Your Pressing Questions about Sleep Apnea Answered
麻豆高清, in conjunction with the, presented a full-day summit about mental health for the public. Throughout the day, experts from 麻豆高清 shared their insights about the many different factors that contribute to our mental health 鈥 including sleep.听
During one session, Dr. Maria听Suurna听joined Dr. Daniel Barone to answer some of the most important questions about sleep and听sleep apnea.听听
Dr. Suurna听is an otolaryngologist (ear, nose, and throat doctor) specializing in sleep surgery at 麻豆高清, providing evaluation and surgical treatment for snoring and obstructive sleep apnea.听Dr. Barone听is the Associate Medical Director of the听麻豆高清 Center for Sleep Medicine听and the author of听. As a neurologist and sleep specialist, he diagnoses and manages patients with a variety of sleeping disorders.听
Sleep is highly complex. Poor sleep may be the result of anxiety, depression, medications, a poor diet, too much alcohol or caffeine, bad sleep hygiene, or another cause. For many others, however, sleep apnea is the reason for their poor sleep. This disorder causes your breathing to start and stop, over and over, throughout the night. If you snore and never feel well rested鈥攅ven after a full night of sleep鈥攜ou may have sleep apnea.听
Learn more about insomnia, how you can improve your sleep hygiene, and the connection with mental health.听
What is sleep apnea?听听
Dr.听Suurna听explained, 鈥淪leep apnea is symptomatic obstruction of the airway during sleep.鈥 The听听estimated that 22 million Americans suffer from sleep apnea, with up to 80 percent of cases being undiagnosed.听听
The obstruction causes you to stop breathing repeatedly at night. In most cases, you are not aware that you have stopped breathing because sleep apnea doesn't cause you to fully wake up.听听
鈥淔or whatever reason, people have sleep apnea when they go to sleep, they lose their neuromuscular tone and the airway starts to obstruct,鈥 she detailed. 鈥淲e are still trying to figure out why.鈥澨Men over 40 are most likely to develop sleep apnea, but younger men, women of all ages, and children also suffer from this disorder.听听
There are several different types of sleep apnea:听听
- Obstructive sleep apnea, the most common type, occurs when your throat muscles relax too much during sleep
- Central sleep apnea occurs when your brain doesn鈥檛 send the proper signals to the muscles that control breathing听
- Complex sleep apnea syndrome occurs when you have both obstructive and central sleep apnea听听
How is sleep apnea harmful?听听
In the short term, sleep apnea causes your body to respond quickly to their airway closure. This causes your heart rate to go up, your blood pressure to go up, oxygenation levels to go down, and may cause you to wake up.听听听
鈥淵our body gets ready to fight or flight,鈥 explained Dr. Barone. 鈥淎nd this process is happening over and over and over again, all throughout the night when you are supposed to be resting.鈥 You will wake up feeling that you did not rest well, your bed partner may complain of you snoring or making sudden movements while sleeping.听听听
In the long term, sleep apnea can cause serious health problems, including memory loss, difficulty concentrating, weight gain, impotence, headaches, high blood pressure and other cardiovascular diseases. It can also lead to accidents, such as car crashes.
Should I see a sleep specialist?听听
Both Dr.听Suurna听and Dr. Barone suggested focusing on improving your sleep hygiene as much as possible to promote better rest. Try to go to bed at the same time and make your bedroom as calm and comfortable as possible. 鈥淒o something that we used to do a hundred years ago,鈥 Dr. Barone recommended. For example, shut off all backlit devices, listen to music, read a book with a lamp, meditate, pray.听
If this does not help enough, Dr.听Suurna听recommended paying very close attention to your body and what your bed partner says. 鈥淏ed partners often are the ones to alert to problems,鈥 said Dr.听Suurna.听听
A sleep specialist, including those at the 麻豆高清 Center for Sleep Medicine, will help you by carefully evaluating all the different factors of your sleep. A sleep specialist can determine what is causing the issues with sleep, if you should undergo a sleep study, or if you would benefit from care from a psychiatrist, registered dietician, or other specialist.听听
鈥淚 think a personalized, individualized approach to sleep issues is the key,鈥 asserted Dr.听Suurna.听听
What is a sleep study? How can it help sleep apnea?听听
There are several different types of sleep studies, including a home sleep study, day sleep study, or a comprehensive overnight sleep study. All of these studies are intended to gather objective data about your sleep to better understand your sleep disorder and tailor treatment to improve it.听听
鈥淚t鈥檚 a little bit artificial,鈥 explained Dr.听Suurna. 鈥淚t鈥檚 not exactly always in the home setting. And you actually have monitors attached to you that measure your sleep, oxygen saturation, respiration rates, brainwave activity.鈥澨听听
Patients often express concern about the sleep study, fearing that they won鈥檛 be able to sleep with the monitors. Dr. Barone explained that he tells his patients, 鈥淚f there is something there objectively, we鈥檒l find it, even if you don鈥檛 have a 鈥榞reat night鈥 or a 鈥榥ormal night.鈥欌澨听
The data from a sleep study can help your sleep specialist determine if you have sleep apnea and then create a more personalized treatment plan to help you sleep better.听
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How is sleep apnea treated?听听
Both Dr. Barone and Dr.听Suurna听asserted that there are many different treatment options for all sleep disorders, including sleep apnea. The key is finding the right treatment for your specific condition.听听听
For some mild cases, sleep apnea can be improved with lifestyle changes鈥攓uitting smoking, achieving a healthy weight, or managing allergy symptoms better.听听
Continuous positive airway pressure (CPAP) or other airway pressure machines help many people sleep better. These machines keep the airway open during sleep. These machines, 鈥減ressurize the air, blow it into the nose, into the mouth, and stent the airway open, preventing it from collapsing,鈥 explained Dr.听Suurna.听听
Dr.听Suurna听specializes in treating people with obstructive sleep apnea who have not had any relief from nonsurgical treatments. Surgical treatments can help correct physical abnormalities or structures that can obstruct the airway and prevent breathing at night. For example, large tonsils, a nasal septum, or polyps in the nose can cause issues.听听
There are many, innovative ways of managing complex sleep apnea with surgical treatments. 鈥淏ut, again,鈥 asserted Dr.听Suurna, 鈥渢he treatment has to be individualized. Some people are surgical candidates and some people are not. And that鈥檚 our job to figure out who鈥檚 going to be the right person for what type of treatment.鈥澨听
Dr.听Suurna听also warned that underlying depression or anxiety, when untreated, can make it harder for sleep apnea treatment to be beneficial. 鈥淎nxiety and depression and other psychiatric issues make it very, very difficult to actually comply with the treatment,鈥 she explained.听听听
The good news is that all types of sleep apnea, anxiety, and depression can be treated with a personalized approach: a careful examination and diagnosis, followed by treatment tailored to your specific condition.听
If you believe you have sleep apnea or another sleep disorder, you do not need to live with the discomfort, sleepiness, and negative side effects. Using evidence-based medicine based on the latest research, sleep medicine specialists can help you sleep鈥攁nd live鈥攂etter.听
Learn more about the听麻豆高清 Center for Sleep Medicine听or scheduling a听Video Visit听with one of our Sleep Medicine specialists.听听