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What To Do For Mild Sleep Apnea

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Bilevel Positive Airway Pressure

How is Sleep Apnea treated? | CPAP | Continuous Positive Airway Pressure machine | theSITREP

Sometimes doctors prescribe a bilevel positive airway pressure machine when a person with sleep apnea cannot tolerate CPAP. The BiPAP operates similarly to a CPAP machine, connecting to a sleepers face via a tube and mask, then pushing out air to keep the airway open. However, a BiPAP machine differs from a CPAP in that it releases air at a higher pressure during a sleepers inhale and at a lower pressure during a sleepers exhale.

This feature makes the BiPAP a good choice for sleepers who have trouble exhaling into the stream of higher-pressure air coming from a CPAP machine. BiPAP machines are also sometimes prescribed to people who have sleep apnea as well as severe obesity or certain other health conditions, like chronic obstructive pulmonary disease and hypoventilation.

Supplemental Oxygen And Drug Therapy

Oxygen and medications may have adjunctive roles in the treatment of obstructive sleep apnea in some patients. They rarely are used as primary treatments.

Oxygen therapy is only partially effective. Although it helps to treat the oxyhemoglobin desaturation that occurs with some respiratory events, it does not reverse obstruction. When supplemental oxygen is used, apneas occur less frequently but may last longer.28 Oxygen therapy may be useful in patients for whom no other treatments are acceptable, but carbon dioxide retention is a risk in patients with severe underlying lung disease.

Because of fatigue and sleep deprivation, depression is a common complication of obstructive sleep apnea. Protriptyline is a tricyclic antidepressant that depresses rapid eye movement sleep, the period during which the most significant apneas often occur.29 However, the drug is not used often because of its anticholinergic side effects. A large number of newer antide-pressants also decrease REM sleep and, thus, have the potential to improve sleep apnea. As yet, however, no clear evidence supports their use.

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Sleep Apnoea Can Affect Your Driving Ability

People with significant sleep apnoea have an increased risk of motor vehicle accidents. Driving authorities recognise certain sleep disorders, including sleep apnoea that can affect driving fitness.

If you live in Victoria, you are legally required to notify VicRoads of any serious or chronic medical condition, injury or disability or the effects of certain treatments that may affect your ability to drive. Failure to do so may affect your insurance cover.

People with sleep apnoea will be assessed on a case-by-case basis and you may be advised to provide medical reports on the severity and treatment of your sleep apnoea. Options may include the issue of a conditional licence until your sleep apnoea is adequately treated.

People with sleep apnoea should also be aware of safety in other situations in which falling asleep could pose a danger to other people.

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Treatment Of Obstructive Sleep Apnea In Primary Care

LYLE D. VICTOR, M.D., M.B.A., Oakwood Hospital and Medical Center, Dearborn, Michigan

Am Fam Physician. 2004 Feb 1 69:561-569.

Sleep apnea is a cessation of breathing during sleep that is caused by repetitive partial or complete obstruction of the airway by pharyngeal structures. Patients with obstructive sleep apnea often are overweight, snore loudly, and complain of daytime fatigue and sleepiness. A sleep laboratory may be used to confirm the diagnosis. Family physicians should be able to diagnose and manage this relatively common disorder.

What Are The Signs & Symptoms Of Obstructive Sleep Apnea

Lifestyle Choices May Help Treat Mild Sleep Apnea ...

When breathing stops, oxygen levels in the body drop and carbon dioxide levels rise. This usually triggers the brain to wake us up to breathe. Most of the time, this happens quickly and we go right back to sleep without knowing we woke up.

This pattern can repeat itself all night in obstructive sleep apnea. Because of this, people who have it don’t reach a deeper, more restful level of sleep.

Signs of obstructive sleep apnea in kids include:

  • snoring, often with pauses, snorts, or gasps
  • heavy breathing while sleeping

Because it’s hard for them to get a good night’s sleep, kids might:

  • have a hard time waking up in the morning
  • be tired or fall asleep during the day
  • have trouble paying attention or be hyperactive

As a result, obstructive sleep apnea can hurt school performance. Teachers and others may think a child has ADHD or learning problems.

