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Doctor insights on: Moderate Sleep Apnea

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Have moderate sleep apnea W/severe O2 loss. Will treat w/CPAP & oxygen. In future is it possible oxygen can be withdrawn & Cpap alone be adequate?

Have moderate sleep apnea W/severe O2 loss. Will treat w/CPAP & oxygen. In future is it possible oxygen can be withdrawn & Cpap alone be adequate?

Sometimes: Depends on whether patients have underlying lung disease and whether oxygen is also needed during the day as well. I have seen those that stay on oxygen and those that end up only on cpap over time. ...Read more

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Dr. Patricia Mcgarry
440 doctors shared insights

Obstructive Sleep Apnea (Definition)

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


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I use 1.25mg of klonopin (clonazepam) for sleep -have moderate sleep apnea my dr. says it is ok any thoughts?

I use 1.25mg of klonopin (clonazepam) for sleep -have moderate sleep apnea my dr. says it is ok any thoughts?

Yes: Taking klonopin (clonazepam) daily will create dependence. Try to find a sleep aid that is not habit forming. There are other options. Work together with your physician. ...Read more

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Is it bad that i cannot remember my dreams or even if i even dream at all? I have moderate sleep apnea, maybe that prevents me from dreaming?

Is it bad that i cannot remember my dreams or even if i even dream at all?  I have moderate sleep apnea, maybe that prevents me from dreaming?

Maybe: Untreated sleep apnea may be preventing you from getting into the stage of sleep where you dream which means you are not getting a good nights sleep. A change needs to be made in your treatment or you need to start treatment. With moderate sleep apnea the first line of treatment is with an oral appliance unless enlarged tonsils or adenoids are responsible. A breathing machine is the next choice. ...Read more

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I want to find and naturally treat my moderate sleep apnea, I noticed that I have teeth impressions on my tongue . So seems like I have over-size ton?

I want to find and naturally treat my moderate sleep apnea,  I noticed that I have teeth impressions on my tongue . So seems like I have over-size ton?

Oral appliance: Ask your dentist if you would be a good candidate for an oral appliance to keep your tongue out of the way while you sleep. In past, we've suggested sewing a pocket in back of your PJs that's large enough to hold a tennis ball or equivalent in place. Hopefully that would be enough to keep you from sleeping on your back which is when most obstruction occurs although I don't recall seeing research ...Read more

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Home sleep study said moderate sleep apnea w/severe oxygen saturation <70 & in-clinic study said no sleep apnea & perfect oxygen levels. Which right?

Home sleep study said moderate sleep apnea w/severe oxygen saturation <70 &  in-clinic study said no sleep apnea & perfect oxygen levels. Which right?

My reaction: Advise you to sit down with your doctor and go over both studies in full detail, as one of these is clearly WRONG. Although I would favor a clinic outcome due to presence of skilled personnel, I cannot clarify the outcomes from this perspective. Good luck with this. ...Read more

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I have mild to moderate sleep apnea (AHI= 10, desat to 88%) and mild hypothyroid (TSH 5.01). Which is likely causing my fatigue? Which should treat?

I have mild to moderate sleep apnea (AHI= 10, desat to 88%) and mild hypothyroid (TSH 5.01). Which is likely causing my fatigue? Which should treat?

Both: It would be easier to treat hypothyroidism as it requires only taking a pill everyday. Once the treatment gets going, try to lose weight and have the sleep apnea re-evaluated after losing 5-10% of body weight. You need a prescription from your doctor. For good health - Have a diet rich in fresh vegetables, fruits, whole grains, milk and milk products, nuts, beans, legumes, lentils and small amounts of lean meats. Avoid saturated fats. Drink enough water daily, so that your urine is mostly colorless. Exercise at least 150 minutes/week and increase the intensity of exercise gradually. Do not use tobacco, alcohol, weed or street drugs in any form. Practice safe sex, if you have sex. ...Read more

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I'm always tired. Tests showed I have mild to moderate sleep apnea (AHI 10) but TSH was 4.54. Obviously treating Sleep Apnea. Thyroid ok to not treat?

I'm always tired. Tests showed I have mild to moderate sleep apnea (AHI 10) but TSH was 4.54. Obviously treating Sleep Apnea. Thyroid ok to not treat?

Tiredness: Your tsh level is borderline elevated suggesting underactive thyroid, but what about other thyroid testing like t3 or t4? Perhaps an evaluation by a thyroidologist or endocrinologist would be advisable. ...Read more

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I have grade 4 enlarged tonsils causing mild to moderate sleep apnea (AHI 10, nadir SpO2 88%). One dr said tonsillectomy other said CPAP. What's best?

I have grade 4 enlarged tonsils causing mild to moderate sleep apnea (AHI 10, nadir SpO2 88%). One dr said tonsillectomy other said CPAP. What's best?

Both: unless you were born with extra tonsils you have 2 adult tonsils and adenoidal tissue. Either tonsillectomy/adenoidectomy plus C-PAP will be beneficial. ...Read more

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Prev dr said i may have narcolepsy but i don't have vivid dreams or sleep paralysis but I have daytime sleepiness & moderate sleep apnea. Thoughts?

