Category Archives: Sleep Apnea

adult sleeping

Sleep Apnea: Causes, Effects and Treatment Options

One of the first indications that you may have sleep apnea is if you snore loudly when you sleep. If you stop breathing abruptly and start breathing again during the night, it is a serious indication that you have this disorder.

Whether you have obstructive or central can only be determined and diagnose by a sleep doctor specializing in sleep disorders.

Types of Sleep Apnea

The two primary types and causes are:

Obstructive: This type is the most common. Throat muscles relax as you sleep and block the airway, causing you to stop breathing. As your body struggles to breathe again, you may gasp or choke for air. Loud snoring is one indication that you have the obstructive type.

Central: The brain is a mystery and sometimes it misfires, failing to send signals to the muscles controlling your breathing.

Complex Syndrome: Patients experiencing a combination of both obstructive and central conditions have treatment-emergent central sleep apnea. This occurs when a patient using CPAP also experiences central apnea or hypopneas while using the machine.

What are the Primary Symptoms?

The main symptoms of this sleep disorder are common regardless of the type you have. The only way to properly identify and treat the specific disorder is by conducting a sleep study.

The primary indications that you may have either obstructive or central include:

  • Loud snoring
  • Stop breathing
  • Gasping or choking for air while you’re asleep
  • Waking up with a dry mouth
  • Headaches when you get up in the morning
  • Insomnia or trouble getting to and staying asleep
  • Hypersomnia or extreme sleepiness during the day
  • Problems with concentration or attention difficulties
  • Irritability

Although loud snoring is one of the main indications of this condition, many people who have this sleep disorder do not snore at all. However, if you experience any or all of the other indications, it’s best that you consult with your doctor since this disorder is a serious medical condition with adverse affects if left untreated.

Untreated Apnea May Result in Critical Health Issues

Don’t ignore your symptoms. There are serious complications that will affect your daily life if the disorder goes untreated.

Excessive fatigue. Waking up multiple times during the night makes it impossible to get the required amount of restorative sleep, which can result in excessive fatigue during the day. Fatigue leads to a lack of concentration or worse, falling asleep while driving or while at work.

Irritability is another result of fatigue, which can cause behavior problems, problems at work, or poor school performance in children who have this condition.

Heart conditions and high blood pressure. Apnea causes your blood oxygen levels to drop suddenly, leading to increased blood pressure, which puts a strain on your heart. Consequently, untreated, it puts you at higher risk for hypertension.

Other conditions and complications can develop from untreated sleep apnea such as diabetes, metabolic syndrome, liver disorders, and problems with surgeries or medications.

A sleep study helps doctors determine the type of apnea you have and the best course of treatment for you.

A Sleep Doctor is a Specialist in Sleep Disorders

Your primary care physician should refer you to a sleep doctor if you have many of the symptoms. These specialists are Board Certified in the specific area of sleep medicine, although many of these specialists have other areas of specialty as well.

A sleep doctor might also be a specialist in neurology, pulmonology, otolaryngology, or cardiology since apnea also affects each of these specific areas. A specialist will set up a sleep study for you in a sleep clinic or lab to make the proper diagnoses of your condition.

Benefits of Sleep Studies

Once you discuss your symptoms with a sleep doctor, if there is a high probability that you do have this condition, you will need to have a sleep study or polysomnogram, a procedure conducted in a sleep study clinic while you are asleep.

A good sleep clinic or sleep lab has comfortable private bedrooms with a nightstand for the CPAP machine and a TV if you need it to help you fall asleep.

This pain-free and non-invasive procedure records a variety of functions during sleep including brain wave activity, muscle tone and movements, heart rate, and eye movement. Preparation for the study involves placing electrodes on your head, legs and chest. The electrodes connect to a monitor that reads and records the data while you sleep.

Once the doctor reads the data, he can prescribe the proper course of treatment.

How is Sleep Apnea Treated?

