How Is Sleep Apnea Diagnosed And Treated

How Is Sleep Apnea Identified and How Is It Treated?

Because Sleep Apnea cannot be diagnosed in the context of a routine medical visit, it requires a specific protocol to be effectively diagnosed. An effective way to establish to one's physician that you may be suffering from sleep apnea is to keep a sleep diary for fourteen days before your appointment. You can use this diary as evidence that your sleeping habits are being disrupted, which may prompt your physician to set you up with an appointment with a sleep specialist.

Also, be open with your doctor about your energy levels and how your sleeping issues impact your quality of life. It's also important to share your personal and family medical history to further prove your deficiency.

Sleep Apnea Physical

Further evidence of sleep apnea can be evaluated via physical examination. Your doctor can look into your throat, nose, and mouth to identify the presence of tissue that may impede the ability to breathe easily during the night. For example, many adult Sleep Apnea patients have a soft palate or uvula, which is more significant than average and restricts airways during sleep.

If your physician considers you a potential sleep apnea sufferer, he or she will likely recommend you visit a sleep specialist. There are many tests that can accurately diagnose sleep apnea, but these tests require you to have an opportunity to be monitored for sleeping comfortably.

Polysomnogram for Sleep Apnea Diagnosis

The most frequently used test for sleep apnea is known as a Polysomnogram. This test uses various diagnostic devices to evaluate blood pressure, heart rate, eye movement, and brain activity during sleep. This test also measures other factors, including the rise and fall of your chest, snoring, the rate at which air flows in and out of your nose, and oxygen levels in your bloodstream.

As you can imagine, this test is pretty elaborate, so it generally requires that you visit a specifically designed sleep laboratory or sleep center. There is no pain involved with the procedure, and it's no different than a regular night's sleep, except, of course, you will be fitted with several sensors attached to your finger, limbs, chest, face, and scalp.

These devices will help your sleep specialist provide you with an informed diagnosis about your sleep apnea, which will help him or her provides you with the most effective form of treatment to meet your needs.

CPAP Sleep Apnea Treatment

The most effective method to treat Sleep Apnea is known as a CPAP or Continuous Positive Airway Pressure device. This works exactly how it sounds. It enhances the airflow through your nose and throat, widening your airway and helping you sleep more soundly through the night. The elaborate testing during your sleep study will help your physician correctly calibrate the CPAP to meet your body's needs at rest.

There are also tests that can be administered at your home to provide diagnostic data regarding your sleeping pattern. The most commonly used device is known as a Home-Based Portable Monitor.

Of course, this device will not provide the same depth of results as a Polysomnogram, but it can provide valuable data at a cheaper cost. In particular, the home monitor measures the rise and fall of the chest, heart rate, air circulation, and blood-oxygen levels. This test is often used as a preliminary examination for patients to see if they need a sleep study.

What Are Sleep Apnea Treatment Options

Several options are available to sleep apnea patients, dependent upon the severity and source of their apnea. These options include breathing devices, mouthpieces, changes in lifestyle, and surgery. Obstructive sleep apnea is generally not treated with medication.

What Are the Goals of Sleep Apnea Treatment?

• Reduce Fatigue

• Stop Snoring

• Make It Easier to Breath During Sleep

Because sleep apnea is commonly associated with other conditions such as hypertension and obesity, Sleep Apnea treatment is often combined with other forms of treatment to relieve these related medical conditions.

It is important to treat sleep apnea because in doing so, you can reduce the risk of various related medical conditions, especially those related to the heart and cardiovascular system, including stroke and heart attack.

The treatment that will work best for you depends on your medical condition and personal preferences, and your sleep specialist will help you pick the ideal treatment option to meet your needs.

For patients with mild sleep apnea, the best form of treatment may simply be a mouthpiece combined with lifestyle changes. On the other hand, patients that experience more severe sleep apnea will likely be most effectively treated with a CPAP or surgery.

