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.

I am currently taking Protonics and Citalopram pills. I am much better. Probably the main problem of the stomach

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@sussistrikesmichelle

Hi Gabe, thanks so much for your comment. It actually made a big difference. I looked up a few videos of Buteyko breathing when I was struggling severely and it felt horrible at first... like I was drowning, but after insisting on it for a few days, it worked. It is not resolved all the way, I still sigh but now most of the time it goes in and I don't use my mouth. I haven't figured out how to do this method while exercising or walking but I hope to get there. Overall, just feeling scared of celebrating a victory yet but hopeful enough to have found a relief/coping mechanism.

And yeah... I followed an anti inflammatory diet for a couple years very rigidly e.g. potatoes, goat cheese, bison, all cooked fresh, no leftovers, no raw veggies, etc. It didn't help which was frustrating. I am curious about why the inflamed lungs myself but wonder if it's related to allergies.

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I use protonics and citalopram pills and im much better if you want use protonics and see the result

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@sussistrikesmichelle

Hi Gabe, thanks so much for your comment. It actually made a big difference. I looked up a few videos of Buteyko breathing when I was struggling severely and it felt horrible at first... like I was drowning, but after insisting on it for a few days, it worked. It is not resolved all the way, I still sigh but now most of the time it goes in and I don't use my mouth. I haven't figured out how to do this method while exercising or walking but I hope to get there. Overall, just feeling scared of celebrating a victory yet but hopeful enough to have found a relief/coping mechanism.

And yeah... I followed an anti inflammatory diet for a couple years very rigidly e.g. potatoes, goat cheese, bison, all cooked fresh, no leftovers, no raw veggies, etc. It didn't help which was frustrating. I am curious about why the inflamed lungs myself but wonder if it's related to allergies.

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Protonix(pantoprazol)

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Following this thread!! I have the same symptoms and can’t get ahold of this breathing, it affects Everything. Those close to me don’t understand. Doctors haven’t been able to help. Praying we can help each other figure this out. I’ve also been diagnosed with Gilbert’s syndrome. There could be a relation to it as I’ve seen others say they have it too

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Omg I just started feeling this way also. Hope you find some peace soon!

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Hello @buffyjane and @angelarho89. I'd like to welcome you both to Mayo Clinic Connect. I can understand your concern with feeling short of breath. I am glad you both joined to get support.

@buffyjane can you share what you've learned about Gilbert's Syndrome and shortness of breath and maybe provide some links to information you've found helpful in case this resonates with other members as well?

@angelarho89 how long have you been feeling short of breath?

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I had an injection of Prolia about 2 weeks ago & within a couple days started having SOB (which I initially blamed on seasonal allergies). It has gotten progressively worse & resulted in increased hypertension. Is this something anyone with experience can address. I already wrote my oncologist & told him “no more”. And the scale today is 5# more than yesterday with no visible peripheral edema.

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@amandajro

Hello @buffyjane and @angelarho89. I'd like to welcome you both to Mayo Clinic Connect. I can understand your concern with feeling short of breath. I am glad you both joined to get support.

@buffyjane can you share what you've learned about Gilbert's Syndrome and shortness of breath and maybe provide some links to information you've found helpful in case this resonates with other members as well?

@angelarho89 how long have you been feeling short of breath?

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Since about the 6th of Oct.

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@merryvonne

Since about the 6th of Oct.

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I had the Prolia injection 10/4

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@buffyjane

Following this thread!! I have the same symptoms and can’t get ahold of this breathing, it affects Everything. Those close to me don’t understand. Doctors haven’t been able to help. Praying we can help each other figure this out. I’ve also been diagnosed with Gilbert’s syndrome. There could be a relation to it as I’ve seen others say they have it too

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Hi @buffyjane, I too have Gilbert's syndrome. I did talk to my doctor about a few years back but he didn't seem to find any relation with air hunger or shortness of breath. So I'm not sure that there's a link, but there could be something unknown. Do you have any symptoms with yours?

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