We're all guilty of making fun of snorers, but sometimes this snoring can be a symptom of sleep apnea. Sleep apnea is a condition where breathing is not continuous and may start and stop many times while asleep. This affects the quality of your sleep and in turn can affect many aspects of your health including your cardiovascular health. Here's how:

High blood pressure
When a sleep apnea patient's breathing stops, the oxygen levels in the blood also suddenly fall. This can increase your blood pressure. High blood pressure means that the heart muscles need to work harder to pump blood through the body.

Cardiomyopathy
As a result of high blood pressure, the heart walls may become thicker and the heart muscles become stiffer. This is known as cardiomyopathy. As this condition worsens, the heart becomes weaker and is unable to maintain a regular rhythm. This can eventually lead to heart failure.

Arrhythmia
An irregular heartbeat is also known as arrhythmia. This may also be related to the changes in the heart's structure that follow the drop in blood oxygen levels. In many cases, arrhythmia has no visible symptoms and can often go undiagnosed. This can result in the formation of blood clots in the atria which can lead to a stroke.

Sleep apnea is easy to diagnose. If the doctor feels that you show symptoms of sleep apnea, you may be asked to stay on the hospital overnight and undergo a sleep evaluation. This tests a variety of body functions including brain activity, eye movements, heart rate, breathing patterns and blood oxygen levels.

Treatment for sleep apnea depends on the causes for this condition. If you are overweight, regular exercise and a change in diet can help you lose the excess weight and cure sleep apnea. Similarly, if your sleep apnea is triggered by an allergy, treating the allergy can help cure the sleep apnea. Other forms of treatment for sleep apnea may include:

Continuous positive airway pressure (cpap)
This is a machine which pumps air into the body through a nasal mask. By keeping the pressure in the machine higher than normal air pressure the upper airway passages are kept open and hence the quality of your sleep is improved. An auto cpap machine can modulate the air pressure such that it is higher when you inhale and lower when you exhale.;

Oral devices
Your doctor may suggest oral devices that allow you to keep your mouth open while you sleep. This is easier to use than cpap machine but less effective. Surgery is the last resort when it comes to treatment for sleep apnea.

Sleep Apnea and Its Link to Heart Failure

Sleep is the normal physiological process of our body which is as important as respiration and digestion. Sleep is vital for maintaining our physical and mental health. Normal adults require 8 hours of sleep every day, whereas it 14 to 15 hours of sleep is recommended for for infants and toddlers.

What are the different stages of Sleep

Every human has a natural circadian clock in their body, which is responsible for maintaining our sleep - wake homeostasis. The different stages of sleep include REM and NREM that is rapid eye movement sleep and non rapid eye movement sleep respectively. REM is the deep sleep stage in which it is very difficult to wake up the person as this stage includes the sensory inhibition and all voluntary muscles along with almost all interactions with the surroundings are inhibited. Therefore, a person s physical stress and tiredness also gets relieved during this stage of sleep. NREM sleep is the stage between REM and awakening and here the person may have sensory connection with his or her surroundings, but may not respond.

Sleep and its benefits
Sleep and stress have a very strong connection with each other. The best way to relieve stress and any other mental disturbance is sleep. It is essential to have knowledge about sleep psychiatry for almost all physicians as they face many sleep deprived patients in their day to day practice.

    Sleep is not only responsible for relieving mental stress and depression, but has other benefits as well
    Sleep is also essential for the normal physiological growth in early infancy and it is vital for development of normal alertness, attention and knowledge
    It also relaxes our voluntary muscles and thereby, relieves us from physical stress
    Sleep disturbance may also aggravate diseases in our body. Sleep is also the state of recovery and healing.

Sleep psychiatry also insist on meditation and ensures that people have normal pattern of sleep, in order to maintain the mental health of the person in a normal state.

Sleep Pyschiatry: Its Stages and Benefits

Getting a good night s sleep is needed not only to remove dark circles but to improve your overall health as well. Ideally, adults need 7 to 9 hours of sleep every night. This helps you stay physically and mentally healthy. However, getting a good night s sleep is easier said than done, as sleep apnea is one of the factors that could affect the quality of your sleep. This can cause a number of health issues including heart disease.

What is sleep apnea?
Sleep Apnea is a sleep disorder that can make your breathing start and stop repeatedly while you are asleep. These pauses can range from 5 times an hour to 30 times in one hour. Waking up tired after a long sleep and snoring are characteristic symptoms of this condition. This can be annoying for others, but for you, it could be life-threatening. When your breathing stops; your airways get blocked. 

This is characteristic of obstructive sleep apnea, as every time this happens, you wake up. This can increase the risk of high blood pressure. High blood pressure, in turn, can cause arrhythmia, heart failure, and strokes. This can increase the risk of a fatal heart attack by up to 5 times.

Heart disease and central sleep apnea have a cyclic relationship. In this case, heart disease causes the person to retain water and salts. At night, this excess fluid can enter the lungs making the person wake up feeling short of breath. This is not necessarily because the airways get blocked but because the brain does not send the diaphragm a signal to expand and contract. This is not as common as obstructive sleep apnea.

