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

Absolutely, I also hope we will be able to put it behind us one day! From my experience with experimenting with various things over the years, I think I can safely say that while it's not behind me, it's very much to the side of me. It interferes minimally in my daily life and it's come down to a few key things;

- utilizing what I've learned from the Buteyko breathing method; learning how to nasal breathe, to resist the urge to take deep breaths over time, and breathing exercises
- Mild to moderate physical exercise with very controlled breathing; this includes light jogging, some weight lifting (as my breathing allows) and never pushing myself hard with exercise
- Incorporating healthy eating and lifestyle; I've been enjoying learning about proper nutrition lately
- Walking! This one is relatively new as I recently established a goal of getting 10,000 steps a day. I started doing this daily, with an hour walk in the early morning and this has put me from the 'doing ok' category to the 'hey I barely know it's there' category in terms of air hunger symptoms. I've done some research on walking and there are a whole host of benefits including being low impact, you're not working hard, you're still exercising and you're improving cardio. It's also meditative and gives me a chance to practice slow and controlled nasal breathing. So I'm going to continue doing daily long walks and I think it will improve things further.

So these are some things to consider that have helped me tremendously over the years.

I also learned some "rescue exercises" when I felt like I was going to have a panic attack when this first started for me which involves mentally telling yourself that you're ok and you're not in danger. Then do some mild breath-holding sessions where you breathe out your nose, hold your breath for 10 seconds or so, rest for a couple of minutes, and repeat. This helped me regain control of my breathing when I felt like I was going to panic.

Is there something from this or maybe from your research you're hoping to implement as part of your improvement plan?

Jump to this post

Hi!
The truth is that I hope that at least this will not interfere with my daily life, because right now, my ability to concentrate when I have trouble breathing is practically non-existent.
I find the methods you use to keep it at bay interesting (and hopeful).
I have bought some books about breathing, the Buteiko method and others on Amazon. I will put them into practice as soon as possible.
Regarding walking, I have noticed that if I increase my speed to more than 4 km/h (in the EU we use the decimal metric system) the problems start: my hips and knees ache, my chest get compressed, etc. (I am 55 years old and currently suffering from obesity, due to a lack of physical exercise). According to my smartwatch, I walk an average of 5,000 steps a day, but these are steps I take at home or at work. However, it seems like a very good idea to me and I think I'm going to start walking. It may take me a while to get to 10,000 steps in the long run, but I'll set it as a goal. Thank you so much!
My diet is mainly based on vegetables, legumes, whole grains and fruit, sometimes accompanied by chicken, turkey or fish and, very occasionally, eggs (it is a specific diet for people who have had a heart attack).
I will implement the "rescue" breathing exercises that you mention to help me. I thank you too.
Many thanks for everything. Now I am going to put your methods into practice and in a while, I will tell you about the results.

REPLY
@trast

Hi Gabe.
Yes, my blood tests are now perfect. A short time ago, I had a slight lack of iron and vitamin D, but last week I had a blood test and everything is normal, from cholesterol to vitamin B12.
That's why I identify a lot with most of you, because everything seems to be fine, but several times a day something oppresses my chest and I start to need to catch more air. Neither my respiratory rate nor my heart rate increase, nor are there any wheezing or noises, it is simply a hunger for air in my chest. At first, it is possible to catch air by taking a deep breath or a big sigh. But as the hours pass, it is very difficult to do so and the yawning begins. And finally, I can't even yawn satisfactorily and the feeling in my chest is identical to what you feel like when you hold your breath (for example, while diving) and your body asks you to breathe in and get air.
These are very distressing moments...
Honestly, this is a pattern so similar to yours that I'm surprised we don't have a clear diagnosis and proper treatment. I hope one day we can forget this nightmare.
Thank you all for welcoming me.

Jump to this post

Yes it is distressing:( have you had your spine checked for signs of a herniated disc and/or pinch nerve?

REPLY
@grandma72

Yes it is distressing:( have you had your spine checked for signs of a herniated disc and/or pinch nerve?

Jump to this post

Hi, @grandma72. Yesterday my doctor ordered another MRI of my spine. The only thing left to do is wait for the hospital to call me to have it done. But it is true that lately my chronic back pain has increased and that may be the answer to my shortness of breath. Thank you! 🙂

REPLY
@trast

Hi, @grandma72. Yesterday my doctor ordered another MRI of my spine. The only thing left to do is wait for the hospital to call me to have it done. But it is true that lately my chronic back pain has increased and that may be the answer to my shortness of breath. Thank you! 🙂

Jump to this post

Hope your MRI happens soon and the results show narrowing of the space between one of your cervical discs or a herniated disc and that you get surgery for relief. Please let us know how you’re doing as we can help others on this journey.

REPLY
@trast

Hi!
The truth is that I hope that at least this will not interfere with my daily life, because right now, my ability to concentrate when I have trouble breathing is practically non-existent.
I find the methods you use to keep it at bay interesting (and hopeful).
I have bought some books about breathing, the Buteiko method and others on Amazon. I will put them into practice as soon as possible.
Regarding walking, I have noticed that if I increase my speed to more than 4 km/h (in the EU we use the decimal metric system) the problems start: my hips and knees ache, my chest get compressed, etc. (I am 55 years old and currently suffering from obesity, due to a lack of physical exercise). According to my smartwatch, I walk an average of 5,000 steps a day, but these are steps I take at home or at work. However, it seems like a very good idea to me and I think I'm going to start walking. It may take me a while to get to 10,000 steps in the long run, but I'll set it as a goal. Thank you so much!
My diet is mainly based on vegetables, legumes, whole grains and fruit, sometimes accompanied by chicken, turkey or fish and, very occasionally, eggs (it is a specific diet for people who have had a heart attack).
I will implement the "rescue" breathing exercises that you mention to help me. I thank you too.
Many thanks for everything. Now I am going to put your methods into practice and in a while, I will tell you about the results.

