sleep condition

Sleep Apnea

What is sleep apnea?

Sleep apnea means that breathing stops for short periods during sleep. When you stop breathing or have reduced airflow into your lungs during sleep, you don’t sleep well and you can be very tired during the day. The oxygen levels in your blood may go down, and carbon dioxide levels go up. It may lead to other problems, such as high blood pressure and heart disease.

Sleep apnea can range from mild to severe, based on how often breathing stops during sleep. For adults, breathing may stop as few as 5 times an hour (mild apnea) to 30 or more times an hour (severe apnea).

Obstructive sleep apnea is the most common type. This most often occurs because your airways are blocked or partly blocked. Central sleep apnea is less common. It happens when the brain has trouble controlling breathing. Some people have both types. That’s called complex sleep apnea.

Blocked or narrowed airways in your nose, mouth, or throat can cause sleep apnea. Your airway can become narrowed when your throat muscles and tongue relax during sleep.

Continuous positive airway pressure (CPAP) therapy uses a machine to help a person who has obstructive sleep apnea (OSA) breathe more easily during sleep. A CPAP machine increases air pressure in the throat so your airway does not collapse when you breathe in. You use CPAP at home every night while you sleep
A mandibular repositioning device (MRD) is sometimes used to treat obstructive sleep apnea and snoring. The device pushes the jaw forward. This makes the airway larger and improves airflow. The MRD also reduces the chance that tissue will collapse and narrow the airway when you breathe in. You wear the device every night to prevent breathing problems. A dentist or orthodontist who has experience with these devices must fit the MRD to your mouth. You may need go back to your dentist for regular checkups to make sure the device continues to fit well. An MRD used by a child with sleep apnea must be refitted from time to time as the child grows.

What are the symptoms?

The main symptoms of sleep apnea are feeling extremely sleepy during the day, not feeling rested after a night’s sleep, or waking up with a headache. If you have a bed partner, they may notice that during sleep you stop breathing, often snore loudly, gasp or choke, or toss and turn.

How is sleep apnea diagnosed?

  • Your doctor will examine you and ask about your past health. Your doctor may ask you or your bed partner about your snoring and sleep behavior and how tired you feel during the day. Your doctor may suggest a sleep study. You may have other tests to find out what’s causing sleep apnea.

How is sleep apnea treated?

Some lifestyle changes can help sleep apnea. Try losing weight if needed, sleeping on your side, and avoiding alcohol and medicines like sedatives before bed. Sleep apnea is often treated with a CPAP machine or other machine that prevents your airways from closing during sleep. Oral or nasal breathing devices may also help.