Treatment FAQ

what is the treatment for obstructive sleep apnea

by Kali Towne Published 3 years ago Updated 2 years ago
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Obstructive sleep apnea (OSA) is when muscles in your throat relax enough so soft tissues block your airway. A continuous positive airway pressure (CPAP) machine is the most common and most reliable method for treating it. The CPAP machine pushes a steady stream of air through a mask that you wear while you sleep.Nov 2, 2021

How can you heal sleep apnea naturally?

Sleep apnea lifestyle remedies

  1. Maintain a healthy weight. Doctors commonly recommend people with sleep apnea to lose weight. ...
  2. Try yoga. Regular exercise can increase your energy level, strengthen your heart, and improve sleep apnea. ...
  3. Alter your sleep position. ...
  4. Use a humidifier. ...
  5. Avoid alcohol and smoking. ...
  6. Use oral appliances. ...

What are my options for treating sleep apnea?

Treatments for central sleep apnea may include:

  • Addressing associated medical problems. Possible causes of central sleep apnea include other disorders, and treating those conditions may help your central sleep apnea. ...
  • Reduction of opioid medications. ...
  • Continuous positive airway pressure (CPAP). ...
  • Adaptive servo-ventilation (ASV). ...
  • Bilevel positive airway pressure (BPAP). ...
  • Supplemental oxygen. ...
  • Medications. ...

Is it possible to treat sleep apnea naturally?

Top 20 Home Remedies for Sleep Apnea and the Ultimate Guide to A Good Sleep

  • Introduction. In this article, Authority Remedies will shed light on top 20 natural home remedies for sleep apnea.
  • Sleep Apnea Symptoms. Sleep apnea can bring a lot of symptoms, most of which are annoying. ...
  • Home Remedies for Sleep Apnea. ...

Does nasal decongestion improve obstructive sleep apnea?

The reduced apnea/hypopnea index during maximal nasal decongestion by xylometazoline suggests a pathophysiologic link but the efficacy of nasal decongestion was not sufficient to provide a clinically substantial improvement of OSA. ClinicalTrials.gov Identifier is NTC006030474.

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What is the most effective treatment for obstructive sleep apnea?

CPAP is considered the gold standard treatment for OSA7 because its use can improve sleep-related symptoms and quality of life. CPAP acts as a pneumatic splint that stabilizes the upper airway with constant positive pressure via a mask interface.

Can obstructive sleep apnea be cured?

CPAP and oral appliances work well, but they're not cures for sleep apnea. The only sure way to rid yourself of the condition for good is to either lose weight or have surgery to remove excess tissue from the palate or throat. Surgery can have side effects, which is why it's usually viewed as a last resort.

What is the gold standard treatment for obstructive sleep apnea?

Currently, continuous positive airway pressure (CPAP) is considered the gold standard treatment for patients with obstructive sleep apnea, be it mild, moderate or severe.

What is the difference between sleep apnea and obstructive sleep apnea?

Central sleep apnea occurs because your brain doesn't send proper signals to the muscles that control your breathing. This condition is different from obstructive sleep apnea, in which you can't breathe normally because of upper airway obstruction. Central sleep apnea is less common than obstructive sleep apnea.

Does sleep apnea affect your heart?

High blood pressure or heart problems. Having obstructive sleep apnea increases your risk of high blood pressure (hypertension). Obstructive sleep apnea might also increase your risk of recurrent heart attack, stroke and abnormal heartbeats, such as atrial fibrillation.

How is sleep apnea treated without CPAP?

5 Sleep Apnea Treatment OptionsOral Appliances. Just as there are dental professionals who specialize in orthodontics or dental implants, there are also those who can help with sleep apnea. ... Oral Surgery. In some cases, genetics can be the cause of sleep apnea. ... Weight Loss. ... Positional Therapy. ... Inspire Therapy.

Is there a surgical option for sleep apnea?

Uvulopalatopharyngoplasty (UPPP) or Upper Airway Surgery UPPP is the most commonly performed surgery for OSA and has been used since the early 1980s7. This surgery involves removing or shrinking parts of tonsils, the uvula, and the soft palate.

What medications should you avoid for obstructive sleep apnea?

Many medications can make sleep apnea worse, including:Barbiturates.Benzodiazepines.Some beta-blockers.Opioids.Sildenafil (an erectile dysfunction drug)Testosterone.Drugs that cause you to gain weight.

