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Sleep Apnea Tips

Sweating While Sleeping - What Causes It?

Dr. Vikram Gidwani 92% (60 ratings)
MBBS
General Physician, Chittorgarh
Sweating While Sleeping - What Causes It?

Sweating during warm weather is very common, but if a person wakes up from bed soaked in sweat, it is not a pleasant feeling. It does not allow for a sound sleep, and may not always be related to warm weather.
There is no serious underlying medical issue, but it is always advisable to see a doctor to get this corrected. The following are some common reasons that could lead to night sweats.

  1. Menopause: The hot flashes that are so popularly associated with menopause is one of the main reasons for night sweats. The presenting factors (woman, age, and other symptoms) should help arrive at this diagnosis. Hormonal levels can be checked to confirm if required. Even puberty and pregnancy can cause night sweats, due to hormonal level alterations.
  2. Infections: Most infections present with fever and night sweats are very common. Tuberculosis, osteomyelitis, endocarditis, influenza and even HIV can cause night sweats and hamper a person’s sleep. Most infections cause an increase in temperature, which is worse at night.
  3. Obstructive sleep apnea: The walls of the windpipe get narrowed, and the person might have short periods where the breathing just stops. These people are three times more likely to develop night sweats.
  4. Hypoglycemia: One of the most common symptoms of low blood sugar is night sweat. When the sugar drop happens during the time the person is sleeping, it is very common for the person to wake up soaked in sweat.
  5. Cancer: For some cancers, night sweats are one of the first warning signs. These cancers include lymphoma, and presence of symptoms like unexplained weight loss, fatigue, etc. should be addressed to rule out the possibility of cancer.
  6. Side effect of medications: Antidepressants, psychiatric drugs, anti-pyretic drugs, anti-virals, steroids, anti-diabetic medications, hormones, etc. can lead to night sweats. Suspected cases of night sweats should have their medications reviewed to see if any drug is causing the night sweats.
  7. Gastro-esophageal reflux disease: GERD, as it is popularly known, can cause night sweats in addition to heartburn. They would also have other symptoms of indigestion, which will help in identifying the problem.
  8. Neurologic disorders: Stroke, neuropathy and anxiety disorders can cause night sweats and would require psychotherapy in addition to medications.
  9. Idiopathic: And despite all these possible reasons, if there is no identifiable reason, it is known as idiopathic hyperhidrosis (increased sweating). The person produces too much sweat without any known underlying cause and can even wake up at night soaked in sweat.

Management: Identifying the underlying cause is the first step in treatment. It may require hormonal corrections, changing or withdrawing the causative medications, treating associated conditions, etc., as the case may be.

What Is Sleep Apnea ?

Dr. Sathish Erra 87% (9476 ratings)
BHMS, Diploma in Dermatology
Homeopath, Hyderabad
What Is Sleep Apnea ?

What is sleep Apnea?

Sleep apnea is a serious sleep disorder that occurs when a person's breathing is interrupted during sleep. People with untreated sleep apnea stop breathing repeatedly during their sleep, sometimes hundreds of times. This means the brain -- and the rest of the body -- may not get enough oxygen.

Types of Apnea Sleep:

There are two types of sleep apnea:

-Obstructive sleep apnea: The more common of the two forms of apnea, it is caused by a blockage of the airway, usually when the soft tissue in the back of the throat collapses during sleep.
-Central sleep apnea: Unlike OSA, the airway is not blocked, but the brain fails to signal the muscles to breathe, due to instability in the respiratory control center.

Major Causes for sleep apnea:

-Muscular changes: When people sleep, the muscles that keep the airway open relax, along with the tongue, causing the airway to narrow. Normally, this relaxation does not prevent the flow of air in and out of the lungs, but in sleep apnea, it can.

-Physical obstructions: Additional thickened tissue or excessive fat stores around the airway can restrict the airflow, and any air that squeezes past can cause the loud snoring typically associated with OSA.

-Brain function: In central sleep apnea (CSA), the neurological controls for breathing are faulty, causing the control and rhythm of breathing to malfunction. CSA is usually associated with an underlying medical condition, such as a stroke or heart failure, recent ascent to high altitude, or the use of pain relief medication.

