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.

@tonyagregg

So similar to my story! I am 5'8" 148 lb non drinker, never smoked and have always plared sports and worked out. I even work at the hospital and have sat down with many doctors about this and they dont have a clue. When I run I feel good and it may start some time later. It comes and goes, some days Better than others. I have checked my co2 thru a blood gas and my co2 and ph are normal. I really try to pay attention to what I eat or have done that day, on my bad days. I have notice when I eat a lot or eat certian things it gets worse. Have you linked to anything when you have bad days? My next step is to see a allergy doctor. Please lets keep tabs and compare to see what may trigger it and hopefully figure this out!! Thanks for your post.

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@tonyagregg I have also noticed when I eat a lot it gets worse. Do you know what foods in particular seem to aggravate it the most for you? I am going to start really focusing on keeping track of that as well. I just want more than anything to get to the bottom of this!

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@deanna1015

@tonyagregg I have also noticed when I eat a lot it gets worse. Do you know what foods in particular seem to aggravate it the most for you? I am going to start really focusing on keeping track of that as well. I just want more than anything to get to the bottom of this!

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Anything with nuts, chocolate and especially beef. Chicken doesnt bother me that much and caffeine. Lol...I know that seems like everything

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@tonyagregg

Anything with nuts, chocolate and especially beef. Chicken doesnt bother me that much and caffeine. Lol...I know that seems like everything

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@tonyagregg so far I’ve noticed caffeine makes it worse for me, but I am going to start keeping a log on it. I would love to hear what you find with your allergy doctor, perhaps much of the issue is related to food allergies after all! Keep us posted if you can!

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@tonyagregg

I wish we could figure this out too! I thought I did have it figured out because after I stop eating nuts I was 99% better, but it returned like like many others have said. Some days are better than others. I have had every test possible and Aa came back normal. I think my next and last phase is to see an allergy doctor. I dont know about you, but I have notice that if I eat a lot it seems to be worse. I am totally fine while running, but a little later I am trying to get that deep satisfying breath. I will keep you posted and I hope we can figure this out.

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@tonyagregg sorry to hear that it didn't completely go away. 🙁 My SOB is worse if I eat a big meal as well. There has to be something with that- maybe physically, like the diaphragm is restricted or something. I used to be better when exercising but for the past couple of years, it's about the same, and sometimes worse if I push myself too hard.

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@wouldlovetohave- Good morning and welcome to Mayo Connect. I have SOB from lung cancer and can understand how intimidating this is.
I'm glad that you have searched for a solution for your SOB. Have you ever heard of exercise induced asthma? You symptoms appear very similar. check this out:
https://www.mayoclinic.org/diseases-conditions/exercise-induced-asthma/symptoms-causes/syc-20372300
What doctors have you seen and tests done to help rue out causes?

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@gabrielm

@tonyagregg sorry to hear that it didn't completely go away. 🙁 My SOB is worse if I eat a big meal as well. There has to be something with that- maybe physically, like the diaphragm is restricted or something. I used to be better when exercising but for the past couple of years, it's about the same, and sometimes worse if I push myself too hard.

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@gabrielm I was so excited that for several days I felt normal just to be let down again 😔 . I have ran this by several doctors I work with and they cant give me any answers which is so disappointing. My next step is to see an allergy doctor, because I have notice some things I eat makes it worse and like you said if I push myself hard during exercise my breathing will be a lot worse that day. I want stop until I have exhausted everything to figure this out. I will be in touch.

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@deanna1015

It seems to be worse for me too after I have eaten a lot! Especially around dinner time. Also if I have eaten a lot and then immediately lay down, it feels like I have to yawn or breathe a certain way to get a satisfying breath. Have not noticed a difference with taking Zantac, but also have not tried that consistently yet.

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@deanna1015- Good afternoon. It sounds like you have classic GERD. I have it and if I lie down after eating, esp. if I eat a lot, I get your symptoms. I think that it's time to see a GI guy, are you ready?

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YES! @tonyagregg @deanna1015 @gabrielm @merpreb The strongest trend I always noticed was that it was mostly happening on days I over-eat! However there were the rare occasions when that was not the case, so I thought perhaps I have a body image anxiety that I'm not particularly aware of. (I was overweight most of my life, until I started running every day. Perhaps I have anxiety about gaining the weight back? After all, there's never been more pressure to be physically fit and picture perfect). It's definitely not GERD for me though, because despite struggling to breathe up until falling asleep, I have none of the other GERD symptoms.

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@wouldlovetohave - that's all I had, one symptom. Wouldn't it be better to let Dr diagnose you?

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@merpreb

@wouldlovetohave - that's all I had, one symptom. Wouldn't it be better to let Dr diagnose you?

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I've got a physician in the household. This doesn't seem like something any one physician/specialist can unravel, so I thought I'd try a larger sample pool.

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