How to treat sleep apnea?

Your sleep apnea treatment options might include using a continuous positive airway pressure (CPAP) machine, losing weight, or surgical procedures to address the obstruction or reconfigure the jaw or airway.

How many people with sleep apnea don't know they have it?

As many as 90% of people with obstructive sleep apnea (OSA) don't know that they have the disorder, according to Johns Hopkins Medicine. If you don’t seek treatment for sleep apnea, you are at a higher risk for developing increased blood pressure, serious cardiovascular issues, and more. Fortunately, there are a variety of ways to address the disruptive sleep condition. Learn more about obstructive sleep apnea and discover your treatment options.

How does a CPAP machine work?

A CPAP machine works by applying airway pressure while you sleep, preventing any interruptions in breathing from occurring.

Can sleep disorders affect physical health?

Untreated sleep disorders can negatively affect your physical and emotional health. Sleep testing can help you get the answers you need to receive the treatment you deserve. WebMD Connect to Care Advisors are standing by to help.

Is sleep apnea testing fast?

At-home sleep apnea testing is fast and convenient.

What are the best ways to treat sleep apnea?

Sleep Hygiene and Lifestyle. Lifestyle changes and sleep hygiene are often the first line of treatment for dealing with sleep apnea. Because sleep apnea risk factors include being overweight, smoking, and alcohol use, there are several lifestyle changes that can reduce the effects of obstructive sleep apnea.

How to treat sleep apnea?

Lifestyle changes and sleep hygiene are often the first line of treatment for dealing with sleep apnea. Because sleep apnea risk factors include being overweight, smoking, and alcohol use, there are several lifestyle changes that can reduce the effects of obstructive sleep apnea.

What is a PAP machine?

Positive airway pressure (PAP) is the standard treatment for more severe cases of obstructive sleep apnea. There are several types of CPAP machines. The most common type of PAP therapy is continuous airway pressure (CPAP). This works by supplying your airways with a constant flow of air, hence preventing blockages and sleep disruption.

Why is sleep apnea associated with being overweight?

2 This is because being overweight affects the anatomy of your airways. This is particularly true for middle-aged men, as the anatomy of their neck and soft tissues may change during this time. For many, losing weight reduces ...

What is the best treatment for a CPAP machine?

For severe cases that do not respond well to other treatments, or for those who develop anxiety or distress as the result of the use of a CPAP machine, surgery can be an alternative treatment. There are several different surgeries available that depend on the anatomy of the individual and where their obstruction lies. These surgical solutions can focus on a variety of areas, including the soft palate and uvula, tonsils, tongue, and upper or lower jaw. Often, surgery includes reducing the soft tissue surrounding the upper airways, allowing for a more open airway. Just like any treatment, there is no guarantee that these surgical options will be effective. 6

Can sleep apnea be a symptom of depression?

Common sleep apnea symptoms include excessive daytime sleepiness, difficulty focusing, and depression. Obstructive sleep apnea often requires a diagnosis from a sleep specialist, because it can go unnoticed for long periods of time. Fortunately, there are a variety of options that can help treat obstructive sleep apnea.

Which position is the worst for sleep apnea?

Generally, sleeping on your back is the worst sleeping position for those with sleep apnea, as it has a higher potential for allowing the soft issues in your throat to block your airways. 8.

What are the features of OSA surgery?

Anatomical features that may predispose to OSA include retroposition of the maxilla or mandible, enlarged pharyngeal fat pads, enlarged soft palate, enlarged tongue, narrow posterior airway space, and upper airway hypotonia.

How much does AHI decrease with OSA?

In patients with mild to moderate OSA, a >50% reduction in AHI to <5/h occurred in 42.8% of patients using an oral appliance and 73.2% of patients using CPAP.19,20Odds of achieving AHI <5/h and <10/h was respectively 49 times greater and 89 times greater with the oral appliance-treated group compared to the control untreated group.19,20Compared to noncustom MADs, custom MADs have been shown to achieve greater reduction in AHI.19

What is the meaning of OSA?

Obstructive sleep apnea (OSA) is a global problem with implications for general health and quality of life, and is often encountered in patients with neurologic disease. This review outlines treatment modalities to consider for management of OSA in patients with neurologic disease.

What is APAP pressure?

