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.

Oh one more thing I forgot, does anyone else have a hard time sleeping on their side ? Ever jerk awake? It happens to me every few minutes if I lay on my right or left side. I’ve been tested for sleep apnea I know mine isn’t due to that.

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@theomonster

It’s good to know I’m not alone in this, a year ago I was driving home and out of the blue I couldn’t take a deep breath. I was also a little itchy I thought I had gotten into something. the next day the problem was worse went to the er. Was give a steroid, was sent to an allergy specialist ( no luck). Went to a pomologist it showed that I had some bronchial spasms was prescribed two inhalers ( none of them worked)
I had chest X-ray, CT scans, upper endoscopy, saw an ENT, saw phych, Thyroid testing, Lymph node biopsy All normal. I was prescribed ant acids and some ulcer meds nothing helped. In October I went to the ER because of stomach pains, they said my liver enzymes were up did a scan that showed my gallbladder wasn’t functioning. I had it removed on the 30th of December. But the issue with the deep breath continues. I also have throat weakness, often I have difficulty swallowing. I have also had rapid unexplained weight loss, and extreme fatigue.
Before all this I was a very healthy active person.
Does anyone else struggle with fatigue? Has anyone else had weight loss? I eat pretty healthy and take vitamins. I have not tried an alkaline diet so I think that would be my next step. Any other suggestions would be greatly appropriated.

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@theomonster- Welcome to Mayo Connect. There is nothing scarier than thinking that you can breathe as you normally take your next breath and find that it is a struggle! We mentors are not doctors and can not give medical advice but we can help support you and help guide you to a possible solution or hints on how to tolerate your conditions better. I am a lung cancer survivor/patient and I know what SOB feels like. I've also had bronchial spasms. I have gotten them in my early days after surgery and I also get them with GERD. They hurt a lot! How long did you give the medicines a chance to work before you decided that they didn't work?
What does your PCP say about your weight loss and trouble swallowing. DO you think that you have unintentionally lost weight because of your trouble breathing or trouble swallowing?
This might be something that interests you. It is not a diagnosis.
https://www.mayoclinic.org/diseases-conditions/dysphagia/symptoms-causes/syc-20372028
How much weight have you lost?

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@ecassidymitchell

Klonopin ... or Xanax , just be careful with it and if you want to try something natural go for this https://lostempireherbs.com/product/ashwagandha-tincture/?ref=63&campaign=ash ... it’s an adaptogenic that naturally LEVELS out imbalances in your body. Ex: if blood sugar is low Or high it will level it to a healthy number. It does this with so many parts of body and works with anxiety and sleep ! Also if u take vitamins... please consult with ur doc to get a blood panel bc u can easily take a vitamin(the recommended magnesium) your body is plenty sufficient in and actually harm it more than help it!

Here’s a YouTube video review on the Ashwagandha
https://youtu.be/hKXJfzdWK-4

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Generally speaking and notwithstanding some serious underlying medical condition like kidney failure, magnesium is safe. Too much will cause a laxative effect ie Milk of Magnesia. It's good to check with your doctor but most doctors aren't doing the right test. Please use the advice on this board as a starting place and do your own research. With anything start slow and see how you respond AFTER you've done your own research. https://www.bulletproof.com/supplements/vitamins-minerals/magnesium-deficiency-supplements-causes/

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@colleenyoung

Here is some additional evidence-based information about ashwagandha

- From Memorial Sloan Kettering Cancer Center https://www.mskcc.org/cancer-care/integrative-medicine/herbs/ashwagandha
- 12 Proven Health Benefits of Ashwagandha https://www.healthline.com/nutrition/12-proven-ashwagandha-benefits#1
- An Overview on Ashwagandha: A Rasayana (Rejuvenator) of Ayurveda https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3252722/

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Hello @ecassidymitchell. I am not opposed to supplements but I do a lot of research before I take one. When there is cause for me to consider taking a supplement, when I am already being treated by other medications for the same thing, I really need to slow down and give the idea a deep think. At one time I was taking a supplement for depression and it turned out to lead to clots and increased suicidal thoughts in some people. It was a big thing at the time and tons of people were taking it and then stopped.
Supplements are not regulated, and can claim pretty much anything that they want. They are not backed by scientific studies, or few if at all. So I hesitate to sanction this without a doctor's approval. I say this because Ashwagandha make certain claims that also can be very dangerous to people who are being treated for low blood pressure, or need an operation (it depresses the nervous system so any anesthetic type meds would be very very dangerous). When I see or hear "calms the nervous system down" my hackles go up because the nervous system is connected with so many bodily functions and if it depresses what you weren't aiming to depress than you would be in big dodo.
I have read that it can lower sugar blood levels and blood pressure also. Lowering blood sugar levels or blood pressure might be a great thing if there are problems there but if people are taking meds to address these things already than a further lowering could be too dangerous.

https://healthprep.com/living-healthy/ashwagandha-overview/

I am going to take a further look into this because I still suffer from depression and I am also on meds to treat it and do not want to get into trouble with it. Thank you for sharing this video. I hope that you have chosen wisely.

