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Can Sleep Apnea Cause Fatigue

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People With Sleep Apnea Die Because They Cant Breathe In The Middle Of The Night

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MOSTLY FALSE. The potentially fatal consequences of sleep apnea, such as heart disease, generally occur over time. When someone with sleep apnea stops breathing during sleep, the body senses it and steps in. Your brain wakes up so you can take a breath, Dr. Pervez says. However, its possible for a drop in oxygen to cause immediate death in someone suffering from advanced heart disease or another severe condition. The risk of death also depends on the severity of sleep apnea.

The Fatigue Severity Scale

This self-rated test can help you assess the severity of your fatigue symptoms in different aspects of your life. You have to rate each item from 1 to 7 . The higher the score, the greater the fatigue.

It was established that a score of 3 is the limit between normal and abnormal fatigue levels.

The Fatigue Severity Scale

Fatigue interferes with my physical abilities.

Fatigue causes frequent problems for me.

My fatigue prevents sustained physical functioning.

Fatigue interferes with carrying out certain duties and responsibilities.

Being fatigued is among my three most disabling symptoms.

My fatigue interferes with my work, family, or social life.

Degrees Of Severity Of Sleep Apnoea

The full name for this condition is obstructive sleep apnoea. Another rare form of breathing disturbance during sleep is called central sleep apnoea. It is caused by a disruption to the mechanisms that control the rate and depth of breathing. The severity of sleep apnoea depends on how often the breathing is interrupted. As a guide:

  • normal sleep fewer than five interruptions per hour
  • mild sleep apnoea between 5 and 15 interruptions per hour
  • moderate sleep apnoea between 15 and 30 interruptions per hour
  • severe sleep apnoea more than 30 interruptions per hour.

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Treatments May Be Trial And Error Until You And Your Doctor Get It Right

When sleep apnea is mild, treatment recommendations are less clear-cut, and should be determined based on the severity of your symptoms, your preferences, and other co-occurring health problems. Working in conjunction with your doctor, you can try a stepwise approach if one treatment doesnt work, you can stop that and try an alternative. Managing mild sleep apnea involves shared decision-making between you and your doctor, and you should consider just how bothered you are by sleep apnea symptoms, as well as other components of your health that could be made worse by untreated sleep apnea.

How To Spot The Symptoms Of Sleep Apnea

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Snoring may be the most well-known symptom of sleep apnea, but its not the only one. Other symptoms include:

  • Gasping or choking during sleep
  • Experiencing pauses when you breathe at night
  • Mood issues
  • Waking up throughout the night to go to the bathroom

If you have any of these symptoms, or have newly-diagnosed atrial fibrillation and high blood pressure with or without daytime sleepiness, its important to talk to your doctor about the possibility of sleep apnea, says Mendez. Women often have insomnia but not snoring, and some people get tipped off that they might have a sleep problem because of an activity tracker like a Fitbit, he says. Bottom line: Be open to the possibility of sleep apnea, even if you dont think you present in the typical way.

If your doctor suspects you have sleep apnea, he or she can then order you an at-home sleep apnea test, which eliminates the need to go to a sleep center to be analyzed, says Mendez. Its far more convenient and accessible to patients. Getting this test could potentially be a lifesaving decision, he says.

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How Treating Sleep Apnea Can Help You Feel More Energetic

If youre diagnosed with sleep apnea, the right treatment can help you shake off daytime sleepiness. You may be advised to make lifestyle changes, or your doctor may recommend an oral or dental device or ask you to use a CPAP machine, a mask that helps keep your airway open overnight. The best choice for you depends on the severity of your sleep apnea, your insurance coverage, and the availability of experts in your area.

What you dont want to do is self-treat sleep apnea with over-the-counter or online dental devices. These products are not only not recommended but can also cause harm, says Mendez. Certain dental products, for example, may damage your teeth, he says.

The good news: With proper treatment, you can expect your daytime sleepiness to fade and your energy levels to rise. Symptoms improve quickly in a matter of days to a week or two, says Mendez. For patients with severe apnea, just one night can be a dramatic change in how they feel and function during the day, he says.

Sleep Apnea Treatment Options

If you suspect you are experiencing sleep apnea, talk to your Orlando ENT about your concerns. There are several different sleep apnea treatments:

  • Sleep study to see how your sleep is being interrupted
  • CPAP machine which applies mild air pressure to make sure the airways remain open
  • Somnoplasty
  • Medications to help you stay more alert throughout the day will encourage better sleep at night
  • Weight loss as obesity can interfere with nighttime breathing

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Exactly What Is Sleep Apnea And Exactly What Are The Symptoms

Sleep Apnea Leg PainExactly what is sleep apnea? Apnea actually suggests no breath or stopping breathing.

Lots of people have rest apnea, however may not even know it.

In fact, rest apnea affects greater than 3 in 10 males and almost 2 in 10 ladies, so its more common than you could believe.

If you think you may have rest apnea, it is very important to identify a few of the typical symptoms and what you can do regarding it.

