Since major medical tests like MRI, Echo, HRCT, and other evaluations have come normal, the breathing difficulty during sleep and sudden waking with jerks may be related to anxiety, heightened body awareness, or sleep-related panic episodes. When a person becomes very focused on breathing or fears that something is wrong while sleeping, the body can enter a hyper-alert state, which may cause sudden awakenings, gasping sensations, and increased anxiety.
Blocked nose from allergic rhinitis and mild asthma can also contribute to discomfort during sleep, but anxiety often amplifies the sensation of breathlessness. This cycle of worry, poor sleep, and physical symptoms can make a person feel more anxious and low in mood.
Next Steps
It would be helpful to consult a psychologist or mental health professional for proper assessment. Techniques such as Cognitive Behavioral Therapy (CBT), anxiety management, breathing retraining, and sleep therapy can help break the cycle of fear and disturbed sleep.
Health Tips
Try relaxation practices before bedtime such as slow breathing, meditation, or grounding exercises. Maintain a consistent sleep routine and avoid constantly monitoring breathing, as this can increase anxiety. If anxiety and sleep disturbance continue to worsen, professional psychological support can be very beneficial.