In some cases, your issues with daytime fatigue may come from sources other than Sleep Apnea, and if your Apnea Therapy isn't providing you the results you need, it's likely that you aren't allowing yourself adequate rest. You need seven to eight hours to become fully rested, and some patients actually need more.

If the combination of sleep and medical treatment isn't practical, you and your sleep specialist will have to explore other potential options.

Adopting Healthier Habits to Encourage Better Sleep

For patients with light sleep apnea, you may recover from your condition simply by altering your habits and lifestyle to improve your sleep.

• If you suffer from a stuffy nose due to allergies or other conditions, use medications or nasal sprays to improve your condition

• Make the effort to sleep on your side. Obstructive Sleep Apnea is most commonly an issue when a patient sleeps on his or her back. There are shirts and pillows that can inhibit back-sleeping and help alter your habits.

• If you are overweight, try to lose weight and reach a healthier weight. Soft tissue can inhibit airways, making it harder to breathe during sleep.

• Don't take medications that cause you to become sleepy, and limit your use of alcohol entirely if necessary. Depressants cause your airway to become more restricted because the muscles relax.

• If you are a tobacco user, stop smoking.

• For some patients, a simple device known as an oral appliance can mitigate the effects of sleep apnea. It can also be used for snorers.

Regarding mouthpieces, you can visit an orthodontist or dentist who can build you a mouthpiece explicitly designed for your mouth to increase airflow. This mouthpiece will open your mouth very slightly, preventing your tongue and jaw from getting in the way of your breathing.

Breathing Devices for Sleep Apnea

Medical devices promote the airflow by actively circulating air and keeping the airway open for patients with more troublesome sleep apnea. The most prescribed treatment for more severe sleep apnea is the CPAP. There are two types of CPAP. The most common device utilizes a mask that covers your nose and mouth, but some devices just introduce airflow through the nose. This product provides a slow and steady stream that delivers air to the throat. In doing so, it makes it easier to breathe.

Recognizing that snoring and sleep apnea are related but not identical health conditions is essential. Just because you are no longer snoring doesn't mean that you no longer need your CPAP or have been cured of your condition. Sleep Apnea is chronic, and moderate to severe sleep apnea will return if you suspend treatment.

Under most circumstances, a professional will visit your home to prepare the CPAP for use, dependent upon the recommendation of your physician. It's also important to recognize that your condition may change over time, necessitating changing your CPAP settings periodically to improve airflow. Of course, this should only be done by your sleep doctor.

Some people experience side effects as a result of using a CPAP. Most common side effects include headache, dry mouth, skin irritation, and stuffy or dry nasal passages. Also, if the CPAP isn't programmed correctly, it can lead to stomach discomfort and bloating.

For the most part, these side effects can be easily treated, helping you to get the most out of your CPAP device. It's essential to be open with your sleep doctor and the tech that comes to your home to ensure your CPAP treatment is optimal.

For patients that experience issues with runny or dry nasal passages, there are ways to increase the moisture content of the air to improve response. Also, you may benefit from choosing a mask that fits your face more securely.

Most patients who use CPAP find that the device improves their sleep quality and energy levels and are satisfied with the treatment.

Sleep Apnea Surgery

In significant cases of Sleep Apnea, the patient may benefit most from surgery. The form of surgery required depends on the specific cause of Obstructive Sleep Apnea. In general, the goal of Sleep Apnea Surgery is simply to open airways more securely. This can be done by removing, stiffening, or shrinking soft tissue in the throat and mouth and can also be accomplished by adjusting the jaws to increase airflow.

Soft tissue surgery can be done either as an outpatient procedure or at a hospital. If the goal is simply to shrink soft tissue, it may simply require an injection or other form of treatment rather than surgery. If the goal is to increase the thickness of the tissue, the surgeon may make a small incision and place a bit of sterile, hard plastic into the tissue.

If the goal of the surgery is strictly tissue removal, this form of treatment will only be provided at a hospital, and you will require anesthesia. After treatment, there is a chance that you will experience pain in the throat for seven to fourteen days. Finally, pediatric patients may benefit from tonsil removal, which is a common and standard surgery.

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