Doctor insights on:
Sleep Apnea Due To Goiter
I have a goiter as well as enlarged tonsils and adenoids. Possible sleep apnea. Can goiter play a role in sleep apnea or just soft palative tissues?
Yes: Yes, obstructive sleep apnea is worsened by any factors that create blockage in the upper airway (throat). Extra tissue in a redundant ('floppy') soft palate, hypertrophied adenoids or tonsils, or even, rarely, a thyroid enlarged by goiter large enough to push the airway inward and narrow it further. ...Read moreSee 2 more doctor answers
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
22 month son had tonsilectomy 2wks ago due to obstructive sleep apnea. Still waking 4 + times a night. Improvement in sleep habits & behavior soon?
Splinting: Obstructive apnea is often a "side-effect" of the body's self-preservation mode during sleep. The same mechanisms that prevent us from acting out our dreams (think sleep walking and its risks). When muscles are "paralyzed" in sleep, the loss of tone of the muscles of the throat result in partial (snoring) or complete (apnea) collapse when inhaling. CPAP or dental devices splint the airway open. ...Read moreSee 2 more doctor answers
Husband had 5 sinus pauses in a night, some 6 seconds. i believe due to sleep apnea. will get sleep study. is this an immediate health danger?
Dangerous: With your husbands history alone pauses of the heart are dangerous. If he is truly having 6 second pauses of the heart beat this is very dangerous. This could represent a condition called alcoholic cardiomyopathy. Your husband should be seen by a cardiologist immediately. If the thought is he has sleep apnea this needs urgent eval. It sounds like your husband needs a pacemaker. May need hospital. ...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 moreSee 8 more doctor answers
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 moreSee 3 more doctor answers
Sleep apnea: Fatigue, snoring, daytime sleepiness, stop breathing for a few seconds while sleeping- are a few symptoms of sleep apnea. Sleep apnea, is frequently associated with increase level of hemoglobin and htn. Sleep study is indicated. CPAP will be the treatment of sleep apnea. ...Read moreSee 4 more doctor answers
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 moreSee 1 more doctor answer
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 moreSee 2 more doctor answers
Some treatments: The first necessity is make sure you have a sleep study. The treatments will depend upon the severity of the osa. It can be mild, moderate or severe. Treatments vary from change of life style (loss of weight, nutrition, exercise;) surgery to remove some tissue in the back of the throat; oral mouthpieces and CPAP machines. Rely upon your medical professional to discuss which option may be best. ...Read moreSee 2 more doctor answers
Several: Being over weight is probably the biggest risk factor. A loss of muscle tone in neck muscles as we get older. Heredity undoubtedly plays a role. Having a large tongue. Other contributing factors are an underdeveloped lower jaw, a narrow upper jaw and a high palate. These all tend to block the airway and lead to obstructive sleep apnea. In central sleep apnea the brain doesn't say to breath. ...Read moreSee 1 more doctor answer
Snoring: The symptoms are daytime fatigue, snoring, frequent waking, frequency of night time urination, but tiredness during the day very hard to deal with. Get diagnosed by sleep study and treated. Apnea carries risk of heart attack, stroke and other nasty things. Your family doctor can arrange the study and most insurances cover it. You will feel so much better after a good nights sleep. ...Read moreSee 3 more doctor answers
Not just weight: Anatomy is king. Obstructive sleep apnea happens in a small airway "box". The airway can be small if what's in it takes up space or if the box is smaller. Weight gain increases tongue size and the thickness of the side walls of the throat. Tonsils may be large. Small jaw size, often inherited , will increase the risk of osa . Low muscle tone is also a factor. ...Read moreSee 2 more doctor answers
R/O OSA: YES IT IS: OSA DX 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 use.ENT CONSULT FOR UPP EVAL. ...Read moreSee 2 more doctor answers
NPSG: An npsg is a formal overnight sleep study. You would be monitored for breathing, muscle activity, heart rate, oxygen level and brainwave activity. Typically an ahi (apnea hypopnea index) is calculated to determine if you are positive. A minimum of an ahi = 5 is needed to be positive. An ahi of 5-14 is mild, 15-29 is moderate and >30 is severe. ...Read moreSee 1 more doctor answer
Sleep apnea: Sleep apnea in children is a pause in breathing while asleep. Many children who have sleep apnea will snore too. Babies with sleep apnea don't usually snore but may have other developmental problems or may have an illness (like whooping cough or respiratory syncytial virus -rsv) that causes them to become stop breathing. A pause of 20seconds or more is too much - talk to your doctor. ...Read moreSee 4 more doctor answers
No: Sleep apnea is a treatable disease. Weight loss is the cornerstone of treatment in pt's with a BMI above 30. CPAP is the first line therapy and there are surgical options as well as mandibular advancement devices that can be used. Sleep apnea is a treatable condition. ...Read moreSee 4 more doctor answers
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
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