![]() One theory is that acid reflux can cause a bronchial spasm making it harder to breathe and this is worse when you lie down. Acid reflux. People with asthma are twice as likely to develop a form of chronic acid reflux that flares up at night, known as gastroesophageal reflux disease (GERD).Obstructive sleep apnoea (OSA). With this condition, the throat muscles relax during sleep, obstructing the airways, and research has shown a link between OSA and nocturnal asthma.The condition, a type of viral infection of the sinuses, causes a nasal discharge that can aggravate your asthma as you sleep and wake you with the need to cough. Sinusitis has been linked with more severe cases of asthma.The condition causes excess mucus to accumulate during sleep and this irritates the throat, which could trigger a coughing fit. Allergic rhinitis. One study found poor treatment of allergic rhinitis was linked to a 50% increase in asthma symptoms at night.Smoking damages your lungs and will make you more prone to asthma symptoms including asthma attacks at night. ![]() Some studies have shown people with asthma who lost weight had improved lung function at night.
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