Overweight patients are also more likely to have a condition known as obstructive sleep apnea (OSA). This reduced expiratory flow may present as wheezing, which can become more pronounced upon lying down. Specifically, obese patients may have reduced expiratory flow compared to individuals of a healthy weight. Overweight or obese patients may experience reduced pulmonary function, making breathing more difficult. Obesity is defined as a body mass index (BMI) of equal to or greater than 30, and overweight is defined as a BMI of greater than or equal to 25 9. However, it differs from heart failure in that breathing difficulty starts almost immediately upon lying down( 8). Likewise, a sign of COPD is wheezing when lying down. It is different from asthma, and it is frequently caused by smoking, air pollution, or other environmental irritants.ĬOPD patients may have symptoms of shortness of breath, cough, and mucus production. Chronic Obstructive Pulmonary Disease (COPD)ĬOPD is a condition involving airflow obstruction due to inflammation in the lungs and airway. Shortness of breath while lying down can indicate severe cases of heart failure. This can lead to a buildup of fluid in the lungs, causing wheezing a few hours after lying down. If you experience swelling in your legs and then lie down, the blood that accumulated in your legs to cause the swelling starts to distribute elsewhere in the body. Heart failure could be a reason why you wheeze when lying down. This can lead to swelling and symptoms such as weakness and shortness of breath. When not enough blood circulates, fluid can accumulate in certain parts of your body. Heart failure occurs when your heart cannot pump enough blood throughout your body. In fact, 30 to 70 percent of asthma patients experience nocturnal asthma. Likewise, it may be a reason you experience wheezing when lying down. Nocturnal asthma presents as wheezing, shortness of breath, or coughing that causes sleep disturbances. If you have asthma and experience trouble breathing at night, you likely have nocturnal asthma. Oftentimes, these symptoms occur early in the morning or at night. What Causes Wheezing at Night When Lying Down? Nocturnal AsthmaĪsthma is a condition that causes wheezing, chest tightness, coughing, and shortness of breath. The next section will discuss each of these causes and why they may cause wheezing. Chronic obstructive pulmonary disease (COPD).There are several reasons why you may wheeze when you lie down. The extent and duration of wheezing will depend on what is causing you difficulty breathing and what part of your airway is blocked. This makes it difficult for you to take a full breath, leading to wheezing. When part of your airway is obstructed, the airway becomes narrower. While this can be the result of something like a physical object, it can also be due to an underlying disease that causes blockage. Wheezing occurs when something is blocking your airway. Wheezing that worsens or happens exclusively in the evening can also indicate an underlying medical problem. It is also not normal to wheeze at night. While some of these conditions are manageable, other conditions may be serious and require treatment. Several medical conditions can cause you to wheeze, some specifically when lying down. When Should You Go to the Doctor for Wheezing?.How Do I Know if My Wheezing Is Serious?.Wheezing When Lying Down on Your Left Side.What Causes Wheezing at Night When Lying Down?.This article will discuss reasons why you may experience wheezing when lying down and potential solutions to treating this phenomenon. If you find that you only start wheezing when you are lying down, you may have a condition that requires medical attention. In the medical field, healthcare professionals refer to wheezing when lying down as orthopnea. Some individuals may wheeze during normal day-to-day activities, while others may find that they only wheeze at night when they lie down. Sometimes the wheezing noise is clear and obvious, and other times it requires detection via a stethoscope. Wheezing refers to the sound you make when it is difficult to breathe, oftentimes sounding hoarse and rattled. When your airway is partially blocked, you may wheeze.
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