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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]
Bronchospasm or a bronchial spasm is a sudden constriction of the muscles in the walls of the bronchioles. It is caused by the release (degranulation) of substances from mast cells or basophils under the influence of anaphylatoxins. It causes difficulty in breathing which ranges from mild to severe.
Laryngospasm is characterized by involuntary spasms of the laryngeal muscles. It is associated with difficulty or inability to breathe or speak, retractions, a feeling of suffocation, which may be followed by hypoxia-induced loss of consciousness. [2] It may be followed by paroxysmal coughing and in partial laryngospasms, a stridor may be heard ...
Treatment of VCD often combines behavioral, medical, and psychological approaches, most often including an otolaryngologist, a psychologist, and a speech-language pathologist. [1] Although information on the incidence and prevalence of VCD is limited, it is known to occur most frequently in young women.
The initial step of treatment focuses on reducing risk factors. While weight reduction may be useful in reducing symptoms, the role of acid suppression therapy to reduce esophageal reflux is still uncertain. [15] Very cold and very hot beverages may trigger esophageal spasms. [16] [17]
These coughing types include the following. A dry cough is a persistent cough where no mucus is present; this can be a sign of an infection. A chronic wet cough is a cough where excess mucus is present; depending on the colour of the phlegm, bacterial infections may be present. [16]
Habit cough is commonly characterized by a harsh barking cough, and can persist for weeks, months, and even years. The cough's hallmarks are severe frequency, sometimes a cough every 2–3 seconds, and the lack of other symptoms such as fever. The patient can have trouble falling asleep but once asleep will not cough.
[citation needed] Bed rest interferes with the expansion of the chest and limits the amount of air that can be taken into the lungs in preparation for coughing, making the cough weak and ineffective. [ citation needed ] This reflex may also be impaired by damage to the internal branch of the superior laryngeal nerve which relays the afferent ...