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.

@sarah66

Hola Gabe, como estas?
los suspiros y bostezos se te quitaron? es que llevo 3 años suspirando y bostezando sin poder parar , son suspiros involuntarios y tambien tengo una hernia de hiato, me puedes escribir al privado? es que soy nueva aqui y no se como mandar mensajes

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Hi @sarah66, My air hunger hasn't gone away completely, but it's been pretty mild over the past few years. Most times throughout the day, I don't even notice it especially if I'm busy, and I do keep up with breathing exercises at least every other day, or a few times a week as I remember. I still try to refrain from sighing where I can, and maintain nasal breathing throughout the day even while exercising. Is this a daily occurrence for you?

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@gabrielm

Hi @sarah66, My air hunger hasn't gone away completely, but it's been pretty mild over the past few years. Most times throughout the day, I don't even notice it especially if I'm busy, and I do keep up with breathing exercises at least every other day, or a few times a week as I remember. I still try to refrain from sighing where I can, and maintain nasal breathing throughout the day even while exercising. Is this a daily occurrence for you?

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Es que ami tambien me pasa por mas que suspire y suspire las ganas de suspirar no se quitan, me da miedo que sea por la hernia que tengo😭

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@gabrielm

Hi @sarah66, My air hunger hasn't gone away completely, but it's been pretty mild over the past few years. Most times throughout the day, I don't even notice it especially if I'm busy, and I do keep up with breathing exercises at least every other day, or a few times a week as I remember. I still try to refrain from sighing where I can, and maintain nasal breathing throughout the day even while exercising. Is this a daily occurrence for you?

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Cuando te distraes sientes la falta de aire?

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@mostafamahjoori

Hi
Update :
Im on lexapro for 2 month now
I started with 10 mg once a day
Now im on 30 mg
Im really better since 2 month ago
But still not go away completely
I prefer to anybody who suffer this see a Psychiatrist like me even you are sure its not anxiety
I wanna go on 40 mg lexapro.
If its not go away completely with 40 mg i change my medication

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Hola Mostafa ya se te quitaron los suspiros y los bostezos? tu tambien suspirabas a cada rato?

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@debkl

Could be related to the phrenic nerves or the vagus nerve. Using abdominal muscles could be affecting an already sensitive vagus nerve. I had this problem. You might have done something days prior to the onset using your abs that you might not even remember. The smell and irritation from the wood could have triggered a memory which triggered your brain's limbic system, especially the amygdala.

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Y que hiciste para solucionar tu problema con el nervio vago?

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@amber1234

Most of you claim you read all the posts and yet can’t figure it out . You all do have either diagnosed or undiagnosed hiatal hernia and associated gastrocardiac syndrome or Roemheld. Incompetence of medical profession these days is just astonishing.

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Pero que se puede hacer con ma hernia de hiato? yo tomé antiacidos y no me funcionaron, suspiro a casa rati cada 2 minutos

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@gabrielm

Hi @dcm8299, Have you started with the GERD treatment yet? Curious to see if that helps any of your symptoms. All the tests that have come back normal is certainly a good thing and good to rule some things out. I know it's also somewhat disappointing that the tests don't uncover anything, but also good to know that you're free of other conditions.

Also, have you done anything about the nasal symptoms? Any allergy medication, shots, sprays, etc? I find that for me, if I can get my sinuses under control, the air hunger also subsides. I've also kept it somewhat subdued over the years by doing occasional breathing exercises.

The vagus nerve theory is an interesting one. I've come across some material over the years as well regarding the vagus nerve. I think I read that there may be some things to help the vagus nerve, but I don't think my research turned up a lot. Echoing the good news he shared, it is a good thing it's not dangerous and just uncomfortable. I find that this frees up the mind to pursue things that can help symptoms. Have you looked into any breathing exercises?

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Good Morning Gabe. Thank you for the response. As prescribed by the GI doctor after the endoscopy, I take Nexium daily. It's helped the reflux. With regards to the nasal symptoms, I have Flonase and Sinex Severe sprays. They actually help relieve the stuffy congested nose immediately which helps with breathing but seems to reappear shortly after. Maybe I should start some breathing exercises. I'm not sure where to investigate next. What I know is that I've been cleared for most of the major body systems that would cause this even though I'm still feeling the air hunger daily. And it seems to be progressing/worsening becoming more prevalent?? I guess I'll just keep keeping active. I try to run 2-3 miles a day 4/5 per week along with weight training. I climb and descend roughly 300 stairs daily. Ironically, I feel my breathing is vastly improved while I'm exercising or staying active.

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@gabrielm

Hi @sarah66, My air hunger hasn't gone away completely, but it's been pretty mild over the past few years. Most times throughout the day, I don't even notice it especially if I'm busy, and I do keep up with breathing exercises at least every other day, or a few times a week as I remember. I still try to refrain from sighing where I can, and maintain nasal breathing throughout the day even while exercising. Is this a daily occurrence for you?

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si osea me pasa a cada rato, suspiro cada 2 minutos y no entiendo porque....tienes algun numero de contacto?

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@sarah66

si osea me pasa a cada rato, suspiro cada 2 minutos y no entiendo porque....tienes algun numero de contacto?

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Have you seen a doctor for your hiatal hernia? Depending on how severe it is, they may want to do surgery especially if it's giving you symptoms.

Being involved in an activity does help with the breathing for me. If my mind is concentrating on things like work, hobby, or conversation, I'm not so focused on my breathing so I don't really feel symptoms.

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@dcm8299

Good Morning Gabe. Thank you for the response. As prescribed by the GI doctor after the endoscopy, I take Nexium daily. It's helped the reflux. With regards to the nasal symptoms, I have Flonase and Sinex Severe sprays. They actually help relieve the stuffy congested nose immediately which helps with breathing but seems to reappear shortly after. Maybe I should start some breathing exercises. I'm not sure where to investigate next. What I know is that I've been cleared for most of the major body systems that would cause this even though I'm still feeling the air hunger daily. And it seems to be progressing/worsening becoming more prevalent?? I guess I'll just keep keeping active. I try to run 2-3 miles a day 4/5 per week along with weight training. I climb and descend roughly 300 stairs daily. Ironically, I feel my breathing is vastly improved while I'm exercising or staying active.

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When it first started for me years ago, I started doing breathing exercises through the Buteyko Breathing method. With this method, the focus is to reduce the breathing as much as possible and control it whether resting or exercise. I remember that when I was taking big breaths through my mouth whenever I could, it would seem to be worse but when I resisted the urge to take deep breaths and controlled my breathing through my nose, the symptoms would reduce. This is where I learned the method by the way; https://www.learnbuteykoonline.net/

Similar to you, I remember feeling better during exercise until one time I pushed myself too hard when running and the air hunger returned and never completely went away. This was around the end of 2017. So since then I have been doing moderate exercise without pushing myself too hard. I go as hard as my breathing will allow and that also seems to keep symptoms at bay.

I would suggest trying to reduce your breathing as much as possible and resisting the urge to take deep breaths. I think this definitely helped to regulate things for me and bring it under control. And also you could temporarily reduce your exercise for a few days to see how your body responds, i.e., running 1 mile at a lighter pace and doing moderate weightlifting all while nasal breathing only. Just a thought because for me, I find when done right exercise can help with the symptoms in general.

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