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@mutter

Have the same issues.. struggling to breath to get a decent breath, ox sat high, docs cant find anything wrong with me.. please keep posting... will also if/when find anything... have irratable bowl syndrome, sinus issues ... feels like my rib cage fight me to breath

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@mutter- Welcome to Mayo Connect. Do you also have GERD? I'm pretty sure that you have been tested for it because of your other issue. I am also curious about your intake of water. In researching dehydration, because I am very bad at drinking enough water, it seems to be a problem for many things.
https://www.hammernutrition.com/blog/5-signs-of-chronic-dehydration
How long have you had a problem with SOB? Is this a possible side effect with IBS? Have you had an X-ray to see if you have injured any of your ribs?

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I'd just say use common sense with all this stuff. If a docs plan is not helping try an alternative approach. While caution is warranted we don't want to create unnecessary fear. If you're really sick and nothing's working...research and try supplements. I've used magnesium, ashwaghanda after researching and knowing the side affects, with good results. If all this scares you try to get your nutrients from food. Most people don't have the discipline but in my opinion that's best. Some of us are so deficient now, food alone would take a while.

Also note that mineral deficiencies especially magnesium and potassium can affect your heart. Try to figure it out sooner rather than later.

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Oh... And I agree with Merry...if you have underlying medical conditions or are on medications, supplements might be harmful. In my case, I wasn't on any medications and doctors had checked for underlying conditions. When they couldn't find answers I turned to a healthy lifestyle and supplements.

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@merpreb

Hello @ecassidymitchell. I am not opposed to supplements but I do a lot of research before I take one. When there is cause for me to consider taking a supplement, when I am already being treated by other medications for the same thing, I really need to slow down and give the idea a deep think. At one time I was taking a supplement for depression and it turned out to lead to clots and increased suicidal thoughts in some people. It was a big thing at the time and tons of people were taking it and then stopped.
Supplements are not regulated, and can claim pretty much anything that they want. They are not backed by scientific studies, or few if at all. So I hesitate to sanction this without a doctor's approval. I say this because Ashwagandha make certain claims that also can be very dangerous to people who are being treated for low blood pressure, or need an operation (it depresses the nervous system so any anesthetic type meds would be very very dangerous). When I see or hear "calms the nervous system down" my hackles go up because the nervous system is connected with so many bodily functions and if it depresses what you weren't aiming to depress than you would be in big dodo.
I have read that it can lower sugar blood levels and blood pressure also. Lowering blood sugar levels or blood pressure might be a great thing if there are problems there but if people are taking meds to address these things already than a further lowering could be too dangerous.

https://healthprep.com/living-healthy/ashwagandha-overview/

I am going to take a further look into this because I still suffer from depression and I am also on meds to treat it and do not want to get into trouble with it. Thank you for sharing this video. I hope that you have chosen wisely.

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Of course and just know, this is a medicine that holistic doctors prescribe. It has withstood all its promises. It has healed my brother and my friend Julie of depression and anxiety! I take it daily! This doesn't suppress anything. But do your research and do what words best for you! Bc what works for others may not work for you! I wish you the best hun!

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@merpreb

@theomonster- Welcome to Mayo Connect. There is nothing scarier than thinking that you can breathe as you normally take your next breath and find that it is a struggle! We mentors are not doctors and can not give medical advice but we can help support you and help guide you to a possible solution or hints on how to tolerate your conditions better. I am a lung cancer survivor/patient and I know what SOB feels like. I've also had bronchial spasms. I have gotten them in my early days after surgery and I also get them with GERD. They hurt a lot! How long did you give the medicines a chance to work before you decided that they didn't work?
What does your PCP say about your weight loss and trouble swallowing. DO you think that you have unintentionally lost weight because of your trouble breathing or trouble swallowing?
This might be something that interests you. It is not a diagnosis.
https://www.mayoclinic.org/diseases-conditions/dysphagia/symptoms-causes/syc-20372028
How much weight have you lost?

Jump to this post

I had this. I was about to have surgery for it. My husband encouraged me to get another opinion at one of our top clinics. Thank God I did. He told me I didn't need surgery and to change my diet. As I began researching the condition I discovered I had the symptoms of a magnesium deficiency. One of the things I found is that it can cause a form of anorexia because your body can't digest and absorb nutrients. I was eating but losing weight. Had reflux as well. I was on Nexium but it made the spasms worse. Changed my diet and started taking magnesium. All that stuff was gone in a few weeks. And they were about to cut me open.

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@helpnyahtwhereucan- Wow. I bet you are relived that your husband spoke up! Did you have a blood test to determine how low you were and what you should be taking? I take a liquid calcium pill that is part calcium 1000 mg. and part magnesium 500 mg.

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