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Factors Affect The Pressure Setting

The anatomy of the upper airway and the nature of the airway obstruction plays the biggest role in determining the required CPAP pressure setting. If sleep apnea occurs because of a blocked nose due to allergies or a deviated septum , a collapsing soft palate, or a tongue that falls back into the airway, differing amounts of air are required to push these tissues out of the way.

In addition, being overweight or obese may influence the settings. In fact, when people lose about 10% of their body weight, it may be necessary to adjust the CPAP settings by turning them down.

Alcohol, medications that relax airway muscles , and sleeping on your back may all transiently add to your pressure needs. Finally, REM sleep towards morning may relax muscles and exacerbate sleep apnea as well.

Symptoms Of Sleep Apnea

The primary symptoms of sleep apnea include fatigue and low energy and experiencing daytime sleepiness. The bodys lack of oxygen and regular sleep disruptions at night are what cause issues such as the sleep apnea symptoms during the day. Your sleeping positions can have an impact on your sleep and can impact Sleep Apnea. Other symptoms include:

  • Sore or Dry Throat
  • Impotence
  • Falling Asleep As You Drive

The above symptoms, combined with lacking energy during the daytime, means that people with sleep apnea have a higher risk of decreased performances at school or work and being involved in motor vehicle accidents.

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B Latest Sleep Apnea Devices

With more options than ever before, were living in a golden age for sleep apnea treatment.

They include more comfortable air pressure-based systems, body positioners, new nerve stimulation technologies, and surgically implanted suspension lines.

As you read through the list of treatment options, here are some things to keep in mind:

Who is it recommended for?

Many of the treatments are for obstructive sleep apnea which is the type that most people have. Some will also work for central sleep apnea.

You need a treatment that works for your specific sleep apnea type. If youre not sure about this, get diagnosed.

Prescription requirement

Most of the treatments are medical devices which by law require a prescription in the US and many other countries. For this reason, youll have to work with a doctor to get properly diagnosed and a recommendation for a specific treatment.

Insurance coverage

Depending on your diagnosis, some are covered by insurance while others are covered partially or not all.

A sleep specialist can help you:

  • figure out which devices to try
  • get a prescription
  • qualify for insurance

American Sleep Apnea Association

How We Treat Obstructive Sleep Apnea

We envision a world in which most people suffering from sleep apnea are diagnosed, aware, educated and treated. This serious syndrome, when left untreated has a large influence on quality of life and multiple life-threatening implications. Yet it is highly treatable. Unfortunately it is estimated that more than 80% of people suffering from sleep apnea are undiagnosed. To help those living with sleep apnea, we work relentlessly to promote

  • better awareness in the general public and among health professionals and,
  • affordable, convenient and highly effective diagnoses and treatments.
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    Factors That Can Make Sleep Apnea Worse

    If you have sleep apnea, its important to get it treated right away. However, even with treatment, its possible to make your symptoms worse if youre not careful. Consider the following eight lifestyle factors that can make sleep apnea worse, and get started on treating them today for both healthy sleep and your overall health.

    If You Are Concerned You Might Have Osa Talk To Your Doctor

    Based on your symptoms, exam, and risk factors, your doctor may recommend a sleep study, or you might be referred to see a sleep medicine specialist. A comprehensive sleep assessment is needed to accurately evaluate sleep complaints, since sleep disorders tend to overlap. Treatment for mild OSA may improve sleep-related symptoms and your quality of life. However, there is no one-size-fits-all approach when it comes to sleep disorders, but rather a multidimensional and individualized approach to find what works for you.

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    Mild Sleep Apnea Symptoms You Should Know

    Sleep apnea is a condition that disturbs breathing while you sleep. According to Johns Hopkins Medicine, the disorder increases your risk of heart attack, stroke, and diabetes. Some signs of sleep apnea can be quite prominent, such as loud snoring and gasping for air during sleep. But you may need to pay closer attention to detect some of the condition’s more subtle signs. Here are four mild sleep apnea symptoms you should know.

