Treatment FAQ

who should get treatment for sleep apnea

by Mr. Hazle Nikolaus Published 2 years ago Updated 2 years ago
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Symptoms

Usually, sleep specialists first prescribe non-invasive treatments 3 for sleep apnea, like continuous positive airway pressure (CPAP) therapy or oral devices. When non-invasive treatments are not successful, sleep specialists might recommend surgery.

Causes

For these reasons, diagnosing and treating sleep apnea is extremely important. Usually, sleep specialists first prescribe non-invasive treatments 3 for sleep apnea, like continuous positive airway pressure (CPAP) therapy or oral devices.

Prevention

Consider some of the following treatment options: One of the main treatment options for obstructive sleep apnea is CPAP, which stands for continuous positive airway pressure. Although that might sound confusing, it’s actually pretty simple. A small CPAP machine delivers a continuous stream of pressurized air to your airways as you inhale.

Complications

There are a few sleep apnea surgical options that have the potential to offer sleep apnea cures. As mentioned above, bariatric surgery works by reducing body weight which reduces the likelihood of having obstructive sleep apnea.

What does a sleep specialist do for sleep apnea?

How is sleep apnea diagnosed and treated?

What are my treatment options for obstructive sleep apnea?

Can sleep apnea be cured?

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Is it necessary to treat sleep apnea?

It's important to treat sleep apnea, because it can have long-term consequences for your health. While there have been some high-profile deaths linked to sleep apnea—such as with Judge Antonin Scalia —Jun says that the true risk is from damage done over time.

Who needs a sleep apnea machine?

When you have obstructive sleep apnea, obstructions in your airway cause periods of apnea, which means there are long pauses in breathing, sometimes for many seconds at a time throughout the night. CPAP machines are the most popular treatment for OSA. CPAP stands for continuous positive airway pressure.

What level of sleep apnea requires a CPAP?

All patients with an apnea-hypopnea index (AHI) greater than 15 are considered eligible for CPAP, regardless of symptomatology. For patients with an AHI of 5-14.9, CPAP is indicated only if the patient has one of the following: excessive daytime sleepiness (EDS), hypertension, or cardiovascular disease.

How do you qualify for sleep apnea?

At least 1 of the following criteria must apply for OSA to be diagnosed: The patient reports daytime sleepiness, unrefreshing sleep, fatigue, insomnia, and/or unintentional sleep episodes during wakefulness. The patient awakens with breath holding, gasping, or choking.

Should everyone use a CPAP machine?

CPAP machines help patients with breathing issues get adequate oxygen into their lungs, but the jury is out as to whether or not these machines are necessary or even helpful for the majority of people with sleep apnea.

Can CPAP damage lungs?

There is no indication that CPAP can damage your lungs. Some people report a burning sensation in their lungs following CPAP use. However, this is usually the result of inhaling cold, dry air. To correct this problem, use warm humidified air instead.

What are the chances of dying from sleep apnea?

About 19 percent of participants with severe sleep apnea died (12 deaths), compared with about four percent of participants with no sleep apnea (46 deaths).

Does sleep apnea reduce life expectancy?

Risks of obstructive sleep apnea Sleep apnea is dangerous because if untreated, it leads to high blood pressure and is associated with an increased chance of heart attack, abnormal heart rhythms and heart failure. Studies have shown that sleep apnea can decrease life expectancy by several years.

How long can you live with severe sleep apnea?

If left untreated, obstructive sleep apnea can shorten your life from anywhere between 12-15 years.

What are the warning signs of sleep apnea?

Signs and symptoms of obstructive sleep apnea include:Excessive daytime sleepiness.Loud snoring.Observed episodes of stopped breathing during sleep.Abrupt awakenings accompanied by gasping or choking.Awakening with a dry mouth or sore throat.Morning headache.Difficulty concentrating during the day.More items...•

Can I test myself for sleep apnea?

At-home sleep apnea testing is an easy, cost-effective way to figure out whether you're having trouble breathing. A home sleep apnea test is a very simplified breathing monitor that tracks your breathing, oxygen levels, and breathing effort while worn.

Does sleep apnea get worse over time?