APAP is set to a pressure range and the delivered pressure varies depending upon a device-specific algorithm. Both CPAP and bi-level PAP devices are available in autotitrating modes. Generally the device defines normal airflow for the patient, and delivers additional pressure when the flow curve is restricted.15APAP devices may be useful for patients whose titration-recommended setting was not suitable due to the inherent limited sampling of a single night or half-night titration study.11,15APAP therapy may also be considered for patients in whom large weight fluctuations11are anticipated, such as pregnant patients or those undergoing bariatric surgery. Contraindications to APAP include congestive heart failure, lung disease such as chronic obstructive pulmonary disease, obesity hypoventilation syndrome, lack of snoring, or central sleep apnea.

What is the gold standard for OSA?

PAP therapy remains the gold standard treatment for OSA. Other treatment modalities may be considered for OSA patients who decline or cannot tolerate PAP therapy . Some OSA patients may benefit from multimodal treatment.

Can an adenotonsillectomy be used for OSA?

Adenotonsillectomy: Can consider as first-line for appropriate pediatric OSA patients but is rarely used as a sole treatment for adult OSA patients.

Is oral appliance therapy objectively adherence?

Adherence to oral appliance therapy is difficult to track objectively and thus compare directly with rates of CPAP adherence. Thermosensors can be embedded into oral appliances to monitor device usage,21but presence of these sensors is not ubiquitous. Overall, the absolute difference between the mean subjective adherence rates for oral appliance users was 0.70 more hours per night than the objective adherence rates among CPAP users.19,20

What is the best treatment for sleep apnea?

Treatment with a PAP device is considered to be the current gold standard in sleep apnea treatment and is offered as initial therapy to the majority of patients. The most common way of receiving PAP therapy is with continuous positive airway pressure (CPAP) devices, which deliver air with a consistent pressure level.

How to get rid of sleep apnea?

Special exercises of the mouth and throat, technically known as myofunctional therapy and/or oropharyngeal exercises , can tone these muscles so that they stay more taut during sleep. Doing these exercises daily for a few months has been found to reduce the severity of OSA 23. Though exercises may need to be combined with other treatments for optimal results, they have virtually no costs or side effects, making them a low-risk inclusion in sleep apnea treatment plans.

What is the most common sleep disorder?

Sleep apnea is one of the most common sleep disorders and one that can have significant health consequences if left untreated. It is marked by disrupted breathing, fragmented sleep, and a decreased oxygen level in the body.

Can smoking cigarettes cause sleep apnea?

Active smokers have an increased risk of obstructive sleep apnea 11 relative to former smokers and people who have never smoked. This research indicates that quitting smoking or never starting to smoke in the first place can help prevent and/or treat OSA. One large study also found that cigarette smoking can cause a more severe form 12 of obstructive sleep apnea and increased daytime sleepiness.

Can alcohol cause OSA?

Alcohol and sedative medications cause slackening of the tissues near the airway, contributing to a heightened risk of airway collapse and OSA 10. Alcohol can cause fragmented and lower-quality sleep because of its effects on sleep cycles. For these reasons, reducing or eliminating the use of alcohol and sedatives, especially in the hours leading up to bedtime, is frequently advised for patients with OSA.

Does weight loss help with sleep apnea?

Excess weight and obesity are driving factors behind many cases of obstructive sleep apnea, and research has found that losing weight can lessen the severity of OSA 2. A lower body weight can decrease the size of fat deposits in the tongue 3 and back of the throat 4 that can restrict the airway. Weight loss can also reduce abdominal girth that affects lung capacity 5.

Can sleep apnea cause drowsiness?

Obstructive sleep apnea can cause significant daytime drowsiness, and it’s important for people with OSA to be aware of this issue, especially if they spend significant time driving or operating heavy machinery.

What to do if you have sleep apnea?

For milder cases of sleep apnea, your doctor may recommend only lifestyle changes, such as losing weight or quitting smoking. If you have nasal allergies, your doctor will recommend treatment for your allergies.

How to stop snoring and sleep apnea?

To eliminate snoring and prevent sleep apnea, your doctor may recommend a device called a continuous positive airway pressure (CPAP) machine. A CPAP machine delivers just enough air pressure to a mask to keep your upper airway passages open, preventing snoring and sleep apnea.

What is a CPAP machine?

With CPAP (SEE-pap), the air pressure is somewhat greater than that of the surrounding air and is just enough to keep your upper airway passages open , preventing apnea and snoring .

