Snoring is something that not only spoils the sleep of your partner but leaves you embarrassed while travelling or any family gatherings. It is more popular among males but these days, women are also facing this issue. The problem only worsens with age and weight. On the other hand, the person suffering from Sleep Apnoea not only affects his and his partner's sleep but puts his life at risk.

Difference Between Sleep Apnoea And Snoring:

There is a huge difference between just Snorers and those suffering from Sleep Apnoea. Sleep Apnoea almost always results in frequent and loud snoring, while disturbing the breathing pattern. This leads the person suffering from Sleep Apnoea to feel tired even after long sleeping hours.

While Sleep Apnoea will almost always lead to loud snoring, snoring alone does not mean that one is suffering from Sleep Apnoea.



Causes And Symptoms

Snoring

  When a person sleeps, the throat muscles relax and the tongue bends backwards. This narrows down the throat to some extent.
  As the person keeps inhaling and exhaling, the throat muscles vibrate. These vibrations lead to snoring. The narrower the throat becomes, the more are the vibrations and the sound.
  The throat muscles tend to relax more with age. This is why snoring usually increases with age.
  If a person has obstructions in the form of Tonsils, Nasal polyps or Deviated nasal septum, the narrowing gets worse and leads to extensive snoring.
  If there is an inflammation in the throat or nose due to some infection or allergy, the throat may become narrower and result in loud snoring.
  In some people, sleeping positions like sleeping on the back or otherwise may abate snoring.
  Alcohol consumption during evening time may abate throat muscle relaxation and give rise to snoring.

Sleep Apnoea

  It is better described as episodes of pauses in breathing for more than 10 seconds at a time.
  The immediate cause of Sleep Apnoea is extensive narrowing or complete collapse of the upper airway.
  As breathing is paused temporarily, it causes a shortfall of Oxygen in blood. As it happens, the heart works harder to make up for it, even when the person is sleeping. This increases the risk of heart attack and stroke.
  It causes disturbance in the natural sleep cycle.

Treatment

Snoring

  Avoidance of risk factors like various allergies
  Correction of sleeping position with training

Sleep Apnoea

  The most common treatment is CPAP (Continuous Positive Airway Pressure). This is a mask like device worn on the nose before sleep. It keeps the upper airway open with a small positive pressure delivered.
  There is also the option of Uvulopalatopharyngoplasty. This is a surgical intervention to remove excess of soft palate tissue and open up the airway. The remaining tissue becomes stiff and thus minimize vibration.
  If there is a Tonsil or Deviated Nasal Septum or Nasal Polyp, it needs to be resected out in order to minimize obstruction to the airway.

Snoring and Sleep Apnoea are very common issues and can be treated by experienced doctors very easily.

Ways to diagnose snoring and sleep apnoea:

The doctors ask about the allergies you are suffering from, as well as your eating patterns, medicines and drinking and smoking habits. The doctor also examines your throat and nasal passages to ascertain if there are any kind of nasal, dental, mouth jaw, or throat deformities that are triggering your snoring. If your doctor will feel that you may be suffering from sleep apnoea, then your partner may be asked to keep a diary noting your sleeping and snoring patterns.

Polysomnography and CPAP Titration are some other ways through which the doctors diagnose sleep apnoea.

Polysomnography: Polysomnography, also called a sleep study, is a type of test that is conducted to diagnose sleep disorders. In this test, the doctors record the brain waves, the oxygen level in the blood, heart rate and breathing, as well as eye and leg movements of the patient.

CPAP Titration: A CPAP titration study is a type of in-lab sleep study that is carried out to calibrate continuous positive airway pressure (CPAP) therapy. It is a common treatment that is used to manage sleep-related breathing disorders including obstructive sleep apnea, central sleep apnea and hypoventilation and hypoxemia.

In case you find out that you are suffering from snoring or sleep apnoea, you should immediately visit a pulmonologist to get the proper treatment. 

Snoring And Sleep Apnoea - How To Get Rid Of Them?

Firstly, what you need to realise is that Alzheimer s is not dementia and the main point you need to remember about the difference between the two is that the former is a disease while the latter is a syndrome. Alzheimer s is a neurodegenerative disease, it breaks down the cognitive functions of the brain and reduces a person s ability to function properly. It s one of the foremost reasons for untimely senility in middle-aged to old-aged persons.