    Diagnosing And Treating Sleep Apnea For Better Health

    Understanding Mild Sleep Apnea

    Its important to treat sleep apnea, because it can have long-term consequences for your health. While there have been some high-profile deaths linked to sleep apneasuch as with Judge Antonin Scalia Jun says that the true risk is from damage done over time.

    Obstructive sleep apnea can range from mild to severe, based on a measurement system called the apnea-hypopnea index . The AHI measures the number of breathing pauses that you experience per hour that you sleep.

    Obstructive sleep apnea is classified by severity:

    • Severe obstructive sleep apnea means that your AHI is greater than 30
    • Moderate obstructive sleep apnea means that your AHI is between 15 and 30
    • Mild obstructive sleep apnea means that your AHI is between 5 and 15

    Johns Hopkins Home Care

    We provide high quality, individualized care for patients of all ages where you feel most comfortable your home or community. Our services and equipment are designed to help you regain and retain a level of independence.

    Whether or not you need treatment for sleep apnea depends on its severity, whether or not you have symptoms such as sleepiness and other health conditions. For example, if you have risk factors for heart disease, your doctor might opt to treat you even for mild sleep apnea. On the other hand, if you have a severe case of sleep apnea, your doctor might insist on treatment even if youre not sleepy.

    Not very relaxing, right? Luckily, its treatable.

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    What Is Sleep Apnoea

    Sleep apnoea occurs when the throat muscles relax too much during sleep. This is the common form of sleep apnoea.

    A rarer form is central sleep apnoea where breathing stops during sleep and there is a pause before breathing begins again. It is caused by a disruption to the mechanisms that control the rate and depth of breathing.

    If you have sleep apnoea, the walls of your throat will collapse and become narrow as you breath in while you sleep. Air tries to travel through the narrowed airway and causes vibrations in tissues in the back of the throat these vibrations produce sounds known as snoring.

    Sometimes the throat can collapse so much that not enough air can get into the lungs , or it blocks off completely and no air gets into the lungs .

    You may have partial or complete obstructions where your breathing may decline or stop for a short time . These are sometimes called episodes or interruptions.

    When these things happen, the brain gets messages that something is wrong and will arouse itself from sleep for a few seconds. Most people are not aware of these arousals.

    This pattern can repeat itself hundreds of times every night, causing you to have fragmented sleep. This can leave you feeling unrefreshed in the morning with fatigue and sleepiness throughout the day and contributing to poor concentration and work performance.

    What Level Of Sleep Apnea Requires A Cpap

    When it comes to obstructive sleep apnea, it is typically moderate or severe symptoms that require continuous positive airway pressure as the first line of treatment.

    A CPAP is mainly recommended for the worst sufferers of sleep apnea, where mild symptoms of obstructive sleep apnea can be treated through other treatments.

    That being said, if your doctor suggests CPAP therapy, or any other avenues of treatment, then you should always listen to and take their professional advice.

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    Sleep Apnea Cardiovascular Risk And Metabolism

    Several studies have shown an association between sleep apnea and problems like type 2 diabetes , strokes , heart attacks and even a shortened lifespan, says Jun. Why this connection? For one thing, obesity is common in sleep apnea patients, and obesity greatly increases risks of diabetes, stroke and heart attack, he says. In most cases, obesity is the main culprit behind both conditions, Jun explains.

    Still, its important to note that not everyone with sleep apnea is obese. Furthermore, evidence suggests an independent link between sleep apnea and diabetes. Our lab and others have shown that sleep apnea is associated with higher risks of diabetes, independent of obesity, and that sleep apnea can increase blood sugar levels, says Jun.

    For people who are overweight or obese, weight loss is key for treating or avoiding sleep apnea. People who accumulate fat in the neck, tongue and upper belly are especially vulnerable to getting sleep apnea. This weight reduces the diameter of the throat and pushes against the lungs, contributing to airway collapse during sleep.

    Women in particular should be careful as they age. While premenopausal women tend to put on weight in the hips and in the lower body instead of the belly, this shifts with time. Weight begins to accumulate in traditionally male areas like the tummy, and this leads to a greater chance of sleep apnea.

