Breathing difficulty while lying down is an abnormal condition in which a person must keep the head raised by sitting or standing to be able to breathe deeply or
comfortably. A type of breathing difficulty while lying down is paroxysmal nocturnal dyspnea. This condition causes a person to wake up suddenly during the night feeling short of breath. This is a common complaint in people with some types of heart or lung problems. Sometimes the problem is subtle. People may only notice it when they realize that sleep is more comfortable with lots of pillows under their head, or their head in a propped-up position. Causes may include: Your health care provider may recommend self-care measures. For example, weight loss may be suggested if you are obese. If you have any unexplained difficulty in breathing while lying down, call your provider. The provider will
perform a physical exam and ask questions about the problem. Questions may include: The physical exam will include special attention to the heart and lungs ( cardiovascular and respiratory systems). Tests
that may be performed include the following: Treatment depends on the cause of the breathing problem. You may need to use oxygen. Massie BM. Heart failure: pathophysiology and diagnosis. In: Goldman L, Ausiello D, eds. Goldman's Cecil Medicine . 24th ed. Philadelphia, PA: Elsevier Saunders; 2011:chap 58. Schraufnagel DE, Murray
JF. History and physical examination. In: Mason RJ, Broaddus VC, Martin TR, et al, eds. Murray and Nadel's Textbook of Respiratory Medicine . 5th ed. Philadelphia, PA: Elsevier Saunders; 2010:chap 17.
A Closer LookTalking to your MDSelf Care
Tests for Breathing difficulty - lying downReviewed By: Linda J. Vorvick, MD, Medical Director and Director of didactic curriculum, MEDEX Northwest Division of Physician Assistant Studies, Department of Family Medicine, UW Medicine, School of Medicine, University of Washington, Seattle, WA. Also reviewed by David Zieve, MD, MHA, Isla Ogilvie, PhD, and the A.D.A.M. Editorial team. The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed medical professional should be consulted for diagnosis and treatment of any and all medical conditions. Links to other sites are provided for information only -- they do not constitute endorsements of those other sites. © 1997- A.D.A.M., Inc. Any duplication or distribution of the information contained herein is strictly prohibited.
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