Young people feel breathless when lying down.

Young people may feel short of breath when lying down due to causes such as excessive obesity, bronchitis, pneumonia, bronchial asthma, or chronic obstructive pulmonary disease. It is recommended to treat the underlying cause.

1. Excessive Obesity

Excessive body weight may compress the diaphragm when lying down, leading to impaired ventilation. Symptoms usually resolve on their own after weight control, and no specific treatment is required.

2. Bronchitis

In patients with bronchitis, inflammation and damage to the bronchial mucosa can lead to bronchospasm, reduced ventilation, and decreased thoracic cavity volume, resulting in poor ventilation. This may be accompanied by symptoms such as nasal congestion, sore throat, and hoarseness. Medications such as roxithromycin dispersible tablets, azithromycin dispersible tablets, or clarithromycin sustained-release tablets may be used under medical guidance to promote resolution of inflammation.

3. Pneumonia

Inflammation in the lungs may cause pulmonary congestion and edema, reducing lung ventilation and leading to hypoxia and difficulty breathing. Symptoms may include fever and sputum production. Under a doctor's supervision, medications such as amoxicillin capsules, cefuroxime axetil tablets, or levofloxacin hydrochloride capsules may be prescribed to combat infection.

4. Bronchial Asthma

Exposure to allergens such as dust mites, pollen, or dust, or irritants such as paint fumes or tobacco smoke, may trigger bronchial asthma and stimulate the lungs. When lying down, airflow may not be effectively expelled, causing breathing difficulties. Symptoms may include chest tightness and coughing. Under medical guidance, β2 receptor agonists such as terbutaline sulfate tablets, salbutamol sulfate tablets, or formoterol fumarate tablets may be used to dilate the bronchi.

5. Chronic Obstructive Pulmonary Disease (COPD)

Long-term inhalation of dust or harmful gases may lead to COPD, causing damage to lung tissue. Symptoms may include wheezing and phlegm production. Anticholinergic medications may be used as directed by a physician, such as tiotropium bromide inhalation powder, ipratropium bromide inhalation solution, or atropine sulfate tablets. These drugs block the vagus nerve pathway, reduce vagal excitability, and help relieve bronchospasm.

It is recommended to seek timely medical evaluation, complete necessary examinations, identify the underlying cause, and receive appropriate treatment under medical supervision. During treatment, drink plenty of water to promote metabolism and support recovery.