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.

Wow. I will keep in touch with this thread. I also have chronic shortness of breath. I take asthma meds, allergy meds, blood thinner (I had a pulmonary embolism at one time - they want to make sure I don't get another one), and do exercises to strengthen the muscles that pull my lungs out and in. I've been to Allergists, Pulmonary Doctors, Physical Therapists, Cardiologists, Neurologists, you name it. The asthma meds clear it up temporarily but I'm gasping again the next day. Peggy

REPLY

Hello @diomit and welcome to Mayo Clinic Connect. After reading your history, it is clear that this has greatly impacted your health and you are motivated to find answers. I know you said you don't believe this to be originating in your lungs, however, the shortness of breath is a thread that connects you to many members who are also experiencing shortness of breath, so you will notice that I have moved your post in order to allow you all to better connect.

Members such as @gabrielm @tahiristan @amber1234 and @hard2breathe all have been recent contributors and may have experiences they can share with you.

Do you happen to feel more/less ability to breath when breathing in through your nose or mouth? Is there a difference?

REPLY

Such a relief to find this forum! Six weeks ago I began to experience a feeling of shortness of breath. They put me on steroids and antibiotics and after 10 days I felt back to normal.
Within 2 weeks the feeling returned. I say a feeling as I can still take deep breaths. Occasionally this has been accompanied by mild chest pains. I am constantly fatigued and find it so hard to explain.
Oxygen sats...peak flow reading etc are very good. Heart rate normal. It has made it impossible for me to work. I've seen doctors and been provided with anti depressants and anti reflux tablets. They are sending me to see if I have sleep apnea. Bloods were normal originally but now show moderately elevated crp and slightly elevated WCC.
All last week I had an accompanying lump in my throat when swallowing so I am wondering if my doctor is correct that it is anxiety?

REPLY
@pfbacon

Wow. I will keep in touch with this thread. I also have chronic shortness of breath. I take asthma meds, allergy meds, blood thinner (I had a pulmonary embolism at one time - they want to make sure I don't get another one), and do exercises to strengthen the muscles that pull my lungs out and in. I've been to Allergists, Pulmonary Doctors, Physical Therapists, Cardiologists, Neurologists, you name it. The asthma meds clear it up temporarily but I'm gasping again the next day. Peggy

Jump to this post

The feeling of not being able to yawn I can relate to. It is like you want to yawn but your body won't take a full yawn.

REPLY
@amandajro

Hello @diomit and welcome to Mayo Clinic Connect. After reading your history, it is clear that this has greatly impacted your health and you are motivated to find answers. I know you said you don't believe this to be originating in your lungs, however, the shortness of breath is a thread that connects you to many members who are also experiencing shortness of breath, so you will notice that I have moved your post in order to allow you all to better connect.

Members such as @gabrielm @tahiristan @amber1234 and @hard2breathe all have been recent contributors and may have experiences they can share with you.

Do you happen to feel more/less ability to breath when breathing in through your nose or mouth? Is there a difference?

Jump to this post

There is no difference whether I breath through my nose or my mouth unfortunately.

REPLY
@rrsj

Such a relief to find this forum! Six weeks ago I began to experience a feeling of shortness of breath. They put me on steroids and antibiotics and after 10 days I felt back to normal.
Within 2 weeks the feeling returned. I say a feeling as I can still take deep breaths. Occasionally this has been accompanied by mild chest pains. I am constantly fatigued and find it so hard to explain.
Oxygen sats...peak flow reading etc are very good. Heart rate normal. It has made it impossible for me to work. I've seen doctors and been provided with anti depressants and anti reflux tablets. They are sending me to see if I have sleep apnea. Bloods were normal originally but now show moderately elevated crp and slightly elevated WCC.
All last week I had an accompanying lump in my throat when swallowing so I am wondering if my doctor is correct that it is anxiety?

Jump to this post

Don't let the doctors corner you to anxiety. I believe that when doctors don't know the answer, they pull the anxiety card. There was a recent article in Harvard that talked about how 80% of mental illness could be fixed with proper protocol to the gut. Even SSRI's have the ability to stimulate HCL which helps your stomach. Additionally, SSRI's though serotonin helps the brain 90% of your serotonin is in your stomach. So don't let them tell you it is in your head, because there is a great chance it isn't.

