Waking at night short of breath; Paroxysmal nocturnal dyspnea; PND; Difficulty breathing while lying down; Orthopnea
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.
If you have any unexplained difficulty in breathing while lying down, call for an appointment with your health care provider.
The health care provider will perform a physical examination and take your medical history.
Medical history questions may include:
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:
You may need to receive supplemental oxygen.
Hess OM, Carroll JD. Clinical assessment of heart failure. In: Libby P, Bonow RO, Mann DL, Zipes DP, eds. Braunwald's Heart Disease: A Textbook of Cardiovascular Medicine. 8th ed. Philadelphia, Pa: Saunders Elsevier;2007:chap 23.
Massie BM. Heart failure: pathophysiology and diagnosis. In: Goldman L, Ausiello D, eds. Cecil Medicine. 23rd ed. Philadelphia, Pa: Saunders Elsevier;2007:chap 57.