How to get rid of constriction in throat?

Even a slight weight loss might help relieve constriction of your throat. In some cases, sleep apnea can resolve if you return to a healthy weight, but it can recur if you regain the weight. Exercise. Regular exercise can help ease the symptoms of obstructive sleep apnea even without weight loss.

What causes central sleep apnea?

Possible causes of central sleep apnea include heart or neuromuscular disorders , and treating those conditions might help. Supplemental oxygen. Using supplemental oxygen while you sleep might help if you have central sleep apnea. Various forms of oxygen are available with devices to deliver oxygen to your lungs.

What tests are done to detect sleep apnea?

Tests to detect sleep apnea include: Nocturnal polysomnography. During this test, you're hooked up to equipment that monitors your heart, lung and brain activity, breathing patterns, arm and leg movements, and blood oxygen levels while you sleep. Home sleep tests.

What is a sleep specialist?

You're likely to be referred to a sleep disorder center. There, a sleep specialist can help you determine your need for further evaluation. An evaluation often involves overnight monitoring at a sleep center of your breathing and other body functions during sleep. Home sleep testing also might be an option.

What is a sleep apnea?

What Is Obstructive Sleep Apnea? Obstructive sleep apnea (OSA) is a condition in which breathing stops involuntarily for brief periods of time during sleep. Normally, air flows smoothly from the mouth and nose into the lungs at all times. Periods when breathing stops are called apnea or apneic episodes.

How to diagnose sleep apnea?

A diagnosis of sleep apnea begins with a complete history and physical examination. A history of daytime drowsiness and snoring are important clues. Your doctor will examine your head and neck to identify any physical factors that are associated with sleep apnea.

Why does my throat stop breathing?

The flow of air stops because airway space in the area of the throat is too narrow. Snoring is characteristic of obstructive sleep apnea. Snoring is caused by airflow squeezing through the narrowed airway space. Untreated sleep apnea can cause serious health problems such as:

What are the different types of sleep apnea?

The three types of sleep apnea are: Obstructive sleep apnea: This is the most common type of sleep apnea, in which the airway has become narrowed, blocked, or floppy. Central sleep apnea: There is no blockage of the airway, but the brain doesn’t signal the respiratory muscles to breathe. Mix ed sleep apnea: This is a combination ...

Why do people with OSA complain of drowsiness?

Most people with OSA complain of daytime sleepiness. OSA causes episodes of decreased oxygen supply to the brain and other parts of the body, so sleep quality is poor. This causes daytime drowsiness and a lack of clarity in the morning.

Where do you sleep during polysomnography?

During a polysomnography, you sleep overnight in a hospital or sleep center while connected to a variety of monitoring devices that record physiologic variables.

Can sleep apnea cause edema?

loss of interest in sex. leg swelling ( called edema, which can occur when sleep apnea is severe) Daytime drowsiness puts people with sleep apnea at risk for motor vehicle crashes and industrial accidents. Treatment can help to completely relieve daytime drowsiness caused by sleep apnea.

What are the treatment options for obstructive sleep apnea?

Here, we will discuss the most popular treatment options available. These options include CPAP, sleep apnea dental devices, weight loss, and sleep apnea surgery. We will also explore some of the newer treatment options for sleep apnea that are less well known.

What is sleep apnea?

Sleep apnea is a medical condition that involves brief pauses in breathing while you are sleeping. Although the pauses usually only last a few seconds, the condition can have several adverse effects on the body. There are a few different types of sleep apnea with obstructive sleep apnea being the most common.

What is a sleep apnea appliance?

They open the mouth by bringing the mandible forward. They are also called mandibular advancing devices (MAD) and mandibular repositioning devices (MRD), as they reposition the mandible forward relative to the maxilla (the upper jaw). There are several Sleep Apnea Oral Appliances that are FDA approved . Some are made of soft nylon plastic, others are made from a resin-like material. A few use computer aided design (CAD) and 3D imaging to fit the device to the mouth and teeth. They essentially work as an airway splint.

What is the best appliance for sleep apnea?

In some cases, a dental appliance may be effective in treating mild to moderate sleep apnea. There are two main types of dental appliances for sleep apnea including a mandibular advancement device and a tongue retaining device.

Why do you need a CPAP machine?

