greatly improves. I'm so glad you're able to breathe right again, and thank you for sharing the good news!

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@dcm8299

FEV1/FVC .82 means no airway obstruction
RV/TLC 28 normal lung volume
DLCO 110% of predicted
No sleep apnea June 2022
CXR February 2022 no acute processes, lungs clear
CT scans in May and July 2021 no a cure processes, lungs clear
acid reflux bothers me pretty much daily especially after lunch. SOB, gasping for air seems to coincide. I don’t have a cough and minimal phlegm. May have some in the back of my throat. Asthma?!? I have 5 German shepherd dogs. Could they be triggering some daily reactions?!? But this air hunger, sigh breath, SOB seems to be occurring more frequently.

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That's good that those tests came back normal. It's always a relief to know that there aren't issues with other aspects of your health. Do you take anything for the acid reflux? Some people have found relief of the breathing symptoms after dealing with reflux. Not everyone finds relief, but at least taking care of the reflux would be one less thing to deal with.

As far as your dogs, I would say it's possible they could be triggering symptoms, but I'm thinking more in terms of allergies than anything else. Do you have known pet or environmental allergies? How long have you had your dogs?

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@gabrielm

@shels, I'm so sorry you've started to experience this breathing issue and associated anxiety. I know how it feels! I am glad that you found this forum shortly after your started so that you can start searching for answers right away.

That's good that your pulmonologist didn't find anything- have you had your heart examined?

Do you recall any event or anything that happened that might have started this up, or did it start out of the blue?

Jump to this post

This started out of the blue, but since I posted last, I have found relief! The ENT said it would take about 10 days and I can finally breathe again! I was diagnosed with Laryngopharyngeal Reflux.
With 2 nose sprays, allergy meds,and Omeprazole, I’m feeling much better!
It’s also important to stay away from foods that trigger reflux (caffeine, spice, citrus,chocolate, tomatoes, and alcohol!
It’s been scary and very uncomfortable, but I’m so happy to be able to breathe!

REPLY
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