Jump to this post

No problem, I'm glad I can offer some things to consider. We're certainly in this together, and I'd like to know how you're faring so definitely report back!

Yeah with walking or exercise, obviously you'd do it to your ability without pushing yourself. You may find it getting a little easier over time, especially with walking. You'd just take a small, slow walk with controlled nasal breathing and every few days you may build up some stamina to be able to do a little more.

By the way, I did learn the Buteyko Method pretty extensively through learnbuteykoonline.net. They teach the lifestyle and provide exercises closest to the way Konstantin Buteyko taught. When I did this a few years ago. I think it was a few hundred dollars but well worth it as I still use most of what I learned to this day.

Please let me know how you do! I'd love to hear about any improvements and anything I can help with.

REPLY
@trast

Hi Gabe.
Yes, my blood tests are now perfect. A short time ago, I had a slight lack of iron and vitamin D, but last week I had a blood test and everything is normal, from cholesterol to vitamin B12.
That's why I identify a lot with most of you, because everything seems to be fine, but several times a day something oppresses my chest and I start to need to catch more air. Neither my respiratory rate nor my heart rate increase, nor are there any wheezing or noises, it is simply a hunger for air in my chest. At first, it is possible to catch air by taking a deep breath or a big sigh. But as the hours pass, it is very difficult to do so and the yawning begins. And finally, I can't even yawn satisfactorily and the feeling in my chest is identical to what you feel like when you hold your breath (for example, while diving) and your body asks you to breathe in and get air.
These are very distressing moments...
Honestly, this is a pattern so similar to yours that I'm surprised we don't have a clear diagnosis and proper treatment. I hope one day we can forget this nightmare.
Thank you all for welcoming me.

Jump to this post

anxiety.

REPLY

the people who swear by buteyko still suffer with this air hunger. yet people take it as great advice. stop trying to rid yourself of the feeling, stop caring about it, live fully with it. some of you are genuinely sick with sob but the people thinking a bit of this in my diet causes sob, come off it like. listen to your doctors please. i didnt, i was told anxiety and for six months didnt listen afterwards

REPLY
@trast

You just described how I feel exactly! I'm so sorry you're going through it. It is horrible, distressing and, indeed, causes a great deal of anxiety.
I wish we could find out the cause of this disorder that is making our lives bitter, so that we can find a solution.

Jump to this post

brother, the disorder is called anxiety disorder and it is caused by a poor/fearful reaction to a fight/flight response in your body which has caused your body to reproduce that response every day 99 percent of the day sometimes. the solution is becoming unfazed by it. live fully with or without it and by doing that you show your body long term the sob is not important or dangerous. so it shows up less and less. ive had private messages off this forum thanking me for telling them and theyre doing much better, give it a chance guys, if your doctor says its anxiety and youve done tests then please believe them.

REPLY
@yessir321

the people who swear by buteyko still suffer with this air hunger. yet people take it as great advice. stop trying to rid yourself of the feeling, stop caring about it, live fully with it. some of you are genuinely sick with sob but the people thinking a bit of this in my diet causes sob, come off it like. listen to your doctors please. i didnt, i was told anxiety and for six months didnt listen afterwards

Jump to this post

Hi @yessir321, while your insight and advice I'm sure will help others consider what it may or may not be, just a word of caution is that none of us here are or are presumed to be medical experts. This is a forum where people share their stories, their progress, and anything that may have helped. Simply labeling something as anxiety or anything else is generally not the greatest approach since none of us fully knows the story behind someone's life, their health, where they are in their journey, etc. Perhaps some have already had treatment for anxiety or psychological issues, etc. etc. While it's possible it could be anxiety, it's also very possible that it could be something else. People share what they believe to be the cause once they have whittled it down to that, and they are free to share. I share the Buteyko method because it has been what has helped me the most. The breathing exercises incorporate meditation and relaxation, both things that very much help anxiety. While it's not a magical cure, it is a tool in the toolbox along with a handful of other things such as lifestyle changes, perhaps medication for some, exercise, CBT for anxiety/depression, etc. Breathing is a complex issue as is breathing problems whether the cause is known or not. It is connected to many other bodily functions and these functions play some part in breathing, and breathe control also plays a part in symptom control. So it's good to share your thoughts and findings on what has helped you, but I caution in telling people that it's 100% what you think it is. With that, I find this forum to be a place where we share ideas and provide motivation and hope to those suffering, and those who come across and read these comments may take of them what they will in hopes that they have more to consider in their journey.

REPLY

A little update on my situation,
I have noticed that when I am full of gas and bloated and didn’t go to the bathroom i noticed to gasp for air at night and day after. And “tight” chest I don’t know how to explain this.
And today I am ok.

REPLY
Please sign in or register to post a reply.