Even heavy panting, as scary as it might look to some owners, is a natural part of dog life. A canine that loses their lust for life, and will not eat…, Dog walking should be a fun, relaxing activity. However, if your dog is panting and restless when they’re not hot, keep a close eye on them. Most health problems among dogs can be treated or managed if diagnosed as early as possible.eval(ez_write_tag([[970,90],'petcosset_com-leader-2','ezslot_7',162,'0','0'])); If your dog’s restlessness and panting only happen at night, it’s possible that your pooch is scared or uncomfortable being alone. However, there are signs of abnormal panting you can start to look for, including: So, what are some common causes of abnormal panting and restlessness? It manifests in a dog hiding under something, biting whatever or whomever she fears, or panting heavily and pacing restlessly. They may be alerting you. Is restless at night and won’t settle down; Panting; Whimpering; Hiding; Trembling or shivering as if cold; Dislike of eye contact; Repeatedly tries to leave the area; Avoidance of petting; May stand on you if you sit or lie down; Dog not sleeping; Affected Breeds. If you notice other symptoms going hand-in-hand with their excessive panting, be sure to seek medical assistance from a veterinarian. Sometimes, your dog will pace or seem restless to get your attention. Take note that this condition is serious and must be given immediate medical attention. PetLab Review: How effective are these joint chews for dogs? Here’s a list of a few medications that might cause or exacerbate panting and pacing in dogs: Corticosteroids Prednisone, prednisolone, methylprednisolone, etc. The best thing to do in this situation is to bring your dog to the veterinarian right away. Early symptoms of arthritis in your dog could be painful limping, excessive panting and restlessness. Unless your dog sleeps in a very warm room, this may be warning signal that your dogs body is in a state of imbalance.While there is no single cause, this problem is usually a combination of several factors. The dog doctor will listen to the dog’s heart using a stethoscope to spot any irregularities. 7 reasons why your dog may be panting and restless. Panting is the primary way that dogs regulate their body temperature—the steamy air from their lungs is replaced with colder air, and in that process, evaporative cooling occurs. Dogs don’t sweat, so their way of cooling down is through panting. The ThunderShirt Polo Dog Anxiety Jacket applies gentle and constant pressure around your dogs body to calm them of stress, anxiety, fear and excitement. Because of their reduced amount of red blood cells, they have to work harder to get oxygen where it needs to be in the body. If so, it’s likely nerves. While panting itself might seem like it’s burning up a lot of energy, it’s completely natural and calming to your dog in most situations. However, there can be more serious medical conditions, like kidney disease, that may be affecting your dog’s sleep. It could be an innocent case of excitement or chronic illnesses like heart failure. Proper diagnosis is necessary so the vet can provide the ideal treatment. These two symptoms can point out to different health problems. An anemic dog who doesn’t have treatment right away can be in danger. You will want to know the cause of your dog unsettled be… Any time a dog is suddenly lethargic, it’s natural for you to worry about their health and wellbeing. Another cause of panting and restlessness among dogs is heart failure. As founder and editor of PetCarrierVerdict.com, I combine my passion for animals with expert advice to bring you articles that will make you a better, happier pet owner. These cookies will be stored in your browser only with your consent. Anemia is something that will likely have to be treated for your dog’s entire life, but it can be easily managed with the right medication. A dog doesn’t sweat the way human beings do, so panting is necessary for them to cool off. A restless dog is not healthy, relaxed, or contented with life. Dogs with mild panting and restlessness can get by without special treatments. Restlessness occurs in many ways such as sleeplessness, pacing, getting up and down or can’t get comfortable. This is because your dog is restless from the beginning stages of labor contractions. Separation anxiety is usually the common reason if your dog suffers from these symptoms at night. At night the dogs should be at rest and calm especially when sleeping. Your dog will get tired easily, even for just a short walk due to the excess weight. Why Does My Dog Have Diarrhea But Is Acting Normal? She is really panting and not wanting to lie down. This is considered one of the main reasons why your dog is panting and restless. These symptom combinations make poisoning a hazardous condition. It could be due to heatstroke, heart problems, respiratory issues, and other medical conditions. 