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Snoring and Obstructive Sleep Apnea

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Awakening to Sleep: Understanding
Obstructive Sleep Apnea
Many people with obstructive sleep apnea believe that their only symptom is loud snoring.
However, snoring is not always a good indicator of polysomnographically confirmed OSA.
The word apnea comes from two Greek words, meaning “without” and “air.” When you
have obstructive sleep apnea, you experience periods of interrupted breathing during sleep.
What Causes Obstructive Sleep Apnea?
People with obstructive sleep apnea snore loudly and have difficulty breathing (apnea)
during sleep. This is the most common form of sleep-related disordered breathing and is a
significant problem in middle-aged adults. Excessive daytime drowsiness can be dangerous,
especially if you nod off while driving or using power tools, and may indicate the need for
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Obstructive sleep apnea results from the muscles in your throat relaxing too much while
you're sleeping. These muscles support the back of your tongue, the soft palate and a
triangular piece of tissue hanging from the back of the throat (uvula). When these muscles
relax, they can narrow or close the airway, hampering your breathing for 10 seconds or
longer. This lack of oxygen causes a drop in blood oxygen and a buildup of carbon dioxide,
which prompts your brain to briefly pull you out of deep sleep so that the airway can
reopen. This disrupts your sleep and leads to fragmented, poor-quality sleep.
Obstructive Sleep Apnea (OSA) is a sleep disorder that disrupts your sleep by causing your airway
to become blocked during sleep.
The repeated pauses in breathing in obstructive sleep apnea cause the body to lose oxygen.
When the oxygen level drops too low, the brain sends a survival signal that briefly wakes
you up enough to breathe normally again. This cycle often repeats hundreds of times during
the night, leaving you with fragmented and unrefreshing sleep.
Most people with OSA are not aware that they stop breathing repeatedly during the night.
But their bed partners often hear loud snoring and gasping. Over time, these repeated
awakenings can lead to chronic fatigue and mood problems, such as depression and anxiety.
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Many factors affect your chances of developing obstructive sleep apnea, including age, and
certain anatomical features of the head and neck. Certain medications can also increase
your risk of obstructive sleep apnea, especially sedatives and opioids. Your doctor can
diagnose obstructive sleep apnea by taking your medical history, asking questions about
daytime sleepiness and symptoms, and performing a physical exam. An overnight study in
the laboratory is the best way to confirm a diagnosis of obstructive sleep apnea.
OSA is a common sleep disorder
People with untreated OSA experience numerous negative health consequences, including
high blood pressure, heart attack, stroke and obesity. These complications are caused by
repeated failures to inhale oxygen during sleep, resulting in low oxygen levels and
awakenings throughout the night.
OSA affects people of all ages, but it is most common in middle-aged and older adults. It
also affects more men than women. People with OSA are at higher risk of developing a
range of medical conditions, such as heart disease, high blood pressure, diabetes,
depression and heart attack.
A person with OSA may have many symptoms, but the most important are excessive
daytime sleepiness and a history of snoring or gasping or choking during sleep. Some people
also have morning symptoms, such as a headache or a dry mouth or the need to urinate
often. Bed partners and family members are often the first to notice these symptoms.
Doctors can diagnose obstructive sleep apnea by asking a patient to complete a
questionnaire, as well as taking a physical exam and looking for risk factors.
Obstructive sleep apnea (OSA) can be treated
Treatment options for OSA are designed to resolve nighttime breathing disruptions, improve
quality of sleep and reduce health complications. Generally, treatments for OSA involve
using positive airway pressure therapy devices. These devices deliver pressurized air
through a mask worn over the nose or mouth during sleep to keep the upper airway open.
Treatments also may include weight loss, position changes while sleeping and sleep aid
items that can help people who are susceptible to OSA to avoid sleeping on their backs,
where the soft tissue that obstructs the throat can collapse.
People who have obstructive sleep apnea may be diagnosed by a health care provider or by
their family physician, who can ask questions about daytime sleepiness and history of
symptoms, including snoring. A home or laboratory sleep study is usually needed to confirm
a diagnosis of obstructive sleep apnea, and a variety of other tests may be used to
determine how severe a person's OSA is.
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