Sleep Apnoea

What is sleep apnoea?

— Sleep apnoea is a condition that makes you stop breathing for short periods while you are asleep. There are 2 types of sleep apnoea. One is called “obstructive sleep apnoea,” and the other is called “central sleep apnoea.” In obstructive sleep apnoea, you stop breathing because your throat narrows or closes. In central sleep apnoea, you stop breathing because your brain does not send the right signals to your muscles to make you breathe. When people talk about sleep apnoea, they are usually referring to obstructive sleep apnoea, which is what this article is about. People with sleep apnoea do not know that they stop breathing when they are asleep. But they do sometimes wake up startled or gasping for breath. They also often hear from loved ones that they snore.

What are the symptoms of sleep apnoea?

— The main symptoms of sleep apnoea are loud snoring, tiredness, and daytime sleepiness. Other symptoms can include:

• Restless sleep
• Waking up choking or gasping
• Morning headaches, dry mouth, or a sore throat
• Waking up often to urinate
• Waking up feeling unrested or groggy
• Trouble thinking clearly or remembering things

Some people with sleep apnoea don’t have symptoms, or they don’t know they have them. They might figure that it’s normal to be tired or to snore a lot.

Should I see a doctor or nurse?

— Yes. If you think you might have sleep apnoea, see your doctor.

Is there a test for sleep apnoea?

— Yes. If your doctor or nurse suspects you have sleep apnoea, he or she might send you for a “sleep study.” Sleep studies can sometimes be done at home, but they are usually done in a sleep lab. For the study, you spend the night in the lab, and you are hooked up to different machines that monitor your heart rate, breathing, and other body functions. The results of the test will tell your doctor or nurse if you have the disorder.

Is there anything I can do on my own to help my sleep apnoea?

— Yes. Here are some things that might help:

• Stay off your back when sleeping. (This is not always practical, because people cannot control their position while asleep. Plus, it only helps some people.)
• Lose weight, if you are overweight
• Avoid alcohol, because it can make sleep apnoea worse

How is sleep apnoea treated?

— As mentioned above, weight loss can help if you are overweight or obese. But losing weight can be challenging, and it takes time to lose enough weight to help with your sleep apnoea. Most people need other treatment while they work on losing weight. The most effective treatment for sleep apnoea is a device that keeps your airway open while you sleep. Treatment with this device is called “continuous positive airway pressure,” or CPAP. People getting CPAP wear a face mask at night that keeps them breathing. If your doctor or nurse recommends a CPAP machine, try to be patient about using it. The mask might seem uncomfortable to wear at first, and the machine might seem noisy, but using the machine can really pay off. People with sleep apnoea who use a CPAP machine feel more rested and generally feel better. There is also another device that you wear in your mouth called an “oral appliance” or “mandibular advancement device.” It also helps keep your airway open while you sleep. But devices do not work as well as CPAP for treating sleep apnoea. In rare cases, when nothing else helps, doctors recommend surgery to keep the airway open. Surgery to do this is not always effective, and even when it is, the problem can come back.

Is sleep apnoea dangerous?

— It can be. People with sleep apnoea do not get good-quality sleep, so they are often tired and not alert. This puts them at risk for car accidents and other types of accidents. Plus, studies show that people with sleep apnoea are more likely than others to have high blood pressure, heart attacks, and other serious heart problems. In people with severe sleep apnoea, getting treated (for example, with a CPAP machine) can help prevent some of these problems.