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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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 »

How is obstructive sleep apnea treated?

Query: Hi doctor, My daughter had a sleep study and she was diagnosed with obstructive sleep apnea and some other apnea also. She is not taking medications. I believe that she called it as central. I ordered an oxygen monitor as she was unable to breathe properly. I do not know what to do. In the last h...  Read Full »


Dr. Sandeep Shrestha

Answer: Hi, Welcome to icliniq.com. As your daughter is having apneic spells, it is better to consult a doctor soon to get treatment. The different causes for obstructive sleep apnea are enlarged adenoid, enlarged tonsil, enlarged turbinates, deviated nasal septum, or a large tongue. As you believe it...  Read Full »

How does a CPAP machine work to treat sleep apnea?

Query: Hello doctor, I am a 41-year-old male. My height 5'11''(180 cms) and weight is about 115 kg. I was diagnosed with sleep apnea about five years back. During the sleep test, the AHI (apnea-hypopnoea index) recorded was around 35. Now I use the ResMed Escape Auto CPAP (continuous positive airway press...  Read Full »


Dr. Anshul Varshney

Answer: Hello, Welcome to icliniq.com. So, for sleep apnea, I will not tell you theoretical points. Instead, I will help you with practical solutions only. We have the following options: 1. If you are overweight, just reduce it. Reduce 20% of your weight, and you would probably even not require a CPAP...  Read Full »

Can mouth guard prevent snoring?

Query: Hello doctor, I am a 34-year-old male. My weight is 105 kg. I snore a lot during winters, and it disturbs the sleep of my family as well. I had been trying to lose weight but not successful. I read that mouthguard can help in reducing the snoring. Please advise.  Read Full »


Dr. Syed Tehmid

Answer: Hello, Welcome to icliniq.com. Snoring is a problem that may be associated with other symptoms of sleep apnea. There can be several causes of snoring, which include obstruction right from the nose to the throat. If you do not have other sleep apnea symptoms, snoring may be attended to by simple me...  Read Full »

What possible diagnosis can cause palpitations, dizziness, hot face, and poor memory?

Query: Hello doctor, I am a 31-year-old male. I have been suffering from heart palpitations, dizziness, gasping for air upon falling asleep, and horrible fatigue. I recently started having a poor appetite, and I get a hot feeling in my face. Also, I get these times where I have poor memory and spaced out ...  Read Full »


Dr. Penchala Prasad Kandikattu

Answer: Hello, Welcome to icliniq.com. I have gone through all investigations. All reports are looking normal (attachment removed to protect patient identity).Do you take alcohol or caffeinated drinks regularly? Do you suffer from anemia? Possible causes of your symptoms may be anxiety neurosis, obstructive...  Read Full »

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