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What Causes Sleep Apnea

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Obstructive sleep apnea is caused by a blockage of the airway, usually when the soft tissue in the rear of the throat collapses during sleep. Central sleep apnea is usually observed in patients with central nervous system dysfunction, such as following a stroke or in patients with neuromuscular diseases like amyotrophic lateral sclerosis . It is also common in patients with heart failure and other forms of heart, kidney or lung disease.

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How To Treat Obstructive Apnea Relaxation

Relaxation apnea is a real relaxing issue that needs to be addressed. Your clinic or restorative therapist can help you choose the treatment plan that is right for you. Depending on the treatment, he or she may be able to work with a variety of individuals throughout the group, including dentists, doctors, paramedics, therapists, and specialists. Your preparations may include any combination of these drugs:

What Is Sleep Apnea

Sleep apnea is a serious sleep disorder that happens when a person’s breathing is interrupted during sleep. People with untreated sleep apnea stop breathing repeatedly during their sleep, sometimes hundreds of times during the night.

If its not treated, sleep apnea can cause a number of health problems, including hypertension , stroke, cardiomyopathy , heart failure, diabetes and heart attacks. Untreated sleep apnea can also be responsible for job impairment, work-related accidents and motor vehicle crashes, as well as underachievement in school in children and adolescents.

There are two types of sleep apnea, obstructive and central:

  • Obstructive sleep apnea is the more common of the two. Obstructive sleep apnea occurs as repetitive episodes of complete or partial upper airway blockage during sleep. During an apneic episode, the diaphragm and chest muscles work harder as the pressure increases to open the airway. Breathing usually resumes with a loud gasp or body jerk. These episodes can interfere with sound sleep, reduce the flow of oxygen to vital organs, and cause heart rhythm irregularities.
  • In central sleep apnea, the airway is not blocked but the brain fails to signal the muscles to breathe due to instability in the respiratory control center. Central apnea is related to the function of the central nervous system.

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Central Sleep Apnea Causes And Risk Factors

Like obstructive sleep apnea, central sleep apnea is more common in men and people over the age of 65. But unlike obstructive sleep apnea, central sleep apnea is often associated with serious illness, such as heart disease, stroke, neurological disease, or spinal or brainstem injury. Some people with obstructive sleep apnea can also develop central sleep apnea when theyre being treated with positive airway pressure devices.

Underactive Thyroid And Fatigue

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Symptoms: Extreme fatigue, sluggishness, feeling run-down, depression, cold intolerance, weight gain

The problem may be a slow or underactive thyroid. This is known as hypothyroidism. The thyroid is a small, butterfly-shaped gland that sits at the base of your neck. It helps set the rate of metabolism, which is the rate at which the body uses energy.

According to the American Thyroid Foundation, about 17% of all women will have a thyroid disorder by age 60. And most won’t know it. The most common cause is an autoimmune disorder known as Hashimoto’s thyroiditis. Hashimoto’s stops the gland from making enough thyroid hormones for the body to work the way it should. The result is hypothyroidism, or a slow metabolism.

Blood tests known as T3 and T4 will detect thyroid hormones. If these hormones are low, synthetic hormones can bring you up to speed, and you should begin to feel better fairly rapidly.

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Getting Used To Your Cpap Device

Ease into it. Start by using your CPAP device for short periods. Try wearing it for a half hour or an hour while sitting up in bed watching TV or reading a book. Once youve gotten used to that, try using it lying down or when napping.

Use the ramp setting. Most devices can be programmed to start slowly and gradually increase air pressure. The goal is to be asleep before the machine reaches your prescribed pressure setting. Most people find this makes falling asleep much easier and more comfortable.

Reset the machine if air flow wakes you. If a high-pressure stream of air wakes you up, turn the CPAP device on and off to restart the ramp setting.

Symptoms Of Sleep Apnoea

People with significant sleep apnoea have an increased risk of motor vehicle accidents and high blood pressure, and may have an increased risk of heart attack and stroke. In the over-30 age group, the disorder is about three times more common in men than women. Some of the associated symptoms include:

  • daytime sleepiness, fatigue and tiredness
  • poor concentration
  • impotence and reduced sex drive
  • need to get up to toilet frequently at night.

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Other Causes Of Extreme Fatigue

Medications for depression like antidepressants, can cause sleepiness and fatigue. In one recent study, more than 90 percent of patients with major depression had severe fatigue despite the fact that more than 80 percent of these patients were already taking antidepressant medications. Read the study here.

Drugs that reduce the high blood pressure , especially alpha 2 receptor agonists, beta-blockers and alpha 1 receptor antagonists are also common causes of extreme fatigue.

Drugs that treat abnormal heart rhythm also may cause sedation.

What Are The Effects Of Sleep Apnea

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If left untreated, sleep apnea can result in a number of health problems including hypertension, stroke, arrhythmias, cardiomyopathy , heart failure, diabetes, obesity and heart attacks.

Its likely that sleep apnea can cause arrhythmias and heart failure because if you have sleep apnea, you tend to have higher blood pressure. In fact, sleep apnea occurs in about 50% of people with heart failure or atrial fibrillation.

This is because sleep apnea can cause:

  • Repeated episodes of oxygen lowering .
  • Changes in carbon dioxide levels.
  • Direct effects on the heart due to pressure changes within the chest.
  • Increased levels of markers of inflammation.