Reducing your risk of heart disease caused by sleep apnea
There are ways to treat sleep apnea so as to reduce the chances of heart diseases. To treat it, it must first be diagnosed. Thus, if your roommate notices you snoring, consult a doctor immediately. For a diagnosis, you will need to undergo a sleep study. This involves staying overnight in the hospital where they will monitor your sleep. Treatment for sleep apnea is known as continuous positive airway pressure or CPAP. 

This form of treatment involves wearing a mask that regulates the air pressure as you breathe thus ensuring that the air passages do not close down. In case of obstructive sleep apnea, losing weight if you are obese, can also help treat the condition and keep the airways open. 

Sleep Apnea - How It Can Increase The Risk Of Heart Disease?

Sleep disorder is a serious problem which a large number of people are facing due to multiple reasons. Almost every other person complains of having some sort of sleep disorder, irrespective of his/her age. Sleep disorders may come across as something which can be overlooked, but this shouldn t be the case, as when the problem aggravates it can take quite a scary turn. You need to be aware of the different kinds of sleep disorders which affect a vast number of people, on a daily basis. Given below are some of the most common ones which affect the majority of the crowd.

1. Insomnia
Insomnia, a worldwide epidemic, is the most common type of sleep disorder today. A number of factors can cause insomnia and affect even the healthiest being. From stress, anxiety or depression, substance and alcohol abuse to certain types of medication, a lot of factors can cause this issue. People who have insomnia have difficulty in sleeping and then maintaining that sleep. A cognitive behavioral therapy can help people suffering from this disorder. Often medications are also prescribed.

2. Sleep Apnea
If you have a partial or complete blockage of the throat then, you might be suffering from sleep apnea. This disorder is the second most prevailing sleep disorder in the world today. People who suffer from this disorder hardly realize it until someone informs them about having the trouble. Some of the common symptoms of Sleep apnea are morning headaches, daytime sleepiness, and excessively loud snoring as well. People suffering from apnea may also face trouble breathing multiple times per night. Continuous Positive Airway Pressure machine is a common treatment for this disorder.

3. RLS or Restless Leg Syndrome
The real reason behind RLS is still not known by experts, however, most believe the real cause of the disorder is hereditary. Some medications can also be a cause of restless leg syndrome. In this disorder, an urge to move your legs and hands precedes the need to sleep. RLS usually occurs when the patient is resting. In order to treat the restless leg syndrome, one must reduce the consumption of alcohol and caffeine along with doing regular exercises. For more severe cases, often medications are prescribed. RLS is observed more in women than in men.

4. Narcolepsy
People with narcolepsy often complain about falling asleep during odd times and feeling weak quite often. An abnormality in the brain is usually the reason behind this sleep disorder. Patients of narcolepsy often develop cataplexy which is a condition where patients feel faintish as an emotional reaction to any situation. People suffering from narcolepsy are given medications as a treatment.


4 Most Common Sleep Disorders

Sleep apnea is a disorder that affects nighttime breathing and is caused by either a malfunction in the brain that temporarily stops sending signals to the muscles that control breathing, or by an obstruction in the airway. 

Causes of Sleep Apnea-
It occurs when muscles in the back of your throat relax, tonsillitis, adenoids, obesity, middle-aged, heart disease, stroke, sedative medicines, large neck circumference, large tongue etc.

Symptoms of Sleep Apnea-

Feeling of excessively sleepy during a day
Lack concentration and low memory status
Depression
Short temperament
Irritability
Hyperactive children
Leg swelling
Impotency in males
Insomnia
Frequent waking up for urination in night
Tiresome feeling in morning
Homeopathic  Treatment of Sleep Apnea-
Homeopathy is one of the most popular holistic systems of medicine. The selection of remedy is based upon the theory of individualization and symptoms similarity by using holistic approach. This is the only way through which a state of complete health can be regained by removing all the sign and symptoms from which the patient is suffering. 

The aim of homeopathy is not only to treat sleep apnoea but to address its underlying cause and individual susceptibility. As far as therapeutic medication is concerned, several well-proved medicines are available for sleep apnoea treatment that can be selected on the basis of cause, sensation and modalities of the complaints. For individualized remedy selection and treatment, the patient should consult a qualified homeopathic doctor in person. Some of the most common homeopathic medicines for Sleep Apnea are-

Arsenicum Album: Arsenicum album is often prescribed for individuals who have breathing difficulties at night and is considered for people with a fearful, tense and agitated response to illness. 
Lachesis: Lachesis is a remedy prescribed for conditions that worsen at night. This medicine is designed for people who are typically fearful and anxious, but also prone to jealousy and excessive talking. 
Sulphur: By reputation, sulphur is a commonly prescribed homeopathic remedy, especially for nighttime congestion and sweating. Homeopathic sulphur combats a wheezy cough and congested head, both of which are suffered in sleep apnea. 
Spongia Tosta: This remedy for croup may help congestive sleep apnea sufferers as it treats respiratory symptoms that worsen when lying down. 
Before taking these medications, it is important to visit the doctor who will take a detailed case history of your problem and prescribe the right dosage and combination of medication.


Homeopathic Treatment For Sleep Apnea Problem

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?

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