Prev dr said  i may have narcolepsy but i don't have vivid dreams or sleep paralysis but I have daytime sleepiness  & moderate sleep apnea. Thoughts?

Treatment: Anything that causes sleep fragmentation (apnea, pain, leg kicking, etc) leads to sleepiness. So even before testing for narcolespy in sleep lab setting you would have to confirm that the apnea is well controlled and not contributing to waking. Sometimes sleepiness is persistent because of years of apnea and there is med for that ... See someone specialized in these disorders and do your homewk. ...Read more

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Does mild to moderate sleep apnea really need treatment? My AHI was 10 w/ intermittent desats to 88%. Dr recommended CPAP but is it really necessary?

Does mild to moderate sleep apnea really need treatment? My AHI was 10 w/ intermittent desats to 88%. Dr recommended CPAP but is it really necessary?

It's borderline : You are on the borderline for treatment. It depends on your needs. If your sleep is non restful, maybe CPAP will help. If you still have tonsils removing them may help. You may need to try CPAP first before insurance pays for tonsillectomy. If you have in noticeable over bite an oral appliance may help. It moves the jaw and tongue forward to open airway. I would suggest all options. ...Read more

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My doctor diagnosed mild to moderate sleep apnea (AHI = 10 with intermittent desaturations to 88%). Is treatment really necessary? He wants CPAP.

My doctor diagnosed mild to moderate sleep apnea (AHI = 10 with intermittent desaturations to 88%). Is treatment really necessary? He wants CPAP.

Yes....: If your sleep apnea is left untreated, you could develop significant heart disease, including even sudden cardiac death, as well as lung disease, amongst other things. You will likely notice that you feel a lot better once you have been treated for a while as well. I would urge you to begin CPAP therapy ASAP!! Best of luck to you!! ...Read more

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I just took 2 pills of Ambien (zolpidem) to overcome my insomnia. I also have moderate obstructive sleep apnea. How safe is this dosage 20 mg.

I just took 2 pills of Ambien (zolpidem) to overcome my insomnia.  I also have moderate obstructive sleep apnea. How safe is this dosage 20 mg.

Unsafe: your history and oversose on ambien (zolpidem) are both bad for sleep tablets used with a pt with OSA. seek medical attention as it suggests on the label as well as a better discussion of your med history and med issues with your past and future ambien (zolpidem) prescribers ...Read more

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After 2 sleep studies, my husband was diagnosed with moderate obstructive sleep apnea. Is it standard for a physician to prescribe cpap without talking with the patient?

After 2 sleep studies, my husband was diagnosed with moderate obstructive sleep apnea. Is it standard for a physician to prescribe cpap without talking with the patient?

Informed Consent: is a dialogue about a proposed medical treatment's nature, consequences, harms, benefits, risks, and alternatives, including the option of no treatment. And CPAP machines are no exception. Take care. ...Read more

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What can one do to improve quality of life if suffering from moderate to severe sleep apnea?

What can one do to improve quality of life if suffering from moderate to severe sleep apnea?

Lose weight, nap: Many people benefit from a CPAP mask worn at night. In my personal cases, exercising vigorously and losing weight solved the whole problem. If weight loss doesn't work, please go see a pulmonologist and have a work up to determine the cause. Some causes can be quite serious although far less common than weight gain. Be prepared to get naps when exercising more. You will need them! ...Read more

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My daughter is almost 8 months and diagnosed with moderate to severe sleep apnea. She is on prevacid (lansoprazole) for acid reflux is this the cause of the apnea?

My daughter is almost 8 months and diagnosed with moderate to severe sleep apnea. She is on prevacid (lansoprazole) for acid reflux is this the cause of the apnea?

Very unusual: If i understand this correctly your eight month old child has significant sleep apnea. This is very unusual but can sometimes occur in the face of enlarged adenoids and tonsils. Reflux can always make things worse, but reflux by itself usually will not cause such significant apnea. If you have not already taken your child to a pediatric ENT doctor you should. ...Read more

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Sleep apnea moderate condition . Do I have to use the apnea machine ?

Sleep Apnea: No you don't have to do anything, however, it will improve your life dramatically. I have sleep apnea and use a nasal CPAP. I sleep like a baby, have more energy than every before. It may be the type of mask or machine you use. Discuss with your sleep doctor or FP or IM options for you. By the way my 53 lb weight loss may help me get rid of mine. ...Read more

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Can mild obstructive sleep apnea cause mild to moderate right ventricular enlargement? Normal function just enlarged. Left is normal

Can mild obstructive sleep apnea cause mild to moderate right ventricular enlargement?  Normal function just enlarged. Left is normal

RVH: it definitely can; you should a see a sleep specialist for an official evaluation to determine the severity of your sleep apnea and treatment to avoid future problems ...Read more

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Dr. Patrick Melder
1,059 doctors shared insights

Apnea (Definition)

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


Dr. Carlo Hatem
1,198 doctors shared insights

Sleep Apnea (Definition)

A condition in which you stop breathing during sleep. There are 2 main types. Obstructive the most common. Central the less common. When people speak about sleep apnea they usually refer to obstructive where you cannot breathe due to ...Read more