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Doctor insights on: Sleep Apnea Due To Goiter

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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?

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 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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If sleep apnea is due to autonomic dysfunction, what can be done to stop it ?

If sleep apnea is due to autonomic dysfunction, what can be done to stop it ?

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 more

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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?

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

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Cure of sleep apnea?

Cure of sleep apnea?

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

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Is sleep apnea common?

Is sleep apnea common?

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

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Symptoms if sleep apnea?

Symptoms if sleep apnea?

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 more

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Is sleep apnea reversible?

Is sleep apnea reversible?

Yes: Sleep apnea can have a number of causes, from being overweight to septal deviations. It is best to be evaluated and see what your issues are. ...Read more

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What is organic sleep apnea?

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

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What's done for sleep apnea?

What's done for sleep apnea?

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

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What is done for sleep apnea?

What is done for sleep apnea?

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 more

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How can sleep apnea be cured?

Apnea: Treating the cause, whether obstructive or central apnea. Consult a neurologist. ...Read more

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What is the cause of sleep apnea?

What is the cause of sleep apnea?

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 more

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What are symptoms of sleep apnea?

What are symptoms of sleep apnea?

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 more

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What causes you to get sleep apnea?

What causes you to get sleep apnea?

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 more

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Is sleep apnea considered a disease?

Is sleep apnea considered a disease?

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 more

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How to determine if I have sleep apnea?

How to determine if I have sleep apnea?

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 more

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What are signs of sleep apnea in children?

What are signs of sleep apnea in children?

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 more

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Is sleep apnea considered to be a disability?

Is sleep apnea considered to be a disability?

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 more

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Which is the optimum solution for sleep apnea?

Which is the optimum solution for sleep apnea?

Severity: Depends on whether central or obstructive how severe it is CPAP machine or oral appliance or combination, surgery there are a lot of options. ...Read more

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Dr. Patrick Melder
1,056 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
1,196 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