The most common and most often prescribed is a CPAP or Continuous Positive Airway Pressure machine. The device includes a nasal or full-face mask connected to the machine by a hose.

The machine blows air through the hose to the mask to help keep the patient’s airway open during sleep. CPAP is actually one of the most effective forms of treatment, provided the patient uses it correctly, which means wearing it every time you go to sleep.

CPAP and Bi-PAP Machines

A BiPAP or Bilevel Positive Airway Pressure machine works exactly the same way as a CPAP except the airflow levels differ between inhaling and exhaling. Patients with very severe sleep apnea often use BiPAP to help maintain constant use as recommended.

Surgery to Correct Sleep Apnea

A surgical procedure is not the first treatment option for most patients, although it is a feasible option for some who simply cannot adapt to CPAP or BiPAP therapy. However, surgical options vary by individual and the severity of their obstruction that causes the apnea.

For patients who are not good candidates for surgery, it is imperative that they try a variety of masks until they find one that works for them.

The Numerous Benefits of Treatment

You should never leave sleep apnea untreated. When you comply with the doctor’s choice of treatment, you reduce your risks of any or all of the following health issues:

Heart Disease: Sleep apnea links to a variety of heart problems since it causes you to stop breathing frequently at night. These interruptions in breathing adversely affect both your blood pressure and blood oxygen levels, causing excessive strain on your heart.

Stroke: People who go untreated are far more prone to having a stroke.

Diabetes: Proper treatment of this sleep disorder improves your chances of avoiding diabetes.

Again, sleep apnea is a very serious medical condition that adversely affects nearly every part of your life if left untreated. If you suspect that you may have this disorder, call a professional sleep doctor right away to discuss your issues so you can lead a healthier, more productive life.

adult sleeping

The Dallas Center For Sleep Disorders

The Dallas Center for Sleep Disorders was founded in 2006 to help people affected by snoring, sleep problems, or daytime fatigue get the best Sleep Health treatment available, tailored to their individual needs.  Since then, the Dallas Center for Sleep Disorders has expanded its locations and options to better serve our clients in a more convenient and supportive way.  Along the way, we have shortened our name to simply Dallas Sleep.  At Dallas Sleep, our #1 philosophy is to serve our clients and to present you with the best treatment options available.  We are here to meet your needs, as it specifically relates to your Sleep Health.  Therefore, we will never push an agenda on you in any way.  Ultimately, you call the shots.

We carefully and thoughtfully evaluate our patients before creating a treatment plan that is easy to understand. We are skilled at diagnosing and treating all types of sleep disorders, including snoring, insomnia, sleep apnea, chronic fatigue, excessive daytime sleepiness, restless legs syndrome, sleep walking, night terrors, and narcolepsy.

Research and clinical experience have proven that sleep disorders contribute to an increased risk of attention deficit disorders (in both children and adults), hypertension, obesity/overweight, type 2 diabetes, cardiac arrhythmias (AFib), stroke, depression, anxiety, dementia, erectile dysfunction (ED), low testosterone levels (low T) and decreased libido.  The good news is that most sleep disorders, when properly diagnosed, can be successfully treated or managed.


Raising Awareness For Sleep Apnea Treatment To Reduce Seizures In Epilepsy

Because sleep habits have an affect on so many of our body’s systems, comorbidity or co-occurring disorders are common. One pair of conditions that show evidence of being related are sleep apnea and epilepsy.

What is sleep apnea?

Sleep apnea, also called sleep-disordered breathing or obstructive sleep apnea (OSA), is a condition where you have interruptions or pauses in your breathing while you sleep. Have you ever heard someone snoring and then notice it seems like they aren’t breathing? Then one loud gasp or snore (like a snorting sound) jolts them back into normal breathing again?

As you sleep, the muscles around your throat and neck area relax which reduces the size of your windpipe. This means that you may not be getting enough oxygen which is called oxygen desaturation. When the pause in breathing occurs, your body tells your brain to interrupt your sleep by activating those muscles to stiffen and open your windpipe. This is what causes the choking sound as someone returns to normal breathing.

