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.

@godislove

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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@godislove- A lot of people are surprised by the connection of the stomach to the lungs! WHat's the saying.."everything is connected"?

What exercises did he give you to do?

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@godislove

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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Hi there, I am glad to hear you are feeling better. Can you please describe you shortness of breath symptoms? Were you able to take full breaths and complete yawns? thank you

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@merpreb

@godislove- A lot of people are surprised by the connection of the stomach to the lungs! WHat's the saying.."everything is connected"?

What exercises did he give you to do?

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Merry - It goes right along with my PT and his osteopathic training - the body and mind are all one amazing, complex, interconnected system.
Sue

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@gabrielm

Yes @tonyagregg, I'd like to keep in touch with you. Sounds like what you have is pretty similar to me. It's been much worse before, but it's stabled out. Still not gone by any means, but I can at least live with it. Let's stay in touch. Maybe we can tag team our research or let each other know if we find some kind of answers.

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Hey! Did you ever solve this? I’ve been having the same symptoms for years now. I’m convinced it’s either vocal cord dysfunction or GERD. Would love to know if you found a solution. Thanks! Levi

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@galtstudent

Hey! Did you ever solve this? I’ve been having the same symptoms for years now. I’m convinced it’s either vocal cord dysfunction or GERD. Would love to know if you found a solution. Thanks! Levi

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Hi. No solution yet but it’s been doing better. I’m wondering if it might be VCD as well.

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@amandajro

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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hello, thanks for replying. I've been monitoring my blood pressure for a week. Luckily, it has been in the normal range an average of 122/74. Whenever I don't think about SOB I don't yawn or feel a thing. If i just sit and do nothing I would remember and feel the symptoms. With respect to the changes in my life, we're facing an economic crisis and I have finals very soon. Yet, I've always been dealing with this and never felt an issue. Thanks for your concern.

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My Accupuncture doctor thinks my intermittent SOB is related to gastric problems. I think it also is related to low heart rate. I have some inkling it may be related to the March vaccine shots for Covid but yours started years before the vaccine was used. A trick i discovered on this site, pursing my lips when I exhale and moving enough to keep my heart rate above 50 bpm has made an almost normal life possible.

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@cepheid815

My Accupuncture doctor thinks my intermittent SOB is related to gastric problems. I think it also is related to low heart rate. I have some inkling it may be related to the March vaccine shots for Covid but yours started years before the vaccine was used. A trick i discovered on this site, pursing my lips when I exhale and moving enough to keep my heart rate above 50 bpm has made an almost normal life possible.

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@cepheid815 - Some of it could be. You don't have to have any damage in your "pipes" to have GERD. DID the gastroenterologist perscrbe anything for you, suggest a diet change or advise you to cahnge anything?

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Hello, I have recently developed the same symptom where I cannot breathe normally.

It started about 4 days ago when I used my blue puffer, to treat my asthma attack. The problem arose when the puffer would not alleviate my symptoms, and I kept having to gasp for air every few minutes. So I went for a walk to help my breathing by getting fresh air. Which helped, but ever since I have continued to gasp for air every few minutes and have non stop yawning.

I went to the hospital to get tested, I have got a heart test, used a puffer as a test to see if it helped get rid of my issue (which it did not), blood work and an x-ray and all came out fine.

I am going to my cardiologist to get additional tests, but I do not smoke cigarettes nor weed, I've cut caffeine from my diet and take supplements, which haven't helped at all.

Another thing worth mentioning is that when I eat, because I am full, I feel like my stomach pushes up against my lungs and I am gasping for air every 20 to 30 seconds.

When I get tired and prepare to go to sleep, my lungs don't need as much air to breathe (from what I feel), and so I'm not gasping and yawning as frequently, and so I attribute that to my lungs not needing as much air to sleep, so the symptom goes away.

I work out and train, but since this started I've held off on wanting to work out for the time being.

I hope this reaches out to someone who might know what this issue could be.

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I am having SOB symptoms and they have been ongoing for 8 months now. The condition came on suddenly. I had some stress at the time, but now I have very low stress for the past 8 months and not much improvement. At first I could feel my heart beating very strongly for 3-4 weeks. Then, those symptoms subsided and I have had shortness of breath ever since. I feel like I can fill my lungs fully, but that nothing happens when I do. I would describe it as an air hunger and not feeling satisfied with my breath (wanting more oxygen). When I try to yawn, I am not satisfied and I feel like I cannot complete my yawn. The feeling is always there when I think about it and intense physical exercise doesn't seem to make it worse, but my exercise tolerance seems to have decreased I can feel my heart pounding much more when doing intense anaerobic activity. I have had blood work, seen a cardiologist (fine EKG, ultrasound, exercise test), I do not have asthma (lung function test showed normal). Reading through this tread, I saw that this could be related to autonomic nervous system not being able to relax properly. Is there any way to test if your autonomic nervous system is working properly? What can cause this? Someone mentioned tick born diseases, I wonder if there is an underlying infection since it came about so suddenly. Or if something like blood clots/ pulmonary embolism can have caused this. Has anyone gotten a blood gas test? I wonder why this has not been recommended by my doctors yet to determine if oxygen and carbon dioxide are at the right levels. Would that test help to diagnose if oxygen or carbon dioxide was actually lacking, or if it is a more local issue, or just all in my head?

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