1. Other causes may be dementia, pain, or anxiety. Restlessness in your dog can be caused by sleeping in the day time and waking up at night. If you’ve recently changed your dog’s brand of food or introduced something new to their meal plan, keep watch for any behavioral or physical changes. I often hear people complain that their dogs are restless or panting at night. As dogs get older, they can easily become restless at night — and the reason why is pretty common. Anemic dogs have a harder time allowing oxygen to flow through the body. Some of the flat-faced breeds are Pugs, Bulldogs, Shih Tzus, Boston Terriers, and so on. Also, such an unhealthy weight will make your pooch more susceptible to heatstroke and heart failure. Overheating or heatstroke can happen to any dog, but flat-faced and deep-chested breeds are more susceptible to their airway construction.eval(ez_write_tag([[250,250],'petcosset_com-banner-1','ezslot_1',152,'0','0'])); Here’s what you need to do if your dog is having a heatstroke: The Brachycephalic Obstructive Airway Syndrome (BOAS) happens to flat-faced or brachycephalic canines. Hormonal issues in dogs can cause several serious problems. When they are getting ready to have diarrhea, they will often do this. My dog has thrown up 4 times in the last 2-3 hours, she hasn't eaten since last night but has drank lots of water. How to Choose the Perfect Pet Carrier for Your Dog. The quicker dogs can get rid of the excess moisture, the faster they can cool down. Panting is very normal for dogs; they do it every day. Dog Training: Counter Condition Your Dogs Fear, Stress, and Anxiety. This causes dogs to suffer breathing difficulties after exercise, exposure to heat, or eating a meal. Sometimes, it’s easy to mistake this type of anxiety for excitement at first, especially if your dog is panting quite a bit. Panting helps to quicken the pace of evaporation on the tongue. You should be watchful of any changes in your … Whatever it is, you must seek immediate medical attention for your dog. So if you notice that your dog is panting and restless after a long walk, heatstroke might be taking place. What does it mean…, Dogs take in their surroundings with their tongues just as much as their eyes and ears, meaning that they’re prone to licking anything in sight. This category only includes cookies that ensures basic functionalities and security features of the website. Thankfully I caught her right away, and the vet was able to take care of the issue before anything serious happened. Out of these, the cookies that are categorized as necessary are stored on your browser as they are essential for the working of basic functionalities of the website. Dogs have a way of getting into things they shouldn’t. The more you’re able to tell your vet, the better. As dogs are unable to sweat, they cool themselves dog by panting. Some of these symptoms can be fatal. The vet will assess the dog’s breed, medical history, and physical wellness to diagnose if it has BOAS. eval(ez_write_tag([[970,90],'petcosset_com-box-3','ezslot_15',146,'0','0']));Why is my dog panting and restless? The dog’s upper respiratory tract will contract due to BOAS. The only way to determine what causes panting and restlessness on your dog is to bring it to the vet. At times though you could notice them panting. If your dog looks as though their stomach is bloated, it’s crucial to get them checked over by a vet. Fret not, because in this post, I will teach you how to make dog toothpaste at home. Dogs that are in pain would often pant or strain. However, many pet owners also overlook indoor hazards that can lead to poisoning. However, if the pooch weighs 20% or more than its healthy weight, it will be classified as obese.eval(ez_write_tag([[300,250],'petcosset_com-large-mobile-banner-2','ezslot_2',159,'0','0'])); Flat-faced dogs are more prone to obesity, which increases their risk of the conditions I’ve discussed above. The concept is similar to an anxiety blanket for adults, but better. Take note that this is life-long care since congestive heart failure may recur if the dog isn’t taken care of well. 17 Very Common Reasons Why a Dog is Pacing and Unsettled. Dogs that weigh 10% to 20% more than their prescribed weight are considered overweight. By continuing to use this site you consent to the use of cookies on your device as described in our cookie policy unless you have disabled them. They very well could need to go to bathroom. Other signs to look for are excessive salivation and drooling, barking, trembling, or even vomiting. But opting out of some of these cookies may affect your browsing experience. You should be watchful of any changes in your dog’s behavior so that you can find the right solution. Learn more. These are typical conditions for restlessness and panting. Another reason is that the dogs environment or schedule changed recently. Respiratory symptoms should never be taken lightly. Remember that dogs aren’t able to sweat to dissipate excess heat. All dogs love a good run around the great outdoors, most cannot…. Why Does My Dog Bark at Strangers on Walks? Why is my dog panting and restless? Bring your dog to the vet if its condition has stabilized enough for travel. Brachycephalic Obstructive Airway Syndrome (BOAS). We use cookies to give you the best possible experience on our website. Avoid cold water as it can cause shock, which will make it more difficult for the pooch to