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.

It appears low vitamin D complicates lung issues, not just related to asthma, be in and is an important factor in overall lung health.
https://www.medicalnewstoday.com/articles/322206.php

REPLY
@aea1205

@nycmom

I have shortness of breath, chest tightness in the middle of my chest, sometimes chest pain, but not always, upper back pain in the middle of my shoulder blades. All my bloodwork, heart, lung tests have been nornal... my rdw count was a bit low, ddimer elevated, and co2 just a tad high. I deal with this everyday... i am not hyperventilating like people do suggest.... no way...... my doctor is saying anxiety..... i have been doing the 4, 7, 8, breathing.. seems to help.... trying to stay hydrated.... i still feel back pain even if im not as sob. I have sleep apnea, and am 80 lbs overweight... i dont think its that though as i have been heavy a while now. Actually lost 30 lbs, quit smoking, no change really. You can private message me if u would like to chat. I also have facebook.

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@aea1205- Good morning. Not much is scarier than finding yourself short of breath. I know I've had lung cancer 4 times. Have you been to a pulmonologist? Have you had any CT scans?
Anxiety is indeed a factor, how can it not be?
You might have COPD, which can cause all of these symptoms.
I am not over weight but I do feel less able to breathe if I gain weight, esp around holidays. And as soon as I lose it my breathing is a lot easier.
You might need more than one kind of inhaler that you take everyday.
Would you consider returning to your doctor or even switching to one, a Pulmonologist?

https://www.mayoclinic.org/symptoms/shortness-of-breath/basics/causes/sym-20050890
https://diet.mayoclinic.org/diet/home/google/?promo=52-qtr&utm_source=Search&utm_medium=Google&utm_campaign=TopBrandedBMM&gclid=Cj0KCQjw6IfoBRCiARIsAF6q06tny8H2NyB6roIDuOrcQntEkIpTTUoLfioaWzfYh6LnQldxmAET9S4aAtQmEALw_wcB
https://www.mayoclinic.org/diseases-conditions/copd/symptoms-causes/syc-20353679

REPLY
@merpreb

@aea1205- Good morning. Not much is scarier than finding yourself short of breath. I know I've had lung cancer 4 times. Have you been to a pulmonologist? Have you had any CT scans?
Anxiety is indeed a factor, how can it not be?
You might have COPD, which can cause all of these symptoms.
I am not over weight but I do feel less able to breathe if I gain weight, esp around holidays. And as soon as I lose it my breathing is a lot easier.
You might need more than one kind of inhaler that you take everyday.
Would you consider returning to your doctor or even switching to one, a Pulmonologist?

https://www.mayoclinic.org/symptoms/shortness-of-breath/basics/causes/sym-20050890
https://diet.mayoclinic.org/diet/home/google/?promo=52-qtr&utm_source=Search&utm_medium=Google&utm_campaign=TopBrandedBMM&gclid=Cj0KCQjw6IfoBRCiARIsAF6q06tny8H2NyB6roIDuOrcQntEkIpTTUoLfioaWzfYh6LnQldxmAET9S4aAtQmEALw_wcB
https://www.mayoclinic.org/diseases-conditions/copd/symptoms-causes/syc-20353679

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@merpreb

I have had 5 chest xrays, 3 ekgs, a 48 hour holter moniter, thyroid workup, thyroid panel, hornone tests, a spirometry lung test, which she said 1 number was low but then i brought it up with the neb.... a cat scan of lungs, a lot of blood work that has all been fairly normal.... only thing off was my co2 was a tad low, which if you have copd, co2 is high.... i had an elevated ddimer, dont know why, and my red blood count was a little high....none so bad they are that concerned.... i have a pulmonologist already... they have tried me on anti depreasants which i cant take. Cant stand the way they make me feel....i also have a endocrineologist who did the hormone and thyroid. Next i need an allergist to rule that out. Its just so weird bc that back pain is always there.... odd

REPLY

Hello,@aea1205, It's a good thing that all your tests results are normal. If your CT of the lungs looks normal, maybe try massage to help with the back pain. Look into a good chiropractor or Acupuncturist. When I feel sob I inhale eucalyptus or peppermint oil. Also, that's great the breathing exercises help you!! Our minds are so powerful,, so the more anxious you get,, the harder it will be for your lungs to relax. Maybe ask your doctor for Lorazepam instead of the antidepressant. Back pain can cause sob. Try massage!! Hope this helps🤞🏽

REPLY
@aea1205

@merpreb

I have had 5 chest xrays, 3 ekgs, a 48 hour holter moniter, thyroid workup, thyroid panel, hornone tests, a spirometry lung test, which she said 1 number was low but then i brought it up with the neb.... a cat scan of lungs, a lot of blood work that has all been fairly normal.... only thing off was my co2 was a tad low, which if you have copd, co2 is high.... i had an elevated ddimer, dont know why, and my red blood count was a little high....none so bad they are that concerned.... i have a pulmonologist already... they have tried me on anti depreasants which i cant take. Cant stand the way they make me feel....i also have a endocrineologist who did the hormone and thyroid. Next i need an allergist to rule that out. Its just so weird bc that back pain is always there.... odd

Jump to this post

You certainly have been through the ringer! Have you had any lung function tests?

REPLY
@fracturedd

Hello,@aea1205, It's a good thing that all your tests results are normal. If your CT of the lungs looks normal, maybe try massage to help with the back pain. Look into a good chiropractor or Acupuncturist. When I feel sob I inhale eucalyptus or peppermint oil. Also, that's great the breathing exercises help you!! Our minds are so powerful,, so the more anxious you get,, the harder it will be for your lungs to relax. Maybe ask your doctor for Lorazepam instead of the antidepressant. Back pain can cause sob. Try massage!! Hope this helps🤞🏽

Jump to this post

Ohh also pay attention when you get sob. If it is after you eat or drink,, Maybe it is reflux. Sometimes symptoms of gerd include back pain and sob.

REPLY
@merpreb

You certainly have been through the ringer! Have you had any lung function tests?

Jump to this post

@merpreb

Yeah I had the one where you blow in and out. Said it was normal. Said 1 number was low but then said after i did the nebulizer that it was normal.

REPLY
@aea1205

@merpreb

Yeah I had the one where you blow in and out. Said it was normal. Said 1 number was low but then said after i did the nebulizer that it was normal.

Jump to this post

Good morning- I hope that today is a better day for you! I agree with @fracturedd that perhaps you have GERD? Have you seen a GI doctor? Have you read back to some of the earlier posts about how many people have discovered that they have a digestive problem that is causing all of their symptoms?

REPLY

Well I seen the lung doctor yesterday, he did a lung function test. He said it is all in normal ranges. I requested a copy to post here. He prescribed me a steroid inhaler Symbicort still waiting for insurance to approve it. He changed my nasal spray and wants me to come see him in two months. Thats what I have so far from my last doctors visit

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