When someone has sleep apnea, they can also have symptoms like headaches in the morning, trouble with concentration or mood, and sleepiness throughout the day. The troubles significantly worsen with increased risk for heart attack or heart failure, diabetes, stroke, high blood pressure, and obesity with those diagnosed with sleep apnea.

Unfortunately, not everyone obtains a diagnosis since we don’t all know what happens to us while we’re asleep. Paying attention to our sleep partners or family’s sleeping habits and symptoms plays such a huge role in identifying those who may be at risk.

What is epilepsy?

Epilepsy is a neurological condition that results in recurring seizures that can range in duration, type, and frequency. Doctors and scientists classify seizures into motor or non-motor types where a person either moves uncontrollably or they have absence seizures with no movement. A brain injury or genetic tendencies could cause these seizures, but typically, the source is not known.

Why are sleep apnea and epilepsy related?

A good portion of those who have epilepsy also have sleep apnea, about 40%. Of those, 16% have a moderate to severe form. The relationship exists because those who have epilepsy are at higher risk for obesity due to often having a more sedentary lifestyle. Patients are often unable to work or drive a car. There is also the side effect of weight gain from anti-seizure medications which leads to obesity. Not getting enough or not having quality sleep can lead to an increased frequency of seizures which results in negative health cycle of cause and effect that is difficult to alleviate without some kind of clinical intervention.

What does the latest research show?

Fortunately, there does seem to be hope. One researcher found in her latest study that treating sleep apnea in patients with epilepsy significantly reduced seizures. After one year of treatment, successful outcome as measured by reduced or no seizures, was recorded more often (85%) for epilepsy patients who received sleep apnea treatment than for those who did not. The researcher is Dr. Thapanee Somboon, and she is a research fellow at the Sleep Disorder Center in Cleveland, Ohio. Dr. Somboon’s findings were presented at the American Epilepsy Society’s annual conference.

The results are significant as they add to a growing body of work on the topic which could help doctors and neurologists be more aware of sleep apnea as a trigger of seizures. This can be particularly in those who haven’t responded to medications or other treatment which can be up to 30% of all patients.

Despite the relationship between seizures and sleep apnea becoming more well-known, there are still some epilepsy patients who have never been asked about their sleep habits by their doctors. A simple in-office questionnaire to identify those at risk for sleep apnea may be all that is needed to get someone on the right path for sleep apnea treatment like CPAP (continuous positive airway pressure) machines to reduce or even remove their seizures. Many neurologists may be surprised to find the degree to which epilepsy improvements are found with sleep therapy.

While additional studies must be performed on various populations to continue to quantify this work, results to date should encourage those who suffer from seizures. In an effort to improve quality of life and perhaps help those with epilepsy return to work, doctors and family members of those with epilepsy should consider a sleep study to identify any sleep conditions which could be contributing to negative health outcomes.

Remembering Carrie Fisher

Carrie Fisher and the Hidden Dangers of Sleep Apnea

When Carrie Fisher passed away last year, her death left a lot of people shocked and more than a little devastated; she was well loved for her role as the fierce and capable Princess Leia — and later, General Leia — in the Star Wars franchise and, as an outspoken and honest advocate for mental health and addiction recovery. Two weeks ago, her fans and family finally got some answers as to what could have claimed her life at such a young age. Among the contributing factors was sleep apnea, a term most people may never have even heard prior to the release of her autopsy report on June 16. Continue reading


We Need To Talk About Opioid-Induced Sleep Apnea

There is no denying that narcotic medications have allowed for much-needed relief for patients in debilitating pain. But there can also be no denying that there is a dark side to the skyrocketing rate of prescribed narcotics like hydrocodone, oxycontin, and fentanyl, especially when they’re consumed over a long period of time. The risk of addiction and dependency looms largest, but opioid therapies carry a range of other risks. Opioid-induced sleep apnea is one of them.

Continue reading