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.

I’ve had this for as long as I can remember. It’s bad currently which is why I’m looking it up..

Consumes my life often.

I will try that method.

If you see this and could post me a link I’d really appreciate it.

I really hope your doing alright. It completely and utterly sucks!

🙁

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@anxiousmouthbreather

I’ve had this for as long as I can remember. It’s bad currently which is why I’m looking it up..

Consumes my life often.

I will try that method.

If you see this and could post me a link I’d really appreciate it.

I really hope your doing alright. It completely and utterly sucks!

🙁

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So sorry you're dealing with this @anxiousmouthbreather. I assume you've been dealing with this for many years based on you mentioning you've had it as long as you can remember- do you know roughly how many years? How is your overall health?

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@gabrielm

So sorry you're dealing with this @anxiousmouthbreather. I assume you've been dealing with this for many years based on you mentioning you've had it as long as you can remember- do you know roughly how many years? How is your overall health?

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My overall health isn’t amazing but much better since quitting drinking and smoking!
For at least 12-15 years. 31 now.
But yes, can’t remember when it started, feels like I’ve always had it it’s so consuming..
I tried one of the breathing methods last night, it did help take my mind off it and to not freak about getting what I call ‘a full breath’ if I can’t and I’m under pressure that’s a one way ticket to a panic attack.
But as I know it can’t harm me if I don’t get that full breath, I’m slightly more stable about it..
rationalisation and all..
But it is living hell sometimes.
Thanks for your support, it definitely seems to happen the more stressed or under pressure I feel.
I’m just used to it and no one being able to do anything to help me with it.
It’s never been scrutinised, just thrown off as anxiety. Which I’ve had panic attacks since 10 so yep. Just one of the many symptoms they’ve always said.
I don’t know many people that have to do it though who suffer with anxiety also.. Your the first I’ve come across in fact although I’m sure it’s much more common than I realise.

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@gabrielm

So sorry you're dealing with this @anxiousmouthbreather. I assume you've been dealing with this for many years based on you mentioning you've had it as long as you can remember- do you know roughly how many years? How is your overall health?

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It’s all day, everyday.

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Hello All:
Came across this post while looking for solutions to my very similar condition. I get random SOB episodes that seem to mostly occur 1 - 2 hours after eating. The first one landed me in an ambulance going to the ER. Full on panic attack BP 220/110. By the time i was looked at all was better. This started about 5 years ago, I'm in my late 50's now. Never happens when I'm working out (treadmill and light weights). The only solution I have found is what others have mentioned. Slow down my breathing, almost to a stop. Do this for about 2-3 minutes and the SOB starts to subside. As others have mentioned I had full blood workups, stress test, halter monitor, EKG, heart imaging, endoscopy, was on famotadine for several years as they thought is was GERD, and chest xray's. No diagnosis except panic attack. I don't consider myself anxious but I am type A. So maybe that is catching up with me. The only real consistent trigger I have is after eating. However, it is nice to know I'm not alone. Mine is not as bad as some others have reported here but nonetheless annoying. The only real method to get to stop is the very intentional slow breathing or the long yawn where it seems to pause for a few seconds then wham all of a sudden a full breath occurs and it feels satisfying. Thanks for posting as i really thought i was alone in this. It is comforting to see how others are self-treating. hopefully a real diagnosis will be discovered one day.

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@anxiousmouthbreather

My overall health isn’t amazing but much better since quitting drinking and smoking!
For at least 12-15 years. 31 now.
But yes, can’t remember when it started, feels like I’ve always had it it’s so consuming..
I tried one of the breathing methods last night, it did help take my mind off it and to not freak about getting what I call ‘a full breath’ if I can’t and I’m under pressure that’s a one way ticket to a panic attack.
But as I know it can’t harm me if I don’t get that full breath, I’m slightly more stable about it..
rationalisation and all..
But it is living hell sometimes.
Thanks for your support, it definitely seems to happen the more stressed or under pressure I feel.
I’m just used to it and no one being able to do anything to help me with it.
It’s never been scrutinised, just thrown off as anxiety. Which I’ve had panic attacks since 10 so yep. Just one of the many symptoms they’ve always said.
I don’t know many people that have to do it though who suffer with anxiety also.. Your the first I’ve come across in fact although I’m sure it’s much more common than I realise.

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At least it's improved from quitting drinking and smoking. If you're like me, any improvement counts! Yes realizing that you will get a full breath eventually, as well as realizing that (though uncomfortable) not getting that full breath sensation won't kill you. That's how I slowly got through it initially I can get full breaths most of the time, and the times I can't these days it's pretty mild.

But I totally get that it can be a living hell especially if you don't have all the tools to help relieve symptoms. It seems by this forum that this is far more common than people realize. I'm glad that it's grown in the sense that it helps more and more people not feel alone.