When the airway becomes completely blocked, the snoring stops and there is no breathing for a 10-20 second time period or until the brain senses the apnea and signals the muscles to tighten, returning the airflow. This pause in breathing is known as apnea.

Although this process continues hundreds of times throughout the night, the individual experiencing the apnea is not conscious of the problem.

Symptoms:

*Loud snoring
*Episodes in which you stop breathing during sleep — which would be reported by another person
*Gasping for air during sleep
*Awakening with a dry mouth
*Morning headache
*Difficulty staying asleep (insomnia)
*Excessive daytime sleepiness (hypersomnia)
*Difficulty paying attention while awake
*Irritability

Diagnosis:

Sleep apnea is diagnosed with a sleep study (nocturnal polysomnography) carried out at an overnight sleep laboratory. This records brain waves, eye and leg movements, oxygen levels, airflow, and heart rhythm during sleep. A physician who specializes in sleep disorders interprets the test.

For some individuals, Home Sleep Apnea Testing (HSAT) can be done in place of the laboratory study. The number of apnea episodes that occur every hour determines sleep apnea severity:

Normal - 0-5 apnea episodes per hour.
Mild sleep apnea - 5-15 apnea episodes per hour.
Moderate sleep apnea - 16-30 apnea episodes per hour.
Severe sleep apnea - 31+ episodes per hour.

Role of homeopathy in sleep apnea:

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.

5 people found this helpful

Obstructive Sleep Apnea And Sleeping position!

Dr. Hemant Kalra 87% (369 ratings)
MBBS, MD -Pulmonary Medicine-Tuberculosis ,Respiratory Disease Medicine , Diploma in Tuberculosis and Chest Diseases (DTCD), European Diploma in Respiratory Medicine
Pulmonologist, Delhi
Obstructive Sleep Apnea And Sleeping position!

- If you have obstructive sleep apnea (OSA) and you are using CPAP therapy, you may be wondering whether sleeping position matters when it comes to having or treating sleep apnea
Believe it or not, sleeping positions have a big influence on how well we sleep, not only with regard to OSA, but in relation to other health conditions.

 

5 people found this helpful

Best ENT Specialist in Bangalore!

Dr. Sanjeev Kumar Singh 87% (192 ratings)
Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Lakhimpur Kheri
Best ENT Specialist in Bangalore!

Suffering from problem related to ear, nose and throat (ENT) and confused about where to get it treated in Bangalore. Below are the best ENT specialist or otolaryngologists in Bangalore who can help you. These ENT specialist in Bangalore have years of experience in treating problems related to hearing and speech as well as cases like sinusitis and allergies. Best ENT Surgeons and consultants in Bangalore are:

1. Dr. Jagdish Chaturvedi

DNB (ENT), MBBS

Dr. Jagdish Chaturvedi has years of experience as an ENT specialist. In his career of 12 years he has treated several cases of simple as well as advanced problems related to ear, nose, throat diseases. He has conducted several surgeries like endoscopic sinus surgeries, tracheostomies and ear nose throat endoscopies. He has done several additional courses to upgrade his knowledge and has innovated over 16 medical devices. He is currently affiliated to Sinus Hospital.

Consultation fees: ₹500-550

2. Dr. Sandeep Dachuri

MS - ENT, MBBS

Dr. Sandeep Dachuri is a practicing ENT/ Otorhinolaryngologist in Bangalore with 7 years of experience. He currently practices at Shri Vishnu Ent Speciality Center in Banashankari 3rd Stage, Bangalore.Some of the areas of special interest and expertise are Sinusitis Evaluation, ENT Consultation & treatment, Nasal endoscopy and Foreign Body Removal and vertigo.

Consultation fees: ₹300

3. Dr. Chandre Gowda

MBBS, MS - ENT

Dr. Chandre Gowda is one of the very senior doctors who has 40 years of experience. He currently practices at Sankalp ENT Care Centre. His areas of specialization are eardrum rupture treatment, head and neck cancers, phono surgery, tonsillectomy. He is a life time member of Academy of Oral Implantology (AOI),Indian Medical Association (IMA) and Association of Otolaryngologists of India (AOI).

