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.

@merpreb

@ginak - Oh dear, I did see that and went ahead and welcomed you again. Have you tried pursed lip breathing?

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@merpreb No worries. When it happens, and I remember, I do it.

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Hello everyone. I just wanted to post an update on all the tests I've had since last posting.
To recap, I went to the ER I august 2019 for this new sob. They did a chest xray, two ct scans, lots of blood work and a heart ultrasound. All they found was a small air bubble trapped in my chest cavity. They said it would clear on it's own but referred me to a lung specialist. Since seeing this specialist I've had two pulmonary function tests, another ct scan, many many chest xrays, lots of blood work, a lung scan, another heart ultrasound, endoscopy, bronchoscopy, I wore a heart monitor for 72 hours, and an allergy test. I think that's all, but at this point I may be forgetting a test or two. All of these tests were ordered by the lung specialist and a respirologist and it's not over yet because I'm now waiting for a referral to a gastroligist. All the tests came back perfect except the endoscopy. The endoscopy showed high amounts of eosinophil in my esophagus. Which means I have Eosinophilic esophagitis. This is is a chronic, allergic inflammatory disease of the esophagus. It occurs when a type of white blood cell, the eosinophil, accumulates in the esophagus. This is why I was referred to the allergist who gave me an allergy test but I am not allergic to anything he tested me for. He basically said I'm going to have to have another endoscopy to see if its clearing on it's own and if it isnt there are topical steroids I can take to see if it helps or I have to try to eliminate certain foods to see if a food is causing this.

So they have no idea if the Eosinophilic esophagitis is causing my shortness of breath but this is all they have found so far and are just trying to treat that and see what happens.

I still experience this bizarre shortness of breath every day. But according to the tests, I'm healthy. My heart and lungs are great, so I still don't understand what is causing this.

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I should also mention that the allergist prescribed me a nasal spray which did nothing so I stopped taking it. (Doctor is aware I've done so) and I've been on a heart burn medication which has helped my chest pain. Was taking that twice a day as prescribed but now I only take it when I feel I need it.

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@jwiegers17

Hey, I also have this 24/7 feeling that I need to take a deep chest breath, but for me it’s been going on close to 8 years. And just like you, I contacted Simon, the man who wrote the article on the Alexander technique, and I am considering going to North Carolina to see his wife! This is horrible what we have to go through. I’m not ruling out physical causes yet, but I have this deep feeling that my body just forgot how to breathe properly because of really bad anxiety, and it’s just stuck like this - a never ending cycle impossible to get out of. I hope you see this message and let me know if you ever saw someone about the Alexander technique and if it helped you. It just seems so impossible to keep myself from taking that unnatural deep breath, it’s so deeply ingrained in me. Please get back to me thank you

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hello guys, I hope everyone is fine. I'm here just to share with you the fact that I've been facing this problem since three days. At parts of the day I've figured out that I'm hyperventilating though I'm still 21 with no chronic health problems. I visited a physician and he prescribed 5mg bisoprolol daily. What i want to share is that I feel that i always need thay deep breath to fulfill my lungs. Although I still can live with it, but it's really annoying. I also forget all about this problem whenever I'm really busy. Yet most of the time I always feel that I do need a yawn or deep breath. I wonder if you've find any cure guys.

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@alaahabli3

hello guys, I hope everyone is fine. I'm here just to share with you the fact that I've been facing this problem since three days. At parts of the day I've figured out that I'm hyperventilating though I'm still 21 with no chronic health problems. I visited a physician and he prescribed 5mg bisoprolol daily. What i want to share is that I feel that i always need thay deep breath to fulfill my lungs. Although I still can live with it, but it's really annoying. I also forget all about this problem whenever I'm really busy. Yet most of the time I always feel that I do need a yawn or deep breath. I wonder if you've find any cure guys.

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Hello @alaahabli3 and welcome to Mayo Clinic Connect. I am sorry that you find yourself dealing with this shortness of breath. Many other members in this discussion will be able to relate to the lack of feeling a deep breath to fill your lungs.

What I am curious to learn is if you have had a change in your life or something that has been magnified in the last month or few weeks that would explain you hyperventilating? Do you find yourself anxious about anything or something in particular? Do you feel as though you are hyperventilating versus not being able to catch your (full) breath?

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@alaahabli3

hello guys, I hope everyone is fine. I'm here just to share with you the fact that I've been facing this problem since three days. At parts of the day I've figured out that I'm hyperventilating though I'm still 21 with no chronic health problems. I visited a physician and he prescribed 5mg bisoprolol daily. What i want to share is that I feel that i always need thay deep breath to fulfill my lungs. Although I still can live with it, but it's really annoying. I also forget all about this problem whenever I'm really busy. Yet most of the time I always feel that I do need a yawn or deep breath. I wonder if you've find any cure guys.

