Doctor insights on:
Medicine For Sleep Apnea
Mandibular advanceme: Dental appliances to open the airway during sleep can be fabricated by a sleep medicine-trained dentist. ...Read more
Sleep apnea has two causes. It may be 'central' or 'obstructive'. Central apnea occurs as a disorder in the way the brain controls breathing. Obstructive sleep apnea is much more common and involves an anatomical blockage of the airway. Usually, the tongue blocks the airway, preventing the passage of air between the a sleep study is needed to diagnose particular ...Read more
CPAP, MAD: Most common non-surgical modalities are CPAP machines and mandibular advancement devices. ...Read more
Too confusing.: You named four different issues that have four different causes and four different methods of treatment. I think an actual diagnosis is in order before we entertain any discussion of treatment. ...Read more
CPAP: You are describing a diagnosis of sleep apnea. Snoring is a sign that your airways are collapsing when you go to sleep, so you cannot get air to your lungs even when you try. The best fix is to apply pressure thru a mask, to keep the airways open so you can breathe. This is called cpap. Weight loss, oral appliances, and surgery are adjunctive options. ...Read more
Is there anything I can get from the grocery store or drug store for my obstructive sleep apnea until I can see a doctor?
Sleep apnea: 10-20 lbs weight loss can significantly reduce the obstruction. You could also quit alcoholic beverages. ...Read more
Is there any contraindications anesthetic drug for patients with sleep apnea? I plan to do AF Ablation? Generally use local or general anasthethic?
Do any psychiatric drugs or their withdrawals lead to arrythmias or to the development of sleep apnea or is this neuromuscular or a different issue?
Simplify PLEASE!!: You have crammed several different questions together! Some psychoactive drugs could/can prolong the qt interval & thus might contribute to an arrhythmia. Cocaine use resulting in arrhythmia is a leading cause of sudden cardiac death in young people- even athletes (len bias) some drugs suppress respiratory drive, leading to apnea, such as the dangerous combo of opiate pain drugs with tranquilizers. ...Read more
Insomnia for a year, tried herbal medicine and other medications. Nothing works. No sleep apnea, normal lft, please help?
Have them: Check for upper airway resistance syndrome. In most cases this has been missed in diagnosis since the ahi on sleep test come normal and the oxygen saturation also in normal level. The best indication for that have them check your odi and compare that wit your ahi. If the odi is elevated more than 2x of ahi his may indication of upper airway resistance. ...Read more
TotalT +/- 199ng/dl in over 20 tests. Lh 2.2.Fsh 1.9.BMI 28.5.Sleep apnea. Sleep 8hrs/d.No smoke, drink, drugs. What can I do for normal T other than TRT?
? Pituitary normal: It seems if you have simple hypogonadism, your LH & FSH should be higher for this low level of total testosterone. With over 20 tests, hopefully you have seen an endocrinologist. But I wonder whether there is some cause within the hypothalamus or pituitary gland. You are doing a good job with non-TRT therapies. Continue move toward ideal weight/diet, exercise, stress control, ? selenium & zinc sup ...Read more
No cure: There is high failure rate of surgical procedures for sleep apnea. Best treatment is the CPAP mask adjusted to the right pressure. There are some that automatically adjust themselves for the best pressure. Need to get the most comfortable mask & less noisy machine. Complications of surgery include airway obstruction, bleeding, hematoma, infection, pain, death, dysphagia, velopharyngeal etc... ...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: It has been published that it affects 4% of men and 2% of women, but personally, I think it is much higher. Unfortunately, it has been given lower priority than other medical conditions. That is now changing as we are discovering that is is associated with considerable medical and psychiatric morbidity and even mortality. ...Read more
Gasping for air: Sleep apnea is defined as complete (apnea) or partial obstruction (hypopnia) of the airway during sleep. Typical signs and symptoms are snoring, wake up gasping for air, and excessive daytime sleepiness. Diagnosis is made by a sleep study (polysomnogram) and the main parameter of diagnosis is ahi (apnea-hypopnea index). Mild sleep apnea ranges from 5-10 ahi. ...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
No breathing: Sleep apnea (sa) is a condition where you stop breathing during sleep for 10 secs or more. Sometimes this is a neurological problem where the signal to breathe is interrupted. Sometimes the signal is fine, but there is blockage by the tongue or tissues of the throat. Either way, it is dangerous and needs to be evaluated by your md and treated appropriately. Call today. ...Read more
Just another term: For sleep apnea. There are several types: obstructive, where the air is blocked from getting to your lungs by collapse of your upper airways during sleep, and central sleep apnea where your brain does not send the signals to your lungs to breathe, and the third type which is a mixture of the two. I cannot think of a sleep apnea that would not be organic, because there is no psychogenic sleep apnea. ...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
OSA: Obstructive sleep apnea occurs when breathing stops (apnea) during sleep usually as a result of a temporary obstruction such as a narrowing and closing in the oropharynx. When the brain detects that breathing has stopped, an alarm goes up that wakes the person so that he starts breathing again. Often the person does not know why he has woken. An observer may note snoring or gasping in the night. ...Read more
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