Throat chocking, when I was in sleep deep sleep suddenly throat chocking and I have to fight for breath. - #23125

Thank you for sharing your problem. The talking feeling in your throat during deep sleep, and while breathing deeply or running is most likely connected to your stomach issues like acidity, ulcers, and reflex according to Ayurveda point of view. This is due to imbalance of PITTA and VATA doshas-

When acid and gas move upwards from the stomach, they irritate the food pipe and throat. These can cause tightness, dryness, or a choking feeling, especially when lying down. That’s why you feel this daily and even while breathing deeply.

The medicines which you are taking reduce acid, but they don’t fully treat the root cause With Ayurvedic treatment, we aim to calm the excess heat and dryness in your body , improve digestion and heal your throat naturally… with proper that lifestyle changes and herbs, we can definitely bring long-term relief

You can start on Mulethi kwath-1 teaspoon in 400 ML water boil until it remains hundred ML filter and drink twice daily on empty stomach Avipattikara churna-half teaspoon with water before meals

Avoid spicy, sore fermented, processed packet food

Avoid lying or sleeping immediately after consuming food While sleeping, keep your head elevated at least 30 to 45°

Drink butter milk with roasted cumin with a pinch of rock salt

Walk at least for 10 minutes after having food Do Pranayam a meditation regularly

HELLO KIERAAN,

Throat choking during sleep, difficulty breathing during physical exertion or deep breaths, constant throat discomfort , history of GERD, ulcers, and severe gastritis and unsuccessful use of antibiotics, nasal spray, and reflux medications- this appears to be a complex interplay between upper airway irritation and chronic gastroesophageal issues, potentially involving-

1)LARYNGOPHARYNGEAL REFLUX(LPR)- silent acid reflux -acid vapours from your stomach travel up the oesophagus, irritating throat and larynx -SYMPTOMS- constant throat discomfort, globus sensation(something stuck in throat), cough, choking at night -Different from GERD- often no heartburn -may worsen in sleep(lying flat) or with deep breathing(irritated airway)

2)OBSTRUCTIVE SLEEP APNEA OR SLEEP RELATED LARYNGOSPASM -sudden choking during sleep may be from a spasm of vocal cords(laryngospasm), often triggered by acid reflux or nasal blockage -could be central or obstructive apnea if overweight or with nasal blockage, GERD

3)POST-NASAL DRIP/CHRONIC RHINITIS/ SINUSITIS -constant mucus drip into the throat , causing irritation and inflammation -may result from non-infectious causes- allergens, chronic inflammation -Xylometazoline can worsen rebound congestion over time

4)HIATAL HERNIA?PEPTIC ULCER+ GERD COMBO -the chronic reflux you’re experiencing may be worsened by anatomical issues like hiatal hernia, which keeps pushing acid upwards

TEST RECOMMENDED IF NOT DONE YET THEN 1) 24 HOUR PH MONITORING/IMPEDANCE TEST- confirms LPR/GERD severity 2)SLEEP STUDDY(POLYSOMNOGRAPHY)- rules out sleep apnea 3)LARYNGOSCOPY- visual check of throat and vocal cords 4)CHEST X-RAY/CT sinuses- Rule out anatomical causes or chronic sinusitis 5)H. PYLORI TEST- as ulcers and gastritis present 6)BARIUM SWALLLOW OR ENDOSCOPY= to rule out strictures, ulcers, hernia

From an Ayurvedic point of view, this condition is a complex tridoshic imbalance, mainly involving- -Urdhwaga Amlapitta- upward movement of acid, pitta dushti -Kapha avarodha + vata prakopa- Kapha blocking throat + vata causing sudden laryngospasm -Pranavaha+Annavaha srotas dushti- disorder of respiratory and digestive channels

INTERNAL MEDICATIONS PLANNED FOR YOU

1)AVIPATTIKAR CHURNA- 1 tsp with warm water before lunch and dinner= reduces acid, relieves constipation

2)SUTSHEKHAR RAS- 1 tab empty stomach morning= relieves hyperacidity, spasms

3)KAMDUGHA RAS with mukta- 1 TAB after meals= heals ulcers, balances pitta

4)YASHTIMADHU POWDE- 1/2 tsp in warm milk at night= soothes throat, heals mucosa

5)SHANKHA VATI- 1 tab after meals= controls gas, bloating reflux

6)SHITOPALADI CHURNA+ GODANTI BHASMA- 1 tsp + pinch of bhasma twice daily with honey= for throat irritation and dryness

ADVISED NASYA THERAPY -instill 2 drops of ANU TAILA in each nostril daily morning after steam on face= clears sinuses, improves breathing.

