Recently Answered Questions
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I am a 19-year-old experiencing sleep problems. Please help.
Query: Hello doctor, I have heard about obstructive sleep apnea and continuous positive airway pressure (CPAP) therapy as a 19-year-old experiencing sleep problems. How does continuous positive airway pressure operate, and what are the advantages of this treatment for obstructive sleep apnea? Could you ... Read Full »
Answer: Hello, I am delighted to welcome you at icliniq.com. I read your query and understand your concern. Continuous positive airway pressure (CPAP) therapy is a common treatment for obstructive sleep apnea (OSA), a sleep disorder that causes repeated pauses in breathing during sleep. CPAP works by del... Read Full »
I need CPAP for sleep apnea. Can it delay cognitive growth?
Query: Hi doctor,I am a 33-year-old male with untreated sleep apnea for two years. I am about to undergo CPAP (Continous Positive Airway Pressure) therapy. I want to know whether my ability to think, learn, and concentrate return to baseline after the initiation of CPAP therapy. I would also like to know i... Read Full »
Answer: Hi, Welcome to icliniq.com. I have read the query, and I can understand your concern. I can understand your problem and concern. CPAP (Continous Positive Airway Pressure) therapy is best for sleep apnea. It will not affect your cognition, memory, and thinking. It may improve even your cognition i... Read Full »
Does untreated sleep apnea cause stroke and brain changes?
Query: Hello doctor, The patient underwent extensive routine physical examination including MR/CT (computed tomography) imaging and laboratory analysis earlier this month. The magnetic resonance (MR) Brain shows evidence of lacunar stroke and ischemic brain changes. Please advise if these might be connecte... Read Full »
Answer: Hello, Welcome to icliniq.com. I carefully went through your question and the patient's medical history. I reviewed her medical report and the uploaded brain magnetic resonance imaging (MRI) study (attachment removed to protect patient identity) and would explain that those changes are indicative o... Read Full »
A male suffers from excessive sleep and muscle spasms. Why?
Query: Hello doctor, This is regarding a male aged 48 with high blood pressure, diabetes, sleep apnea, and overweight. He has muscle spasms or shakes, drops things because of this, and cannot stay awake during the day. It affects his driving and family life. He can nap for a few hours and when he gets up ... Read Full »
Dr. Mahmoud Ahmed Abdelrahman Abouibrahim
Answer: Hello, Welcome to icliniq.com. It is clear that he has obstructive sleep apnea which causes interrupted sleep during the night due to obstruction of the nasopharyngeal air flow. As a consequence, he becomes sleepy in the daytime. Confirmation of the diagnosis requires: Polysomnography. Over the... Read Full »
I have poor sleep quality. Please help.
Query: Hi doctor, I am on CPAP for two years and my AHI is in normal limits. But, the quality of my sleep is not good. My body and brain are not at all relaxing during sleep. I have aching muscles. Please guide. Read Full »
Answer: Hello, Welcome to icliniq.com. It seems that you might have developed some sleep issues mounting for insomnia. As you have mentioned that you are using continuous positive airway pressure (CPAP) and your apnea-hypopnea index (AHI) is well maintained, this sleep issue might be related with some ... Read Full »
Should I worry if my heart rate increases with exertion?
Query: Hi doctor, I have a severe doctor phobia. I am unable to go in for care, but I need to understand something happening better and if it is normal for my health. I had an episode of something a couple of months ago. I got extremely sick, started vomiting and sweating horribly, has chills and massively... Read Full »
Answer: Hi, Welcome to icliniq.com. First of all, there is no need to worry and relieve your anxiety. In all probabilities, you are having obstructive sleep apnea as all your data fits into it. Do you have any symptoms like snoring, interrupted sleep, unrefreshing sleep, morning headaches, daytime sleepin... Read Full »
Why do I have excessive daytime sleepiness? How to treat it?
Query: Hi doctor, I am a 16-year-old female. My weight is 85 kilograms, and I have a height of 5 feet 3 inch. I have excessive daytime sleepiness for the past three years. It got started in me before three years, and my parents took me to the local GP immediately. They did blood tests and told that I have... Read Full »
Answer: Hi, Welcome to icliniq.com. You have obstructive sleep apnea. Please say about other symptoms whether you had snoring, interrupted sleep, unrefreshed sleep, and morning headaches. If you had these symptoms, it supports the diagnosis. It is a condition characterized by obstruction of upper airway esp... Read Full »
I use a CPAP machine but have difficulty in breathing. Why?
Query: Hello doctor, I have fibromyalgia and have been using a continuous positive airway pressure (CPAP) machine for my severe sleep apnea for a month and seeing a respiratory therapist once a week. Yesterday she increased my CPAP pressure to 9.5 from 8.6. I struggled to sleep last night, but I think just... Read Full »
Answer: Hello, Welcome to icliniq.com. The increased pressure of the CPAP (continuous positive airway pressure) machine may have caused the soreness in the lungs. If pneumonia is suspected there will be fever, cough, sputum, and rapid breathing. And also mention how severe is your fibromyalgia pain. The m... Read Full »
Will untreated sleep apnea affect my cognitive abilities?
Query: Hello doctor,I am a 24-year-old male with mild to moderate untreated sleep apnea for two years. Will my cognitive abilities (ability to think, learn and concentrate) return to baseline after the initiation of CPAP therapy, or will there always be some permanent deficit? I took the Covid vaccine thre... Read Full »
Dr. Saraswat Kumarshri Shriniwas
Answer: Hello, Welcome to icliniq.com. I do not see any reason for your cognitive abilities not to return to baseline after treatment for obstructive sleep apnea. The first thing to do would be to confirm obstructive sleep apnea and get proper AHI (apnea-hypopnea index) from a polysomnography study. I wou... Read Full »
What can do to help my neck relax while I sleep?
Query: Hello doctor, I suffer from positional sleep apnea. My neck collapses (falls to the side) during REM sleep and narrows my airway. It is causing me to have a lot of anxiety and weakness during the day. In addition, I have shortness of breath when doing anything strenuous. I believe the high CO2 level... Read Full »
Answer: Hello, Welcome to icliniq.com. I understand your concern. While CPAP (continuous positive airway pressure) machine is often the first-line treatment for OSA (obstructive sleep apnea), it may not be effective in all cases, especially if the collapse of the airway is due to anatomical factors such ... Read Full »