instruction: hello doctor my mom is suddenly getting breathless for about a month it never happened before now the shortness of breath has increased a lot and she cannot even sleep all night please help she is 46 years old
output: hello I can understand ur concern according to your statement she has been suffering from breathlessness for one month and it becomes worsen while she is lying sudden breathlessness can occur in asthma heart failure cold chronic obstructive pulmonary disease interstitial lung disease pneumonia psychogenic problems like anxiety etc at first we should find out the cause for which she is suffering now in case of nocturnal asthma patient suffer from breathlessness chest tightness etc more at night but you do not mention if she had past history of asthma allergic rhinitis or repeated respiratory tract infections again we do not know about her physical structure like lean and thin or healthy her occupational history environmental history like living status cooking history of fever or sudden weight loss history or hypertension history or is there any added sound with her shortness of breath you did not mention is there any swelling in her ankle or face or any parts of the body her nature of breathlessness is constant or not that means is she suffering more at night than day become weak or breathless after light exercise is her chest movement is restricted or not if she is obese then she can be suffered from obstructive sleep apnea she should undergo car pulse oxymetry egg monitoring blood pressure etc for her breathlessness she should be placed on propped up position during her sleeping time along by using nebulization with salbutamol solution saltolin along with inhaler azmasol two puffs four times a day and inhaler iprasol two puffs two times a day with weight reduction and be monitoring she can get some relief