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Sleep Apnea

WHAT YOU SHOULD KNOW

If you stop breathing for 10 seconds or more at least 5 times each hour during sleep, you have sleep apnea. The condition is also called obstructive sleep apnea. It is particularly common in people who are overweight.

Causes

When you sleep, the muscles of your upper throat and mouth relax. Sleep apnea may occur if these relaxed muscles, the tongue, or large tonsils block your throat and make breathing difficult. Often, however, doctors can't pinpoint the exact cause.

Signs/Symptoms

If something blocks the back of your throat as you sleep, you may start choking and wake up. For this reason, many people with this problem sleep in cycles: drowsiness, sleep, choking, startled awakening, drowsiness, sleep, and so on. Because their sleep is constantly interrupted, they are often drowsy throughout the day.

WHAT YOU SHOULD DO

  • If sleep apnea happens only when you sleep on your back, sew a ping pong or tennis ball to the back of your pajamas. This will force you to sleep on your side.
  • Your doctor may recommend a special dental device to keep your mouth closed when you sleep. This will keep your tongue from falling to the back of your throat.
  • Continuous positive airway pressure (CPAP) may be helpful. In this treatment, you wear a mask over your nose and mouth while you sleep. A small machine forces air through the mask, keeping your throat open so you can breathe.
  • Do not use drugs such as sedatives, hypnotics, barbiturates, and narcotics. They provide only temporary relief, and can be addictive.
  • Limit your intake of alcohol, or don't use it at all.
  • If you are overweight, work with your doctor on a weight-loss plan.
  • If nothing else works, surgery may be needed. First, however, you'll probably need a stay in the hospital for tests.

Seek Care Immediately If...

  • When someone with sleep apnea develops blue lips or nail beds, wake him or her immediately. If you can't, call 911.

IF YOU'RE HEADING FOR THE HOSPITAL...

What to Expect While You're There

You may encounter the following procedures and equipment during your stay.
  • Sleep Studies: For these tests, you'll be asked to come in and stay in a special sleep lab during your normal sleeping hours. As you sleep, tests such as an EEG will measure your brain activity.
  • EEG: This test is also called an electroencephalogram (e-LEK-tro-en-SEF-uh-lo-GRAM). For the test, a number of sticky pads are placed on the scalp. Each pad is connected to a machine that prints a tracing of electrical activity in a nearby part of the brain.
  • Taking Vital Signs: These include your temperature, blood pressure, pulse (counting your heartbeats), and respirations (counting your breaths). A stethoscope is used to listen to your heart and lungs. Your blood pressure is taken by wrapping a cuff around your arm.
  • Pulse Oximeter: With a little clip connected to your ear, finger, or toe, this machine measures the oxygen in your blood.

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