Consultation fees: ₹100

4. Dr. Sandhya Patil

D.N.B, D.L.O

Dr. Sandhya Patil, is a reputed Ear-Nose-Throat (ENT) specialist in Bangalore with 10 years of experience. She is associated with best hospitals as a visiting consultant and also runs her own private practice called Daivik ENT Center. She is a recipient of many awards in her field and specialises in treatment foreign body removal, tonsillitis, hearing and speech impairment

Consultation fees: ₹300

5. Dr. Shankar B Medikeri

MBBS, MS - ENT, DORL, DNB (ENT), FICS

Dr. Shankar B. Medikeri is a topper and gold medallist in his graduation and post graduation. With more than 40 years of experience he has worked with several hospitals in Bombay and Bangalore. He currently practices at Medikeri's Super Specality ENT Center. He has keen interest in conducting Live Surgical Workshops on Microsurgery of the Ear & Larynx, Endoscopic Sinus Surgery, Laser Surgery and Cadaver dissection Courses on Temporal Bone. In last 13 years he has done more than 600 cochlear implants.

Consultation fees: ₹600

6. Dr. Anita Krishnan

MBBS, Diploma in Otorhinolaryngology (DLO), DNB - ENT, Diploma in Medical Law and Ethics (PGDMLE)

Dr. Anita Krishnan has done several fellowships and certifications nationally and internationally. She has more than 26 years of experience and is associated with Apollo Spectra and Bangalore ENT Care Centre. SHe has attended and conducted several CMEs and seminars to upgrade her skills and knowledge as well as to help her fellow colleagues. She is known for his treatment and services like- Laryngostroboscopy, Laser Surgery, Functional Endoscopic Sinus Surgery - FESS using XOMED & Smith Nephew Microdebrider.

Consultation fees: ₹600

7. Dr. Alok Banka

ENT Surgeon, M.S., MBBS

Dr. Alok Banka is a qualified and well experienced ENT surgeon with 14 years of experience. He is is a visiting consultant at many hospitals and clinics in Bangalore like- Cogent Care Clinic, Narayana Hospital, Apollo Clinic, Columbia Asia Hospital. His areas of keen interest are micro-ear surgeries, and endoscopic sinus surgeries. He has also dealt with cases of cosmetic nasal and micro laryngeal surgeries. He is known for use of new technologies and therapies that provide best treatment to his patients.

Consultation fees: ₹450

8. Dr. Gladson Guddappa Uchil

MBBS, Diploma In Otorhinolaryngology (DLO)

Dr Gladson Guddappa Uchil is considered to be amongst the otolaryngologist, head & neck surgeon. With 21 years of experience he has worked with some of best hospitals like Fortis Healthcare Ltd, HCG Hospitals & Sparsh Superspeciality Hospitals in Bangalore. He is an expert in treating ENT related diseases or disorders snoring & sleep apnoea, ear infection. He has also done several surgeries to treat sinusitis & deviated nasal septum. He is a member of Indian Society of Otology, Association of Otolaryngologists of Bangalore (AOB), and Association of Otolaryngologists of India (AOI). 

Consultation fees: ₹600

9. Dr. Manjunath Mk

Fellowship In Laryngology, MS - ENT, MBBS, USMLE

Dr. Manjunath has 17 years of experience is a prominent name among ENT surgeons. He has done his fellowship from USA. During his tenure he has performed micro-laryngeal surgery, cosmetic nose surgery and endoscopic sinus surgery. He is also known for his perfection when it comes to micro-ear surgical procedures and has a special interest in treating snoring & sleep disorders, hearing problems, surgery for deviated nasal septum.

Consultation fees: ₹350

10. Dr. Sushma Patil

MBBS, Diploma in Otorhinolaryngology (DLO)

Dr. Sushma Patil is a ENT/ Otorhinolaryngologist with 11 years of practice. She is a reputed name in Bangalore and is member of South Zone SOI and Karnataka Medical Council. She has successfully treated cases of sleep apnea, thyroplasty, tinnitus evaluation  and management.

Consultation fees: ₹300

1 person found this helpful

Sleep Apnea - Know Its Complications!

Dr. Bharat Bhushan Bharti 90% (146 ratings)
MD Physician
General Physician, Delhi
Sleep Apnea - Know Its Complications!

