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What Causes Breathing Difficulty And Tightness In The Chest In The Morning?

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Posted on Fri, 8 Jul 2016
Question: Slept well the past two nights. I got average 6.5 hrs sleep. want more.

Noticed I am more stressed or think i am more stressed in the morning. I think this is the case because I am checking my breathing and finding tight chest. I must force myself to believe you that it is not lung disease but thats not easy. I must stay with inflammation as the issue.

Can inflammation be worse in morning than later in day? I read that asthma is that way and asthma is inflamed airways. Or is it just the quick anxiety attack I create in the morning by knowing i have to get up and go thru another day.

Your explanation of emphysema helps, now give me another explanation that reassures me that its nothing but inflamation of small airways. That way I can calm down at my desk and work
doctor
Answered by Dr. Drkaushal85 (47 minutes later)
Brief Answer:
Yes, you are right about timing of inflammation.

Detailed Answer:
Thanks for your question on Healthcare Magic.
I can understand your concern.
I was worried about you because of no question for 2 days.
But now I am relieved as you have slept well for two days.
Yes, you are right about diurnal variation in inflammation.
Asthma attacks are more common in early morning (1-5 am) because inflammation is more in) during these hours.
But this theory is only for asthma.
In your case morning inflammation is due to stress and anxiety about next day and work.
You are late today in questioning.
You usually ask question before 3 hours. You must be at work desk.
I will be happy to help you further. Wish you good health. Thanks.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Drkaushal85 (7 minutes later)
I am late because we had used up all questions available on other account. I did not take time to close it and move to this account.

So the feeling or the sensation of breathing obstruction that i get is only side effects of inflammation

I am assuming that the more I fret on it, the more intense the next round of inflammation gets and makes it harder because the airways are being kept constricted for a longer period of time because of all the excess mediators.

doctor
Answered by Dr. Drkaushal85 (10 minutes later)
Brief Answer:
Yes, your are right in your understanding.

Detailed Answer:
Thanks for your follow up question on Healthcare Magic.
I can understand your concern.
Yes, you are right in your understandings.
So better not to think much insisted that direction.
Now you are having fresh stock questions from new account.
Isn't it?
All questions from previous account has been used up. Is it so?
Please reply me answers of above asked questions, so that I can guide you better. I will be happy to help you further. Wish you good health. Thanks.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Drkaushal85 (10 hours later)
Inflammation in my airways will take time to reduce as long as I relax. Is that correct in my thinking. I am thinking that if my idea is correct, it will then eliminate the obstructional feeling I get every so often.

Today got better as the work day came to a close.
doctor
Answered by Dr. Drkaushal85 (33 minutes later)
Brief Answer:
Yes, inflammation will take time to reduce.

Detailed Answer:
Thanks for your follow up question on Healthcare Magic.
I can understand your concern.
Yes, inflammation will take time to reduce as long as you relax.
You must be at home in the bed.
What are you feeling right now?
Please reply me answer of above asked question, so that I can guide you better. I will be happy to help you further. Wish you good health. Thanks.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Drkaushal85 (9 minutes later)
Yes, I am in bed. I am very very tired. Stress wears you out. The longer you have it the more tired you feel.

Right now I'm scanning the Internet looking for appropriate amplification that will fill my sound needs. I am picky on sound or what can provide me with sound I want or need

After I finish that I am shopping for hardware to install a wall hanger system to have my many bass guitars available to play and not have to open a case to get to them

Feel right now? Well today I had a Xanax at wake up, another after lunch and one before bed This is one more than I usually take. I wanted to keep the calm state constant for a short period to see if I can bring down the anxiety and inflammation and not be thinking of it.
doctor
Answered by Dr. Drkaushal85 (2 minutes later)
Brief Answer:
Do you feel better after taking extra afternoon Xanax?

Detailed Answer:
Thanks for your follow up question on Healthcare Magic.
I can understand your concern.
Please let me know
1. Do you feel better after taking extra Xanax in the afternoon?
2. Is this first time you have taken extra Xanax?
Please reply me answers of above asked questions, so that I can guide you better. I will be happy to help you further. Wish you good health. Thanks.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Drkaushal85 (8 hours later)
Yesterday I did have a better afternoon

I slept well over 7 hours last night. Hooray!!

We agreed that it would take time to get inflammation to reduce. Is that because it has had a long period of time to get to the level it's at

Does that mean I will have sensations on and off like I did this morning. Did once coming out of calm sleep the need to get up triggered more effort so the body had its reactions with bigger breaths and the excess inflamed airways reacted as it would, by restricting air with constricted airways
doctor
Answered by Dr. Drkaushal85 (6 minutes later)
Brief Answer:
Yes, your understanding is right.

