Brief Answer: physician referal, investigation and treatment Detailed Answer: Hi XXXXXXX Welcome to healthcare Magic! Respiratory distress of this type is mostly due to the diseases of the airways like viral and bacterial infections particularly when the symptoms have started in last few days only or it may be due to hyperreactive response of airways and in response to allergen, the airways going into spasm and produce excessive mucus and secretions and airways become narrow. Some patients may be allergic to few specific allergens and if identified and avoided, there is possibility of complete control and in these cases desensitisation therapy can be helpful.. In most patient the allergens are multiple, and identifing them is tedious task. In these patients avoiding the known allergens helps in decreasing the symptoms. Some patients may have night time shortness of breath due to poor blood supply to heart and may be an early indication of coronary artery disease. Ideally you should get physical examination by a local physician and get focussed investigations to make a concrete diagnosis and treatment. I hope the advise would be informative and useful for you. Take Care!

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