    Is Sleep Apnea A Va Disability

    What is the difference between mild and severe obstructive sleep apnoea?

    CPAP machine used to treat Sleep Apnea

    Yes, Sleep Apnea is a VA disability and its rated under diagnostic code 6847, Sleep Apnea Syndromes .

    The most common VA rating for Sleep Apnea is 50%, which requires the use of a breathing assistance device such as Continuous Positive Airway Pressure machine.

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    How Is Obstructive Sleep Apnea Treated

    When obstructive sleep apnea is mild, doctors might check a child’s sleep for a while to see if symptoms improve before deciding on treatment. Nasal sprays or other medicines may help some kids with mild OSA.

    When big tonsils cause sleep apnea, doctors will refer families to an ear, nose, and throat doctor . The ENT might recommend:

    • removing the tonsils
    • removing large adenoids
    • removing both

    These surgeries often are effective treatments for obstructive sleep apnea.

    For other causes, a doctor may recommend continuous positive airway pressure therapy. In CPAP therapy, a person wears a mask during sleep. The mask may cover the nose only or the nose and mouth. It’s connected to a machine that pumps air to open the airways.

    When excess weight causes obstructive sleep apnea, it’s important to work with a doctor on diet changes, exercise, and other safe ways to lose weight. These patients often need CPAP to help them breathe during sleep.

    Mild Sleep Apnea Treatment Options

    According to Mayo Clinic, the most common treatment for moderate and severe sleep apnea is continuous positive airway pressure therapy, which involves a machine that supplies air flow through a face mask.

    While CPAP therapy is also used to treat mild sleep apnea, itâs not always necessary.

    âIt really depends upon what the patient is willing to do,â Khosla says. âCPAP is the most common treatment modality but it certainly isnât the only one. Oral appliance therapy is a dental device that pulls the jaw forward to treat OSA.â

    Another option is nasal expiratory positive airway pressure . This, Khosla says, consists of âa one-way valve that is either placed over the nostrils with an adhesive or placed inside the nose, paired with a nasal dilator. When you breathe in, the valve opens. When you breathe out, the valve closes almost all the way, trapping the air in your airway.â

    Lifestyle changes can help you manage mild sleep apnea as well. According to Khosla, these might include:

    • Losing weight

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    Is The Mildness Of Sleep Apnea Determined By The Patients Daytime Symptoms Such As Severity Is It Frequency Of These Symptoms Or Is It Something Else

    Well, believe it or not, you can be diagnosed with severe sleep apnea despite having mild or even none whatsoever daytime symptoms.

    And likewiseyou can be diagnosed with only mild sleep apnea yet have significant daytime symptoms.

    Typically these are awakening with headaches, struggling to stay awake on the job or while driving, and suffering from problems with concentration.

    Mild Sleep Apnea Its Still Sleep Apnea

    Do You Need a CPAP for Mild Sleep Apnea?

    So, as weve seen above, mild sleep apnea involves fewer interruptions than severe sleep apnea. All the same, it can still cause as many as 15 sleep interruptions every hour. Thats a lot of times to have your sleep disrupted every night, and it stands to reason that anyone with mild sleep apnea would want to work to prevent it.

    But does that mean using CPAP or other sleep apnea treatment equipment? Read our post on some of the more common mild sleep apnea treatment options.

    This blog post contains general information about medical conditions and potential treatments. It is not medical advice. If you have any medical questions, please consult your doctor.

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    Beyond Cpap: Other Options For Sleep Apnea

    Sleep apnea is a disorder that affects over 18 million adults in the U.S., according to the National Sleep Foundation. The most common treatment recommended for this condition, which can range from mild to severe, is the CPAP machine. But because it can be bulky, loud, and uncomfortable to wear, most patients don’t stick with it.

    Depending on numerous factors, though, there are some alternative treatments to CPAP. Some are more convenient, while others are more invasive. But before exploring sleep apnea treatment options, it’s important to know the more about the condition itself.

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