The pressure helps keep your airway passages open while you sleep. Because your airway remains open, it prevents pauses in breathing.

How does sleep apnea work?

In general, the sleep apnea devices that available for the treatment of sleep apnea work by keeping upper airway open - and preventing it from closing during sleep. Some sleep apnea devices use anatomic positioning. Others use air pressure. Newer technologies are utilizing electrical impulses.

What is a mandibular advancement device?

A mandibular advancement device (MADs) is worn similar to a sports mouth guard. But it’s worn only while you sleep. The device works by pushing the jaw forward to keep the upper airway open. A tongue retaining device is also a mouthpiece, but it has a small piece that fits around the tongue.

What is the most common measure of sleep apnea severity?

The most common measure of sleep apnea severity is the apnea-hypopnea index (AHI). The American Academy of Sleep Medicine (AASM) describes an apnea event as a pause in breathing greater than 10 seconds and a hypopnea event as a partial constriction of the airway that causes oxygen levels to drop. The AHI is the average number of apnea and hypopnea events per hour. Here are the different classifications of sleep apnea severity, according to Harvard University:

What is the last resort for sleep apnea?

The final consideration is tracheotomy. “For the most severe cases of sleep apnea, the last resort treatment is a tracheotomy. In this surgery, a tube is placed through the neck into the trachea, below the level of the vocal cords, bypassing the obstruction at the level of the upper airway tissues altogether,” says Schalch Lepe.

How does a CPAP machine work?

The machine works by delivering air to your upper airway through a mask. This keeps the tissues from collapsing and causing obstruction, according to UC San Diego Health.

Can you have surgery for sleep apnea?

Surgery is typically considered as a treatment option only when a person cannot tolerate airway pressure devices. The Adult OSA Task Force of the AASM, assembled to create clinical guidelines for the treatment of sleep apnea, notes that upper airway surgeries for sleep apnea include:

Is sleep apnea mild or severe?

Sleep apnea can be mild, moderate, or severe. Here, we cover what it means to have severe sleep apnea and your options for treatment.

Can sleep disorders affect physical health?

Untreated sleep disorders can negatively affect your physical and emotional health. Sleep testing can help you get the answers you need to receive the treatment you deserve. WebMD Connect to Care Advisors are standing by to help.

Is sleep apnea testing fast?

At-home sleep apnea testing is fast and convenient.

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Diagnosis

Clinical Trials

Self-treatment: Self- care steps that may be helpful in some less- serious cases:
  • Lie on the sides during sleep
  • Lose excess weight
  • Avoid taking alcohol
  • Consult a doctor and change medications which might be causing snoring
  • Stop smoking
See a doctor if you notice:
  • The snoring disrupts your sleep
  • Breathing is interfered with during snoring

See a doctor immediately if you notice:
  • high blood pressure, chest pain at night

Lifestyle and Home Remedies

Preparing For Your Appointment

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Your doctor will evaluate your condition based on your signs and symptoms, an examination, and tests. He or she might refer you to a sleep specialist for further evaluation. During the physical examination, your doctor will examine the back of your throat, mouth and nose for extra tissue or abnormalities. Your doctor might …
See more on mayoclinic.org

Sleep Hygiene and Lifestyle

  • Explore Mayo Clinic studiestesting new treatments, interventions and tests as a means to prevent, detect, treat or manage this condition.
See more on mayoclinic.org

CPAP Therapies and Oral Appliances

  • In many cases, self-care may be the most appropriate way for you to deal with obstructive sleep apnea. Try these tips: 1. Lose weight.If you're overweight or obese, even a moderate loss of excess weight may help relieve constriction of your airway. Losing weight can also improve your health and quality of life and might reduce your daytime sleepiness. 2. Exercise.Exercising, such …
See more on mayoclinic.org

Surgery

  • If you suspect that you have obstructive sleep apnea, you'll likely first see your primary care doctor. Your doctor might refer you to a sleep specialist. Here's some information to help you get ready for your appointment.
See more on mayoclinic.org

References

  • Lifestyle changes and sleep hygiene are often the first line of treatment for dealing with sleep apnea. Because sleep apnea risk factorsinclude being overweight, smoking, and alcohol use, there are several lifestyle changes that can reduce the effects of obstructive sleep apnea. Exercise and weight loss are a popular method to treat obstructive sleep apnea. There is a correlation betwee…
See more on sleepassociation.org

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