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.

@gabrielm

Well it seems there may be a smoking gun (no pun intended!). That's certainly a good thing as most people don't have a link to the symptoms, so that's good that there seems to be a link. If this was recent, I wonder if your body simply needs time to heal and come down from that, even if it's a few weeks/months. Do you feel the symptoms subsiding at all, even slightly?

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Well, since I’m pretty young (22) I don’t think I have anything serious in terms of my heart. After self doctoring myself, which is never the best idea, I have also found that the left phrenic nerve pinch/damage matches my symptoms exactly. I feel much more anxious and cry more than usual. My breathing gets worse when I lay down as well. It turns out that COVID could potentially cause issues with the phrenic nerve. I feel more fine laying down than when getting into my car and driving. My left shoulder blade has a sharp pain when pressing in a certain spot that travels kinda on the left side of my neck and my left arm. It feels like a shock from the phrenic nerve being pinched/damaged. Turns out that a high dose of thc can also cause mild to servers phrenic nerve damage. I wish there was a quicker remedy as I’ve been having a very difficult time driving in the car which greatly impacts my life. In addition, I went down a slip and slide about 3 weeks ago and could have caused trauma to the phrenic nerve this was.

I got another set of blood tests for my thyroid and chemistry and everything came back perfectly normal.

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@greent18

Well, since I’m pretty young (22) I don’t think I have anything serious in terms of my heart. After self doctoring myself, which is never the best idea, I have also found that the left phrenic nerve pinch/damage matches my symptoms exactly. I feel much more anxious and cry more than usual. My breathing gets worse when I lay down as well. It turns out that COVID could potentially cause issues with the phrenic nerve. I feel more fine laying down than when getting into my car and driving. My left shoulder blade has a sharp pain when pressing in a certain spot that travels kinda on the left side of my neck and my left arm. It feels like a shock from the phrenic nerve being pinched/damaged. Turns out that a high dose of thc can also cause mild to servers phrenic nerve damage. I wish there was a quicker remedy as I’ve been having a very difficult time driving in the car which greatly impacts my life. In addition, I went down a slip and slide about 3 weeks ago and could have caused trauma to the phrenic nerve this was.

I got another set of blood tests for my thyroid and chemistry and everything came back perfectly normal.

Jump to this post

I haven't looked into the phrenic nerve possibility in a while, but I think there may be exercises to help alleviate things going on with the nerve. Have you looked into this?

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Don't doctor yourself. There are serious conditions that cause shortness of breath even in young children. I have pulmonary arterial hypertension which has one of the early symptoms as shortness of breath. Go to cardiac/pulmonary specialist and get a definitive diagnosis

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@yessir321

SHAAN KASSAM ON YOUTUBE, CLAIRE WEEKES BOOK, PAUL DAVID BOOK, DARE BOOK.
THOSE ARE THE RESOURCES THAT WORKED FOR ME ALL TEACH SIMILAR THING.
ILL SUMMARISE THEM BUT DO LOOK INTO THEM EACH TO SEE WHICH YOU COMPREHEND BEST BUT COMBINE THEM BECAUSE ITS ALL THE SAME
SHAAN KASSAM- FOCUS ON YOUR RESPONSE TO THE FEELING. ALARM SYSTEM- Acknowledge Label(as anxiety) Accept(passively by getting on with life) Refocus Move on. Measure your recovery by your response not your symptoms severity or frequency. Greatest amount of progress occurs when you feel symptom but you keep living just as you would without it there.
CLAIRE WEEKES - FACE, ACCEPT, FLOAT, LET TIME PASS
PAUL DAVID- YOU WILL NEVER GET BETTER UNTIL YOU STOP TRYING TO GET BETTER . when someone asks him how do i fix this issue he replies simply do nothing and its true trying to fix it doesnt work by bretahing exercises or mentally.
DARE- DISTINGUISH(ITS ANXIETY SYMPTOM) ACCCEPT(PASSIVELY BY LIVING LIFE WITH IT) RUN TOWARD(DONT COWAR FROM IT IT CAN HIT YOU LIKE A CAR AND YOU SHOULDNT CARE) ENGAGE(BEST STEP ENGANGE FULLY IN LIFE FEARLESSLY DO EVERYTHING BECAUSE YOU NEED TO TEACH YOUR MIND AND BODY THERE IS NO THREAT)

if you are in such a bad way you are willing to pay for counselling, dare do online coaching, also shaan kassam does but id say dare is more mainstream. In order you can look at the online videos and web pages then you could buy books of theirs and then if you need it paid counselling.

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Hello
I read massseges from you
I accepted my problem as you mentioned and say
I felt very little recovery
But it is still very difficult for me when talk to others or going somewhere
Can you explain more what to do?
I want more details so I can break it

Thank you

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Hey Gabe, just wanted to see if you still experience this? i have been since last October.
Kind regards Daniel

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@shedan16

Hey Gabe, just wanted to see if you still experience this? i have been since last October.
Kind regards Daniel

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Hi @shedan16, Yes I do, but thankfully to a much lighter degree. I've been able to manage symptoms with breathing exercises, physical exercise, and walking.

Sorry that you've started to experience air hunger. Do you know why it started happening or did it come out of seemingly nowhere?

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Not sure if you have had your heart checked as shortness of breath can be related to this also.

