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Overview

Polysomnography - Treatment, Procedure And Side Effects

What is the treatment?

With the times we live in, getting a good night rest is starting to elude us. We tend to be disturbed most of the times, and often we end up getting minimal sleep. Worse, in most cases, there is a complete lack of sleep, and we are left sleep deprived. Often these conditions lead to restlessness, depression, weakness and an inability to do any activity vigorously. There is a special branch of study and medicine that is designed to test our sleep patterns and the way our body behaves when we sleep. This is called as the Polysomnography test. Often called a sleep study, it is a test that electronically transmits and records some physical activities while you are sleeping. With the data that is got, the doctors can identify if you have a sleep disorder and can suggest the alternative treatment plans to suit your needs. The treatment is also given as a part of the package when you have a psychological disorder. These tests are usually given across for older people who are trouble sleeping, but with the conditions, we are facing in the day to day lives; the treatment is also suggested for the younger lot nowadays.

How is the treatment done?

As the name suggests, the sleep test is done while you sleep. You would be asked to stay overnight in the medical center or a hospital. You would be taken to a quiet room, and before you sleep, some equipment that monitors your heartbeat and pulses are attached to your body. There are several kinds of study the doctor performs. The most common being your breathing patterns, oxygen supply to your blood and limb movements when you sleep. There are four types of the sleep study, and depending on your needs each one of them is performed. Diagnostic Overnight (PSG) is the general monitoring of the sleep patterns. This is the most common form of test that is advised. Diagnostic daytime multiple sleep latency tests (MSLT) is the second type and is used to check your sleep patterns during day time and the frequency in which you sleep across in a calm daytime environment. Two-night evaluation is a combination of sleep test that can test your general status on one day and on the second day the same pattern would be repeated with artificially induced agents like oxygen masks, fabricators, etc. Split – night PSG with CPAP titration is the last type and can be done when you have severe sleep disorder patterns or sleep apnea. These treatments are extremely safe, and if you have any concerns, you can check with your physician.

Who is eligible for the treatment? (When is the treatment done?)

Almost everyone who has trouble sleeping or having sleep disorders can undergo these procedures. These can be experienced irrespective of age or gender and in some cases can actively be done as a part of psychological evaluation treatment. Medications can take care of most of the sleep disorder patterns. In some cases when the nature of the disorder is not clear, these tests are prescribed.

Who is not eligible for the treatment?

The treatment and tests can be carried out everyone. Instead of sleeping in a familiar place you would be asked to sleep in the sleep centers or the hospitals to monitor your patterns. The tests can be performed on people of all ages.

Are there any side effects?

No, there are no side effects to these treatments. You would sleep in a medical center or a hospital with the equipment like electrodes and wires attached to your body. Though it looks uncomfortable at first, most people do not have any issues in sleeping and in displaying their regular sleep patterns. The next day the electrodes can get sticky, and you might need to wash the glue off.

What are the post-treatment guidelines?

Post the treatment the doctor would come to remove the electrodes and wires attached to you. They can be a bit sticky, and you can wash them off. After which you can get back home and carry on your routine. Later when the results come, you can consult with your doctor regarding your sleep pattern and the various changes that need to be made. The medications needed and the changes to the lifestyle may be discussed at this point.

How long does it take to recover?

There is no need of a recovery as the test is painless and you can get back to your routine work from next day. You will not be feeling any delusion or any side effects as you would not be injected with any medication during the test. Polysomnography implies records your sleep patterns and the way your body reacts when you sleep.

What is the price of the treatment in India?

In India, the treatment costs depend on the type of medical center you are undergoing the treatment. On an average, it might cost about INR 1000 for an overnight stay, and the consultation fees and the medications post the test can be additional.

Are the results of the treatment permanent?

The results of the test are not permanent. You can get back to your routine post the treatment, and you would be consulting with your doctor later when the results arrive. Based on the reports the doctor would advise you upon the changes needed and the medications that need to be followed. A sleep disorder can occur at any stage of life and can depend on a number of situations. Hence one form of treatment may not be beneficial for all.

What are the alternatives to the treatment?

As an alternative to the treatment, you can identify what is causing you the stress and can try to minimize on your own. You can indulge in regular workouts and exercises to keep your body fit and healthy. Also, you might opt for yoga and meditations so that you can have more control over your sleep patterns.

