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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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What causes breathing difficulty while lying down, chest tightness and palpitations?

Answered by
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Dr. Kaushal Bhavsar

Pulmonologist

Practicing since :2008

Answered : 14576 Questions

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Posted on Mon, 27 Mar 2017 in Lung and Chest disorders
Question: I started having problems breathing at night when I lay down. My arms, face, nose feels like it becomes numb and has a tingling sensation. My chest feels tight when I lay down. I had the flu about 4 weeks ago and still have a slight cough. I also feel sometimes during the day like I am in a fog. I feel like my heart is beating fast but I checked my blood pressure and HR are normal. 106/72, HR 78 and pulse O2 98%.
doctor
Answered by Dr. Kaushal Bhavsar 45 minutes later
Brief Answer:
We need to rule out cardiac and respiratory causes for your symptoms.

Detailed Answer:
Thanks for your question on Healthcare Magic.
I can understand your concern.
You had flu 4 weeks back. This can cause bronchitis and bronchitis can cause all these symptoms.
Another possibility is heart related diseases. Breathing difficulty in lying down, chest tightness, palpitations etc are common in heart diseases.
So we should first rule out bronchitis (respiratory) and cardiac causes for your symptoms.
So get done ecg and 2d echo to rule out heart diseases.
Get done chest x ray and PFT (Pulmonary Function Test) for the diagnosis of bronchitis.
If all these are normal then your symptoms might be due pre menopause.
So consult doctor and discuss all these.
Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.
Above answer was peer-reviewed by : Dr. Yogesh D
doctor
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Follow up: Dr. Kaushal Bhavsar 22 minutes later
I am peri-menopausal. Actually, haven't had a cycle since last year. I also battle constipation a lot. Should I have a thyroid function test?
doctor
Answered by Dr. Kaushal Bhavsar 37 minutes later
Brief Answer:
Your all symptoms are mostly due to menopause.

Detailed Answer:
Thanks for your follow up question on HealthcareMagic.
I can understand your concern.
Yes, you should definitely get done thyroid function test to rule out hypothyroidism.
Also rule out heart related diseases and bronchitis.
If all come normal then possibility of menopause related symptoms is more.
Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.
Above answer was peer-reviewed by : Dr. Remy Koshy
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