Breathing difficulty while lying down is an abnormal condition in which a person must keep the head elevated (by sitting or standing) to be able to breathe deeply or comfortably. The condition may also cause a person to wake up suddenly during the night feeling short of breath (paroxysmal nocturnal dyspnea).
Alternative Names:
Waking at night short of breath; Paroxysmal nocturnal dyspnea; PND; Difficulty breathing while lying down; Orthopnea
Considerations:
This is a common complaint in people with some types of heart or lung problems. Sometimes the problem is subtle. People may only notice it when they realize that sleep is more comfortable with lots of pillows under their head, or their head in a propped-up position.
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?
Review Date: 2/22/2009 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.
