Are you drowsy during the day with no explanation? Do you snore loudly or wake up breathless in the middle of the night? You may be one of more than 12 million Americans affected by sleep apnea.
Sleep apnea is a condition in which breathing stops periodically during sleep, as many as 20-30 times per hour. (Apnea is the Greek word for without breath.) If you suffer from sleep apnea, each time your breathing stops, the resulting lack of oxygen alerts your brain, which temporarily wakes you to restart proper breathing. Because the time spent awake is so brief, many people with sleep apnea don’t remember it — and many think they are getting a good night’s sleep. However, the constant wake-sleep-wake-sleep cycle precludes the deep sleep that refreshes the body and sufferers are frequently drowsy during the day.
The following symptoms can indicate the presence of sleep apnea. If you notice one or more of these, you may need a referral to a sleep apnea specialist.
- Insomnia or difficulty sleeping
- Loud snoring at night
- Waking at night short of breath
- Snorting or choking sounds during the night (indicating a restart of breathing)
- Falling asleep unintentionally during the day
- Extreme drowsiness throughout the day
There are three categories of sleep apnea. The most common is called obstructive sleep apnea (OSA) which occurs due to a physical blockage, usually the collapsing of the soft tissue in the back of the throat. Less common is central sleep apnea (CSA), in which breathing stops because the muscles involved don’t receive the proper signal from the brain. Some people suffer from mixed or complex sleep apnea, which is a combination of obstructive and central sleep apnea.
Obstructive sleep apnea is more common in males than females, and more common in older adults (40 and up) than younger adults and children. However, anyone — regardless of gender or age — can suffer from sleep apnea. Other risk factors include obesity, smoking, drinking, use of sedatives or tranquilizers, high blood pressure, and family history. Central sleep apnea strikes most often in people with heart disorders, neuromuscular disorders, strokes, or brain tumors. It is also more common in males.
Sleep apnea is considered a serious medical problem and, if left untreated, can lead to high blood pressure, increasing the risk of heart failure and stroke. The ongoing state of fatigue caused by sleep apnea can lead to problems at work or school, as well as danger when operating cars or other heavy machinery. Sleep apnea can also cause complications with medication or surgery, making sedation by anesthesia and lying flat in bed after an operation risky. If you know or suspect you suffer from sleep apnea, alert any doctors who prescribe medication or advise surgery.
Treatments range widely and depend upon the severity of the problem and the type of apnea. Basic treatment can be behavioral — for instance, patients are instructed to lose weight, stop smoking or sleep on their sides instead of on their backs. Beyond that, oral devices can be used to position the mouth in such a way that prevents throat blockage or continuous positive airway pressure machines can physically maintain open airways. In more severe cases, surgery may be the best option.
If you suspect you have sleep apnea, call Dr. Petrick’s office at (281) 313-8890 and we can refer you to a sleep apnea specialist. This specialist may recommend a sleep study to diagnose the precise extent of the problem and can prescribe appropriate treatment. Depending on your situation, treatment may involve an oral device that we can custom-create for you.