Sleep apnea is a serious sleep problem. If you have it, you stop breathing for more than 10 seconds at a time many times while you sleep. Another term for this problem is obstructive sleep apnea.
Sleep apnea affects between 2 and 10% of people. It is more common in men than in women. It is also more common in people who are overweight, but there are many people with normal weight who have sleep apnea.
During normal sleep, throat muscles relax. In some people the airway can get blocked when this happens. The blockage slows or stops the movement of air, and the amount of oxygen in your blood drops. The drop in oxygen causes the brain to send a signal for you to wake up so that you can start breathing again. This cycle of not breathing and then waking up to breathe again may happen as often as 50 or more times an hour. Generally you will not remember waking up but the many arousals will make you sleepy the next day.
Being overweight may cause a narrowing of your airway. Other possible causes of sleep apnea are:
Some people inherit a tendency to have sleep apnea.
If you have sleep apnea, your body gets less oxygen when you sleep and you don't sleep well. Common symptoms of sleep apnea are:
Many people who snore do not have sleep apnea, but nearly everyone who has sleep apnea snores. If you snore and feel you do not usually get a good night's rest, you should ask your healthcare provider if you might have sleep apnea.
Your healthcare provider may:
It is very important to treat sleep apnea. Untreated sleep apnea can have very serious long-term effects on your health. It may increase your risk of high blood pressure, heart attacks, and sudden death. Effective treatment of sleep apnea may result in normal blood pressure, relief of fatigue, and weight loss.
The most common treatment is use of a machine that sends pressurized air into your nose and throat at night. This treatment is called continuous positive airway pressure (CPAP). It will help you breathe better while you sleep. How much pressure you need from the machine is determined by the sleep study. You may get the pressurized air through a mask or through tubes that fit snugly in the nose, or some other way may be used to get the air into your airways. Your sleep specialist will help you find the way that works best for you and will carefully supervise your use of the breathing machine. Minor adjustments may need to be made so that it works right for you.
If you have pressure on your throat because of excess fatty tissue in your throat, your healthcare provider may suggest a weight-loss program. It may be hard for you to lose weight because you are extremely tired and lack energy to exercise. Use of the breathing machine may help you rest well enough to begin changes in your diet and to increase your physical activity so you can lose weight.
Surgery may be an option if you cannot use the breathing machine regularly and properly. A surgical treatment might include improving the air passage in the nose, removing the tonsils, or moving the back of the tongue forward.
For mild sleep apnea, a dental device that moves the lower jaw forward may help. A minor surgical procedure to place an implant that stiffens the palate can also help.
If your sleep apnea is caused by a reversible problem, such as being overweight, or if it can be treated with surgery, your sleep apnea can be cured. For most people, however, sleep apnea will always be a problem and the CPAP machine will need to be used regularly to get good quality sleep and to prevent the serious complications of sleep apnea.
Proper weight control, exercise (according to your healthcare provider's recommendations), good sleeping habits, not smoking, and avoiding excessive alcohol use will help you have general good health and may help prevent sleep apnea.
For more information, call or write:
American Academy of Sleep Medicine
Phone: (708) 492-0930
Web site: http://www.aasmnet.org
Professional society representing practitioners of sleep medicine and sleep research