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Why is Asthma Worse at Night?

Published in Night Asthma 2 mins read

Asthma symptoms often worsen at night due to several physiological changes that occur during sleep.

Here's a breakdown of the reasons:

Factors Contributing to Nighttime Asthma

Based on the provided reference, the following factors contribute to increased asthma symptoms during the night:

  • Airway Narrowing: During sleep, the airways naturally tend to narrow, leading to increased resistance to airflow. This can make it harder to breathe and trigger asthma symptoms.

    • Example: Imagine a garden hose partially pinched; it's more difficult for water (or in this case, air) to pass through.
  • Coughing: The increased resistance to airflow can trigger nighttime coughing, which in turn can further tighten the airways, creating a cycle of increased symptoms.

    • Example: A persistent cough can irritate the sensitive lining of the airways, causing them to constrict.
  • Sinus Drainage: Increased drainage from your sinuses into your airways while lying down can trigger asthma, especially in those with sensitive airways. Sinusitis is often linked with asthma.

To summarize, the following table explains how these factors contribute to nighttime asthma:

Factor Explanation Impact on Asthma
Airway Narrowing Airways naturally narrow during sleep. Increased airflow resistance, difficulty breathing.
Nighttime Coughing Increased airflow resistance causes coughing. Tightening of airways and worsening of asthma symptoms.
Sinus Drainage Increased sinus drainage can irritate sensitive airways. Triggering asthma in those who are sensitive.

Managing Nighttime Asthma Symptoms

While these factors are common, there are management strategies you can discuss with your doctor:

  • Medication Adjustments: Your doctor may adjust your asthma medication schedule or dosage to better manage nighttime symptoms.
  • Elevate Your Head: Using extra pillows to elevate your head can help reduce sinus drainage and make breathing easier.
  • Control Allergens: Ensure your bedroom is free of allergens like dust mites, pet dander, and pollen.

By understanding these contributing factors and working with your healthcare provider, it's possible to effectively manage and reduce nighttime asthma symptoms.

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