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@alaahabli3- Good morning and welcome to Mayo Clinic Connect. I hope that you plan on reading a lot of the vast number of posts made by members of this group. SOB seems to be affecting a lot of people. There are a lot of things that can cause this including anxiety, even if you don't think that you are anxious. But even at your age, you need to see your doctor and make sure that everything is fine and that you have no underlying medical causes for this.

Have you been in contact with your doctor? Has anything in your llife changed recently?

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@tamaracaitlin

Hello everyone. I just wanted to post an update on all the tests I've had since last posting.
To recap, I went to the ER I august 2019 for this new sob. They did a chest xray, two ct scans, lots of blood work and a heart ultrasound. All they found was a small air bubble trapped in my chest cavity. They said it would clear on it's own but referred me to a lung specialist. Since seeing this specialist I've had two pulmonary function tests, another ct scan, many many chest xrays, lots of blood work, a lung scan, another heart ultrasound, endoscopy, bronchoscopy, I wore a heart monitor for 72 hours, and an allergy test. I think that's all, but at this point I may be forgetting a test or two. All of these tests were ordered by the lung specialist and a respirologist and it's not over yet because I'm now waiting for a referral to a gastroligist. All the tests came back perfect except the endoscopy. The endoscopy showed high amounts of eosinophil in my esophagus. Which means I have Eosinophilic esophagitis. This is is a chronic, allergic inflammatory disease of the esophagus. It occurs when a type of white blood cell, the eosinophil, accumulates in the esophagus. This is why I was referred to the allergist who gave me an allergy test but I am not allergic to anything he tested me for. He basically said I'm going to have to have another endoscopy to see if its clearing on it's own and if it isnt there are topical steroids I can take to see if it helps or I have to try to eliminate certain foods to see if a food is causing this.

So they have no idea if the Eosinophilic esophagitis is causing my shortness of breath but this is all they have found so far and are just trying to treat that and see what happens.

I still experience this bizarre shortness of breath every day. But according to the tests, I'm healthy. My heart and lungs are great, so I still don't understand what is causing this.

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@tamaracaitlin- It is so very frustrating, isn't it? Have you sought any kind of anti-anxiety meds for this?

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@alaahabli3

hello guys, I hope everyone is fine. I'm here just to share with you the fact that I've been facing this problem since three days. At parts of the day I've figured out that I'm hyperventilating though I'm still 21 with no chronic health problems. I visited a physician and he prescribed 5mg bisoprolol daily. What i want to share is that I feel that i always need thay deep breath to fulfill my lungs. Although I still can live with it, but it's really annoying. I also forget all about this problem whenever I'm really busy. Yet most of the time I always feel that I do need a yawn or deep breath. I wonder if you've find any cure guys.

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Hi I was suffering big time too all the symptoms you named off. Including the yawing and shortness of breath. I got to the bottom of it. I went to see countless specialists with no answers. Until I met my gastroenterologist. At first I had serious doubts my breathing was a result of my gut. But it was! My Pulmonary doctor to treat it by exercise. I could barley walk 20 yards with out being winded. I didn’t believe him at first. But now I am living proof we can get through this. I exercise 1 hour a day now and cut out all my meds except for omeprazol. I feel great physically and the shortness of breath has gone away. I have other health issues but nothing related to this topic. Keep your faith and be strong and don’t give up hope.

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@merpreb

@tamaracaitlin- It is so very frustrating, isn't it? Have you sought any kind of anti-anxiety meds for this?

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No I haven't! And as of yet, no doctors have prescribed me any surprisingly! They really are trying to get to the root of it without trying to blame it all on anxiety. I do suffer from the usual amount of anxiety, but it's a vicious cycle. When my breathing is bad, my anxiety is worse, and when I'm anxious about something my breathing is worse. They do plan a part with one another but I refuse to believe this is all anxiety!

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@tamaracaitlin

No I haven't! And as of yet, no doctors have prescribed me any surprisingly! They really are trying to get to the root of it without trying to blame it all on anxiety. I do suffer from the usual amount of anxiety, but it's a vicious cycle. When my breathing is bad, my anxiety is worse, and when I'm anxious about something my breathing is worse. They do plan a part with one another but I refuse to believe this is all anxiety!

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It is all a vicious cycle, but it might be worth a try.

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