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.

@grandma72

You are so welcome… hope it is the answer as I would’ve loved to have had help anywhere along the way during my 9 1/2 years til I was healed.

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By any chance did you have chest tightness along with ur sob? I have chest tightness and like upper abdominal tightness

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@dainn

Hello so I have having similar symptoms. I feel like I have to breathe in with my mouth and when I try I can’t seem to get full air or barely air at all. I have tightness in my chest and sometimes I can feel pain in my stomach area/diaphragm. I been to lung doctors, ent, and heart doctors. They all said everything seemed fine. Does anyone know if this may be gas or diaphragm related ? Has anyone had any solutions. Right now I can barely sleep and I can’t have this for the rest of my life because I look funny trying to take deep breaths with my mouth in public just to get some air

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Hi @dainn, are you able to get full breaths at least every few breaths? How long have you been having these symptoms? Pain or tightness in the chest can be an indication of many things, and the air hunger or shortness of breath could also indicate something (hopefully) temporary.

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@gabrielm

Hi @dainn, are you able to get full breaths at least every few breaths? How long have you been having these symptoms? Pain or tightness in the chest can be an indication of many things, and the air hunger or shortness of breath could also indicate something (hopefully) temporary.

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I’m more tight in the chest. Can get a breath of air every few breathes in. But never feels like a full breath. Air hunger helps when yawning. I do have back pain lower and upper. I feel like my upper abs sometimes blocks me from getting air too. Not sure

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@dainn

I’m more tight in the chest. Can get a breath of air every few breathes in. But never feels like a full breath. Air hunger helps when yawning. I do have back pain lower and upper. I feel like my upper abs sometimes blocks me from getting air too. Not sure

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Have doctors checked for physical impairments internally- did they do x-rays and such? It sounds like there may be some injury or something physical that is keeping your diaphragm from fully expanding, or structurally with your ribs. I wonder if x-rays would reveal anything.

Are you aware of having been injured in your ribs doing something recently?

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@gabrielm

Have doctors checked for physical impairments internally- did they do x-rays and such? It sounds like there may be some injury or something physical that is keeping your diaphragm from fully expanding, or structurally with your ribs. I wonder if x-rays would reveal anything.

Are you aware of having been injured in your ribs doing something recently?

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I did have X-rays done and cat scans… everything was good. I’m hoping the tightness heals soon. Not sure what could be causing that. Maybe I’m breathing in too much and chest is sore who knows. Thank you for the reply tho!

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@dainn

I did have X-rays done and cat scans… everything was good. I’m hoping the tightness heals soon. Not sure what could be causing that. Maybe I’m breathing in too much and chest is sore who knows. Thank you for the reply tho!

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I hope it goes away for you soon. For me, I would feel some chest tightness every once in a while early on when my I was in the midst of more severe symptoms, and doing breathing exercises focusing on slowing the breath helped to relax me enough and thus my breathing muscles. I like the 4-7-8 breathing method to help slow the breath, something that may help to relax those muscles and hopefully would reduce the feeling of tightness. Let me know how it goes and if it goes away.

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@gabrielm

I hope it goes away for you soon. For me, I would feel some chest tightness every once in a while early on when my I was in the midst of more severe symptoms, and doing breathing exercises focusing on slowing the breath helped to relax me enough and thus my breathing muscles. I like the 4-7-8 breathing method to help slow the breath, something that may help to relax those muscles and hopefully would reduce the feeling of tightness. Let me know how it goes and if it goes away.

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Will def try. Do you still have the symptoms to this day? Did you ever find out what could be the cause. I’m hoping it’s the spine issue causing it for me. I heard gerd causes this too

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Hey, I've dealt with non-anxiety-related chronic hyperventilation for 5 years.

Try the following tests right now (5 minutes to do):

1) Wait until you are hyperventilating
2) Exhale forcefully through your nose
3) If there is significant obstruction (e.g snorting or whistling sound), you may have expiratory palatal prolapse (EPP) or another ENT condition that is obstructing your exhale which is causing your body to hyperventilate in response.
4) If you didn't have any obstruction, the following info probably won't help you.
5) Try pressing your tongue against the floor of your mouth and note any change in nasal exhale. Then try doing correct tongue posture (can Google how to do this) and note any changes in nasal exhale
6) With correct tongue posture, tilt your head up and note any changes in nasal exhale, then down again noting any changes in nasal exhale
7) Rotate your head 90 degrees to the left, tilt down like you're looking at your armpit, feel a stretch in the right side of your neck, hold for 30 seconds, and repeat this exercise on the right side. Check if your nasal exhale is less obstructed after having done this.
8) Assuming the neck stretch helped, try a variety of stretches for treating TOS or Levator Scapulae Syndrome or Upper-Crossed Syndrome and try to maintain **perfect** posture when sitting and standing for a few days to trial if posture correction helps you.
9) You may ultimately need ENT surgery or dental work related to your jaw position.

My condition was pretty bizarre. My tongue would get "triggered" when eating, activating muscles in my neck and throat in such a way that my soft palate would lose its rigidity, leading to EPP. The stretches I mention seem to "reset" my muscles and hence restore function to my soft palate which was what caused the hyperventilation by obstructing my nasal exhales. Your tongue may not factor in like mine did but you may still have EPP.

IDK if this will help anybody or if I'm just uniquely unlucky, but hey, it takes less than 5 minutes to try and it could help you a lot.

If anything I said helps you please feel free to contact me via private message, please include "hyperventilation" in the subject so you won't get lost in spam.

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@gabrielm

I hope it goes away for you soon. For me, I would feel some chest tightness every once in a while early on when my I was in the midst of more severe symptoms, and doing breathing exercises focusing on slowing the breath helped to relax me enough and thus my breathing muscles. I like the 4-7-8 breathing method to help slow the breath, something that may help to relax those muscles and hopefully would reduce the feeling of tightness. Let me know how it goes and if it goes away.

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Hey, do you have any issues when exhaling through your nose during hyperventilation as though it is obstructed?

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@dainn

Will def try. Do you still have the symptoms to this day? Did you ever find out what could be the cause. I’m hoping it’s the spine issue causing it for me. I heard gerd causes this too

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I have very minor symptoms. I've had about 3 bouts since 2012 where it's been severe, but it hasn't been that severe since 2017. It's sort of "there" but very manageable through improved health, breathing exercises when I need them, and managing allergy symptoms. I still don't know what caused it and it's still very much a mystery but I've experimented with various things and likely the combination of a few things over the years has helped symptoms to greatly reduce.

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