Sleep Apnea: A Common Disorder

Sleep apnea is a common disorder that is characterized by very
shallow breathing while sleeping. The most common type of sleep
apnea is obstructive sleep apnea.

When sleep is upset throughout the night the next day can be one
of fatigue and sleepiness. A person with sleep apnea does not
get restful sleep because:

•Brief episodes of increased airway resistance and breathing
pauses occur many times throughout the night
•You may experience many brief drops in the oxygen levels in
your blood
•Poor sleep quality occurs because you move out of deep sleep
and into light sleep several times during the night.

Loud snoring is often a characteristic common to people who have
sleep apnea. Not everyone who snores has sleep apnea and there
are people with sleep apnea that do not know they snore.

Sleep apnea happen more often in people who are overweight,
however thin people can also have the condition. The majority of
people with sleep apnea do not know they have it, and they do
not know they are having problems breathing while they are
asleep. A family member and/or bed partner may notice the signs
of sleep apnea first.

An increase in the chance of having blood pressure which can
lead to heart attack or stroke is one of the consequences of
untreated sleep apnea. Sleep apnea left untreated can also
increase the risk of diabetes and the risk for work-related
accidents and driving accidents.

There is an estimation of over 12 million American who have
obstructive sleep apnea. More than half of these people are
overweight and most of them “snore” heavily.  Sleep apnea is
more common in men, and is more common in African Americans,
Hispanics, and Pacific Islanders than in Caucasians. It tends to
run in families as well. It can also occur in children. If your
child snores, you should discuss it with your doctor or health
care provider.

Common signs and symptoms of sleep apnea include:

•Loud snoring
•Choking or gasping during sleep
•Fighting sleepiness during the day (even at work or while
driving)
•Morning headaches
•Memory or learning problems
•Feeling irritable
•Not being able to concentrate on your work
•Mood swings or personality changes
•Feelings of depression
•Dry throat upon awakening
•Frequent urination at night

Treatment of sleep apnea:

The goal of treatment is to restore regular nighttime breathing
and relieve symptoms such as very loud snoring and daytime
sleepiness. Appropriate treatment will also help the associated
problems of high blood pressure and reduce risk for heart attack
and stroke.

Tips of self-help for sleep apnea include:

•Avoid alcohol, smoking and or medicines that can make you
sleepy.
•Lose weight if you are overweight
•Try sleeping on your side instead of your back.

One of the most common treatments for sleep apnea is continuous
positive airway pressure (CPAP). This treatment is wearing a
mask over your nose during sleep.

If you snore, treating sleep apnea may help stop snoring,
however, this does not mean you no longer have sleep apnea or
that you should stop using CPAP. If CPAP is stopped or not used
correctly, sleep apnea will return.
Possible side effects of CPAP include:

•Dry or stuffy nose
•Irritation of the skin on your face
•Bloating of your stomach
•Sore eyes
•Headaches

For people who have side effects working with sleep medicine
specialists and technicians can help reduce the side effects.
Some things that can be done include:

•Use a nasal spray to relieve a dry, stuffy, or runny nose
•Adjust the CPAP settings
•Adjust the size/fit of the mask
•Add moisture to the air as it flows through the mask
•Use a CPAP machine that can automatically adjust the amount of
air pressure to the level that is required to keep the airway
open
•Use a CPAP machine that will start with low air pressure and
slowly increase the air pressure as you fall asleep.

People with severe sleep apnea symptoms usually feel better once
they begin treatment with CPAP. It is important to follow-up
with your doctor and to discuss any side effects with your
doctor.

Other sleep apnea treatments include:

•Mouthpiece (oral appliance) for people with mild sleep apnea
•Surgery: The type of surgery depends upon the cause of the
sleep apnea.

Types of surgery include:

•Surgery to remove tonsils and adenoids if they block the
airway, this is especially helpful for children
•Uvulopalatopharyngoplasty
•Laser-assisted uvulopalatoplasty
•Tracheostomy
•Rebuilding the lower jaw
•Surgery on the nose
•Surgery to treat obesity.

Source: The National Heart, Lung and Blood Institute

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