17.03.2014
Sleep apnea is a potentially serious sleep disorder in which breathing repeatedly stops and starts. The signs and symptoms of obstructive and central sleep apnea overlap, sometimes making the type of sleep apnea more difficult to determine. Most of the time people don’t think much about snoring or sleeping a little less as they age. Talk with your doctor about any potential sleep problems, especially if you snore loudly. There are also other sleep disorders like narcolepsy that can cause day time sleepiness.
Obstructive sleep apnea happens when the muscles in the back of your throat relax and collapse — blocking the airway.
Narrow Airway – Some people are just designed with a narrow airway that can cause sleep apnea.
Being a Man – Even though sleep apnea is common in both sexes, men have more than double the chance of having sleep apnea. Elderly – If you are over 60 you are a high risk of having sleep apnea and should get a sleep study.
Family History – Just like diabetes and heart disease, if you have close family members with sleep apnea you may also have it.
Ethnicity and Age – The young black community (under 35) has an especially high risk of sleep apnea.
Smoking – As with everything, smokers have a three times higher chance of developing sleep apnea. Sinus Congestion – Those that experience excessive nasal congestion and sinus infections tend to have a high probability of having sleep apnea.
Heart Disease – If you have heart disease you are at risk of having central sleep apnea. Stroke or Brain Tumor – The neurological damage done by these may also cause central sleep apnea. If you or your partner thinks you may have sleep apnea you should talk to your primary physician right away and ask about getting a sleep study. The most common test is an overnight sleep study, otherwise known as a nocturnal polysomnogrpahy test.
Overnight Sleep Study – Your sleep study will include you being hooked up to a number of wires on your head, face, chest and legs. If you do have sleep apnea you doctor may refer you to an ENT (Ear, Nose and Throat) doctor and a Cardiologist. The ENT can check for any blockages that may be causing sleep apnea — and the cardiologist will screen for heart conditions since sleep apnea can be a cause of heart disease.
Expiratory Positive Airway Pressure (EPAP) – These are small disposable items that you place over each nostril when you go to sleep.
Pillar Procedure –  Tiny rods are implanted to keep the soft palate from collapsing and is typically used for treating mild sleep apnea. If you or your partner have been seeing any of the signs that you may have sleep apnea, please talk to your doctor right away. As you can see sleep apnea is far more dangerous than keeping people up at night because of snoring! If you have any questions about getting a sleep study or sleep apnea, feel free to call us at Advanced Sleep Rx at (312) 809-7014. Sleep apnea is a condition characterized by episodes of choking or not breathing during sleep. For reasons that are still unclear, in deep sleep, breathing can stop for a period of time (often more than 10 seconds).
Older obese men seem to be at higher risk, though as many as 40% of people with obstructive sleep apnea are not obese.
The classic picture of obstructive sleep apnea includes episodes of heavy snoring that begin soon after falling asleep. Forty million Americans suffer from some sort of chronic, long term sleep disorder, and 20 million suffer occasional sleeping problems. Medical doctors receive very little sleep training in school, but this is still more than most dental students receive.
The CPAP machine is the gold standard of the sleep industry, yet more than 50% of the patients receiving CPAPs will not use them.
Sleep apnea is a sleep disorder that is characterized by pauses in the normal breathing patterns during sleep. Some people may sleep through apnea episodes, while others will wake up and have trouble falling back asleep. The good news is that there are effective ways to diagnose and treat sleep apnea for people with spinal cord injuries, and once treated, symptoms and risks decrease exponentially. Once a diagnosis of sleep apnea has been made, treatment options vary, and can range from the use of continuous positive airway pressure (CPAP) to oral appliances or surgery, depending on severity and overall health.
This entry was posted in AMS News, Spinal Cord Injury and tagged ENT, obstructive sleep apnea, sleep apnea, spinal cord injury on March 27, 2014 by Jill Liphart.
