Solving the Recurrence
Let
$$
x = \sqrt 2 + \frac{b}{x}
$$
Hence,
$$
x = \frac{\sqrt 2 x + b}{x} \implies x^2 = \sqrt 2 x + b \\
x^2 - x\sqrt2 - b = 0
$$
The roots of this equation are
$$
x_1, x_2 = \frac{\sqrt2 \pm \sqrt{ \sqrt{2}^2 + 4b}}{2} = \frac{\sqrt{2} \pm \sqrt{2 +4b}}{2}
$$
Proving that this works for all Pythogaren triplets
Let us consider the always-positive root
$$x_1 = \frac{ \sqrt{2} + \sqrt{2 + 4b} }{2}$$
Let us first compute $x_1^2$ and produce Pythogorean triplets:
$$
x_1^2 = \left (\frac{ \sqrt{2} + \sqrt{2 - 4b} }{2} \right)^2= \\
\frac{2 + (2 + 4b) + 2 \cdot \sqrt 2 \cdot \sqrt{2 + 4b}}{4} = \\
\frac{4 + 4b + 2 \cdot \sqrt 2 \cdot \sqrt 2 \sqrt{1 + 2b}}{4}
\\
\\
x_1^2 = 1 + b + \sqrt{1 + 2b}
$$
We want $x_1 = \sqrt{a + c}$, so we pick $a = \sqrt{1 + 2b}$, $c = 1 + b$
that gives us
$$
a^2 + b^2 = \sqrt{1 + 2b}^2 + b^2 = \\
1 + 2b + b^2 \\
= (1 + b)^2 \\
= c^2
$$
which verifies that the Pythogarean triplets $(a, b, c)$ satisfy this equation.
Non Pythogaren triplet integer solutions
Since we know that
$$
x_1^2 = 1 + b + \sqrt{1 + 2b}
$$
We can pick $a = 1 + \sqrt{1 + 2b}$, $c = b$ Giving us non-triplet numbers. It can be seen that this can never be a pythogarean triplet by seeing that
$$
b^2 = b^2 \\
c^2 = c^2 \\
a^2 = 1 + (1 + 2b) + 2 . 1 . \sqrt{1 + 2b}
$$
Which cannot be re-arranged into a triplet.
However, they are still integer solutions such that
$x1 = \sqrt{a + c}$ for a given $b$.