Are Sleep Apnea Symptoms the Same for Everyone?
Sleep apnea symptoms can differ from person to person. Additionally, both obstructive and central sleep apneas may be asymptomatic, which means that a person may not notice any obvious signs of nighttime breathing issues.
People with both types of sleep apnea may not realize that their breathing is abnormal during sleep until told by a caregiver or bed partner. Symptoms that may be observed by a caregiver or bed partner include:
- Snoring, gasping, or choking
- Pauses in breathing
- Shallow or irregular breathing
- Restless sleep
In mild cases of OSA, a person may have few daytime symptoms. People with moderate to severe OSA may develop more significant symptoms that interfere with their daily life, including:
- Needing regular naps
- Cutting back on daytime activities due to sleepiness
- Falling asleep frequently during the daytime
- Dozing off at inappropriate times
For people diagnosed with central sleep apnea, symptoms also depend on the type of CSA that was diagnosed. Because CSA is often related to an underlying medical issue, symptoms vary based on the condition causing breathing issues.
Sleep Apnea Tests and Diagnosis
To diagnose sleep apnea, doctors consider a person’s symptoms and medical history in addition to the results of a physical exam and a sleep study. Also called polysomnography, a sleep study can diagnose sleep apnea, identify the type of breathing disruptions, and determine the condition’s severity.
The apnea-hypopnea index (AHI) is a calculation based on measurements taken during a sleep study. AHI describes the number of breathing disruptions that a person experiences during each hour of sleep. To diagnose sleep apnea, doctors consider AHI in addition to a person’s symptoms, coexisting health conditions, and breathing patterns seen during the sleep study.
In some cases, doctors may order other tests to detect complications of sleep apnea or rule out other health conditions. For example, if a doctor suspects CSA, additional tests may be used to find the underlying cause of breathing issues.
Does Treatment Improve Sleep Apnea Symptoms?
Treatment for sleep apnea is aimed at improving breathing during sleep and bringing the body’s oxygen levels back to normal. By normalizing breathing and oxygen levels, treatments help to alleviate the symptoms of sleep apnea. Treatment may improve breathing, enhance sleep quality, and reduce or eliminate sleep apnea symptoms.
Treatment options depend on an individual’s medical history, the type of sleep apnea diagnosed, its severity, and any underlying medical conditions that may be contributing to breathing difficulties. Doctors also take into account a person’s preferences for certain types of treatment.
Many treatment options are available for sleep apnea.
- Supplemental oxygen: People diagnosed with certain types of CSA may be given supplemental oxygen as they sleep, either alone or in combination with PAP therapy.
- Oral appliances: Oral appliances are an option for some people with OSA and work by shifting the lower jaw or pulling the tongue forward to keep the airway from becoming blocked.
- Surgery: Surgery is typically used as a second-line treatment for sleep apnea when other approaches are unsuccessful. There are a wide variety of surgeries that may be used to treat sleep apnea, which alter tissues to prevent obstructions during sleep or use an implantable medical device to stimulate breathing.
Tips for Relieving Your Sleep Apnea Symptoms
The most important step in getting relief from sleep apnea symptoms is to talk to your doctor. Treatment can help alleviate symptoms, so be sure to contact your doctor if your sleep quality is suffering or if you have daytime symptoms suggestive of sleep apnea.
Your doctor may also suggest tips for reducing sleep apnea symptoms.
- Exercise and watch your weight: If you’re overweight or obese, weight loss and regular exercise can improve your health, reduce obstructive breathing problems, and ease daytime symptoms. Your doctor can discuss dietary changes, safe ways to exercise, and other options like medications and surgery.
- Be cautious about drinking and smoking: Smoking and drinking alcohol can worsen episodes of OSA and exacerbate daytime symptoms, so doctors recommend quitting smoking and restricting alcohol consumption.
- Change your sleeping position: If breathing gets worse when sleeping on your back, changing your sleeping position may reduce the symptoms of sleep apnea. Switching sleeping positions can be challenging, though several devices are available that help people learn to sleep in a new position.
- Review your medications: Both OSA and CSA can be triggered or exacerbated by certain medications. If you’re on medication and have sleep apnea symptoms, consider meeting with your doctor to review your medications use.
Tips for Caregivers
Caregivers can play an important role in helping people notice sleep apnea symptoms, talk to their doctor, and adjust to sleep apnea treatment.
- Record symptoms: Caregivers may be the first to notice sleep apnea symptoms, so it may be helpful to keep a sleep diary that notes the type and frequency of breathing issues, daytime sleepiness, or other related symptoms.
- Help with driving: Sleep apnea can cause people to fall asleep or feel tired behind the wheel of a car. Caregivers can play an important role in assisting their loved ones with transportation.
- Support treatment: It can take time to adjust to treatments for sleep apnea, so caregivers can help people adhere to the recommended sleep apnea treatments and resolve any challenges that arise.
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