How to manage shortness of breath when trying to sleep?

Question

Hello doctor,

I am concerned about my sleep. For the past few days, I have been unable to sleep comfortably because I think my left nostril might be blocked, and I feel like my heart is beating slowly. I am exhausted and really need some rest.

Could you please help me resolve this issue?

Answer 1

Hello,

Welcome to icliniq.com.

I understand your concern.

According to your statement, you have been experiencing shortness of breath when trying to sleep. You also get the sensation that your left nostril is obstructed and that your heartbeats are irregular. Orthopnea is the sensation of being out of breath while lying down. Sleep apnea, panic disorder, obesity, heart failure, asthma, allergies, dehydration, chronic obstructive pulmonary disease or COPD, pregnancy, respiratory infections such as the common cold, flu, or sinus infections, and so on can all cause orthopnea.

A clinical examination and other investigations may be required to determine the reason. For example, you can take tests such as pulse oximetry, CXR (chest X-ray), ECG (electrocardiogram), ECHO (echocardiography), spirometry, stress testing, and sleep studies to determine the specific source of your current symptoms and treat them accordingly.

In the meanwhile, you can try resting on your side with a pillow between your legs and elevating your head with pillows, using decongestants before sleep, losing weight, managing stress, eating at least two hours before going to bed, and using anxiolytic drugs, which can help in reducing the discomfort.

I hope this helps you.

Thank you.

Answer 2

Hello,

Welcome back to icliniq.com.

I read your query and can understand your concern.

The muscles of the neck and shoulders, along with the primary breathing muscles, play a role in supporting respiration. When lying down, neck discomfort from issues such as a pinched nerve, increased workload, injury or trauma, or strain in the muscles that support posture can lead to weakness and shortness of breath. Additionally, neck discomfort can cause muscle weakness and orthopnea, or shortness of breath when lying down. Similar symptoms can also be caused by bacterial or viral infections affecting the protective layers around the brain and spinal cord.

Without further investigation, it is challenging to pinpoint the exact cause of your symptoms. An MRI (magnetic resonance imaging), along with other relevant examinations, may help identify the precise underlying issues.

In the meantime, you might find relief by following the measures I previously suggested.

Thanks and regards.