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Why is my asthma worse at night? breathing hard at night lying down
Asthma & Allergy | Last Active: 5 days ago | Replies (21)Comment receiving replies
Have you been evaluated for allergies especially for dust and dust mites? Those are often thriving in bedrooms and would make things worse when lying down. This can be treated by allergy shots, encasing bedding, and allergy nose sprays and medications.
Also perhaps ask about being evaluated for gastric reflux, particularly silent reflux. This is a common issue for folks with lung conditions—so much so that National Jewish evaluates all their patients for reflux. When reflux is treated, it can help breathing (and when untreated can make breathing worse).
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@hicopd - I had more asthma symptoms (coughing, especially, but I think also some inaudible wheezing) lying down at night previously. I think it related to my dust/dust mite allergies, as you mentioned. I already took some regular inhalers, allergy medications and nose sprays. I've tried allergy shots before, but they only seemed to really impact my cat allergy. I took some benzonatate, which helped a bit, and grabbed my Albuterol inhaler from my nightstand if I coughed in bed. At least temporarily, this helped a bit.
What really made a difference in my particular situation was finally getting approved and taking mepolizumab shots monthly. At first, I did not think these shots were doing anything. Then, later, when speaking to my allergist at an appointment, I realized I was coughing less at night and during the day. I no longer got into such a bad asthma situation that I had to take a round of prednisone.
Are you allergic to dust/dust mites, hicopd? If so, what do you do to manage them?