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.

@emimmed- Welcome to Mayo Clinic Connect. I am so glad that you decided to join our discussion about the Shortness of Breath. This sounds like it is very hard on you, very very frustrating. It's extremely frightening and disheartening when something like breathing goes awry. I mean who thinks that all of a sudden you aren't able to take that nice deep breath?
IBS is associated with bloating, even just a little. Abdominal bloating can affect the diaphragm, a muscle that separates the chest and abdomen. The diaphragm assists in breathing, which means bloating can lead to shortness of breath. This happens if the pressure in the abdomen is enough to restrict the movement of the diaphragm.
When you breathe and you are anxious or have a panic attack it's called hyperventilation, or over-breathing. It causes carbon dioxide levels in the blood to decrease. Reduction of carbon dioxide can cause many physical symptoms, such as tingling and numbness, chest pain, and dry mouth. Since it does sound like you are anxious, especially because of COVID-19, it might be a good idea to try and get help for it.

You don't mention when this started. Was it when COVID-19 became a pandemic? Did your SOB begin when you first began taking birth control pills? And finally, have you seen any doctors about this?

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@merpreb

@emimmed- Welcome to Mayo Clinic Connect. I am so glad that you decided to join our discussion about the Shortness of Breath. This sounds like it is very hard on you, very very frustrating. It's extremely frightening and disheartening when something like breathing goes awry. I mean who thinks that all of a sudden you aren't able to take that nice deep breath?
IBS is associated with bloating, even just a little. Abdominal bloating can affect the diaphragm, a muscle that separates the chest and abdomen. The diaphragm assists in breathing, which means bloating can lead to shortness of breath. This happens if the pressure in the abdomen is enough to restrict the movement of the diaphragm.
When you breathe and you are anxious or have a panic attack it's called hyperventilation, or over-breathing. It causes carbon dioxide levels in the blood to decrease. Reduction of carbon dioxide can cause many physical symptoms, such as tingling and numbness, chest pain, and dry mouth. Since it does sound like you are anxious, especially because of COVID-19, it might be a good idea to try and get help for it.

You don't mention when this started. Was it when COVID-19 became a pandemic? Did your SOB begin when you first began taking birth control pills? And finally, have you seen any doctors about this?

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This started about a year and a half ago and I started birth control about two years ago. So it felt like it wasn’t related but I also know it can have side effects that present themselves later on.
I do also talk to a therapist which helps ease some anxiety but doesn’t seem to help with the breathing at all which is why the only thing I can think of trying at this point is an SSRI.
Interesting what you said about the bloating though because I do get extremely bad bloating from my IBS which I didn’t really think about. Though, I have tried to do lots for my bloating and nothing really seems to help it so I’m not really sure what I can do to see if that does directly affect my breathing.
Although I do think that my “air hunger” is largely mental (but not fully) because when I seem to be distracted, I don’t notice it as much. Which is even more frustrating because it’s like, why can’t I control my own body? If that makes sense.

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I have had the same issues since I was 18. It came out of no where. I was laying on my floor, painting a picture and went to inhale (as usual) and couldn't get a full breath. I surely had panic attacks after this from not feeling like I could get a full breath in but I dont have anxiety. Never have had any emotional or mental issues.

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@ecassidymitchell

I have had the same issues since I was 18. It came out of no where. I was laying on my floor, painting a picture and went to inhale (as usual) and couldn't get a full breath. I surely had panic attacks after this from not feeling like I could get a full breath in but I dont have anxiety. Never have had any emotional or mental issues.

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No way this is exactly what happened to me. Although for me I was working at a camp and it happened out of nowhere. Same age though and I never had any issues with anxiety or anything before. It’s so frustrating. I don’t even feel anxious when I get the breathing issues, it’s like it happens for no reason! Or at least it feels that way.

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Also, went to numerous doctors over the years and no one cold pin point the issue. I was put on various medications to try and fix and nothing worked. The one thing that I noticed did help over time was going to a breathing specialist or a yoga instructor that is fluent in breathing exercises. It seems possibly somewhere along the line we forgot how to breathe properly. This helped tons..... Other than that, I am active and hike, run, workout...doesnt help or hurt with the breathing.

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@ecassidymitchell

Also, went to numerous doctors over the years and no one cold pin point the issue. I was put on various medications to try and fix and nothing worked. The one thing that I noticed did help over time was going to a breathing specialist or a yoga instructor that is fluent in breathing exercises. It seems possibly somewhere along the line we forgot how to breathe properly. This helped tons..... Other than that, I am active and hike, run, workout...doesnt help or hurt with the breathing.

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Yeah I was actually Just trying to see today if exercise makes it better or worse and I can’t seem to figure it out. But I actually may do some research on a breathing specialist or yoga or something, thanks for mentioning that! Have you ever tried any anti anxiety meds before?

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@emimmed

This started about a year and a half ago and I started birth control about two years ago. So it felt like it wasn’t related but I also know it can have side effects that present themselves later on.
I do also talk to a therapist which helps ease some anxiety but doesn’t seem to help with the breathing at all which is why the only thing I can think of trying at this point is an SSRI.
Interesting what you said about the bloating though because I do get extremely bad bloating from my IBS which I didn’t really think about. Though, I have tried to do lots for my bloating and nothing really seems to help it so I’m not really sure what I can do to see if that does directly affect my breathing.
Although I do think that my “air hunger” is largely mental (but not fully) because when I seem to be distracted, I don’t notice it as much. Which is even more frustrating because it’s like, why can’t I control my own body? If that makes sense.

Jump to this post

@emimmed- Perhaps seeing a nutritionist to help select food that will be less bloating for you. Do you also have COPD? That can cause bloating also.

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@merpreb

@emimmed- Perhaps seeing a nutritionist to help select food that will be less bloating for you. Do you also have COPD? That can cause bloating also.

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Literally the only doctor I haven’t been to is a cardiologist, so I don’t really know the answer to that one. Everyone just continues to tell me it’s anxiety, though I do want to make sure 100% that it’s not anything physical so I will likely be going to a cardiologist soon. Though I am going away to school and will be unable to see any doctors during that time.

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@emimmed

Literally the only doctor I haven’t been to is a cardiologist, so I don’t really know the answer to that one. Everyone just continues to tell me it’s anxiety, though I do want to make sure 100% that it’s not anything physical so I will likely be going to a cardiologist soon. Though I am going away to school and will be unable to see any doctors during that time.

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@emimmed- I don't blame you! I think with SOB it's important to keep looking until there is an explanation!

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@merpreb

@emimmed- I don't blame you! I think with SOB it's important to keep looking until there is an explanation!

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I appreciate you saying that a lot. A lot of doctors make it seem like it’s all in my head and don’t really do all the tests that I think could be beneficial. It’s hard to keep standing up for myself and pushing for what I believe when all doctors come out with “it’s just anxiety”.

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