![]() ![]() Night time bronchial asthmatic attack is very common in poorly controlled asthma. These symptoms can either settle by themselves or resolved through treatment with bronchodilators and corticosteroid. Wheezing, difficulty in breathing, coughing, chest tightness, chest pain, weight on chest, shortness of breath and mucus. The hyper reaction may result into obstruction of airflow that presents asthma symptoms i.e. This case report describes a novel approach of management and prophylaxis of asthmatic episodes through sleeping position that reduces and control asthma symptoms resulting in reduced drug consumption.īronchial Asthma is a syndrome condition or group of symptoms that are characterized by reversible airway obstruction as a result of hyper reactivity of the airways passage to allergens. After one month period of monitoring, the patient had significance reduction in asthma symptoms and reduced night time medication, reduced episodes of night awakening due to asthma symptoms, and improved capability for normal works. The patient was followed up through nighttime sleep diary for one month. ![]() After 3 hours of observation, asthma symptoms were relieved, and patient was discharged home and advised to sleep in supine position throughout every night to prevent asthma symptoms. He was then admitted and put in supine sleep position for re-evaluation while his asthma symptoms were monitored while waiting for the medical officer's evaluation of his asthma status. The attack did not settle with Aminophylline single Intravenous injection. A 49 years old man, known case of bronchial asthma for 43 years, with history of frequent asthmatic attacks, usually responding to double dose of intravenous Aminophylline and double dose of Hydrocortisone was received at medical emergency care unit at midnight with night-time asthma attack. ![]()
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