Insomnia breathing difficulty chest swelling, need to identify the cause before medication, may be autonomic nerve disorders, coronary heart disease, obstructive sleep apnea syndrome, etc., need to be under the guidance of the doctor for targeted medication.
1. Autonomic disorders can cause insomnia, palpitations, shortness of breath, chest tightness, can be accompanied by anxiety, irritability, abnormal sweating and other symptoms. Palpitations can be applied to beta-blockers such as propranolol, severe insomnia can be applied to a small amount of diazepam benzodiazepines, as well as vitamin B1 and other drugs to regulate the function of the autonomic nervous system.
2. Coronary heart disease can cause chest pain (such as the feeling of suffocation), palpitations, shortness of breath, etc., when the patient has difficulty in breathing at night, can not lie down is a common cause of insomnia. Commonly used drugs include selective β1 receptor blockers such as metoprolol, nitrate drugs such as nitroglycerin, calcium channel blockers such as amlodipine, etc.; if necessary, consider surgical reconstruction of coronary artery blood flow.
3. Patients with obstructive sleep apnea syndrome often wake up due to lack of oxygen, which not only causes insomnia due to decreased sleep quality, but also is often accompanied by chest tightness, panic and shortness of breath when waking up. Currently there is no efficacious therapeutic drugs, consider giving transnasal continuous intra-airway positive pressure ventilation treatment, as well as horizontal positive airway pressure treatment; consider surgical treatment if necessary.
However, it cannot be ruled out that it is caused by other factors, so it is recommended that the patient should consult the doctor in time, and after the doctor clarifies the cause, the patient should be given targeted treatment, and should not blindly self-medication.