Why is asthma worse at night?

Question

My daughter has always had asthma, it is always better in the summer worse in the other seasons. However it is always the worst at night. She has no carpet, no drapes, no animals, no stuffies, clean beding and an air cleaner (which does help somewhat) Besides steriod inhalers what can I do, and why is it worse at night?

Answer 1

There are many factors that contribute to this. First of all, everyone's airways naturally narrow a bit at night. But for people without asthma, it doesn't really make a difference. Also, having your child sleep with the head of her bed elevated may help. With asthma the airways are constantly a little bit irritated. The body's natural response is to send fluids to the area to aid in healing, this leads to swelling. Think, if you sprained your ankle you would elevate it to keep swelling down, do the same for your daughter. I found it to be much easier to but books or blocks or something under the legs of my son's bed rather than prop him up with more pillows (he always slid down). And I definitely agree with the person who mentioned gastroesophageal reflux disease. One of the best things we ever did for my son's asthma was to put him on tummy meds (he has been on Pepcid, Prevacid and Zantac). Good luck to you! BTW, Is she on a daily preventative med? If she is having trouble frequently at night it would mean that generally her asthma was not well controlled and she should probably see her doc for evaluation and possible medication change

Answer 2

Asthma Worse At Night

Answer 3

2

Answer 4

There are several factors that may contribute to your experiencing more asthma symptoms at night: * The circadian rhythm causes certain natural hormones (similar to those in certain asthma medications) to be at lower levels at night. These lower hormone levels reduce the diameter of the airways slightly and may make it more likely that you experience asthma symptoms at night. * You could be inhaling dust mite allergens from your pillows, blankets and mattress while you sleep. * When you lie down, the distribution of gravity on your chest can put extra pressure on your lungs. If you experience nighttime symptoms, it means your asthma is not being properly controlled. Discuss these nighttime symptoms with your doctor. You may also want to bring a copy of the How Do You Feel Today? quiz to your next doctor's appointment. The quiz can help you find out how well you're managing your asthma symptoms. As for how you could make it go away... I think you should try some standard cold and flu tablets you get from the pharmacy... and also antihistimine, as it might also be to do with a slight allergy... I know I get a stuffy chest becuase I am allergic to dust mites... Let us know how you go ay...

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Answer 5

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Answer 6

I feel your pain. I've had asthma for 14 years now and have seen several doctors. The truth is, there is no known cure for asthma at the moment. But the symptoms can be prevented. It really depends on what causes your brother's asthma. Mine is usually dust and hot weather. But I think the universal method is using the control inhaler.

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Answer 7

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Answer 8

There is some mention of asthma and allergies in the diet books that approach diet by way of reducing insulin production, as insulin production has an effect on the production of a lot of other chemicals and hormones, including histamines and anti-histamines.

I think the other answer has it right about why it worsens at night.

You may want to check out the library link at www.hufa.org for more info on diets that control blood sugar which is how you control insulin production.

Answer 9

Because you are laying on a pillow that isn't hygenic... and if there is dust, etc.. on that pillow, then you will end up reacting to it. Also you are laying down and your lungs aren't as open.
Here's what to try.
1. Try adding another pillow underneath your head.
2. Change the pillowcase everynight before you go to sleep.
3. Get hypoallergenic pillows
4. Keep your room dusted twice a week.
5. Take an Albuterol inhaler before you fall asleep.
6. Try adding Advair to the regiment.

Answer 10

i also suffer from asthma and find it to be worse at night. i think when we lay down it puts our lungs at a different angle or level than they are during the day when we are up walking around.you could try more pillows but i find that laying on my side helps me to breathe better while lying in bed.i keep a fan on me year-round at night.use the albuterol right before going to bed.these are only things i have tried that work for me.good luck to your daughter .slow down while getting ready for bed and breathing stays at a calm rate.have a wind-down period awhile before her bedtime.
i can relate to her, in that i suffer with this problem, too. i also take SINGULAR for allergies and asthma and this helps very much.again,good luck. i hope this information is helpful to you.