A good night’s sleep is essential for your mental and physical health. Proper sleep means your body is adequately rejuvenated and is ready to face yet another day with efficiency. When your sleep cycle is disrupted, the entire body mechanism is disturbed. Thus, sleep apnea can turn bothersome if not treated.

What is sleep apnea?
Obstructive sleep apnea is a condition wherein there can be paused or shallow breathing while the person is asleep. At the time of sleeping, the muscles of the throat and tongue are more relaxed, and the tissues block the passage of air. It is most common in adults, and the primary reason behind it is excess weight and obesity. In the case of children, most common cause of this disorder is enlarged tonsils. Childhood obesity is another cause of this disorder in children.

Complications that could arise if the obstructive sleep apnea is not taken care of

  • Sleep apnea or snoring can disturb your sleep as well people sleeping around you. This disorder raises the chances of health issues like diabetes and high blood pressure. If someone is already suffering from high blood pressure, then sleep apnea can even make it worse.
  • When a person suffering from sleep apnea wakes up at night, his/her body gets stressed which makes the hormone system to go into overdrive which in turn increases the blood pressure of that person. Even the level of oxygen in the blood decreases when one cannot breathe well due to sleep apnea.
  • People suffering from sleep apnea are more likely to have heart attacks.
  • The most common cause for this is the low level of oxygen or the stress of waking up suddenly. A person who is suffering from obesity is more prone to sleep apnea which also makes it harder to slim down. When someone suffers from sleep apnea, that person can have fatty deposits in their neck which block breathing during the night. Also, sleep apnea releases more the hormone named Ghrelin which makes a person suffering from obesity to crave for sweets.
  • Sleep apnea is also a concern with some general anesthesia and certain medications. People suffering from sleep apnea are more prone to face problems or complications at the time of major surgery as they suffer from breathing problems especially when anesthesia is performed and they are laid on their back. It is imperative to consult with the doctor before a major surgery if one is suffering from obstructive sleep apnea.

Other health related problems

  • People suffering from sleep apnea are more likely to liver problems. This includes abnormal results on the liver function test, and their liver is most prone to show the signs of scarring. This disorder is also known as nonalcoholic fatty liver disease.
  • Obstructive sleep apnea also results to excessive daytime sleepiness which also increases the risk factor for automobile accidents and can also lead to depression.
  • Sleep apnea can also lead to stroke, heart failure, gastroesophageal reflux disease and abnormal rhythm of the heart.
  • Sleep apnea is a common condition with mild to severe levels and can be progressive with age. Because of the complications that can arise due to this condition, it is crucial to get the condition treated as soon as the symptoms are observed.
5910 people found this helpful

What Is Sleep Apnea And How Can We Treat It?

Dr. Vivek Kumar Pathak 94% (236 ratings)
MS-ENT, MBBS
ENT Specialist, Noida
What Is Sleep Apnea And How Can We Treat It?

Sleep apnea is a sleeping disorder in which you experience frequent breathing pauses while sleeping. In case of some, the pauses may last for just a few seconds, while for others, it may continue for a few minutes. Sleep apnea is generally chronic in nature. There are three types of sleep apnea, namely Central, Obstructive and Complex sleep apnea. Central sleep apnea occurs if the brain fails to transmit signals to the muscles responsible for your breathing functions. Obstructive sleep apnea occurs due to relaxation of your throat muscles. Complex sleep apnea refers to a combined condition of both central and obstructive sleep apnea.

Some of the possible causes of sleep apnea are as follows: 

  1. Blockage of airway during sleep can cause sleep apnea
  2. Putting on weight can cause obstructive sleep apnea
  3. In some cases, large tonsil tissues can lead to obstructive sleep apnea in small children
  4. Intake of certain medicines like Oxycontin or MS Contin can cause central sleep apnea
  5. Male people are more prone to sleep apnea
  6. Smoking is also a potent trigger for sleep apnea
  7. At times, high blood pressure can induce sleep apnea
  8. Suffering from sinus can also lead to sleep apnea
  9. Large neck size (more than 16 inches) may cause sleep apnea

In case of some people, sleep apnea might be an inherited condition.