Detailed Answer:
Thanks for your follow up question on Healthcare Magic.
I can understand your concern.
Yes, your understanding is right.
There is summation of stress induced inflammation.
So extra afternoon dose of Xanax is actually helping you.
Do you think so?
Why you felt that the afternoon was good? Did you sleep in afternoon?
I will be happy to help you further. Wish you good health. Thanks.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Drkaushal85 (28 minutes later)
Sorry, took a nap in afternoon and it helped

Last night the Xanax from the bed dose taken along with the calmed out day helped me to sleep over 7 hours. I could have slept more but I had to get up for work day

And am dealing with a humid morning and I feel that the continued or as you put, summation of inflammation making breathing a bit harder.

Just stay the course of relaxation and it should come down over time. Correct

Oh this is a thread from the other account that might be the last thread till next renewal date so we will keep this open as long as possible
doctor
Answered by Dr. Drkaushal85 (18 minutes later)
Brief Answer:
You are confusing me.

Detailed Answer:
Thanks for your follow up question on Healthcare Magic.
Sorry to say but you are confusing me.
You are not clear about Xanax dose.
Please let me know
1. Yesterday exactly when you took Xanax?
2. You take two Xanax daily. Right? Did you take three Xanax yesterday?
Please clarify my doubts.
And yes, I will keep it open. No worries.
I will be happy to help you further. Wish you good health. Thanks.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Drkaushal85 (6 minutes later)
Correct on the three for the day.
At5 am I took 1
At 2 pm I took 1
At 9 pm I took 1

Taking that pill at 2 smoothed the day out

I think staying relaxed all day helped with nights sleep too!!

I do not want to make a habit of this if I do it again today, I may split the pill in half at 2
doctor
Answered by Dr. Drkaushal85 (3 minutes later)
Brief Answer:
Which dose of Xanax you are taking?

Detailed Answer:
Thanks for your follow up question on Healthcare Magic.
Yes, you can split the pill in half in afternoon.
And no need to worry if you take three Xanax in a day.
I just want to know the dose of Xanax you are taking.
Is it 0.25 mg or 0.5 mg?
And your current weight?
Please reply me answers of above asked questions, so that I can guide you better. I will be happy to help you further. Wish you good health. Thanks.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Drkaushal85 (19 minutes later)
They are .5mg

Oh, what was the name of that supplement from XXXXXXX the tree bark one you were gonna see if it could be shipped to USA/

Also what was that other exercise not yoga but starts with a P
doctor
Answered by Dr. Drkaushal85 (6 minutes later)
Brief Answer:
Are you talking about pranayam?

Detailed Answer:
Thanks for your follow up question on Healthcare Magic.
I can understand your concern.
Pine bark extract is picnovit.
And are you talking about Pranayam.
Sorry I was forget to tells you that picnovit is not being shipped to US.
And you can take Xanax 0.25 at afternoon. No harm in it.
I have inquired about pine barkextract available in USA.
It is available by the name of picnogenom or picnogenol.
Can you search in local pharmacy?
Are you talking about pranayam?
Why suddenly you remember all these?
Please reply me answers of above asked questions, so that I can guide you better. I will be happy to help you further. Wish you good health. Thanks.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Drkaushal85 (4 minutes later)
Forms of relaxations and stress relief. I have actually forgot to mention it until just this morning.
doctor
Answered by Dr. Drkaushal85 (2 minutes later)
Brief Answer:
It is pranayam only.

Detailed Answer:
Thanks for your follow up question on Healthcare Magic.
I can understand your concern.
It is pranayam only.
Hey, I just checked. Pycnogenol is available in US.
Please check by yourself about its availability in US and let me know.
I will be happy to help you further. Wish you good health. Thanks.
Note: For further follow up on related General & Family Physician Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Drkaushal85

Pulmonologist

Practicing since :2008

Answered : 15003 Questions

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What Causes Breathing Difficulty And Tightness In The Chest In The Morning?

Brief Answer: Yes, you are right about timing of inflammation. Detailed Answer: Thanks for your question on Healthcare Magic. I can understand your concern. I was worried about you because of no question for 2 days. But now I am relieved as you have slept well for two days. Yes, you are right about diurnal variation in inflammation. Asthma attacks are more common in early morning (1-5 am) because inflammation is more in) during these hours. But this theory is only for asthma. In your case morning inflammation is due to stress and anxiety about next day and work. You are late today in questioning. You usually ask question before 3 hours. You must be at work desk. I will be happy to help you further. Wish you good health. Thanks.