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@pfbacon

Wow. I will keep in touch with this thread. I also have chronic shortness of breath. I take asthma meds, allergy meds, blood thinner (I had a pulmonary embolism at one time - they want to make sure I don't get another one), and do exercises to strengthen the muscles that pull my lungs out and in. I've been to Allergists, Pulmonary Doctors, Physical Therapists, Cardiologists, Neurologists, you name it. The asthma meds clear it up temporarily but I'm gasping again the next day. Peggy

Jump to this post

hi @pfbacon, you mentioned about taking asthma meds and them helping to clear it up temporarily. Were you diagnosed with asthma by a doctor? Do the diaphragm exercises help your breathing improve?

REPLY
@rrsj

Such a relief to find this forum! Six weeks ago I began to experience a feeling of shortness of breath. They put me on steroids and antibiotics and after 10 days I felt back to normal.
Within 2 weeks the feeling returned. I say a feeling as I can still take deep breaths. Occasionally this has been accompanied by mild chest pains. I am constantly fatigued and find it so hard to explain.
Oxygen sats...peak flow reading etc are very good. Heart rate normal. It has made it impossible for me to work. I've seen doctors and been provided with anti depressants and anti reflux tablets. They are sending me to see if I have sleep apnea. Bloods were normal originally but now show moderately elevated crp and slightly elevated WCC.
All last week I had an accompanying lump in my throat when swallowing so I am wondering if my doctor is correct that it is anxiety?

Jump to this post

hi @rrjs, I'm glad you found this forum too! There are a lot of people here with similar symptoms and hopefully you find some helpful information or things you can try. When you started experiencing the SOB, was there an event that you linked it to, or did it start out of the blue?

A feeling of a lump in the throat may or may not be an indication of anxiety- I think there would need to be a more in-depth analysis and check by a medical professional.

Anxiety is so tough because anyone can have any symptom of it at some point in their lives, and true anxiety certainly can manifest itself in a variety of ways, while some may have a medical condition that is attributed to anxiety. So it's certainly a tough thing.

Have you been checked for GI issues or have seen an ENT? An ENT can examine your throat better to see if there's really anything there, and a damaged esophagus due due to heartburn/acid reflux might contribute to that sensation.

REPLY
@amandajro

Hello @diomit and welcome to Mayo Clinic Connect. After reading your history, it is clear that this has greatly impacted your health and you are motivated to find answers. I know you said you don't believe this to be originating in your lungs, however, the shortness of breath is a thread that connects you to many members who are also experiencing shortness of breath, so you will notice that I have moved your post in order to allow you all to better connect.

Members such as @gabrielm @tahiristan @amber1234 and @hard2breathe all have been recent contributors and may have experiences they can share with you.

Do you happen to feel more/less ability to breath when breathing in through your nose or mouth? Is there a difference?

Jump to this post

Dear Amanda:

If you think it is best for the post to be in Lung category that is fine, but every doctor and my gut instinct is that it is not at all related to my lungs.

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@diomit

The feeling of not being able to yawn I can relate to. It is like you want to yawn but your body won't take a full yawn.

Jump to this post

@diomit, I can relate as well. I know exactly the feeling, as sometimes a yawn will satisfy the feeling of need for air, while other times it's like it stops short, no?

I mentioned Buteyko Method of breathing in the OP, but just to provide you a possible aid with your breathing, it might be worth it to try elements of the breathing method through a Buteyko practitioner like Patrick Mckeown or through learnbuteykoonline.net. While not every element of it is for everyone, I think everyone can take some element of the method and apply it your individual situation.

For example, I do the "steps" exercises 3-4 times a week, and have trained myself to breathe just through my nose at all times, even during exercise, which has greatly improved my breathing. I would offer it as a suggestion for you to look into. They have various "rescue" exercises when an air hunger episode is especially bad.

I don't know much particularly about mold issues, but have you attempted any sort of mold detox regimens, whether through diet or other methods? Exposure to mold can certainly affect the lungs to different degrees depending on degree of exposure, but wondering if you've looked into possible detoxes specific to mold.

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