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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Tightness And Breathlessness In Chest While Laying Down?

The problem is that when I go to bed and lie down I start to have a tightness in my chest and become breathless if I get back up and sit up it improves last night it was several hours before I could return to bed. My health history is I have had three heart attacks and have a triple a
Tue, 4 Aug 2015
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Cardiologist,  's  Response
I would request you to visit your cardiologist. The symptoms you describe is called orthopnea, which is seen when heart pumping is weak, and it's unable to pump handle the extra blood coming in supine position from the legs due to elimination of gravity.
If you also have swelling generally in the evening or so. You need to be put on a diuretic for handling the extra fluid. Your cardiologist your be able to guide you with the relevant investigation and optimisation of treatment.
Till than I would request you to sleep with 45 bed elevation at head end, and restrict fluids to less than 1 litre a day.
Regards Dr Priyank Mody. For further assistance you may contact me on HCM through Http://doctor.healthcaremagic.com/doctors/dr-priyank-mody/70273Http://doctor.healthcaremagic.com/doctors/dr-priyank-mody/70273
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What Causes Tightness And Breathlessness In Chest While Laying Down?

I would request you to visit your cardiologist. The symptoms you describe is called orthopnea, which is seen when heart pumping is weak, and it s unable to pump handle the extra blood coming in supine position from the legs due to elimination of gravity. If you also have swelling generally in the evening or so. You need to be put on a diuretic for handling the extra fluid. Your cardiologist your be able to guide you with the relevant investigation and optimisation of treatment. Till than I would request you to sleep with 45 bed elevation at head end, and restrict fluids to less than 1 litre a day. Regards Dr Priyank Mody. For further assistance you may contact me on HCM through Http://doctor.healthcaremagic.com/doctors/dr-priyank-mody/70273Http://doctor.healthcaremagic.com/doctors/dr-priyank-mody/70273