Does Sleep Apnea Get Worse Over Time? If untreated, sleep apnea can worsen over time, and even lead to premature death. Proper treatments, such as CPAP therapy, coupled with lifestyle changes can greatly reduce the health complications associated with sleep apnea.

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 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.

Can sleep apnea be treated with CPAP?

Sleep Apnea Surgery. In some instances, surgery for sleep apnea may be a treatment option if CPAP or other treatments are ineffective or not tolerated. The type of surgical procedure may vary based on a person’s individual anatomy and problems contributing to sleep apnea.

Is sleep apnea a medical condition?

Sleep apnea is associated with an increased risk of certain medical conditions. According to the National Heart, Lung and Blood Institute, people with sleep apnea have an increased risk of a stroke, heart attack and diabetes. It’s pretty clear, if you have sleep apnea, you should get treatment.

Can adenoids cause sleep apnea?

Possible procedures include surgery on the nose to correct a deviated septum or remove polyps. Enlarged tonsils and adenoids can also lead to sleep apnea and may be treated through surgery. There are also surgical options that involve advancing the base of the tongue forward to prevent it from blocking the airway.

Therapy Treatments for Sleep Apnea

Multiple non-invasive treatment options for sleep apnea exist, some of which are more effective than others. Non-surgical options fall into two categories: positive airway pressure (PAP) devices and oral appliances.

Surgical Treatments for Sleep Apnea

When non-invasive devices fail to adequately treat sleep apnea, a sleep specialist may recommend surgery to help prevent lapses in breathing during sleep. The type of surgery a person might undergo depends on their unique anatomy and what is causing their breathing issues.

Lifestyle Changes to Treat Sleep Apnea

Multiple lifestyle factors may be able to reduce severity of OSA symptoms.

How to Pick The Right Sleep Apnea Treatment For You

Usually, a person’s sleep specialist determines which sleep apnea treatment is best for them based on their unique symptoms and health situation. Along with treatment of any underlying health conditions, a CPAP machine is usually the first treatment prescribed for sleep apnea.

Talking With Your Doctor About Sleep Apnea Treatment Options

Once your sleep specialist gives you a sleep apnea diagnosis, they will outline their plan for your treatment.

Lifestyle Changes

Mayo Clinic notes that your doctor may recommend some alterations in your lifestyle to address the symptoms of mild sleep apnea.

Other Airway Pressure Devices

Some people require a different type of airway pressure machine to get relief from sleep apnea symptoms, according to Cleveland Clinic. Unlike a CPAP machine, which emits air at a single constant pressure, a bi-level positive airway pressure (BiPAP) machine emits increased pressure during inhalation and reduced pressure during exhalation.

Oral Appliances

An oral appliance may be another option for you if you’re unable to comply with CPAP therapy. Oral appliances come in a variety of forms, and the most popular option is a mandibular advancement device (MAD), which resembles a mouthguard. These devices keep the airway unobstructed during sleep by repositioning the lower jaw.

Surgery

Surgery is an option when other less-invasive methods like CPAP therapy have failed to bring relief, according to Mayo Clinic. However, for a small number of patients with particular structural jaw issues, it’s the first line of defense.

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How to manage sleep apnea?

Working in conjunction with your doctor, you can try a stepwise approach — if one treatment doesn’t work, you can stop that and try an alternative. Managing mild sleep apnea involves shared decision-making between you and your doctor, and you should consider just how bothered you are by sleep apnea symptoms, as well as other components of your health that could be made worse by untreated sleep apnea.

What is the first line of treatment for sleep apnea?

When sleep apnea is moderate or severe, continuous positive airway pressure ( CPAP) is considered the first-line treatment, and is the recommended treatment by the American Academy of Sleep Medicine (AASM). CPAP, by eliminating snoring, breathing disturbances, and drops in oxygen saturation, can essentially normalize breathing during sleep.

What is the most common sleep disorder?

Obstructive sleep apnea (OSA) is a disorder characterized by repeated episodes of partial or total upper airway obstruction that result in arousals from sleep, and changes in oxygen levels during sleep. OSA is one of the most common conditions I see as a sleep medicine specialist. This is not surprising, considering that OSA is estimated to affect about 20% of the general population, and is even more prevalent in patients who are obese, or who have heart or metabolic conditions like diabetes.