It can be a scary time for the patient themselves as well as for friends and family alike but fear not, there are ways to reduce the chances of suffering from this painful predicament. Here are a few easy hacks to keep in mind to stave off the risk of Alzheimer s:

Fix your diet: Cut down on saturated fats and construct a diet combining lots of healthy vitamin and mineral rich foods, fruits and vegetables. Vitamin E is essential as well as vitamin B12 which can also be taken in the form of supplements. Vitamin E can be found in foods like spinach and even nuts. Rush University Medical Centre in Chicago has, after a lot of research, developed the MIND and DASH diets. The Mediterranean-DASH Intervention for Neurodegenerative Delay (MIND) diet collates portions of the DASH (Dietary Approaches to Stop Hypertension) diet to create the perfect combination that has been shown to reduce the risk of Alzheimer s by 53 percent.
Exercise mental and physical: A sedentary lifestyle is one of the major causes of Alzheimer s because it leads to slower brain activity and an overall unhealthy lifestyle. To break out of this you need to regularly exercise and not just physical exercises but also mental exercises such as solving mental maths and crosswords and reading books and newspapers. There are a lot of apps concerning games that help boost brain activity on the market that can help as well. Physical exercise can include swimming, brisk walking, joking and even gardening.
Reduce stress: Stress proves to be a huge issue for the brain contributing to its damage by putting a lot of pressure on it. Try to relax more by improving your sleep cycle, resting as and when required, and not overworking yourself.
Aromatherapy: Essential oils have been shown to work wonders, by reducing stress and relaxing the mind. Lavender, rosemary, lemon and even orange are some great options you can try out. These oils can help rejuvenate damaged brain and nerve cells.
Meditation: Studies have shown that regular meditation helps boost grey matter in the brain, and along with yoga, keeps the minds and bodies of middle-aged people active and better focused contributing to the overall health of the brain.

Life Hacks! How To Beat Alzheimer's

Pain related sleep disruption has affected a large number of people around the globe. Statistics has it that, in India, about 25% of the population suffers from pain-related sleep deprivation. Studies call it  the vicious cycle of pain and sleep  as pain affects your ability to sleep and lack of sleep makes the pain even worse.

Back pain and arthritis are examples of some common pain-related medical disorders. People with these types of chronic pains have reported persistent sleeplessness or have had immense trouble falling asleep.

The following are the primary sleep disorders associated with chronic pain:

Insomnia: It is a medical condition that is characterized by an inability to fall asleep no matter how physically exhausted you are. Insomnia can be acute (lasting for one night to a week) or chronic (that lasts for more than 3 weeks).
Hypersomnia: It is a condition wherein you tend to sleep excessively; in this condition, you will have trouble being awake throughout the day or can fall asleep at any point of time.
Sleep Apnoea: This is a sleep disorder wherein breathing pauses and resumes repeatedly. Risk factors include obesity, age and gender; it is more commonly observed in men. This condition can be chronic with symptoms such as snoring loudly or feeling very tired even after one has had a night s sleep.
Restless leg syndrome: It is a sleep disorder wherein you continuously move your legs while sleeping. However, this condition can also cause you to move your legs even if you aren t sleeping.
Some of the causes of sleep disorders due to chronic pain are:

Pain
Worry and anxiety
Sweating at night
Depression and other mental disorders
Treatment

A pain and sleep disorder should be simultaneous as both the components of it, pain and sleep, are interrelated. Some of the ways people with chronic pain can still have a good night s sleep are:

Limiting caffeine intake
Abstaining from alcohol and smoking, as these disrupt the sleep cycles, thus aggravating the existing pain.
Practicing meditation and other relaxation techniques
Pain killers or sleeping pills can be administered, but only with the doctor s advice.
Hot water fomentation over painful area during night, for better sleep.

Back Pain and Bad Sleep

Autism spectrum disorders are a group of severe neurological and developmental disorders which begin in early childhood and can last throughout a person s life. It affects the ability to interact with others and also hinders communication and well as learning ability. A proper health center can diagnose the presence of autism spectrum disorder early on. Many tests are available for evaluation and diagnosis as it is a range of disorders which can have a variety of symptoms. The environment and genetics also play a role in the development of autism spectrum disorder but the exact cause of autism spectrum disorder is not yet known.

Symptoms of autism spectrum disorder:

Your child may not be able to respond when called by his or her name by 12 months age.
Will avoid eye contact and also have the desire to stay alone.
Have trouble understanding or relating to other people or talk about their own feelings.
Delayed speech and language skills which would affect the ability to speak.
Show unusual reaction to sound, smell, taste or feelings.
Answering questions with unrelated answers that have no meaning or link.
Prefer to play alone and would avoid physical contact.

Diagnosis of Autism Spectrum Disorder:

Comprehensive Diagnostic Evaluation   The behavior of your child and development is first studied by the doctor in detail. The tests include genetic testing, neurological testing, hearing and vision testing among others. Doctors may also suggest other specialized tests in certain cases.
Developmental Screening   The development of your child s basic learning skills with respect to the age is checked. The doctor checks for some delays in the progress and will also monitor movement, behavior and speaking progress of the child. Some additional checks are also done for low birth weight, premature birth among other things.
Treatment:

Applied behavioral analysis   This is a notable treatment and widely accepted by doctors all over the world. ABA is known to encourage positive behaviors and improves a variety of skills in a child.
Occupational Therapy   Teaches the skills to live independently like eating, dressing and social skills. This can help people afflicted by autism spectrum disorders to lead a normal life within the society and thus relate to as well as interact with other people.
Speech therapy   It improves and focuses primarily on communication skills and also uses picture boards and gestures to improve the abilities and induce learning skills.

Autism Spectrum Disorder - How To Diagnose It?

