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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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 »
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 regard... Read Full »
I have been experiencing sleep apnea since a few days. Please help.
Query: Hi doctor,I think I might have sleep apnea. I am a 22-year-old male. About three weeks ago, I had a cold, and two weeks ago, I started to feel more tired than usual, with mild lightheadedness, although that has been improving. From more than two weeks ago until today, I have been suffering a lot of ... Read Full »
Answer: Hi, Welcome to icliniq.com. I understand your concern. Yes, you may have obstructive sleep apnea disorder. Though for confirmation polysomnography test is required. Your other set of symptoms are suggestive of anxiety which may be primary or secondary to your sleep apnea. Anxiety disorder is a comm... Read Full »
My son is feeling sleepy all the time. What is his problem?
Query: Hi doctor,My son of 23 years is feeling sleepy all the time, walks while sleeping, sleeps while standing and falls asleep while traveling in a car. He has concentration problems and very irritable. He is overweight. Of late, even his speech is not very clear. What is the problem? Which specialty doc... Read Full »
Answer: Hi, Welcome to icliniq.com. Does he snore? Is he having problems like interrupted sleep, morning headaches? Is his TSH normal? Most likely, he is having sleep apnea. It is a condition characterized by temporary cessation of respiration in sleep leading to interrupted sleep, low oxygen levels ... Read Full »
Query: Hello doctor, Sometimes, I snore at night. It disturbs my wife. If I turn on my side, the snoring stops. But can you suggest ways to cure the snoring? Read Full »
Answer: Hello, Welcome to icliniq.com. This is likely related to obstructive sleep apnea. Do you also have any symptoms like interrupted sleep, unrefreshed sleep, morning headaches, daytime sleepiness, etc.? These may be the associated symptoms. It is a condition characterized by obstruction of upper airw... 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 »
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 24-ho... Read Full »
Is there a permanent cure for obstructive sleep apnea?
Query: Hello doctor, I was diagnosed with obstructive sleep apnea and secondary pulmonary hypertension two years back. I am using a CPAP but, not too regularly now. When sleeping, I often feel a blockage of my air passage, especially while exhaling, as if suddenly clogged by some tissues. This would repeat... Read Full »
Answer: Hello, Welcome to icliniq.com. We need to find your apnea score. You must have done polysomnography before using the CPAP (continuous positive airway pressure) machine. Kindly share the reports so that we can know your apnea score. OSA (obstructive sleep apnea) can be treated by the surgical re... Read Full »
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 »
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 »
Query: Hello doctor, I have fibromyalgia and have been using a 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 from insomnia, not from the increase ... 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 ... Read Full »
Can my mouth breathing habit lead to sleep apnea?
Query: Hello doctor, I am 19. I am partly a mouth breather since childhood. I mean, I breathe through my mouth only while sleeping. Is it harmful? Will I get sleep apnea? I am a thin guy with no snoring issues. Read Full »
Answer: Hello, Welcome to icliniq.com. I just read your query about mouth breathing. I would like to say that yes, eventually it causes enlarged tonsils as well as adenoids, and causes a nasal obstruction leading to obstructive sleep apnea. It can happen in any body type. If your nose is blocked because... Read Full »