The most common symptoms of sleep apnea are mentioned below:

  • Sometimes, obstructive sleep apnea is accompanied by choking or snorting sounds.
  • You may encounter breathing trouble while sleeping, leading to a disruption of your sleep.
  • Maximum times, sleep apnea is accompanied by snoring.
  • Sleep apnea leads to a dry mouth, which can disturb your sleep.
  • You may feel dizzy during daytime.

In case you have a concern or query you can always consult an expert & get answers to your questions!

3540 people found this helpful

Sleep Apnea Symptoms You Must Be Aware Of!

Dr. J. K.Gupta 91% (83 ratings)
MS ENT, MBBS
ENT Specialist, Noida
Sleep Apnea Symptoms You Must Be Aware Of!

An estimated of 10 percent or more children snore for more than 1 night. Snoring results from the obstruction of breath when the air makes its way through the mouth. The air passage of the throat through which the air goes in and out causes the tissue to vibrate causing snore. The sound of the snore totally depends on the amount of air passing through the mouth and the frequency at which the throat is vibrating. Children above the age of three years tend to snore when they are deep in sleep.

Primary and secondary snoring:
Children who are otherwise healthy should not have a snoring problem unless there is some health disorder. However, if loud snoring is observed in otherwise a perfectly healthy kid, seeking medical help is a wise thing to do. In general, primary snoring is defined as a condition which is not associated with other sleep-related disorders such as lung disorder, OASS, inability to sleep for a longer duration etc.

Other possibilities:
It is estimated that close to three percent of the children suffers from breathing problem while sleeping. OSAS is a condition which is characterised by pauses in breathing and gasps along with loud snores. There could be instances where a kids’ muscle relaxes way too much obstructing the air to pass through. The body and the brain are both alerted at this stage. As soon as the brain sends a signal, the body wakes up. Thus, most kids suffering from this disorder are not able to sleep well and tend to feel tired throughout the day.

Common causes of sleep apnea:
Sleep apena is a major cause of snoring. It can be caused because of allergies, obesity, GERD etc. In children sleep, apnea can also be caused by tonsil. Since the tonsil size of children less than 7 years of age tends to be bigger than adult individuals, it causes snoring related problem. Swollen tonsils not only obstruct air but creates other health related problems as well.

Symptoms of sleep apnea during the day and night:

  1. Loud snore
  2. Snorts, gasps, pauses during sleep
  3. Heavy sweat during sleep
  4. Social and behavioural problems
  5. Failure to get up in the morning
  6. A nasal voice
  7. Easily irritated, cranky and aggressive

Relief measure:
The first thing a that a doctor does is a physical exam followed by observing the symptoms of a kid. Primary snorting can be addressed by physical exercise, counselling and breathing exercise. Problems related to apnea are addressed through medicine, counselling, and exercise. Certain dietary restrictions also needed to be followed during this time. However, apena is completely treatable within a certain time frame. In case you have a concern or query you can always consult an expert & get answers to your questions!

3165 people found this helpful

Sleep Apnea - 7 Ways To Treat It!

Dr. Ajay Singhal 88% (10 ratings)
MBBS, Diploma In Otorhinolaryngology (DLO), DNB (ENT)
ENT Specialist, Delhi
Sleep Apnea - 7 Ways To Treat It!

Sleep apnea is a potentially dangerous sleep disorder in which you stop and start breathing frequently while you are sleeping. Symptoms of sleep apnea often include loud snoring and fatigue even if you sleep uninterrupted through the night. Obesity and age are the common risk factors of sleep apnea.

The most common type of sleep apnea is obstructive sleep apnea, in which the throat muscles contract and relax while you are asleep. The other type of sleep apnea, called central sleep apnea, usually occurs in people who have been diagnosed with brain tumors, infections or heart failure, or have had a stroke.

