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10 Possible Causes for Nocturnal Awakening, Rales, Reversible Airway Obstruction

  • Asthma

    However, these differences were also associated with superiority with regard to some relevant clinical outcomes (e.g., number of exacerbations or nocturnal awakenings), a[dx.doi.org] Bilateral crepitant rales and sibilant rhochi were also detected. In his thoracic computerized tomography, the ground glass areas were noted in both lungs.[ncbi.nlm.nih.gov] Asthma is a relatively common condition that is characterized by at least partially reversible inflammation of the airways and reversible airway obstruction due to airway[radiopaedia.org]

  • Byssinosis

    They are reversible in the early stages, but prolonged exposure results in chronic airway obstruction, bronchitis, and emphysema with fibrosis, leading to respiratory failure[medical-dictionary.thefreedictionary.com] Treatment Therapy for early-stage byssinosis focuses on reversing airway narrowing. Antihistamines may be prescribed to reduce tightness in the chest.[medical-dictionary.thefreedictionary.com] Obstructive patterns are likely in patients who have had recurrent symptoms for more than 10 years.[medical-dictionary.thefreedictionary.com]

  • Pulmonary Edema

    Further questioning revealed a history of nocturnal snoring, frequent awakening, and daytime fatigue, suggesting a possible sleep apnea syndrome (SAS).[edm.bioscientifica.com] However, the patient developed pink frothy sputum with diffuse bilateral rales 30 min later after transported to surgical intensive care unit (SICU).[ncbi.nlm.nih.gov] obstruction.[ncbi.nlm.nih.gov]

  • Congestive Heart Failure

    While at rest With activity or exertion While lying flat (orthopnea) While awakening the person from sleep (paroxysmal nocturnal dyspnea); or Due to fluid (water, mainly)[medicinenet.com] No rales were detected because of its paucity of fibrous components in the lung.[ncbi.nlm.nih.gov] Patients with asthma and reversible airway obstruction were excluded from the trials of beta blockers in heart failure.[ncbi.nlm.nih.gov]

  • Cardiac Asthma

    […] brockie50423 over a year ago Cardiac asthma or Paroxysmal nocturnal dyspnea is sudden, severe shortness of breath at night that awakens a person from sleep, often with coughing[steadyhealth.com] Obviously with a longer transport time i would hopefully had been able to hear the fine basilar rales after the treatment, but for the future i want a stronger tool set to[emtlife.com] While asthma is a reversible airway obstruction, COPD is irreversible. Sudden exposure to cold, humidity and pollution can precipitate asthma in susceptible individuals.[thehindu.com]

  • Heart Failure

    Similarly, patients with sleep apnea without heart failure have frequent awakenings, nocturia and may wake up short of breath due to the apnea.[web.archive.org] […] because of an inherited or acquired abnormality of cardiac structure and/or function, develop a constellation of clinical symptoms (dyspnea and fatigue) and signs (edema and rales[web.archive.org] Patients with asthma and reversible airway obstruction were excluded from the trials of beta blockers in heart failure.[ncbi.nlm.nih.gov]

  • Hyperactive Airway Disease

    Clinically, patients with nocturnal dyspnea, chest tightness on awakening, feeling breathless, and wheezing on exposure to cold air or other respiratory irritants have a high[karnatakaanaesthj.org] More severe symptoms – croupy cough, fever 38 c, presence of malaise, lethargy, loss of appetite as confirmed by parents, symptoms and signs of LRI such as wheezing and rales[isanagpur.org] Given a reversible component of airway obstruction, the National Heart Lung and Blood Institute Expert Panel on Asthma supports the use of antiinflammatory therapy. 7 Hence[anesthesiology.pubs.asahq.org]

  • Pure Autonomic Failure

    Excessive night-time awakenings and daytime sleepiness were frequent in IPD but rare in PAF and controls.[ncbi.nlm.nih.gov] Clues to Non-Neurogenic Etiologies of Orthostatic Hypotension Findings on history and physical examination Possible etiology Chest pain, palpations, shortness of breath, rales[aafp.org] It can result in airway obstruction that can’t be reversed.[lung.org]

  • Mucus Inspissation of Respiratory Tract

    Clinically, patients with nocturnal dyspnea, chest tightness on awakening, feeling breathless, and wheezing on exposure to cold air or other respiratory irritants have a high[karnatakaanaesthj.org] Auscultation revealed rhythmic heart rate and vesicular murmur in the left hemithorax with presence of crepitant rales on the left pulmonary base.[omicsonline.org] airway obstruction is present. 104.[slideshare.net]

  • Fetal Akinesia - Cerebral and Retinal Hemorrhage Syndrome

    […] a person from REM sleep; affected individual usually remembers the event, unlike in night terror night terror (sleep terror; pavor nocturnes) sleep disorder (usually of children[strokecenter.org] […] in breast (611.71) 786.6 Swelling, mass, or lump in chest Excludes: lump in breast (611.72) 786.7 Abnormal chest sounds Abnormal percussion, chest Friction sounds, chest Rales[theodora.com] Chronic obstructive bronchitis – obstruction of small airways; defined by the presence of a productive cough 3mo for 2 consecutive years emphysema – enlargment of air spaces[ccfpprep.com]

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