Doctor insights on:
Apnea Index Score
This is the cessation of breathing for 10 seconds or more. Most apnea is obstructive being caused by collapse or obstruction of the airway leading to lack of air flow. However, it can be a central process, where the respiratory center of the brain fails to signal the respiratory respiratory system to initiate a breath. Lastly, some apnea is mixed central ...Read more
AHI: Apnea hypopnea index is the number of episodes per hour that the breathing either stops or is shallow enough to cause a drop in oxygen saturation and an arousal from sleep. AHI numbers under 5 are fairly normal as most of these episodes are very brief and not remembered by a patient. Most patients with an AHI over 10 will benefit from treatment of sleep apnea. ...Read more
AHI: Apnea hypopnea index is defined as the number of these events recorded in a psg test per hour of sleep. It is the standard by which a board certified sleep specialist uses in diagnosing the level of obstructive sleep apnea and makes recommendations of treating a particular condition. ...Read more
Sleep apnea: An Apnea Hypopnea Index of 46 suggests moderate sleep apnea. Your sleep specialist will need to determine why this is happening before a treatment can be recommended. It is safe to assume that you will be started on a trial of CPAP or BiPAP before any alternate treatments such as head and neck surgery are explored. If obesity is a contributing factor, effective management must include weight loss. ...Read more
5: You want it to be normal, which is less than 5. ...Read more
Is an apnea hypopnea index of 23 on a Bipap machine good? My AHI without the machine is 23. I have OSA, CSA and hypopnea.
FATIGUE WITH OSA: Provigil iand nuvigil help with energy and fatigue Also adderal/Ritalin/Starttera. Start a gluten free diet WEIGHT LOSS IS CRITICAL. Wholeapproach. Com /gut loss. Com. If CPAP or BIPAP is poorly tolerated seek ENT CONSULT for UPP/ vs Hyoid suspension/Partial Glosectomy. Also vitamins to increase metabolism ribose/ubiquinol/carnatine. REJUVENATION-SCIENCE. COM ...Read more
My apnea score is less than 1. Can't afford copay for 1 yr & 6mo appt with sleep doctor. Why would I need regular appointments if doing well?
Sleep Apnea: You had sleep study and your apnea score was1and you are not using cpa. What are your symptoms now, are you still snoring.Why did the sleep specialist want to see you. If you have no symptoms, and have no complications from sleep apnea like hypertension, cardiac arrythmia etc and no coexisting condition, than you can assume responsibility, but otherwisise you should follow with sleep specialist copay. ...Read more
I have sleep apnea and a hypoxia index of 17. Is 17 bad or good? I am going on cpap and oxygen. Looking for an answer. Thanks!
Moderately bad: Apnea-hypopnea index of 17 means you obstruct (stop breathing) or partially obstruct an average of 17 times per hour (normal is <5). More important, however, is the degree of oxygen deprivation caused by the disruption. I have many patients who have ahi > 90. If your blood o2 levels are low, your regimen is great. If not low, you can use dental device, likely with good success. ...Read more
Sleep study done post T&A due to obstructive sleep apnea. Still showed mild apnea and high arousal index. What is still causing this? Thanks
Apnea hypopnea index is 23 on bipap machine. I have mostly central brain apneas. I aalso have obstructive apnea and hypopnea?
Ask question again: Not sure exactly what your question is. Maybe you could rephrase it. ...Read more
Having my tonsils and uvula removed on tuesday. Sleep apnea score is 29. Worried about uvula removal and side effects from this. Suggestions on this?
Airway restriction: They plan this surgery to increase the size of your airway opening. Did a CPAP not work? Are your tonsils so large that you're trapping food while eating, thereby having difficulty swallowing too? Are you obese? Major weight loss has been shown to help, if kept off. These are all factors that need to be considered when surgery is your treatment choice. Moderate post-op pain is a side effect. ...Read more
Multifactorial: There are many things that you can do. If you truly have mild sleep apnea diagnosed by sleep study, CPAP machine use can be helpful but weight-loss and avoiding sleeping on your back can be conservative measures. Surgical options exist but they're the most beneficial for patients with true anatomic problems. ...Read more
Apnea: This is the cessation of breathing for 10 seconds or more. Most apnea is obstructive being caused by collapse or obstruction of the airway leading to lack of air flow. However, it can be a central process, where the respiratory center of the brain fails to signal the respiratory respiratory system to initiate a breath. Lastly, some apnea is mixed central and obstructive in nature. ...Read more
Apnea: Apnea is cessation of breathing when you are sleeping. This is either "central" or "obstructive." central is more of a brainstem issue whie obstructive is due to your airway collapsing. In order to breathe again you need to wake yourself up. This is a big problem when you do this every single hour of sleep every night. Ents, pulmonologists, and neurologists are best equipped to treat this. ...Read more
R/O OSA: OSA can be suggested by history and physical. Excess snoring/daytime sleepiness/apneic episodes/ aM headaches. And the Exam obesity/small oral airway/collar size>18. The definitive test is a PSG with split night/CPAP titration. I would request copy of sleep study and get a second opinion if you are not satisfied with the options. You are young CPAP can be difficult to tolerate. ENT FOR UPP EVAL. ...Read more
Apnea: Please restate your question as it is not clear what you are asking. Are you asking why a dying individual starts breathing again? ...Read more
Can you tell me about getting back into a poor health situation. Wondered is pollution a big factor in apnea?
See below: Sleep apnea can be due to many factors, including large neck size, high blood pressure, diabetes, nasal obstruction/congestion, smoking, alcohol use, and age. Of course, the environment plays some role in it by compounding nasal congestion. So it is not a "big" factor, but may play some role. Hope that answers your question! ...Read more
Many causes: There are many causes of csa. Commonly, patients with neurological problems may have csa. Specifically with stroke patients. There is also a large amount of patients with congestive heart failure that have csa. It may also be idiopathic, meaning that there is not clear reason why it develops. ...Read more
Closed airway: Sleep apnea is the closure of the airway or significant narrowing of the airway during sleep. Risk factors include being male, being overweight, having a large neck, being a snorer and having daytime sleepiness. Sleep apnea increases your risk of stroke, heart attack and high blood pressure. ...Read more
Not breathing: Apnea is breath-holding, or not breathing. Some people have periods of time they don't breath while they are asleep. Sometimes it is related to body weight, other times it is neurological. Treatment usually involves weight loss, mouthguards to reposition the mouth, or even cpap. If not treated, this can lead to lung/heart problems, chronic fatigue, weight gain, and high blood pressure. ...Read more
Yes: Yes, it is often inherited, but not always. One reason has to do with the fact that we look similar to our relatives. The facial bone growth determines the size of the airway and may be narrow in families with sleep apnea. Other familial factors may be obesity, size of tonsils and adenoids, muscle tone and how we breathe when we sleep. ...Read more
Apnea = Suffocation: Like being underwater; unable to breathe. When the co2 in blood gets too high, you blast to surface for a big gasp of air. Osa occurs when airway is blocked during sleep, muscles flaccid/paralyzed. When co2 is too high, brain enters crisis mode, lightens the level of sleep to permit active muscle control and permit a big gasp to replenish o2, then back to deep sleep to do it again. Get osa treated. ...Read more