Safety: Very High Effectiveness: High Timeliness: Medium Relative Risk: Very Low Side Effects: Very Low Recovery Time: Very Low Price Range: RS. 1000 and above

Popular Health Tips

Know About Snoring

Diploma in Tuberculosis & Chest Diseases, ccebdm, FCCP (USA), MBBS
Pulmonologist, Secunderabad
Know About Snoring

Obesity with snoring, choking episodes at night and day time sleepiness are symptoms of sleep apnea syndrome. It is diagnosed by polysomnography/sleep study.

4 people found this helpful

What is insomnia

DNB
Pulmonologist, Nagpur
What is insomnia
Sleeplessness

What is insomnia? — Insomnia is a problem with sleep. People with insomnia have trouble falling or staying asleep, or they do not feel rested when they wake up. Insomnia is not about the number of hours of sleep a person gets. Everyone needs a different amount of sleep.

What are the symptoms of insomnia? — People with insomnia often:

●Have trouble falling or staying asleep

●Feel tired or sleepy during the day

●Forget things or have trouble thinking clearly

●Get cranky, anxious, irritable, or depressed

●Have less energy or interest in doing things

●Make mistakes or get into accidents more often than normal

●Worry about their lack of sleep

These symptoms can be so bad that they affect a person’s relationships or work life. Plus, they can happen even in people who seem to be sleeping enough hours.

Are there tests I should have? — Probably not. Most people with insomnia need no tests. Your doctor or nurse will probably be able to tell what is wrong just by talking to you. He or she might also ask you to keep a daily log for 1 to 2 weeks, where you keep track of how you sleep each night

In some cases, people do need special sleep tests, such as “polysomnography” or “actigraphy.”

●Polysomnography – Polysomnography is a test that usually lasts all night and that is done in a sleep lab. During the test, monitors are attached to your body to record movement, brain activity, breathing, and other body functions.

●Actigraphy – Actigraphy records activity and movement with a monitor or motion detector that is usually worn on the wrist. The test is done at home, over several days and nights. It will record how much you actually sleep and when.

What can I do to improve my insomnia? — You can follow good “sleep hygiene.” That means that you:

●Sleep only long enough to feel rested and then get out of bed

●Go to bed and get up at the same time every day

●Do not try to force yourself to sleep. If you can't sleep, get out of bed and try again later.

●Have coffee, tea, and other foods that have caffeine only in the morning

●Avoid alcohol in the late afternoon, evening, and bedtime

●Avoid smoking, especially in the evening

●Keep your bedroom dark, cool, quiet, and free of reminders of work or other things that cause you stress

●Solve problems you have before you go to bed

●Exercise several days a week, but not right before bed

●Avoid looking at phones or reading devices (“e-books”) that give off light before bed. This can make it harder to fall asleep.

Other things that can improve sleep include:

●Relaxation therapy, in which you focus on relaxing all the muscles in your body 1 by 1

●Working with a counselor or psychologist to deal with the problems that might be causing poor sleep

Should I see a doctor or nurse? — Yes. If you have insomnia, and it is troubling you, see your doctor or nurse. He or she might have suggestions on how to fix the problem.

Are there medicines to help me sleep? — Yes, there are medicines to help with sleep. But you should try them only after you try the techniques described above. You also should not use sleep medicines every night for long periods of time. Otherwise, you can become dependent on them for sleep.

Insomnia is sometimes caused by mental health problems, such as depression or anxiety. If that's the case for you, you might benefit from an antidepressant rather than a sleep aid. Antidepressants often improve sleep and can help with other worries, too.

Can I use alcohol to help me sleep? — No, do not use alcohol as a sleep aid. Even though alcohol makes you sleepy at first, it disrupts sleep later in the night.


117 people found this helpful

Obstructive Sleep Apnea

MBBS, MD, MEDICINE
Cardiologist, Chandigarh
Obstructive Sleep Apnea

Do you have any symptoms like snoring, interrupted sleep, unrefreshened sleep, morning headaches, daytime sleepiness etc, if yes it further supports the diagnosis.
It is a condition characterised by obstruction of upper airway especially during sleep due to lax airway and narrowing of airway due to obesity.
Basically, obstruction of upper airway leads to temporary stoppage of respiration, increased sympathetic drive and increased pulse rate. Also, other reason for pulse rate rise is deconditioning as you are not accustomed to activities.
Investigation
ENT examination if you have any symptoms of nasal stuffiness, recurrent tonsillitis to rule nasal causes of obstruction.
Thyroid function test
Lipid profile and sugar, hba1c
Vitamin D
Polysomnography which is sleep study to confirm the diagnosis and extent of disease, pressure of cpap needed.
In treatment, first thing weight loss. You need to have low fat, calorie diet in order to loose weight. Cure for this is weight loss.
Secondly, cpap which is mask and device, and pressure during inspiration and expiration during sleep in order keep your airways patent and avoid this from happening.
Also, regular exercises is very important. Chest physiotherapy and yoga will be helpful.

