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.

@altius1300

This post is 2 years old but I am responding because I finally found someone with similar symptoms. My conditions started off about 1 year ago.... started off with mild nauseous initial to burping to shortness of breath. I have done endoscopy and diagnosed with gastritis and hiatus hernia but medication like omeniprexole doesn't work. Also done 24 hour ph impedance monitoring but o signs if reflux! Referred to ENT specialist who diagnosed that I have sensitive nose but still no conclusion on SOB... scheduled for a sleep test but not sure if that might help with the symptoms. @gabrielm, has your conditions improved? Any other kind experts can give your advice?

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Hi @altius1300. I too have a hiatal hernia. I've noticed that many people who have this SOB/air hunger also have GI issues. Not sure of the relationship, but there could be something there. My breathing has improved a bit through daily breathing Buteyko exercises (minimal) and moderate weight lifting and a daily walk. Definitely not 100%, and I do struggle with it at times, also due to constant sinus inflammation, but it is quite a bit better over the last couple of years. Still trying to get it better, but it seems to be stagnant at this point; manageable but still there.

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@gabrielm

Hi @altius1300. I too have a hiatal hernia. I've noticed that many people who have this SOB/air hunger also have GI issues. Not sure of the relationship, but there could be something there. My breathing has improved a bit through daily breathing Buteyko exercises (minimal) and moderate weight lifting and a daily walk. Definitely not 100%, and I do struggle with it at times, also due to constant sinus inflammation, but it is quite a bit better over the last couple of years. Still trying to get it better, but it seems to be stagnant at this point; manageable but still there.

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I asked my doctor about a hiatal hernia but he said nothing showed up on scans. I'm supposed to have an endoscopy next. The only thing that has really helped my breathing is Advair.

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Gabriel- I just received blood work tests from my doctor. My chlorine is high, which means I have too much acid in my blood. I think the breathing exercises would help me. Going to try...also this could mean a parathyroid problem...does anyone else have a constant ringing in their ears? Mine does all the time and drives me nuts! I just try and ignore it but usually it signals that SOB is getting worse.

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@gabrielm

Hi @altius1300. I too have a hiatal hernia. I've noticed that many people who have this SOB/air hunger also have GI issues. Not sure of the relationship, but there could be something there. My breathing has improved a bit through daily breathing Buteyko exercises (minimal) and moderate weight lifting and a daily walk. Definitely not 100%, and I do struggle with it at times, also due to constant sinus inflammation, but it is quite a bit better over the last couple of years. Still trying to get it better, but it seems to be stagnant at this point; manageable but still there.

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@gabrielm: This is a great question- What is the connection between SOB (dyspnea) and our digestive system? Actually there is a direct link that might help explain this feeling of suffocating when you take a deep breath out of nowhere! I do not have a science background but thank goodness for YouTube!
https://www.youtube.com/watch?v=I0dNHz4Uz5o

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@merpreb

@gabrielm: This is a great question- What is the connection between SOB (dyspnea) and our digestive system? Actually there is a direct link that might help explain this feeling of suffocating when you take a deep breath out of nowhere! I do not have a science background but thank goodness for YouTube!
https://www.youtube.com/watch?v=I0dNHz4Uz5o

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Thanks for posting this. Hopefully people are getting the idea that acid could be the culprit. Might not be everyone's issue but it was mine. I'd start there since it's the least invasive. In addition to buffering acid, calcium tightens the LES. If you don't have a lot of calcium in your diet, have heartburn and shortness of breath, it could point to a weakened LES as evidenced by @merpreb 's video and calcium might be of benefit to you.

If your shortness of breath is caused by acid reflux you want to address that quickly. Some people have silent reflux (I used to) without heartburn. It was found during a scope of my esophagus. Long term reflux can damage the esophageal lining and in rare cases leads to Barrett's esophagus which is not good.

I know it seems too simple that mineral deficiencies can cause some of this but as someone who's lived the nightmare... went to a bunch of docs who couldn't help me, to sleeping propped up on pillows from heartburn, from unexplained weight loss despite eating (you could see my bones), hair fall, anxiety, insomnia, silent reflux and constant sore throat, violent spells of vomiting, episodes of not being able to swallow, depression and the list goes on...every one of those things resolved or improved greatly with a change in diet and minerals...mainly magnesium for me, but small amounts of calcium and most recently potassium (be careful with this mineral if you supplement--food is best) and controlling my acidity levels...again with diet, stress management, sleep and adequate amounts of water.

Our world conditions us that docs, prescriptions and surgery are the answer to everything and while it is the answer for some, don't underestimate the power of the body to heal itself if given what it needs.

Be determined to find an answer. I'm in my early 50's. I lost years of my life dealing with that stuff. Time I can't get back.

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@helpnywhereucan-and all- The video is just meant for better understanding of how the digestive system can cause SOB/lungs problems. Also for those who don't know what LES means (me included): Gastroesophageal reflux disease, or GERD, is a digestive disorder that affects the lower esophageal sphincter (LES), the ring of muscle between the esophagus and stomach. Many people, including pregnant women, suffer from heartburn or acid indigestion caused by GERD

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@jwiegers17

@gabrielm First of all I just want to say thank you for starting this thread, I suffer from this air hunger or something like it for almost ten years now and sometimes I just feel so alone and it’s hopeless. @tisch im right there with you.

So, my specific issue is the feeling that about every minute or so I take this huge chest breath that feels like it’s barely getting over this “hump” followed by shorter breaths. A never ending and definitely un natural cycle. I identify with sooooo many of your guys symptoms, but one symptom I have that I can’t really find anyone else with is I CANT TALK WITHOUT LOSING MY BREATH. Literally 90% of the time I speak I run out of breath before I can finish, and I don’t mean I feel like I’m running out breath, I mean I literally do. Anxiety or no anxiety, reading to myself at home or speaking to a stranger. Always, no matter what.

I can run for miles though. Strange, right? It has gotten less dominant over the years and at least it’s manageable, there were months where I wouldn’t even get out of bed because living out the whole day with every breath uncomfortable was too much. I’m 26 by the way. I have seen doctors for anxiety meds, pulmonary tests, speech therapy where they even looked at my vocal cord for dysfunction, asthma inhalers - absolutely nothing!

Whenever I take that deep chest breath, it physically feels so good, like a shot of relief of cool air creeping into my lungs. But I know it’s not natural. I know I shouldn’t be feeling that. My next step is to see a breathing specialist that takes all factors into account so I can keep checking them off the list. I don’t even expect to find a cure to this at this point, but I gotta keep trying just in case.

Thank you for reading this whoever does. I will read what you write to and I sympathize with your problems. Y’all aren’t alone. This shit sucks! I just want to breathe normal!!!!

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You have described my exact symptoms. Were you ever able to obtain any clarity on what was going on?

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@jimmyb3

You have described my exact symptoms. Were you ever able to obtain any clarity on what was going on?

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Hey @jwiegers17. Still searching!

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@gabrielm

Hey @jwiegers17. Still searching!

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I’m always searching and have been for years haha. Don’t see how this could just be anxiety I’ve been calm for a while now and it it doesn’t go away. Seeing my doctor next week to get a referral to a few places I’ll let you know how that goes...

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@jimmyb3

You have described my exact symptoms. Were you ever able to obtain any clarity on what was going on?

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Unfortunately not....but it has eased up over time a little bit, but still a constant uncomfortable feeling...seeing a doctor next week to get a referral to a couple places and also going to see a chiropractor I’ll let you know how it goes ...

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