Strong chest pain while lying down or sleeping can be caused by mitral valve prolapse (MVP), causing palpitations. Pleurisy is inflammation of the membrane that covers the lungs. Chest pain can be caused by anything from muscle pain to a heart attack and should never be ignored.You should call 999 for an ambulance immediately if you develop sudden severe chest pain, particularly if:If the discomfort is only minor or has resolved, it may be more appropriate to either:Chest pain isn't always caused by a problem with your heart, but it can sometimes be a symptom of:Both of these conditions can cause a dull, heavy or tight pain in the chest that can spread to the arms, neck, jaw or back. In the long-term, you may benefit from psychological therapy and medication, or both.

They can also cause additional symptoms, such as breathlessness and nausea.The main differences between these conditions is that chest pain caused by angina tends to be triggered by physical activity or emotional stress, and gets better with rest after a few minutes.If you have previously been diagnosed with angina, the pain may also be relieved by your angina medication.Symptoms that last more than 15 minutes, occur at rest, and include sweating and vomiting are more likely to be caused by a heart attack.Dial 999 immediately to request an ambulance if you think you or someone else is having a heart attack, or if you have the symptoms above and haven't been diagnosed with a heart condition.If you have an angina attack and you've previously been diagnosed with the condition, take the medication prescribed for you. Following are the common health conditions that may cause pain or discomfort in your chest when you bend over. The presence of other signs or symptoms that either start up or aggravate when lying flat may help provide a more definitive diagnosis. Make sure you seek medical advice so you can be correctly diagnosed and treated. Some common causes of chest pain are outlined below.This information should give you an idea of whether these conditions may be causing your chest pain, but you should always seek medical advice to make sure you get a proper diagnosis.These symptoms usually occur soon after you've eaten and get worse if you bend over or lie down.GORD can often be treated by making lifestyle changes and, if necessary, using medication. It can however, be considered abnormal when there is shortness of breath with minimal activity, or even at rest, when lying down or sleeping.Breathlessness when lying down flat is known as orthopnea and patients will report relief upon sitting or standing up. The symptoms often improve after a few weeks and may be relieved by painkillers.In addition to chest pain and overwhelming feelings of anxiety, these attacks can cause symptoms such as Most panic attacks last for 5 to 20 minutes. However, both may occur at the same time and for the same reasons. Shortness of breath, sweating, dizziness or even fainting spells that may accompany the chest pain should be taken seriously and immediate medical attention is necessary.It is important to verify whether lying flat, either on the stomach (prone) or back (supine), makes the pain worse or whether the exacerbation is transient and unrelated to position. These causes are discussed under The various causes of upper abdominal pain may cause referred pain in the chest.

Orthopnea can be graded by the number of extra pillows a person uses – more pillows signifies a more severe orthopnea.Ann uncommon type of breathing difficulty when lying down is known as trepopnea. Don’t include personal information e.g. While these symptoms may occur at any time, with any activity or any position, there are certain specific causes when chest pain occurs when lying down. You should call 999 for an ambulance immediately if you develop sudden severe chest pain, particularly if: 1. the pain feels heavy, pressing or tight 2. the pain lasts longer than Angina is a pain that comes from the heart. It is therefore useful to investigate the causes of chest pain or shortness of breath concurrently. When lying flat, there is a larger degree of fluid reabsorption from parts of the body that are edematous (fluid swelling). "Why does my chest pain worsen when lying down?" The heart muscle needs a right amount of blood supply, and the coronary arteries supply blood to the heart muscle. In some conditions, the dif… Sitting up or even elevating the upper body should ease the pain either partially or completely. Several risk factors can contribute to experiencing chest pain while lying down. 1. Gastroesophageal reflux disease, gallstones, and asthma are just a few of the causes of chest pain. The shortness of breath in these instances are transient and will settle within a short period of time. The same applies to shortness of breath when lying down flat or specifically at night while asleep. Here a patient reports shortness of breath when lying on one side (lateral decubitus position) but not when lying on the opposite side.Orthopnea and paroxysmal nocturnal dyspnea occurs primarily in cardiovascular disease but is also prominent with certain respiratory diseases like COPD (chronic obstructive pulmonary disease) and bronchiectasis. Apart from the pain, patients also experience a shortness of breath when lying flat. These risk factors represent a wide range of medical conditions. Chest pain isn't always a sign of a medical emergency.

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