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Paroxysmal nocturnal dyspnea or paroxysmal nocturnal dyspnoea (PND) is an attack of severe shortness of breath and coughing that generally occurs at night. [1] It usually awakens the person from sleep, and may be quite frightening. [ 2 ]
Patients with trepopnea in most lung diseases prefer to lie and sleep on the opposite side of the diseased lung, as the gravitation increases perfusion of the lower lung. Increased perfusion in diseased lung would increase shunting and hypoxemia , resulting in worsening shortness of breath when lying on the affected lung.
Orthopnea or orthopnoea [1] is shortness of breath (dyspnea) that occurs when lying flat, [2] causing the person to have to sleep propped up in bed or sitting in a chair. It is commonly seen as a late manifestation of heart failure, resulting from fluid redistribution into the central circulation, causing an increase in pulmonary capillary pressure and causing difficulty in breathing.
A lot of different things can cause a cough. But coughs are usually broken down into two main categories: acute and chronic. ... “Symptoms also may not be as bad at night,” Dr. Coleman says ...
Control your cough. Coughing is a physiologic way to rid one of some of the congestion, says Amesh A. Adalja, M.D., senior scholar at the Johns Hopkins Center for Health Security. Controlled cough ...
Dr. Chun also advises seeking medical attention if your cough is accompanied by shortness of breath, bloody mucus, chest pain, confusion, high fever, fainting, night sweats or unexplained weight ...