1 person found this helpful

Sleep Disorder

MBBS, MD - Pulmonary Medicine, DNB - Pulmonary Medicine, MD - Internal Medicine, Diploma in Tuberculosis and Chest Diseases (DTCD)
Pulmonologist, Delhi
Play video

Good morning I am DR Rajput, Pulmonologist. I deal with the respiratory disease which include Asthma, COPD and sleep apnea. The sleep disorder, sleep apnea is very common these days. People snore and they do not know that they have a disease.

I am going to talk about, "Why do people snore and how it affects your health?"

You know the structure. We breath through nose and we eat through mouth. There is a pasaage in the neck behind the tongue where the food and the air we inhale pass through it. But when we sleep, our posture changes due to which muscles get relaxed and makes the passage narrow. Then the tongue drops and makes it further narrow. If you are over weight, due to the neck fat, the passage gets further narrow. So, when the air passes through the narrow passage, it produces snoring. The stage beyond snoring when the two valves in the neck meet each other, the air flow stops and cause Apnea. When the air flow stops, the oxygen level in the body goes down, the brain gets aroused and sends the signal to these muscles and then you ultimately snot and this snotting opens the passage a bit. So, this repeatedly occur in the night and this results in oxidative stress. BEcause 1/3rd of your life, you are sleeping, i.e, 8 hours out of 24 hours.

So, during sleep, if the air flow is less which is called Hypopnea, the air flow stops is called Apnea. This leads to Endothelial dysfunction, which leads to High blood pressure, diabetes, cardiac problems.

So, it is important to know about Sleep Apnea and its relation to lifestyle diseases like hypertension, diabetes, cardio vascular diseases.

The diagnosis is very simple these days which is Polysomnography. It is a sleep study in which we record the brain EEG, EOG, EMG, air flow, snoring, oxygen saturation ECG. This gives an index which is called Apnea Hypopnea Index. If the Index is more than 5 than you have to be treated.

The commonest treatment which is available these days is the CPAP Therapy. CPAP is a very simple therapy. There is a mask which fits on the nose and it is connected to a hose pipe to a machine. The machine gives pressure to the air and this pressure splints this air way and the air flow is maintained. Oxygenation maintains, snoring stops and oxidative stress dissapears. This helps in controlling blood pressure, the diabetes become normal and the risk of cardio vacular problems decreases.

Thank you very much for listening to me.

If you want to consult us, come to our clinic or contact through Lybrate.

2546 people found this helpful

MD - Pharmacology, ECFMG certified , MBBS
General Physician, Navi Mumbai
Snoring ? The Not So Silent Killer

A good night sleep is important for good health and longevity. How many hours of sleep should one have? - this question has been answered numerous times. The ?quantity? of sleep is mostly what is talked about. What about the ?quality? of sleep? Quality of sleep is equally important. One of the common factors adversely affecting the quality of sleep is ?sleep apnea?. Let us see what that is.

People snore because there is an obstruction to breathing while asleep. This leads to a drop in the oxygen levels in the blood during sleep. There is a decrease in supply of oxygen to the vital organs like the brain, heart and lungs. Over a period of time this results in damage at the cellular level in various organs leading to pulmonary hypertension, i.E, increase in blood pressure in the lungs, systemic hypertension and increased chances of death from heart attacks and strokes, besides a number of other problems like diminished concentration, tiredness and fatigue and a general feeling of ill health.

There have been some cases where the blood pressure has been normalized by managing the sleep apnea without anti hypertensive drugs. We came across the case of a 22 year old male, normal weight, no history of smoking, tobacco or alcohol consumption, suffering from hypertension. On further review of his case, we came across the possibility of him suffering from sleep apnea. We advised him to alter his sleeping position. After about 3 months, his blood pressure had normalized. Having said that, I would like to emphasize that by no means should any individual stop his/her medicines and such decisions are better left to doctors after adequate review.

You should be concerned if you have/ are one or more of the below:
1. Snore
2. Are overweight/ obese
3. Suffer from hypertension.
4. Hypertension occurring in young individuals
5. Case of hypertension not responding to standard medicines at standard doses.
6. Systemic hypertension with pulmonary hypertension
7. Feel tired/drowsy/have difficulty in concentrating even after a full night sleep.