Have you seen anyone about dealing with the stress and anxiety you've experienced- have you learned coping strategies for those or ever been on medication for any of that?

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@jeff95132

Hello All:
Came across this post while looking for solutions to my very similar condition. I get random SOB episodes that seem to mostly occur 1 - 2 hours after eating. The first one landed me in an ambulance going to the ER. Full on panic attack BP 220/110. By the time i was looked at all was better. This started about 5 years ago, I'm in my late 50's now. Never happens when I'm working out (treadmill and light weights). The only solution I have found is what others have mentioned. Slow down my breathing, almost to a stop. Do this for about 2-3 minutes and the SOB starts to subside. As others have mentioned I had full blood workups, stress test, halter monitor, EKG, heart imaging, endoscopy, was on famotadine for several years as they thought is was GERD, and chest xray's. No diagnosis except panic attack. I don't consider myself anxious but I am type A. So maybe that is catching up with me. The only real consistent trigger I have is after eating. However, it is nice to know I'm not alone. Mine is not as bad as some others have reported here but nonetheless annoying. The only real method to get to stop is the very intentional slow breathing or the long yawn where it seems to pause for a few seconds then wham all of a sudden a full breath occurs and it feels satisfying. Thanks for posting as i really thought i was alone in this. It is comforting to see how others are self-treating. hopefully a real diagnosis will be discovered one day.

Jump to this post

Glad you found that you're not alone. Knowing that there are others who have gone through what you're going through definitely eases things a bit.

I'm assuming the panic attacks are brought on by the breathing issue, or have you previously had panic attacks prior to the symptoms?

I've noticed that my air hunger increases as my sinuses become stuffed or inflamed, but that seems to be the only thing that really bothers it. Otherwise, breathing exercises every now and then and moderate walking and physical exercise with controlled breathing has helped a great deal.

Do you find that you breathe through your mouth while exercising?

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Hello all, I myself am suffering from this strange breathing problem since last 3 years. I am a postgraduate veterinarian doing pet and farm animal practice.
This air hunger started somewhere around late 2020. I started experiencing dysnea and tiredness. Also sometimes I felt like having difficulty to yawn. In 2021 it went away suddenly and again reappeared after 5-6 months and again disappeared randomly. And now again in October 2023, it has returned back. After trying and experimenting many things, I have found one beneficial remedy. Believe me, it has given me 80%-90%results. Vitamin D (Cholecalciferol) has given me 80-90% relief. Please contact your doctor before taking it. I wish everyone to be healthy. Please share your feedback.

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@chrisdh5

Hi Gabriel

I see no one has responded in half a year and as I just stumbled upon your post, I saw fit to write a short answer to your problems.
Prolonged shortness of breath (accompanied by other symptoms as for instance lightheadedness/dizziness and headaches) are sometimes caused by, as you stated, chronic hyperventilation. This means that you either inhale too deeply or inhale too frequently for a longer time. GERD is known to cause shortness of breath when acid reaches airways, but as I read your story I do not think GERD is the cause for your prolonged experiences with SOB.

Based on the relief you feel when taking supplements of which you believe they help, in combination with positive effects of exercise and the overall prolonged experience of symptoms, chronic hyperventilation does seem a reasonable explanation for what you're experiencing. This, as I read your story (no obvious signs of disease/malfunctions concerning heart or lungs) leads me to believe your problems are not physiological at base. It is known that anxiety and/or depression can influence breathing severely. These mental issues are not always obvious in daily life. Many people don't know they're going through such issues. Have you considered looking in this direction? If you keep experiencing the same symptoms in the same manner, it could be fruitful to consult a therapist.

Since it has been 6 months, may I ask how you're doing now? Have you noticed improvements? If so, how did you improve your situation?

Best regards and I hope this answer helps!

PS I am not a doctor. I have however read (way too many) studies concerning this specific issue.

Jump to this post

Hello all, I myself am suffering from this strange breathing problem since last 3 years. I am a postgraduate veterinarian doing pet and farm animal practice.
This air hunger started somewhere around late 2020. I started experiencing dysnea and tiredness. Also sometimes I felt like having difficulty to yawn. In 2021 it went away suddenly and again reappeared after 5-6 months and again disappeared randomly. And now again in October 2023, it has returned back. Cardiac, pulmonary and blood tests normal. After trying and experimenting many things, and after reading a tons of scientific research articles, I have found one beneficial remedy. Believe me, it has given me 80%-90%results. Vitamin D (Cholecalciferol) taken orally has given me 80-90% relief and rather remarkable results. Please contact your doctor before taking it. I wish everyone to be healthy. Please share your feedback. God bless you all.

REPLY
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