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.

@phoenixanka

I had and have the same problem. I had endoscopy and colonoskopy, nothing there. Because l had also pain in my hearth area l also had my hearth tested. Coroner CT normal. My lipid tests high. I have been using drugs for hypothyroidism after radioactive iodine treatment but they are stable. I am tired of not finding any reason for that and being accused of it to be physiological. I am nearly sure that it is not the case because symptoms can occur anytime like when l am having fun with my children or watching beautiful rain in nature.

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@phoenixanka- Good morning and welcome to Mayo Clinic Connect. This is scary and frustrating illness. I hope that you read through a lot of these posts because there have been many suggestions and ways of controlling SOB that has worked for many people.

Will you tell me more about when your onset was and any medications or home treatments that you have tried?

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@woozy745

I also had shortness of breath that progressively got worse . My pulmonologist didn’t know what to do with me, so I was sent to a nurse practitioner. She said I had infected sinuses, also asked if I had ever been tested for allergies. Turns out I’m allergic to 17 different things. I’ve been on the shots for a month now and my breathing is better than it’s been for a long time! You might consider asking about this. I had no real symptoms except shortness of breath.

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I had a question for you about your shortness of breathe that turned out to be related to your allergies. Was the shortness of breathe there at all times? Or did it come and go throughout the day? What exactly did the shortness of breathe feel like, was there any wheezing? I am very glad the allergy shots are helping. Im really thinking this is whats going on with me too.

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@tatianar

I had a question for you about your shortness of breathe that turned out to be related to your allergies. Was the shortness of breathe there at all times? Or did it come and go throughout the day? What exactly did the shortness of breathe feel like, was there any wheezing? I am very glad the allergy shots are helping. Im really thinking this is whats going on with me too.

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SOB was pretty much all of the time. I could breathe, but had to take frequent deep breaths to get enough air. If I went outside to get cats in or get mail, it got worse. Also when I used my inhaler in the morning, I would wheeze when I exhaled.
I no longer wheeze when I do my inhaler. My breathing outside has improved significantly & I breathe normally now unless I really exert myself. I’m starting on my second round of allergy shots and I’m very pleased with, the results.
Best of luck to you in your endeavor to breath better!!

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Hello Jessby,, I pray you are well. I too have had the exact issues as you over the last month. Needless to say I am very anxious and depressed. Did you ever find out what was wrong. I look forward to your answer. Regards, Eli

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@jessby

I, too, believe in the prayer of power and have fervently been pouring my heart out to God on behalf of myself and everyone else on this thread that has been dealing with issues! Nothing is too big or too small. Glad you are feeling better!

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@sjessby- Hello. I am wondering how you are as you haven't been back on Connect is a while. @salhav is reaching out to you and I'm wondering if you can help her. I hope that you are well. Did you find a solution to your breathing problems?

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@salhav- Good morning and welcome to Mayo Clinic Connect. We haven't heard from @jessby since last year. I hope that he sees your message and answers. Will you tell more about your symptoms and your history with SOB?

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@tonyagregg

@gabrielm omg i recently started experiencing the same thing. I am not stressed or have anxiety. It started with me after I started running. I dont have that problem while i am running its several hours later then i will have days that its better than other. Have you had any relief?

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Have you found any possible causes? My shortness of breath started after a long run several years ago too

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@gabrielm

I do have GERD. I don't know how it relates to SOB. I have been taking Prilosec every day for years, so that I don't have the heartburn. @merpreb, I did happen to see an ENT a few month ago, sometime last year. I do have allergies of some sort, and it does effect my breathing, but even when I don't have allergies or allergy symptoms, the SOB is still there.

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Me too brother.. just like you!

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@merpreb

@gabrielm- Shortness of breath, also called dyspnea, occurs with GERD because stomach acid that creeps into the esophagus can enter the lungs, particularly during sleep, and cause swelling of the airways. ... Such airway damage can affect breathing by causing coughing or wheezing.Jun 27, 2017"
https://www.healthline.com/health/gerd/shortness-of-breath

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My doctor prescribed melatonin to reduce the acid in my sleep

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@tonyagregg

@gabrielm @merpreb I alo can do intense exercise and feel good while doing it. It actually started when I started running and I thought I just I was deconditioned but months later I am still trying to catch a deep breath. My oxygen level is good as well as my EKG and pulmonary function test all normal! I am 43 in good heath and never have I had any heartburn or problems with reflux nor do i have allergies. I am constant yawning or trying to get that deep breth that only last for 30sec or so. I guess i wouldnt call it SOB its just that I have the need to fill my lungs up by yawning or sighing. I read about psedodyspnea and it bascially talks about anexity and reflux and again I dont have. I am happy at my place in life. I just dont understand why all of a sudden this started. Is it a neuro thing i wonder at times? I have tried breathing txs and that does nothing. I guess I can live with it but at times its annoying and I just want it to go away. I am on no meds and have a health lifestyle. I would like to keep in touch with you guys just in case there is a miracle answer. Thanks for listening

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same here.. have you had a full Thyroid workup? The Thyroid can cause SOB

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