What is the severity of sleep apnea?

The severity of OSA is based on the number of respiratory sleep disruptions per hour of sleep during a sleep study, also called the apnea-hypopnea index (AHI). Basically, the higher the AHI, the more severe the sleep apnea. Most population studies suggest that about 60% of people with OSA fall into the mild category.

Why is a comprehensive sleep assessment needed?

A comprehensive sleep assessment is needed to accurately evaluate sleep complaints, since sleep disorders tend to overlap. Treatment for mild OSA may improve sleep-related symptoms and your quality of life.

How many hours per night does OSA take?

Unfortunately, many studies of OSA set a relatively low bar for treatment adherence (many use a four-hour-per-night threshold), and do not necessarily take into account treatment efficacy (whether sleep apnea and related daytime symptoms persist despite treatment).

How many people with OSA are mild?

Most population studies suggest that about 60% of people with OSA fall into the mild category. In general, many studies demonstrate a linear relationship between the AHI and adverse health outcomes, lending strong support for treatment of moderate and severe OSA, but with less clear-cut support for clinical and/or cost-effective benefits ...

What does "cure" mean in sleep apnea?

The word 'cure' refers to no longer having any component of the disorder. As mentioned in the Sleep Apnea Section of American Sleep Association, there are several treatment options for sleep apnea. More discussion of Sleep Treatments .

Does weight loss help with sleep apnea?

Weight Loss as a Sleep Apnea Cure. Weight and body mass index (BMI) is the most powerful variable influencing an individual's risk and severity of obstructive sleep apnea (OSA). There is a strong correlation between high BMI and airway crowding, which leads to upper airway resistance, which can lead to breathing blockage.

Is OSA a weight loss?

Although not everyone who has OSA is overweight or obese, most are. There have been a few studies that have demonstrated reduced and delivered sleep apnea cures that are associated with a reduction in weight. However, losing weight when overweight/obese can be challenging. Furthermore, losing weight is a gradual process ...

What Is Surgery for Sleep Apnea?

There are many surgeries given to people with obstructive sleep apnea (OSA) and one for people with central sleep apnea (CSA).

Mouth, Throat, and Windpipe Surgeries

Multiple surgeries used to treat sleep apnea involve operating on parts of the mouth and throat, also called the pharynx. One surgery involves the windpipe, or trachea.

Tongue Surgeries

When the base of a person’s tongue contributes to OSA airway blockages, doctors might consider one of three tongue surgeries as potential treatments.

Nasal Surgeries

Since people commonly breathe through their noses during sleep, nasal surgeries can also help remove blockages associated with OSA. Nasal surgery for OSA is sometimes contested, since research studies of nasal surgeries 23 have produced mixed results.

Nerve Stimulation Surgeries

There are two nerve stimulation surgeries used to treat people with sleep apnea. Hypoglossal nerve stimulation, or upper airway stimulation, is primarily for those with OSA, and transvenous phrenic nerve stimulation is primarily for those with CSA.

Weight Loss Surgeries

Although weight loss surgeries are not direct treatments for sleep apnea, medical professionals sometimes recommend them to help manage OSA. In particular, weight loss surgeries are considered when a person has a body mass index (BMI) over 40, cannot lose weight on their own, and have tried other treatments that have not been successful.

How Does Sleep Apnea Surgery Compare to Other Treatments?

Comparing sleep apnea surgeries to other treatments is difficult. The gold standard treatment for sleep apnea is CPAP therapy. In general, healthcare professionals often prefer to try non-invasive therapies first, because of the potential risks attached to surgery.

How to treat sleep apnea?

Some home remedies may offer the same benefits. Here are six alternative treatments to reduce sleep apnea symptoms. 1. Maintain a healthy weight.

What are the health problems associated with sleep apnea?

Sleep apnea can cause a number of health complications besides leaving you more tired in the morning. If left untreated, this sleeping condition can: 1 trigger mental health issues 2 lead to poor immune function 3 contribute to memory loss 4 increase your risk of heart failure

How to stop breathing while sleeping?

1. Maintain a healthy weight. Doctors commonly recommend people with sleep apnea to lose weight. Obesity, specifically in the upper body, can increase the risk of airway obstruction and narrow nasal passages. These obstructions can cause you to stop breathing suddenly or for lengths of time while sleeping.