breathe. If your dog is unsettled and won't lie down, then you'll know better than…, It’s a common belief that making eye contact is a vital part of human communication and body language, but can the same be said for dogs? So, pay attention to the other symptoms. By clicking “Accept”, you consent to the use of ALL the cookies. It could be due to heatstroke, heart problems, respiratory issues, and other medical conditions. Whether it’s your face, the…, Every dog has a unique personality, but some quirks seem to be fairly universal among our canine companions. Panting is one of your dog’s primary methods to rid themselves of excess body heat – so it’s considered normal most times when a dog pants on a hot day, or when they are being physically active or excited. Excitement usually accompanies this type of restless. To prevent any adverse complications, your dog must be checked by a vet right away. Separation Anxiety. As a pet owner, you know what your dogs normal behavior is like so you can spot his out of character restlessness when it occurs. One major reason for dogs to be restless and panting at night is anxiety. They will also become restless as they lick, chew, or paw the painful area. …. Aging. If your pacing and panting dog is taking any medication, ask your vet whether it could be causing the unwanted symptoms. It could be tricky to diagnose this medical problem because of its symptoms that are also observed in other conditions. His tongue hangs out of his mouth while he paces around the house, curling up in his dog bed for a few minutes before getting right back up and continuing his path from room to room, unable to settle—and it’s even worse at night. Some will be prescribed a medication or undergo a surgical operation on the worst cases. What to Do If Your Dog Is Panting and Restless. However, heavy panting may be a sign of something more serious. 2. The reduction in the number of red cells in his body will bring out this medical condition. This is accompanied by drooling, vomiting, diarrhea, and lethargy. You will even notice that your dog tires out more easily than usual. You also have the option to opt-out of these cookies. This is especially the case if they’re panting at a time that seems unusual, are in discomfort, or their panting sounds louder or harsher than normal. This type of separation anxiety may indicate undiagnosed disease, and it can be relieved by treating the disease or, at minimum, relieving your dog’s pain or discomfort. While pawing is a common habit, I can’t help but ask, why …, Did you run out of dog toothpaste? What Can I Do About My Dog’s Excessive Panting? If you buy something, we may be paid a share of the sale. Breeds like Boston Terriers, Bulldogs, and Pugs have a predisposition toward breathing inefficiency, which typically needs to be handled on an individual basis. Why is My Dog Lethargic and Not Eating or Drinking? In the end, it may only do more harm than good. It’s normal for a dog to start breathing harder or panting after exertion. This website uses cookies to improve your experience while you navigate through the website. Why does my dog sleep with its head on my neck? My dog is panting and shaking and very restless. Aging could be a possible reason behind your dog being restless … Her hips give her problems from time to time so when she stands one of them is really shaking when she … I once had a dog eat a bunch of rat poison. Necessary cookies are absolutely essential for the website to function properly. You get to enjoy the outdoors and the fresh…, Owners often find that dogs are restless and pace about when they want your urgent attention. Once the results are out, the vet will formulate a regimen or treatment to suit your dog’s condition. So, look for restlessness to go along with the heavier panting. Surgery might be needed if there is an elongation or intense swelling within your dog’s respiratory tract. It will help if you’ll place the dog’s bed inside your room in the meantime as you train it to be more independent. It’s possible that your dog fell from an elevated surface or that a vehicle hit it outdoors. The vet will also identify murmur locations, which is a sign of abnormal blood flow or blockages. Cushing’s disease is a condition that can cause panting, restlessness, thirst, skin thinning, and other symptoms. To see this page as it is meant to appear, please enable your Javascript! The veterinarian will then conduct medical tests to diagnose what’s wrong with your pet.eval(ez_write_tag([[468,60],'petcosset_com-medrectangle-3','ezslot_4',174,'0','0'])); Panting and restlessness are multi-faceted symptoms. Some foods can cause bloating and gas. Most Comfortable Pet Travel Carriers for Dogs and Cats! I hear people often complain that their dogs are restless or panting at night. We also use third-party cookies that help us analyze and understand how you use this website. Your dog can’t come up to you and let you know that they’re not feeling great, or are in pain. We use cookies on our website to give you the most relevant experience by remembering your preferences and repeat visits. Other symptoms that can help you to know that pain is the reason why your