Sleep Apnea

A sleep disorder, where a person's breathing repeatedly stops and starts while asleep, is called sleep apnea. The characteristic signs and symptoms of sleep apnea are loud snoring and daytime tiredness even after a goodnight's rest. The types of sleep apnea are obstructive sleep apnea, central sleep apnea, and complex sleep apnea syndrome.

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My sleep is very disturbed. Is this anxiety-related?

Query: Hello doctor,This all began about two and a half months ago when I went through an extremely stressful period. I started having trouble sleeping. The stressful period has long passed, but my sleep still is not back to normal. For the past six to eight weeks, I can easily fall asleep but wake up ever...  Read Full »


Dr. Kumarshri Shriniwas Saraswat

Answer: Hello, Welcome to icliniq.com. This is known as an inability to maintain sleep wherein falling asleep and waking is unaltered, but multiple sleep breaks occur. You describe it as being recent in onset, persistent, started after a very stressful period, and most importantly, you are not feeling f...  Read Full »

I snore and gasp for air at night. What to do?

Query: Hello doctor,I had a sleep study test, and I showed the CPAP test to the Respiratory therapist. The RT said my study was qualified. I took this as I continued to gasp for air and snore at night, disturbing my boyfriend. Also, I feel tired through out the day. Currently, I am taking tablet Lexapro an...  Read Full »


Dr. Kumarshri Shriniwas Saraswat

Answer: Hello, Welcome to icliniq.com. I understand your concern. I have gone through your sleep study reports (attachments removed to protect the patient's identity). Your AHI (apnea-hypopnea index) is less than five, which is normal. It does not qualify for being labeled as sleep apnea. CPAP (contin...  Read Full »

Kindly review my reports and help me know the cause of my sleep apnea?

Query: Hello doctor, I am a 59-year-old male. For decades, I have been struggling with chronic pain and fatigue, which naturally was making my sleep significantly disrupted. Last week, I did a sleep apnea test, and they diagnosed me with moderate to severe sleep apnea. The doctor said that my age and med...  Read Full »


Dr. Sugreev Singh

Answer: Hi, Welcome to icliniq.com. Thank you for writing, and I can understand your concern. I have gone through your reports, and your sleep apnea is mild only (attachments removed to protect the patient’s identity). It is not related to the ENT issue. In contrast, it needs neurological ass...  Read Full »

Please advise on how to stop taking Metoprolol safely.

Query: Hello doctor,I am a 49-year-old male. My height is 6'1", and my weight is 309 lbs. I have been diagnosed with sleep apnea. I have had atrial fibrillation in the past, but that was related to alcohol withdrawal. I quit alcohol four years ago. I have also started to eat healthy, trying to exercise, an...  Read Full »


Dr. Muhammad Zohaib Siddiq

Answer: Hello, Welcome to icliniq.com. You have the following issues: 1) High blood pressure. 2) Obstructive sleep apnea. 3) Suspicion of atrial fibrillation. For high blood pressure (BP), you can continue taking tablet Lisinopril. Along with it, do regular exercise, lose weight, avoid alc...  Read Full »

Can a mild rise in blood pressure be controlled with exercise without taking any medication?

Query: Hello doctor, My blood pressure is high. Can I reduce my blood pressure from 146/95 mmHg to normal, just with regular exercises? I started working out at the gym for an hour, both in the mornings as well as in the evenings, since the last two days. Do I still need to continue my medications?  Read Full »


Dr. Vivek Pillai

Answer: Hello, Welcome to icliniq.com. I observe that your BMI (body mass index) is 28, which means you comes under BMI category overweight. Reducing your weight as well as getting your BMI to around 20 will directly help reduce your blood pressure. Also, check if you have a snoring problem. You c...  Read Full »

What does it mean if my RBC and hematocrit values are elevated?

Query: Hello doctor, I am a 21-year-old female. My height is 5'8", and my weight is 185 lbs. I take tablet Tirosint 50 mcg for my Hashimoto's thyroiditis and tablet Slynd for PCOS. My blood reports showed slightly elevated RBC and hematocrit and low MCH. I have had migraines for six years. What is ca...  Read Full »


Dr. Parth R Goswami

Answer: Hi, Welcome to icliniq.com. I have checked your CBC (complete blood count) report (attachments removed to protect the patient’s identity). In the attached blood report, red blood cells and hematocrit are slightly high, while MCH (mean corpuscular hemoglobin) is borderline low. Thes...  Read Full »

Are waking up at night, gasping for air, and tingling in extremities signs of sleep apnea?

Query: Hi doctor, I wake up in the night feeling like I am gasping for air with my heart racing. I also experience tingling in my arms or legs at the same time with ringing in my ears. This happens on average once a week. I have to find a light switch quickly to calm down and realize what is going on. The...  Read Full »


Dr. Utkarsh Sharma

Answer: Hello, Welcome to icliniq.com. I understand your concern and will help you regarding it. Sleep apnea is possible with the symptoms you have mentioned, but a polysomnogram (sleep study) is required for an appropriate diagnosis. This test comprises multiple components that electronically send and ...  Read Full »

I wake up every day with a heavy head and dizziness. Why?

Query: Hi doctor,I wake up with a heavy head, headache, and drowsiness. It seems tough to do anything in the morning. But, I feel more energetic in the evening. Why?  Read Full »


Dr. Alon Seifan

Answer: Hi, Welcome to icliniq.com. Many things can cause morning fatigue. If you snore at night, you may have a condition called sleep apnea or otherwise known as obstructive sleep apnea. This causes a lack of oxygen and can cause people to feel drowsy during the day. However, this would not explain w...  Read Full »

Why do I have symptoms of heartburn, shortness of breath and heart palpitations?

Query: Hi doctor,I notice some palpitations in my heart. I have heartburn at random times. I have shortness of breath. I start to have a cough when I lie down at night and I tend to choke easily if I lie flat on my back. I have done some tests. The results came back normal and clear. I have done a chest X-...  Read Full »


Dr. Penchala Prasad Kandikattu

Answer: Hi, Welcome to icliniq.com. The possible causes of your symptoms are acid reflux, nocturnal asthmatic attacks, orthopnea seen in heart failure, and obstructive sleep apnea. You need to do TMT (treadmill test), echocardiogram, polysomnography, serum pro-BNP (pro-B type natriuretic peptide), and...  Read Full »

Do psychological problems appear secondary to sleep apnea?

Query: Hello doctor, I am suffering from sleep apnea and some psychological problems. I strongly suspect that the two are related and that sleep apnea is causing psychological problems. About four years back, I was diagnosed with sleep apnea when the AHI was around 30. Gradually, my weight increased over...  Read Full »


Dr. Ashok Kumar Choudhary

Answer: Hi, Welcome to icliniq.com. I read your query and understood your concerns. With available details, it is almost transparent that you are suffering from sleep apnea and secondary mixed anxiety-depressive disorder (MADD), which means sleep apnea itself causes anxiety and mood depression. Now regar...  Read Full »

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