Why does sleep apnea sound like snoring?

Sleep apnea can sound like snoring. Sleep apnea can cause a number of health complications besides leaving you more tired in the morning. If left untreated, this sleeping condition can: trigger mental health issues. lead to poor immune function. contribute to memory loss. increase your risk of heart failure.

Does changing your sleep position help with sleep apnea?

Though a small change, altering your sleep position can reduce sleep apnea symptoms and improve your night’s rest . A 2006 study found that more than half of obstructive sleep apnea cases are dependent on position.

Does weight loss help with sleep apnea?

Trusted Source. shows that modest weight reduction in people with obesity can eliminate the need for upper airway surgery or long-term CPAP therapy. In some cases, weight loss can eliminate sleep apnea.

Can oral appliances be used for sleep apnea?

A 2015 guideline recommends oral appliances for people with sleep apnea who can’t tolerate a CPAP device .

What is the best treatment for sleep apnea?

Therapies to address sleep apnea include: continuous positive airway pressure (CPAP) that uses air pressure to keep your airways open during sleep. oral device or mouthpiece designed to keep your throat open while sleeping.

What causes sleep apnea?

According to the Mayo Clinic, obstructive sleep apnea can also be caused by conditions associated with obesity, such as polycystic ovary syndrome and hypothyroidism.

What is AHI in sleep?

The apnea-hypopnea index (AHI) measures obstructive sleep apnea to determine a range from mild to severe, based on the number of breathing pauses per hour you have while sleeping . Read on to learn more about severe sleep apnea and how it’s treated.

What percentage of children have sleep apnea?

The ASAA estimates that between 1 and 4 percent of American children have sleep apnea. Although surgical removal of the tonsils and adenoids is the most common treatment for pediatric obstructive sleep apnea, positive airway pressure (PAP) therapy and oral appliances are also prescribed.

How long does it take for your breathing to stop?

You’re considered to have severe sleep apnea if your breathing stops and restarts more than 30 times an hour.

What does it mean when you stop breathing while sleeping?

episodes of stopped breathing while sleeping. abrupt awakenings from sleep that are frequently accompanied by gasping or choking. Your doctor may refer you to a sleep specialist, a medical doctor with additional training and education in sleep medicine.

What are the symptoms of a stop breathing?

Symptoms you both may observe: abrupt awakenings from sleep, often accompanied by choking or gasping. decreased libido. mood changes or irritability. nighttime sweating. Symptoms that you might notice: daytime sleepiness. difficulty with concentration and memory.

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Diagnosis

Clinical Trials

Medically reviewed by
Dr. Govind Desai
Symptoms
If you or someone you know is exhibiting symptoms of Sleep apnea, seek medical attention immediately.

The most common symptoms are:

  • Loud snoring
  • Disturbed sleep
  • Morning headaches
  • Sleepiness or lack of energy during day time
  • Waking up with dry mouth or sore throat
  • Irritability
  • Mood changes
  • Loss of libido (loss of interest in sex)
  • Insomnia

Causes

  • Common causes for sleep apnea are:
  • Being overweight - nearly 50% of the persons with sleep apnea are over weight
  • Anatomical variation example narrow airway, fat distribution
  • Enlarged tonsils and adenoids, especially in children

Prevention

Sleep apnea can be prevented by adapting to lifestyle changes such as:

  • Quit smoking
  • Exercise regularly
  • Maintain healthy lifestyle
  • Stop drinking alcohol

All though these above practices can help reduce symptoms not all types can be prevented. Some type of sleep apnea requires surgery to correct.

Complications

If untreated for a prolonged period it may lead to:

  • Daytime fatigue: People with sleep apnea may often feel drowsy, fatigue and irritable. Mood changes and depression are common.
  • High blood pressure: People with sleep apnea will have varying oxygen content in blood; sudden change in oxygen can increase blood pressure and put a strain on cardiovascular system.
  • Type 2 diabetes: People with sleep apnea are more likely to get type 2 diabetes.
  • Liver problems: Liver functionality test may give varied results in people with sleep apnea.
  • Metabolic syndrome: Increases the risk in people with sleep apnea.

Lifestyle and Home Remedies

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