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@mostafamahjoori

Hello
I read massseges from you
I accepted my problem as you mentioned and say
I felt very little recovery
But it is still very difficult for me when talk to others or going somewhere
Can you explain more what to do?
I want more details so I can break it

Thank you

Jump to this post

THANKS FOR LISTENING. FIRST THING I HAVE TO SAY IS ONCE YOU DISCOVER THE WAY TO RECPVER FROM PHYSICAL ANXIETY SYMPTOMS IT IS EASY TO FALL INTO OLD HABITS. I WILL GIVE EXAMPLES OF COMMON MISTAKES:
TRYING TO USE ACCEPTANCE AS SOME SORT OF FIX IT TOOL.
WHEN YOU TRY AND FOCUS AND RESEARCH HARD IN ORDER TO RID YOURSELF OF SYMTPOM THAT IS RESISTANCE WHICH AS IVE SAID WILL MAKE IT COME BACK MORE AND MORE.
ANXIETY RECOVERY/ACCEPTANCE IS SO GENTLE, ITS LEAVING THE DOOR OPEN TO ALL SENSATIONS OR FEELINGS AND NOT FOCUSING ON WHETHER YOU HAVE A LOT OF OR NO SYMTPTOMS THAT DAY JUST FOCUS ON MASTERING INACTIVITY WHEN IT COMES TO ANXIETY RECOVERY. DO NOTHING SIMPLY PUT. THAT IS ONE OF THE SIMPLEST WAYS I CAN PUT IT. AS YOU JUST SAID "SO I CAN BREAK IT", I KNOW WHEN THE SYMPTOMS ARE RUINING YOUR EVERYDAY YOU CANT HELP BUT FIGHT AND FOCUS ON GETTING BETTER ALL DAY. BUT AS PAUL DAVID SAYS IN HIS BOOK, YOU WILL NEVER GET BETER UNTIL YOU STOP GETTING BETTER. FOR ME PERSONALLY WHEN I FIRST GOT SYMPTOM I WENT FOUR MONTHS WITH IT AND THEN IT G0T SHOCKINGLY BETTER AND IDK WHAT DID THAT (NOW FYI IT OFC CAME BACK MANY TIMES AND STAYED FOR LONGER) ANYWAYS, IT WAS BECAUSE I HAD EXAMS AND I GOT BUSY WITH LIFE AND JUST SAID TO MYSELF I CANT FIX THIS SENSATION SO IF ITS THERE ITS THERE AND HAD NO EXPECTATIONS OR FOCUS ON RIDDING NOTICING IT, AND IT WORKED, DARE EXPLAINS IT BEST IMO, EVERYOTHERS CAN KINDA FALL INTO THIS DOING TRAP OF TRYING TO SAY OH I ACCEOT I ACCEPT OH NOW IS IT GONE? SO TO REITERATE, YOU ARE TRYING SO HARD AND IF YOU GET BUSY WITH YOUR LIFE AS UNCOMFORTABLE AS THAT MAY BE, IF YOU ARENT AFRAID OF IT OR TRYING TO FIX IT, IT WILL REDUCE OVER TIME NOT INSTANTANEOUSLY, AND YOU COULD ALSO BE IN SOME BAD HABITS STILL OF TRYING TO FIX IT OR USING WHAT IM SAYING AS A TOOL TO STOP NOTICING. RECOEVRY IS NOT A PLACE, IF MY BREATHING SYMPTOM CAME BACK ALL DAY TOMORROW I WOULDNT LIKE IT IT WOULD BE UNCOMFORTABLE, BUT GUESS WHAT, ID EAT MY BREAKFAST GO TO THE GYM SPEAK TO MY FRIENDS GO TO WORK GET THE BUS HOME AND I WONT RESIST AGAINST NOTICING IT OR TRY TO IMPROVE IT IT CAN DO ITS WORST BECAUSEEEEEEEEEE RECOVERY IS BEING FREE FROM ANXIETY NOT OF IT, DONT LET IT DICTATE YOU(FINAL POINT I HOPE YOU FULLY BELIEVE ITS FALSE FEELING AND NOT SOMETHING MEDICAL BECAUSE FIRST STEP IS TO STOP FEARING IT AT ALL)

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@greent18

Well, since I’m pretty young (22) I don’t think I have anything serious in terms of my heart. After self doctoring myself, which is never the best idea, I have also found that the left phrenic nerve pinch/damage matches my symptoms exactly. I feel much more anxious and cry more than usual. My breathing gets worse when I lay down as well. It turns out that COVID could potentially cause issues with the phrenic nerve. I feel more fine laying down than when getting into my car and driving. My left shoulder blade has a sharp pain when pressing in a certain spot that travels kinda on the left side of my neck and my left arm. It feels like a shock from the phrenic nerve being pinched/damaged. Turns out that a high dose of thc can also cause mild to servers phrenic nerve damage. I wish there was a quicker remedy as I’ve been having a very difficult time driving in the car which greatly impacts my life. In addition, I went down a slip and slide about 3 weeks ago and could have caused trauma to the phrenic nerve this was.

I got another set of blood tests for my thyroid and chemistry and everything came back perfectly normal.

Jump to this post

GREENT CAN I JUST SAY, DOES IT GO AWAY WHEN YOU RUN DOES IT GET EASIER TO BREATHE WHEN EXERCISING FOR LETS SAY TEN MINUTES? IF IT DOES ITS FAKE AND IMO GONNA BE ANXIETY CAUSED IF YOU GET WORSED BY EXERTION THEN I WISH YOU LUCK IN FINDING THE MEDICAL REASON

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I have this at night and do intentional breathing to get "settled." 8 counts in; hold for 4; breath out for 8

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