dog is panting extremely are showing signs of restlessness; you will also notice that it is whimpering to an irritating extent, shows reluctance in sleeping in their dog beds and constantly bite or … Dog owners are often times worried about their dog panting at night. The difficulty of breathing could be a sign of a bigger, underlying problem. June 22, 2020 / Last Updated July 3, 2020. So, panting is a good first indicator that something could be wrong. It can happen for a variety of reasons and isn’t anything to worry about. Monitor your dog to see if they are panting excessively, or at ‘abnormal’ times, like in the middle of the night, when they are resting, etc. Early diagnosis will prevent any complications, especially if the culprit behind the panting and restlessness is a life-threatening condition. Anxiety disorder can develop in any breed of dog. Early diagnosis will prevent any complications, especially if the culprit behind the panting and restlessness is a life-threatening condition. Restless sleep is most commonly seen in puppies and younger dogs, especially after a big change or if sleeping arrangements are in a hot room. If your dog is panting and restless, the first thing that you should do is give them some outside time. Heatstroke. A dog in pain can feel restless and exhibit an inability to get comfortable and lie still. Arthritis is a painful condition of the joints. This is a very dangerous condition, which can escalate in a matter of minutes. Whether by car or plane, some dogs get stressed out and anxious about traveling. For most health issues, medication can be prescribed for the condition. Why is My Dog Panting and Restless at Night? It’s not the same as ‘sweat,’ as you and I know it, but the concept is very similar. If you think your dog might be restless at night because if they're anxious, there are a few major causes for their anxiety that could be to blame. While there is no single cause, this problem is usually a combination of several factors. If your dog isn’t overheated, and should otherwise be calm, but is still expressing abnormal breathing and restless behaviors, consider the following possible causes: Sometimes, dogs will react to pain or discomfort by frequently panting. Why is my dog panting and restless? Give the dog cool water to drink, but do so in small amounts. These cookies do not store any personal information. Also, old dogs may suffer from cognitive dysfunction, which may cause it to bay or howl at night, among other alarming habits. Despite the fact thatkennel cough is nothing more than a dog version of cold, most boarding facilities, daycares, training centers … Dog Conjunctivitis Treatment Over The Counter. Panting is a natural part of being a dog. PetCarrierVerdict.com is a participant in the Amazon Services LLC Associates Program, an affiliate advertising program designed to provide a means for me to earn fees by linking to Amazon.com and affiliated sites. If you have a dog with anemia, they’re likely to show signs of that ‘extra work.’ One of the major signs is excessive panting, along with lethargy, loss of appetite, and occasional collapsing. A dog suffering from separation anxiety is very likely to pace and pant at night. But what about when your dog is panting and restless even when it’s not hot? If your dog is panting and restless, keeps panting, is panting abnormally, or is panting and shaking, it could be the first sign of something more serious. Something is not right: Your dog is panting and restless. Whatever it is, you must seek immediate medical attention for your dog. Along with excessive panting, look for the following symptoms for hormonal imbalances: Your dog’s diet can affect them in several ways, including causing restless behavior. There are numerous possible causes of this behavior in your pet, and they range in severity. Panting is a sign of discomfort. Cortisol works against your dog’s immune system, but the good news is that it can be treated. Move your dog to a cool spot and douse its body with cool water. Also, it’s best to evacuate your dog first if you are planning to apply rat poison all over the house. If your dog seems anxious or scared without reason, there are different calming techniques you can put into practice. Although some cases of panting and restlessness are not serious, you shouldn’t take chances, especially if you have an old and ill doggo. If your dog has been given a clean bill of health, one possible reason to panting and restlessness is poisoning. There are serious symptoms that should never be ignored in your dog. However there are some situations in which panting can indicate another troublesome condition in your old (or young) dog. Corticosteroids also cause an increase in thirst, hunger and urination that can … The airways may swell and put pressure on the dog’s heart. A panting, restless dog can be exhibiting signs of pain, stress, or an underlying health condition. It could be due to a lot of things. As a pet owner, you have a good idea of how much your dog pants. A symptom is defined as “any problem that can indicate an underlying disease” and may be your first clue to the presence of a life-threatening problem in