Treatment of sleep apnea includes:

  1. CPAP: The Continuous Positive Airway Pressure (CPAP) device is generally recommended in the treatment of sleep apnea. CPAP is a breathing machine that stops your airways from getting blocked when you are sleeping. The CPAP device is normally the size of a tissue box. It comes with a mask that you put over your mouth and nose. The machine attached to the mask pumps a continuous flow of air that keeps your airways clear as you sleep.
  2. BPAP: The Bilevel Positive Airway Pressure (BPAP) device is used as an alternative to the CPAP device, if you find it hard to adjust to the CPAP. If you have a weak pattern of breathing, the BPAP can be helpful.
  3. ASV: The Adaptive Servo-ventilation (ASV) device is used to treat both central and obstructive sleep apnea.
  4. Treatment for other medical conditions: Sometimes sleep apnea can be caused by underlying health conditions. Problems such as rhinitis (nasal passage inflammation) and hypothyroidism (underactive thyroid gland) can cause sleep apnea. In such cases, your doctor needs to diagnose these conditions first before treating your sleep apnea.
  5. Lifestyle changes: Excessive weight sometimes can cause sleep apnea; so losing excessive weight should be a priority. Also, alcohol and tobacco can contribute to your symptoms, so try avoiding those.
  6. Medication: Usually, doctors do not prescribe any medicine, since sedatives and sleeping pills actually worsen sleep apnea. But, in case of sleep apnea in children, doctors typically suggest intra nasal corticosteroid medicine to treat the symptoms.
  7. SurgerySurgeries to increase the size of your airway or to remove your adenoids, tonsils or extra tissues in the rear of your throat or your nose can prove helpful.

In case you have a concern or query you can always consult an expert & get answers to your questions!

3764 people found this helpful

Know More About Sleep Apnea

Dr. Hemant Kalra 87% (369 ratings)
MBBS, MD -Pulmonary Medicine-Tuberculosis ,Respiratory Disease Medicine , Diploma in Tuberculosis and Chest Diseases (DTCD), European Diploma in Respiratory Medicine
Pulmonologist, Delhi
Know More About Sleep Apnea

The connection between sleep apnea and heart disease is evolving very rapidly. People with cardiovascular problems such as high blood pressure, heart failure, and stroke have a high prevalence of sleep apnea. Whether sleep apnea actually causes heart disease is still unclear, but we do know that if you have sleep apnea today, the chance that you will develop hypertension in the future increases significantly.

So wake up and consult with a pulmonologist to treat sleep apnea.

4 people found this helpful

Obstructive Sleep Apnea

Dr. Shubham Jaiswal 90% (851 ratings)
MBBS Bachelor of Medicine and Bachelor of Surgery
General Physician, Delhi
Obstructive Sleep Apnea

Surgery is for people who have extra or misshapen tissue that blocks airflow through the nose or throat. For example, a person with a deviated nasal septum, enlarged tonsils and adenoids, or a small lower jaw that causes the throat to be too narrow might benefit from surgery. Doctors usually try other treatments first.
 

Types of surgery
Upper airway stimulator. This device, called inspire, has a small pulse generator that the surgeon places under the skin in your upper chest. A wire leading to the lung detects your natural breathing pattern. Another wire, leading up to the neck, delivers mild stimulation to nerves that control airway muscles, keeping them open.
A doctor can program the device from an external remote. Also, people who have inspire use a remote to turn it on before bed and turn it off when they wake up in the morning.
Somnoplasty. Doctors use radiofrequency energy to tighten the soft palate at the back of the throat.
Uppp, or up3, is a procedure that removes soft tissue in the back of the throat and palate, increasing the width of the airway at the throat opening. (uppp stands for uvulopalatopharyngoplasty, if you were wondering.)
Mandibular/maxillary advancement surgery. The surgeon moves the jaw bone and face bones forward to make more room in the back of the throat. It's an intricate procedure that doctors only do for people who have severe sleep apnea and problems with their head or face.
Nasal surgery. These operations correct obstructions in the nose, such as a deviated septum.

Obstructive sleep apnea 

What is sleep apnea?
When you have this condition, your breath can become very shallow or you may even stop breathing -- briefly -- while you sleep. It can happen many times a night in some people.
Obstructive sleep apnea happens when something partly or completely blocks your upper airway during shut-eye. That makes your diaphragm and chest muscles work harder to open the obstructed airway and pull air into the lungs. Breathing usually resumes with a loud gasp, snort, or body jerk. You may not sleep well, but you probably won't be aware that this is happening.

The condition can also reduce the flow of oxygen to vital organs and cause irregular heart rhythms.