Epilepsy is a form of chronic disorder and it is characterized by recurrent seizures. The episodes of epileptic seizures may differ from person to person. These seizures could be a result of a genetic disorder or a result of trauma or stroke. During a seizure, a patient may also experience symptoms of neurological disorders and sometimes lose consciousness.

Medical help for epilepsy
Epilepsy itself cannot be cured using medication, but proper medicines help in eliminating recurrent seizures. These medicines stabilize the electrical activity within the brain preventing seizures.

How effective is the medication for epilepsy?
The success of controlling seizures using medicines depends on the type and severity of epilepsy. Medicines for epilepsy are usually very effective and may fully keep seizures under control. However, controlling seizures caused due to brain problems may be more difficult. Usually, epilepsy medicines can control seizures for a long period of time when they are taken regularly.

When is medical help needed?
The decision about when to start medicines for epilepsy is a tricky one. This is because a first seizure cannot confirm whether a person has an on-going epilepsy problem. A second seizure may occur after many years or may not happen at all. Prediction of seizures is also quite difficult.

The severity of seizures also indicates when to start medicines for treatment. In case a first seizure is quite severe, medication should be started at once. Some people have very mild seizures even though they may be recurring in nature, and medication can be avoided in this situation.

The decision of starting medication will vary from case to case and in most cases, medications may be prudent after the first seizure itself. You should always consult a doctor to know when you need to start taking medicines to treat the condition.

For making the most out of the medicines to control seizures, you should follow certain steps:

You must take medications exactly as your doctor has prescribed.
Before switching to generic versions of your medicines or before taking other prescribed medicines, you must consult your doctor.
You should never stop taking the medicines.
In case you experience enhanced depression, mood swings and suicidal thoughts, you should talk to your doctor immediately.
In case you have the migraine, you should let your doctor know so that he can prescribe you anti-epileptic medicines, which also prevent migraines.
Medicines cannot treat the underlying cause of epilepsy, but these help in controlling seizures and this is the most common symptom of epilepsy. Medication should be started at a proper time and must be continued without stopping.

Epilepsy - When To Seek Medical Help?

A cochlear implant is an electronic device that is used to restore hearing ability in people who suffer from hearing loss due to inner ear damage. Unlike hearing aids which amplify sounds so people with hearing loss are better able to perceive them, cochlear implants directly transmit electronic sound signals to the auditory nerve. They work by compensating for damaged cochlea, the part of inner ear that converts sound waves into neural impulses which are perceived by the brain. 

A child who cannot hear will also never be able to speak. 
Inability to hear and speak puts a person at disadvantage in society. 
Simple tasks like talking on the phone which we take for granted become impossible. 
Conventional methods of learning like attending a classroom lecture become impossible. 
Brain development and intelligence is closely linked to development of speech and language. 
Inability of parents to communicate with child leads to emotional distancing. 
Integrating a hearing disabled person in to society becomes a frustrating experience for all involved. 
Cost of integration per capita in much higher when compared to cost of Cochlear Implant. 
Children with Cochlear Implants are fully integrated in society with normal hearing & speech. 
Children with Cochlear Implants can attend regular schools & colleges 
Early identification of hearing impairment gives children a better chance of developing speech and language skills, and of making the most of social and emotional interaction from an early age. 
Cochlear implants offer a multitude of benefits to people experiencing hearing loss, especially infants and children with severe hearing loss who are just starting to process language and speech. Some of these benefits are: 

Hearing and communication   Cochlear implants improve hearing significantly, especially to a level where normal communication can be restored. It enhances the person s ability to hear speech without relying on visual cues such as lip reading or hand signs. It makes telephonic conversation a lot easier. Cochlear implants also help people regulate their own voice and volume so that it is easier for others to understand them. 
Quality of life - It can help people with hearing loss listen to and enjoy music and also watch television with sounds. It helps people listen to sounds in a noisy environment and differentiate soft sounds from loud ones. 
Safety   Cochlear implants enhance the individual s safety as it allows the person to be able to hear warning sounds like honking cars or ambulance sirens. This will allow people to navigate public spaces in a much safer way. 
Society - For children with hearing loss, cochlear implants can help them adjust a lot better to regular schools instead of requiring special institutions. 
Brain development - It can help infants with cochlear damage develop their speech recognition and speaking skills much faster. 
Cochlear implants 

Only device of its kind that can restore a special sense.
Consists of 2 parts-
One part is surgically implanted in the body 
Second part is worn behind the ear and communicates with internal part using wireless signals 
Persons of any age can get a cochlear implant, from less than one year old children to 90 year old persons have received implants all around the world. 
Cochlear implants can be done for partial hearing loss also, know as Hybrid implant that preserves the residual natural hearing and augments hearing only in certain sound frequencies in which hearing loss is present. 
Are being used for indications other than hearing loss also like Tinnitus. 
Surgery is a day care procedure for most patients. 
Consult a doctor to get a clear assessment of whether you would be an eligible candidate for a cochlear implant and what to expect from the procedure.

Cochlear Implant - The Many Benefits Of It

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