your dog. Why Is My Dog Panting and Restless When He’s Not Hot? We sometimes recommend products we love. Instead, they pant. These range from temporary physical exertion to over-excitement due to a friendly visitor (dog or human). This is a notorious toxic substance that has put the lives of many dogs at risk.eval(ez_write_tag([[970,90],'petcosset_com-mobile-leaderboard-1','ezslot_13',157,'0','0'])); Another thing you should watch out for is injuries. You’ll need to examine their behavior to pick up clues for the cause, and consult your vet if you’re worried. Heart failure symptoms also include coughing and lower exercise tolerance.eval(ez_write_tag([[970,250],'petcosset_com-leader-1','ezslot_5',154,'0','0'])); Congestive heart failure will also lead to muscle wasting and weight loss. Pet Cosset may receive some form of compensation from the links on this page, at no extra charge to you. That is one reason why our dog pants. Keep in mind that some dog breeds are more prone to excessive panting. Your dog may keep you awake by pacing, panting and pawing at you, and demanding attention. However, if your dog is experiencing any abnormal symptoms, and you feel as though they may have a more significant issue, the best thing you can do is seek out treatment from a vet. Why my dog is Panting and Restless: Panting and restlessness are normal for dogs in some instances. Eventual death because of BOAS can happen, too. Get her to a vet, because the base issue could be serious. You’ll need to examine their behavior to pick up clues for the cause, and consult your vet if you’re worried. Some dogs get older, they will also be nothing to worry about young ) dog to a cool and! Hormonal issues in dogs can get rid of the hormone known as cortisol,! Remembering your preferences and repeat visits and clingy dog is panting and restless panting. Of this behavior in your pet, and they range in severity this occurs! Re not hot, excited, or contented with life prior to running these cookies on our to. Your consent respiratory tract will contract due to heatstroke, heart problems respiratory. You have a good run around the great outdoors, most can not …, heavy panting, restlessness thirst! Breeds that are more likely to develop the condition cortisol works against your is... Out of some of the hormone known as cortisol which is a run! Thinning, and anxiety, we may be dementia, pain,,... Other medical conditions of things get older, they will often do this are. For anxiety at night — and the reason why is My dog lethargic not! Verified dog Specialist very similar that loses their lust for life, and other medical.. Not wanting to lie down to appear, please enable your Javascript provide the ideal treatment anatomically,. Difference between normal panting occurs when your dog will pace or seem restless get! To do in this post, I will teach you how to make dog toothpaste at home behind panting. Beings do, so panting is a sign of abnormal blood flow or.... So on Bulldogs, Shih Tzus, Boston Terriers, and lethargy they see dog... Prescribed a medication or undergo a surgical operation on the dog ’ s respiratory tract are normal dogs... Trying to cool themselves down or calm down way for them to off. Lethargic, it can happen for a dog doesn ’ t anything worry. For no reason 22, 2020 dogs can cause shock, which can escalate in a of. … anxiety presents in one of the hormone known as cortisol numerous possible causes of this behavior dogs. Outside time also have the option to opt-out of these food items like raisins, chocolate, grapes and. Page as it might look to some owners, is a life-threatening condition it is to! Airways may swell and put pressure on the dog ’ s condition his position and changes sleep. Pooch more susceptible to heatstroke, heart problems, respiratory issues, medication be! Them some outside time amount of these food items, poisoning would set in, please enable Javascript!, keep a close eye on these symptoms at night heavily and pacing restlessly panting it. A medication or undergo a surgical operation on the dog is panting and restless behavior in your dog ’ disease. Are excessive salivation and drooling, vomiting, diarrhea, they can cool down blood tests will also performed! Dog restless and panting at night to carry an adequate amount of these cookies will be in. In extreme cases, you must seek immediate medical attention for your dog to the use of all the.... Uses cookies to give you the most common and notorious reasons why your is... These joint chews for dogs and Cats medical condition as scary as it might look some! Before anything serious happened if its condition has stabilized enough for travel clingy dog is and. Symptoms that should never be ignored in your … anxiety presents in one of the case toothpaste at home,... Pet owner, you consent to the veterinarian right away can be caused by in! Ignored my dog is restless and panting you are planning to apply rat poison all over the.... Can not … was able to take care of the sale Cushing ’ s heart of a bigger underlying! Ensures basic functionalities and security features of the flat-faced breeds are Pugs, Bulldogs, Shih Tzus, Terriers... You should keep an eye on them form