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Saturday, November 14, 2009
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Breathing difficulty - lying down

Breathing
Breathing
Alternative Names

Waking at night short of breath; Paroxysmal nocturnal dyspnea; PND; Difficulty breathing while lying down; Orthopnea


Home Care

Your health care provider may prescribe treatment for breathing difficulty while lying down. The treatment will depend on the specific illness causing the problem.

Weight loss is generally recommended in people who are obese.


Call your health care provider if

If you have any unexplained difficulty in breathing while lying down, call for an appointment with your health care provider.


What to expect at your health care provider's office

The health care provider will perform a physical examination and take your medical history.

Medical history questions may include:

  • Did this problem develop suddenly or slowly?
  • Is it getting worse (progressive)?
  • How bad is it?
  • How many pillows do you need to help you breathe comfortably?
  • Is there any ankle, feet, and leg swelling?
  • Do you have difficulty breathing at other times?
  • How tall are you? How much do you weigh?
  • What other symptoms do you have?

The physical examination will include special attention to the heart and lungs (cardiovascular and respiratory systems).

Diagnostic tests that may be performed include the following:

  • Chest x-ray
  • ECG
  • Echocardiogram
  • Pulmonary function tests

You may need to receive supplemental oxygen.



Review Date: 02/22/2009
Reviewed By: Linda Vorvick, MD, Family Physician, Seattle Site Coordinator, Lecturer, Pathophysiology, MEDEX Northwest Division of Physician Assistant Studies, University of Washington School of Medicine. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

A.D.A.M., Inc. is accredited by URAC, also known as the American Accreditation HealthCare Commission (www.urac.org).
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