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What Causes Breathing Difficulty At Night?

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Posted on Tue, 23 May 2017
Question: I had a ct angiogram negative my symptoms are only at night wake up w difficulty breathing and hard to swallow,
And in the morning im breathing fine , no sweating or any of that so i wonder is this my heart my lungs or anxiety, im a 34 yrs old male during the day i tire easily but im also 6 foot tall 250 lbs so dont know of its heart failure lungs obesity or anxiety which do you think ?
doctor
Answered by Dr. Sagar Makode (9 minutes later)
Brief Answer:
Two possibilities, one is OSA and other is reflux disease

Detailed Answer:
Hello,

It's less likely to be cardiac disease. Two possibilities are obstructive sleep apnea and other is reflux disease. So need to know more symptoms.

Do you have any symptoms like snoring, interrupted sleep, non-refreshing sleep, morning headaches, daytime sleepiness etc, if yes it further supports the diagnosis. If you have these symptoms then should undergo polysomnography.

In treatment, first thing weight loss. Secondly, cpap which is mask and device, and pressure during inspiration and expiration during sleep in order keep your airways patent and avoid this from happening. Also, regular exercises is very important.

Other possibility is of reflux disease. Do you also have upper abdominal pain, nausea, bloating, burping, increase in pain on food, sour water feeling in throat or chest burning, these are the other symptoms and may be associated. You should avoid fatty, oily and spicy diet. Avoid smoking and alcohol. Elevate head end of the bed or use pillows during sleep.You should get prescribed tab Pan DSR 40 mg or esomiprazole-domperidone combination before breakfast once a day for 2 weeks.

Hope this helps you and get back if you have any doubts or more information to share.
Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
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Follow up: Dr. Sagar Makode (22 minutes later)
If it was cardiac related or lung related the symptoms wouldnt only be at night correct
doctor
Answered by Dr. Sagar Makode (9 minutes later)
Brief Answer:
Yes you are right

Detailed Answer:
Yes you are right. Infact the symptoms should have increase on exertion and relieves with rest.
Note: For further queries related to coronary artery disease and prevention, click here.

Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
Answered by
Dr.
Dr. Sagar Makode

Cardiologist

Practicing since :2013

Answered : 1867 Questions

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What Causes Breathing Difficulty At Night?

Brief Answer: Two possibilities, one is OSA and other is reflux disease Detailed Answer: Hello, It's less likely to be cardiac disease. Two possibilities are obstructive sleep apnea and other is reflux disease. So need to know more symptoms. Do you have any symptoms like snoring, interrupted sleep, non-refreshing sleep, morning headaches, daytime sleepiness etc, if yes it further supports the diagnosis. If you have these symptoms then should undergo polysomnography. In treatment, first thing weight loss. Secondly, cpap which is mask and device, and pressure during inspiration and expiration during sleep in order keep your airways patent and avoid this from happening. Also, regular exercises is very important. Other possibility is of reflux disease. Do you also have upper abdominal pain, nausea, bloating, burping, increase in pain on food, sour water feeling in throat or chest burning, these are the other symptoms and may be associated. You should avoid fatty, oily and spicy diet. Avoid smoking and alcohol. Elevate head end of the bed or use pillows during sleep.You should get prescribed tab Pan DSR 40 mg or esomiprazole-domperidone combination before breakfast once a day for 2 weeks. Hope this helps you and get back if you have any doubts or more information to share.