The treatment of sleep apnea could be surgical or non surgical depending on the degree and the cause of sleep apnea and obstruction. Mild cases may be treated by a simple sleep position alteration and others might require CPAP ventilation during sleep (Continuous Positive Airway Pressure). So the options for treatment are:
1. CPAP ventilation
2. Sleep position alteration
3. Oral orthotic devices
4. Surgery

What can you do if you snore:
1. Avoid alcohol, sedative drugs and drugs that depress respiration, at or near bed time.
2. One of the following sleeping positions might help relieve the airway obstruction and thereby take care of the sleep apnea ? sleeping on ones side or sleeping with the head end of the bed at an angle of 30- 40o from the horizontal.
3. Shed some pounds and get in shape.
4. Consult a doctor and tell him about your snoring and concern about sleep apnea.
5. Get a polysomnography done (better to get it done after proper evaluation from a doctor).
6. Try to maintain a regular sleeping schedule.


9 people found this helpful

Popular Questions & Answers

Diagnosed as Moderate Obstructive Sleep Apnoea. Hello, From last 11 years I have been suffering with Morning drowsiness, Fatigue & day time sleepiness for 15 days per month where I work more (mental and physically). From last 1 year, I thought to fight against it as I am unable to do my daily routines with this problem and hence I consulted NIMHANS, Bangalore and they came to conclusion that Depression and started T. Venlafaxine 225mg. I undergone sleep study (polysomnography) and finally it came as Moderate Obstructive Sleep Apnoea. Respiratory Distress Index is 28/hr. The doctor said that brain is awakening many times though you are not waking at night due to which I am unable to relax fully and hence the fatigue and day time sleepiness. Does this Sleep apnoea can show as more fatigability, drowsy, morning sleepy when I do more work? Whats the relation between more work and next day drowsy if I have daily sleep apnea, does the body need more rest during more work and hence the problem is being faced at heavy mental work? why this problem cant be neurasthenia as that also occurs at when more mental & physical work is done? The doctors saying that I need to go for CPAP titration and then to CPAP machine. Over internet I read that oral based appliance is also being used for Sleep apnea, which one is best, user friendly and cost effective? Can I be fully normal after using CPAP machine as I being diagnosed as psychiatric until now?

MBBS
General Physician, Mumbai
I will suggest you to do only one blood test called as - serum folate levels with erythrocyte folate level and revert back with reports
1 person found this helpful

I am 43 years old male sir i am suffering from sleep apnea the snoring problem what should I do? please advise.

Diploma in Otorhinolaryngology (DLO), MBBS
ENT Specialist, Guwahati
First of all reduce your wait. You might be having over weight. A polysomnography is necessary. Cpap might help you.

Hi, I have a problem while I am sleeping. If I go to sleep snoring will comes loudly which disturb others. I tried all remedies available in internet. Is there any possibility to cure?

MBBS, MD TUBERCULOSIS AND CHEST DISEASES, Diploma in Tuberculosis & Chest Diseases, Diploma in Tropical Medicine and Hygiene
Pulmonologist, Kolkata
Polysomnography to be done this will show Obstructive sleep apnoea. Cpap with titration will address your problem.

I went to sleep specialist for my apnea problem. He prescribed me nutrum tablets and asked me to use them for one month and revert him back. I want to know why did he prescribe the tablet.

MBBS, MD - General Medicine, DM - Neurology
Neurologist, Hyderabad
Nutrum is a multivitamin tablet and has no effect on apnea. Ideally, you should undergo a polysomnography (sleep study) to confirm the diagnosis. The, correct treatment can be started.

I am 50 years old male having weight 83 kgs and 5.6 feet length is suffering from snoring problem since a long. Already I have undergone one surgery of tonsillitis and one for enlarged nasal internal bone. I can't sleep on my back straight only side postures. Thanks for your opinion if made to me.

ENT Specialist, Secunderabad
Please undergo polysomnography test done and you may require c-pap at night while you sleep. Reduce your weight, do not take alcohol/sleeping pills ar night. Sleep on your back.
1 person found this helpful

Table of Content

What is the treatment?
How is the treatment done?
Who is eligible for the treatment? (When is the treatment done?)
Who is not eligible for the treatment?
Are there any side effects?
What are the post-treatment guidelines?
How long does it take to recover?
What is the price of the treatment in India?
Are the results of the treatment permanent?
What are the alternatives to the treatment?
Having issues? Consult a doctor for medical advice