DIET PLAN INCUDE -warm, light meals-khichri, moong dal, rice, ghee -cumin-coriander-fennel water all day -pomegranate,apple, lauki,etx -mung soup, bottle gourd, ridge gourd -Aloe Vera juice 30 ml in morning daily

AVOID COMLETELY -tea/coffee, chocolates, spicy food -fried food, tomato, tamarind, curd, citrus -ice cold water or drinks -eating after 8 pm -sleeping flat after meals

LIFESTYLE -SLEEP POSITION= elevate bed head by 6-8 inches, sleep on left side -AVOID LATE NIGHT MEALS= eat 2-3 hours before bed -AVOID VOCAL STRAIN=no loud talking or shouting -WALK AFTER MEALS= 20-30 min post lunch and dinner -BREATHING PRACTICE= anulom Vilom, ujjayi- avoid bhastrika or kapalbhati

NATURAL REMEDIES -gargle with warm turmeric+salt water every morning and evening -licrorice tea- boil yastimadhu powder in water and sip 2 times/day -fennel seeds+multethi mix= chew after meals -cow ghee- 1 tsp t bedtime

DO FOLLOW CONSITENTLY

HOPE THIS MIGHT BE HELPFULL

THANK YOU

DR. MAITRI ACHARYA

HELLO KIERAAN JI,

YOUR SYMPTOMS POINT TOWARDS LARYNGOPHARYNGEAL REFLUX, OFTEN SALLED SILENT REFLUX, WHICH IS RELATED TO YOUR GERD(GASTROESOPHAGEAL REFLUX DISEASE) BUT AFFECTS THE TROAT AND AIRWAY, ESPECIALLY DURING SLEEP.

KEYSYMPTOMS YOU MENTIONED -CHOKING SENSATION DURING DEEP SLEEP-CLASSIC FOR LPR OR OBSTRUCTIVE EVENT -THROAT THIGHTNESS AND DISCOMFORT ALL YEAR ROUND -CHOKING WITH DEEP BREATHING OR WHILE RUNNIG SUGGESTIVE OF REACTIVE AIRWAY OR CHRONIC INFLAMMATION -NO RELIEF DESPITE ANTIBIOTICS, NASAL SPRAY ETC

PROBABLE DIAGNOSIS- LARYNGOPHARYNGEAL REFLUX+CHRONIC PHARYNGITIS+SLEEP APNEA OR VOCAL CORD DYSFUNCTION

KINDLY GO FOR SOME INVESTIGATIONS -LARYNGOSCOPE -SLEEP STUDY -SPIROMETRY

MANAGEMENT FOR YOU

MORNING -KAMDUDHA RAS(WITH MUKTA)- 1 TAB WITH COLD WATER AVIPATIKAR CHURNA- 1 TSP BEFORE BREAKFAST WITH LUKEWARM WATER

AFTER MEALS- SUTSEKHAR RAS- 1 TAB WITH WATER TWICE DAILY

NIGHT- SHANKHA VATI+YASTIMADHU CHURNA- 1 TAB+1 TSP WITH LUKEWARM WATER

-AROGYAVARDHINI VATI- 1 TAB AT NIGHT

#NASYA AND GANDOOSH -ANU TAILA NASYA- 2 DROPS IN EACH NOSTRIL MORNING AFTER STEAMING -YASTIMADHU DECOCTION GARGLE- 2 TIMES DAILY -SITOPALADI CHURNA+HONEY- LICK SMALL QUANTITY- 3-4 TIMES/DAY

DIET ADVICED -AVOID- SPICY, FRIED, TEA/COFFEE, MILK AT NIGHT, LATE DINNERS -DO- EARLY DINNER(BEFORE 7PM), 20 MIN WALK AFTER DINNER DAILY -SIP CORDIANDER-CUMIN-FENNEL WATER WARM THROUGHOUT DAY

LIFESTYLE -SLEEP WITH HEAD ELEVATED -AVOID LYING DOWN IMMEDIATELY AFTER MEALS -PRACTICE PRANAYAM BEFORE SLEEP-BHRAMARI, SHEETALI

IF YOU EXPERIENCE SEVERE CHOKING WITH BLUE LIPS, DAYTIME FATIGUE, OR FREQUENT NIGHTIME AWAKENING RULE OUT SLEEP APNEA OR LARYNGOSPASM AS EARLY AS POSSIBLE

THANK YOU

DR. HEMANSHU MEHTA