Coronary arteries are the main blood vessels that supply the heart muscles. This condition is mainly caused by coronary artery disease. AnginaĪngina pectoris refers to pain arising from the heart muscles. Stomach acid production also increases during early morning hours (a circadian pattern), which further increases the chances of chest pain while sleeping. Acid reflux increases while lying down, and this causes the pain to worsen. This pain sensation is also commonly referred to as “heartburn”. Under normal conditions, this backward flow of stomach acid into the esophagus is prevented by the presence of gastroesophageal (or lower esophageal) sphincter.Įxposure of esophageal wall to the highly corrosive stomach acid leads to pain in the chest region. Gastroesophageal reflux disease is a very common condition that is characterized by a backward reflux of gastric acid and stomach contents into the esophagus. Gastroesophageal reflux diseaseĬommonly known as acid reflux, gastroesophageal reflux disease (abbreviated as GERD) is one of the most common causes of chest pain that occurs during sleep. The following are some of the common causes of chest pain that occurs during sleep. Therefore, diagnosis of the exact cause of chest pain depends on consideration of other accompanying signs and symptoms. Based only on the symptom of chest pain, it is often difficult to distinguish between these two conditions. Two common causes of chest pain during sleep are gastroesophageal reflux disease and a heart attack. Causes of Chest Pain during SleepĬhest pain during sleep can be caused by a variety of conditions. Sometimes it may occur for no clearly identifiable reason. The worsening or easing of the chest pain and other symptoms may be caused by fluctuations in the body’s internal clock (circadian rhythm), changes in body position, dietary habits and even certain lifestyle or environmental factors. Therefore, other signs and symptoms that accompany chest pain should also be noted.Ĭhest pain, along with other accompanying signs and symptoms, may either worsen or ease off during sleep. For example, chest and shoulder pain can also be due to the presence of gallstones. Furthermore, not all cases of chest pain arise due to causes that reside within the chest cavity. In some cases, chest pain may simply be due to soreness of the muscles of the chest or due to anxiety. And so those are all signs or symptoms that we have a medical emergency, and we need to call 911.However, not all cases of chest pain are caused by problems with the heart and the lungs. Sometimes people’s lips or their fingernails will turn blueish. "A person could have slowed breathing or, in more severe cases, they could lose consciousness, and you might not be able to wake them from that. “A person might have constricted pupils so they’re very small pinholes and they don’t respond to light - usually your pupils open up - but they don’t respond to that," says Dr. Fingernails or lips that appear purple or blue.Losing consciousness or going into a deep sleep from which you can't be wakened.Very small pupils that don't change size when a light is quickly shined in your eye.So when it comes to drug interactions, drinking alcohol, while taking opioids, also can contribute to the reduced or slowed breathing that becomes dangerous.Ĭall 911 or your local emergency number if you or someone you know is experiencing these signs: Muscle relaxers, such as cyclobenzaprine (Amrix)ĭr.Drugs used to treat psychiatric disorders, such as haloperidol (Haldol).Drugs for sleeping problems, such as zolpidem (Ambien, Intermezzo, others).Certain antiretroviral drugs used for HIV infection, including atazanavir (Reyataz), indinavir (Crixivan), ritonavir (Norvir) and others.Certain antifungals, including itraconazole (Onmel, Sporanox), ketoconazole and voriconazole (Vfend).Certain antibiotics, including clarithromycin (Biaxin).
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