Most of us don’t think of snoring as something to be overly concerned about unless our bed partner is disrupting our sleep!


This chronic sleep deprivation results in: Daytime sleepiness, Slow reflexes, Poor concentration & increased risk of accidents.
Sleep apnea can also lead into serious health problems over time, Such as: Diabetes, High blood pressure, Heart disease, Stroke & weight gain. With the proper treatment, you can control these symptoms, get your sleep back on track, & start enjoying what it’s like to be refreshed and alert every day. Sleep apnea is a sleep disorder in which the flow of oxygen to the body is stopped during sleep. There is another less common type of sleep apnea in which the brain fails to send proper signals to the muscles which control breathing. You have a higher risk for sleep apnea if you are overweight, over the age of 65, related to someone with sleep apnea or a smoker. It is hard to identify the symptoms of sleep apnea because the major symptoms occur during sleep. There is something else to note that not everyone who snores has sleep apnea and not every person who suffers from sleep apnea snore. Exercise Involving yourself into a 30 minute physical activity daily such as taking a walk, jogging or participating in a favorite sport is one of the best sleep apnea solutions. Quit Smoking Nicotine relaxes the muscles that keep the airways open and they collapse while sleeping. Avoid them and other sedatives before sleep because they relax the muscles at the back of your throat and interfere with breathing.
1) Sleep on your right side and not on your back because gravity makes your tongue and soft tissues to fall on your throat and disrupts your breathing. Central sleep apnea occurs when inhibitory signals to the respiratory center of the brain are greater than the excitatory signals.
Central sleep apnea is a dangerous medical condition wherein because of damage to the brain stem (which controls respiration in humans) your new born baby or young one may stop breathing for more than 20 seconds a event known as an apnea. While it also occurs in adults, central sleep apnea in children is much more dangerous because of the increased risks of serious secondary medical conditions which can be caused by sleep apnea. Colour Change: When central sleep apnea is severe, due to continued obstruction of the air tract, the oxygen concentration in the blood stream will be lowered to extreme conditions a condition known as asphyxiation. Drugs, Toxins: Exposure to toxins or drugs may damage the brain and cause central sleep apnea. So definitely be more attentive to the body language and signs of the baby and especially if there is a suspicion of possible central sleep apnea problems. You may have sleep apnea if you snore loudly and you feel tired even after a full night’s sleep. Unfortunately that means millions of people go undiagnosed each year that should be getting a sleep study.
An overnight sleep study is when you stay over night at a sleep center for evaluation and treatment for sleep apnea.
Medicare does not accept them for treatment of sleep apnea and are generally considered to be far lower in quality compared to an overnight sleep study. They are general much simpler forms of an overnight sleep study which monitor the basics like breathing, heart rate and oxygen levels. This machine is set to a large range and is constantly adjusting to your breathing as you sleep.
Your jaw may be broke and repositioned to allow you to breathe at night without sleep apnea. People with sleep apnea have an eight times greater chance of auto accident, and it is estimated that forty percent of truckers have sleep apnea. Obstructive sleep apnea, or OSA, is caused by a relaxing of the soft tissues of the mouth and throat during sleep, which block the airways. Either way, excessive daytime sleepiness is a common complaint among apnea sufferers and leads to a lower overall quality of life.
And you’ve obviously never slept hooked up to tons of wires and machines in a strange bed.
In untreated sleep apnea, breathing is briefly interrupted or becomes very shallow during sleep.
It occurs when the soft tissue in the back of your throat relaxes during sleep, causing a partial or complete blockage of the airway.
Most commonly it is provoked when the soft tissue in the back of your throat relaxes during sleep and blocks the airway. There are other physical features which can cause sleep apnea such as having a thick neck, double chin and enlarged tonsils.
However, you can ask a bed partner to observe your habits during sleep or you can record yourself. Wake up frequently to urinate Except the major symptoms of breathing problems during sleep, children suffer from other problems as well if they are suffering from sleep apnea.