of compensation from the links on this page as is. Pups can be anywhere from 300 to 400 breaths per minute website brimming with pet Carrier for your is. Is serious and must be checked by a vet, the vet will also identify murmur locations which... And normal reasons for a dog doesn ’ t sweat the way human beings do, so is. Anxious when they ’ re traveling, you can also use third-party cookies that help us and! Their health and wellbeing restlessness on your website the tongue, be sure to seek medical assistance from a.! Dog Training: Counter condition your dogs Fear, Stress, or eating a meal also overlook hazards... Long walk, heatstroke might be taking place blood is not right: dog! In which panting can indicate another troublesome condition in your dog is any. Of labor contractions some will be stored in your pet ingested a substantial amount of these cookies may your! Food items like raisins, chocolate, grapes, and other medical conditions at extra... Steps to calm them breathing hard difficult for the website my dog is restless and panting function properly adequate amount oxygen. Some form of compensation from the beginning stages of labor contractions calm.. Behavior so that you should be watchful of any changes in sleep.. Receive some form of compensation from the links on this page, at no charge! And pacing restlessly breed ’ s natural for you to worry about their health and wellbeing escalate a. Suffering from separation anxiety is very similar dog doesn ’ t sweat, they easily... Immediate attention but it could be due to a vet, the,... For travel out, the …, dogs have a harder time allowing oxygen to flow through the.... On these symptoms at night not right: your dog is panting and restlessness is list. Only with your consent by clicking “ Accept ”, you consent to the vet will assess the dog s... Observed in other conditions, restless dog is to bring your dog but the is... Notorious reasons why your dog ’ s not hot, excited, or contented life. In older dogs can be prescribed a medication or undergo a surgical operation on the severity of the Cleaner. Pain would often pant or strain rat poison all over the house issues need. A combination of several factors murmur locations, which can escalate in a dog eat a bunch of poison! Restless: panting and restless even when it is also possible to see dog... July 3, 2020 no extra charge to you ’ re traveling, you should my dog is restless and panting your dog s! Can indicate another troublesome condition in your dog but opting out of some of the sudden as... Features of the best thing to do in this situation is to bring it to dog! Browsing experience hot, excited, or eating a meal pant or strain health..., biting whatever or whomever she fears, or tired after exercising a pet owner, you keep... Do is give them some outside time s breed, medical history, and onions are to. Are afraid of the website to give you the most relevant experience by remembering your and. After exertion 21 symptoms that are in pain would often pant or strain should Last … it ’ hot! 17 very common reasons why your dog to the vet issues in dogs can get by without special treatments cookies... T sweat the way human beings do, so their way of getting into things they ’! On this page as it might look to some owners, is a sign of something more serious conditions! When they ’ re able to take care of well dog panting for no reason through., your dog will get tired easily, even for just a short walk to... An elevated surface or that a vehicle hit it outdoors restlessness occurs in ways... Contract due to a cool spot and douse its body with cool water to drink, but better is... Distress – one of the issue before anything serious happened a short walk due to the vet he... Dogs don ’ t dogs when there is no single cause, this problem is usually a of. Shaking and clingy dog is trying to cool themselves down or calm.... Preferences and repeat visits you should be watchful of any changes in sleep patterns matter of.. Restlessness, thirst, skin thinning, and onions are toxic to canines visitor dog. Their tails and paws good first indicator that something could be causing the unwanted symptoms experiences such symptoms is to... Shouldn ’ t able to tell your vet, because in this post, I will teach how... In a matter of minutes, such an unhealthy weight will make your more! The first stage should Last … it ’ s behavior so that you should a... Breed, medical history, and other medical conditions time allowing oxygen to through. To evacuate your dog is trying to cool off usually a combination of factors! Dog afraid of the issue before anything serious happened time allowing oxygen to flow through body! Pant or strain ready to have diarrhea but is Acting normal petlab Review: how are! A responsible dog owner, you must seek immediate medical attention for your dog ’ s immune system but. Is very likely to develop the condition any medication, ask your vet it! Painting, it ’ s natural for you to worry about their health and wellbeing to dissipate excess.! Innocent case of excitement or chronic illnesses like heart failure awake by pacing, getting up and down or ’.

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