Symptoms
The most common obstructive sleep apnea warning signs include:
* daytime sleepiness or fatigue
* dry mouth or sore throat when you wake up
* headaches in the morning
* trouble concentrating, forgetfulness, depression, or irritability
* night sweats
* restlessness during sleep
* problems with sex
* snoring
* waking up suddenly and feeling like you're gasping or choking
* trouble getting up in the mornings
If you share a bed with someone, they'll probably notice it before you do.

Symptoms in children may not be as obvious. They may include:
* bedwetting
* choking or drooling
* sweating a lot at night
* ribcage moves inward when they exhale
* learning and behavior disorders
* problems at school
* sluggishness or sleepiness (often misinterpreted as laziness in the classroom)
* snoring
* teeth grinding
* restlessness in bed
* pauses or absence of breathing
* unusual sleeping positions, such as sleeping on the hands and knees, or with the neck hyperextended
Talk to your doctor if you notice any of these problems. There are a lot of other possible causes for these symptoms as well.

Who gets obstructive sleep apnea?
It's more likely if you're overweight or obese, have a thick or large neck, or have smaller airways in your nose, throat, or mouth. It can also happen if you have enlarged tonsils or too much tissue at the back of the throat -- the uvula and soft palate -- that hangs down and blocks the windpipe. A larger-than-average tongue can also block the airway in many people as well as a deviated septum in the nose.
The condition is more common among men than women, and it becomes more likely as you get older. But it's not a normal part of aging.
 

Other risk factors include:
* smoking
* diabetes
* high blood pressure
* being at risk for heart failure or stroke

Diagnosis
Your doctor will give you a checkup and ask about your sleep. He may also want to ask people who live with you about your shut-eye habits. You may need to spend a night in a sleep lab or have a sleep study done at your house. You'll wear monitors to measure things such as:
* air flow
* blood oxygen levels
* breathing patterns
* electrical activity of the brain
* eye movements
* heart rate
* muscle activity
The study will track how many times your breathing was impaired during sleep.
 

Treatment
1. Weight loss, if needed. Losing even 10% of your weight can make a difference. Avoid alcohol and sleeping pills, which make the airway more likely to collapse during sleep and lengthen the times when you're not breathing properly. Sleeping on your side, if you only get mild sleep apnea when you sleep on your back.

2. Nasal sprays, if sinus problems or nasal congestion make it harder to breathe while you sleep.
Cpap machine. This device includes a mask that you wear over your nose or mouth, or both. An air blower forces constant and continuous air through the nose or mouth. The air pressure is just enough to keep the upper airway tissues from collapsing during sleep. Other types of positive airway pressure devices are also available, including the bpap, which has two levels of air flow that vary with breathing in and out.
Oral devices. For some people with mild sleep apnea, dental appliances or oral" mandibular advancement" devices that prevent the tongue from blocking the throat or advance the lower jaw forward can be made. These devices may help keep the airway open during sleep. A dental expert who is trained in oral health, tmj, and dental occlusion can check on which type of device may be best for you.
Surgery is for people who have extra or misshapen tissue that blocks airflow through the nose or throat. For example, a person with a deviated nasal septum, enlarged tonsils and adenoids, or a small lower jaw that causes the throat to be too narrow might benefit from surgery. Doctors usually try other treatments first.

Types of surgery
Upper airway stimulator. This device, called inspire, has a small pulse generator that the surgeon places under the skin in your upper chest. A wire leading to the lung detects your natural breathing pattern. Another wire, leading up to the neck, delivers mild stimulation to nerves that control airway muscles, keeping them open.
A doctor can program the device from an external remote. Also, people who have inspire use a remote to turn it on before bed and turn it off when they wake up in the morning.
Somnoplasty. Doctors use radiofrequency energy to tighten the soft palate at the back of the throat.
Uppp, or up3, is a procedure that removes soft tissue in the back of the throat and palate, increasing the width of the airway at the throat opening. (uppp stands for uvulopalatopharyngoplasty, if you were wondering.)
Mandibular/maxillary advancement surgery. The surgeon moves the jaw bone and face bones forward to make more room in the back of the throat. It's an intricate procedure that doctors only do for people who have severe sleep apnea and problems with their head or face.
Nasal surgery. These operations correct obstructions in the nose, such as a deviated septum.

1 person found this helpful
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