With the high prevalence of sleep apnea in cardiac arrhythmias and heart failure , experts recommend that you dont delay in seeking the advice of your physician.

Last reviewed by a Cleveland Clinic medical professional on 03/03/2020.

References

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The Difference Between Sleep Apnea And Simple Snoring

The most obvious way to tell the difference between sleep apnea and simple snoring is how you feel during the day. Normal snoring doesnt interfere with the quality of your sleep as much as sleep apnea does, so youre less likely to experience extreme fatigue and sleepiness during the day. Sleep apnea can be a serious disorder, so you should contact a doctor immediately if you or your partner notices the symptoms. Your doctors diagnosis of sleep apnea may require seeing a sleep specialist and tests that can be done at home or in a clinic.

The following conditions may increase the risk of obstructive sleep apnea:

  • Being overweight
  • Race/ethnicity: African Americans, Hispanics and Pacific Islanders are at greater risk
  • A neck circumference of more than 15.75 inches
  • Allergies or conditions that cause nasal congestion or blockage

Central sleep apnea is more common in males and people over the age of 65. It is often associated with serious illnesses, such as heart disease, stroke, neurological disease, or spinal or brain stem injury.

Sleep apnea is a treatable condition. Mild to moderate sleep apnea can be helped by lifestyle changes and home remedies. Losing weight, quitting smoking, avoiding alcohol, sleeping pills and sedatives, exercising regularly, avoiding caffeine and heavy meals, and keeping regular sleeping hours are ways to battle sleep apnea.

Tips To Improve Tinnitus And Improve Sleep

Avoid a too-quiet room: Ringing in the ears is much more noticeable when a room is quiet. Using an app or device to create sleep-friendly sounds may help drown out the ringing.

Meditation and mindfulness: Meditation and mindfulness are important to help reduce stress. Studies have shown meditation to be a beneficial tool in better managing tinnitus, as it makes you focus on your breathing rather than the noise in your ears.

Other relaxation techniques: Tinnitus can provoke anxiety, so its important that you utilize techniques to help promote relaxation. Some other techniques include deep breathing exercises, progressive relaxation, guided imagery, aromatherapy, and cognitive behavioral therapy.

Limit use of earplugs: Earplugs, although they can protect your ears, can reduce the ability to hear external sounds and make tinnitus appear worse. Furthermore, frequent earplug use can lead to wax buildup and impaction, which can further worsen tinnitus.

Dont ignore ear pain: Ear pain in combination with tinnitus could be a sign of another cause for tinnitus that, if left untreated, could worsen your symptoms. Always speak to your doctor about these types of symptoms.

Seek treatment for hearing problems: If you begin experiencing difficulties hearing, then speak to your doctor, as there could be an underlying medical condition that is triggering this. Underlying medical issues could also be contributing to your poor sleep.

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The Link Between Rheumatoid Arthritis And Obstructive Sleep Apnea

With OSA, a persons airway becomes partially or completely obstructed during sleep, which interrupts their breathing for 10 to 30 seconds at a time and deprives them of oxygen until they wake up and start breathing again. These short stops in breathing can happen up to 400 times every night. Even if the periods of not breathing dont fully wake you up, the micro-interruptions in breathing can disturb your sleep.

If someone poked you with a stick every 10 minutes while you were asleep, youd feel pretty tired even if you slept eight hours, says Nitun Verma, MD, a sleep doctor in San Francisco and a spokesperson for the American Academy of Sleep Medicine.

Researchers arent sure why people with RA have a higher risk of OSA. Here are some possible explanations.

Snoring Is More Than Just An Annoying Habit That Inconveniences Sleeping Partners It Can Also Be The Sign Of Something Worse Here Are Some Important Facts You Need To Know About Snoring And Its Connection To Sleep Apnea

People struggling with sleep apnea will snore loudly at ...

Loud snoring, accompanied by daytime fatigue, may be a sign of a common disorder known as sleep apnea. This condition causes breathing to stop and start repeatedly during sleep. It can affect the mood, leave a person exhausted during the day, challenge relationships with bed partners, and even be dangerous to ones health. It can also lead to poor concentration and an increased risk of accidents, as well as irritability and even depression. Physical health problems such as diabetes, heart disease, liver problems and weight gain are other possible results.

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Always Tired You May Have Sleep Apnea

Getting treatment for obstructive sleep apnea or OSA can save your life and help you feel better every day.

    Do you feel tired or have a headache when you wake up in the morning? Something might be going wrong while you sleep that you dont know about: obstructive sleep apnea .

    Three Types Of Sleep Apnea

    • OSA also is known as Obstructive Sleep Apnea Obstructive sleep apnea is the most common among the three types of sleep disorders. When we sleep, our muscles are usually relaxed. Our throat muscles, however, are collapsible and may cause the obstruction. Complications include sleep deprivation, which highly contributes to stress, and decreased in blood oxygen, which can be fatal. Stress is also a factor that causes being obese, and unfortunately, the more you gain weight, the higher the risk of obstructive sleep apnea complications.

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