<s>[INST] Last Night I had wheezing while laying down to the point where I couldnt sleep, What triggered it is that I worked out for about 15 minutes after eating last night.  The only remedy I could use to get any sleep was to sleep at the end of a couch elevated. any ideas? [/INST] Hi, You have not mentioned your age and any comorbidities. The chances for the breathlessness may be due to cardiac or respiratory problem. Since this is the first time and the breathlessness relieved sleeping at the end of a couch elevated, this suggests more due to cardiac causes. You are required to get checked for ECG, Echo cardiogram and chest X-ray to diagnose/rule out any systemic cause. Based on the report we can decide the right treatment as the line of management differ in each pathological condition. Hope this helps you. Regards </s>