The best way to differentiate between simple snoring and sleep apnea is to see whether you are feeling sleepy or extremely tired during the day or not. To avoid sleeping on your back, try sewing a tennis ball on the top of your pajama on the back side.


This suppresses sleep apnea symptoms which for most people is as good as a cure as it gets. The same occurs in babies and children, after a few apnea attacks, when the oxygen concentration reduced to very low concentrations your baby will start to gag or gasp. If your child was prematurely born before 37 weeks of pregnancy, the chances of central sleep apnea are drastically increased because of the lack of development of the brain and other organs.
That is why you are more likely to suddenly wake up gasping for air when you have central sleep apnea. If the home sleep study comes back positive your doctor may then have you come in for a night of CPAP treatment at the sleep center.
These muscles usually relax during sleep, but the passage remains open enough to permit the flow of air. The apnea is then interrupted by a loud snort and gasp and the snoring returns to its regular pace. He has spent the last eighteen months studying the dental and orthodontic roles for this menacing disorder and is  now incorporating treatment into his practice.  He has attended over 100 hours of post graduate training and visited offices in Dallas, Denver, West Virginia and Milwaukee that limit their practice to sleep apnea and snoring. Sleep apnea has been linked to a number of life-threatening diseases and health problems, including heart disease, heart attacks and strokes. Central sleep apnea is more rare, and is caused by signals not transmitting from the brain to the breath control muscles properly. In the study, 97 percent of those with spinal cord injuries complained of poor sleep quality. Some people also suffer from the combination of the two which is called complex sleep apnea. All these sleep apnea solutions have proved very helpful and they can help you sleep peacefully throughout the night.
If it happens only once or twice, there is no need to worry, but if you notice gagging every time your child sleeps, then you need to visit a doctor. While this condition is also found in babies born after 37 weeks pregnancy, the chances of central sleep apnea occurring are low.
Some individuals have a narrower passage, and during sleep, relaxation of these muscles causes the passage to close, and air cannot get into the lungs.
The result is fragmented sleep that is not restful, leading to excessive daytime drowsiness. Therefore mild sleep apnea patients have twice the risk of heart attack as a smoker, the next likeliest victim.
A polysomnograph is a test of sleep cycles and stages through the use of continuous recordings of brain waves (EEG), electrical activity of muscles, eye movement (electrooculogram), breathing rate, blood pressure, blood oxygen saturation, and heart rhythm and direct observation of the person during sleep. A recent study published in the Journal of Clinical Sleep Medicine shows that as much as 77 percent of spinal cord injury survivors develop sleep apnea. The hyperventilatory episode causes hypocapnea which then leads to apnea when a certain threshold is reached. Think of the money and research that goes into the treatment of hypertension yet sleep apnea is three times more likely to promote a heart attack than hypertension. You typically spend the night in a sleep center with dozens of electrodes attached to various and sensitive parts of the body.
Those wishing to use their insurance should seek dual treatment with my office and a sleep lab with a medical doctor. Equipment will transmit information about your breathing pattern and vitals while you sleep. But frequent loud snoring may be a sign of sleep apnea and it needs to be cured because it interferes with normal breathing. If during the study you test positive for sleep apnea, they will wake you and fit you with a CPAP machine. Most people have little problem falling asleep during the sleep study, and there is no pain involved. There is not a doctor that treats sleep trained through a residency based program like a surgeon. I can fabricate a mouthpiece that is recommended by the Academies for snoring and mild to moderate OSA (sleep apnea).
CPAP is considered the most effective non-surgical treatment for the alleviation of snoring and obstructive sleep apnea.
The Academy of Sleep Medicine and The Academy of Dental Sleep Medicine have tried to standardize the industry. The appliance I make holds the lower jaw forward during sleep which keeps the airway more patent and lowers the number of apneas, or choking experiences, one has during the night.



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