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(New page: =Sleep Symptoms= The Most Important Symptoms of Sleep Apnea Evaluating Your Sleep - Symptoms by Mile High Sleeper The symptoms of sleep apnea (stopped or reduced breathing during sleep)...)
 
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=Sleep Symptoms=
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=Types of Sleep Apnea=
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The Most Important Symptoms of Sleep Apnea
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There are two types of sleep apnea, Obstructive Sleep Apnea and Central Sleep Apnea. CPAP is used in when a person has Obstructive Sleep Apnea. This page is devoted to general Sleep Apnea facts - syptoms, risk factors and getting diagnosed. For information on the two specific types visit [[Obstructive Sleep Apnea]] or the page [[Central Sleep Apnea]] by clicking on the word.
  
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Evaluating Your Sleep - Symptoms  
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=Sleep Apnea Symptoms=
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by Mile High Sleeper
 
  
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The symptoms of sleep apnea (stopped or reduced breathing during sleep) can be very subtle and easily attributed to other factors. How can you tell what you do while you’re sleeping? It’s not unusual to be unaware of having sleep apnea, a nighttime respiratory disorder. You probably think you are sleeping well. You may be in denial of the condition and unaware of its serious health risks. Your bed partner or family may be more aware of a potential problem than you are. Fifty percent or more of people with sleep-disordered breathing (SBD) remain undiagnosed. (Carl E Hunt MD p. xi in Johnson’s Sleep Apnea – The Phantom of the Night). Other estimates are that only 5% of people with SBD have been diagnosed. Most physicians do not routinely screen for sleep apnea, and may treat resulting conditions such as high blood pressure or depression, without discovering the root cause - SBD. Most people are unaware of the symptoms and risk factors. What is needed is early detection before heart damage or falling asleep at the wheel.
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See the CPAP Wiki page dedicated to these issues [http://www.cpaptalk.com/wiki/index.php/Sleep_Apnea_Symptoms here].
  
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Untreated sleep apnea can lead to high blood pressure, stroke, heart attack, congestive heart failure, cardiac arrhythmia, depression, glaucoma, obesity, diabetes, and a host of other medical problems. Other risks are driver fatigue, poor judgment, poor memory, and sleepiness leading to car crashes, wrongful death and injury.
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Do I have Sleep Apnea? What are the symptoms and risk factors for Sleep Apnea?
  
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==The Most Important Symptoms of Sleep Apnea==
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Contents of Page
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  o 1 Evaluating Your Sleep - Symptoms
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          o 1.1 The Most Important Symptoms of Sleep Apnea
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          o 1.2 Possible Risk Factors
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                + 1.2.1 More Possible Indicators of Sleep Apnea
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          o 1.3 Sleep Apnea Assessment Quizzes
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          o 1.4 The Boiled Frog Analogy
  
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• loud and frequent snoring (often but not always)
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=Diagnosing Sleep Apnea=
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• periods of not breathing (apnea) during sleep, snorting, gasping, or choking during sleep
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==Who can Diagnose Sleep Apnea?==
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• need to urinate during the night (nocturia) See http://www.nocturiacures.com/
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Sleep doctor, Ear/Nose/Throat doctor, pulmonologist, cardiologist, eye specialist, allergist, surgeon, dentist, other specialist
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• high blood pressure
 
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• morning headaches
 
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• awakening tired in the morning, daytime or evening fatigue or lethargy
 
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• daytime or evening sleepiness when sitting or inactive, drowsy driving or falling asleep while driving
 
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• performing actions automatically or by rote, limited attention, memory loss
 
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• poor judgment, personality changes
 
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• weight gain, severe leg swelling
 
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• especially in children, hyperactive behavior.
 
  
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National Institute of Health sleep apnea links http://www.nlm.nih.gov/medlineplus/sleepapnea.html#cat5
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===Who makes the best sleep Doctor?===
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A CPAPtalk thread discusses this issue [http://www.cpaptalk.com/viewtopic/t46202/Whos-Better--ENT-or-Pulmonologist.html here].
  
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==Possible Risk Factors==
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==Visiting the Sleep Lab==
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For information on Sleep Study options and advice visit the page devoted to [[Sleep Studies]]. <br>
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(Click the term 'Sleep Studies' in the proceeding sentence.)
  
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• decreased size of the airways in the throat, nose, or mouth due to anatomy or allergies. Family history of sleep apnea, large adenoids or large tongue, short lower jaw which causes the tongue to position itself further back in the throat
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=Working with Physicians, Insurance and DMEs =
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• overweight with a body mass index (BMI) of 25 or more
 
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• neck size for a man of 17 inches or more or for a woman of 16 inches or more
 
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• male gender, or being a menopausal or postmenopausal woman. Both genders and all ages from infancy onward may have this condition.
 
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• smoking and use of alcohol or sedatives
 
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Sources: adapted from the journal Sleep, National Institutes of Health, and James C. O’Brien MD.
 
  
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==More Possible Indicators of Sleep Apnea==
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See the page devoted to working with Physicians, Insurace and DMEs [http://www.cpaptalk.com/wiki/index.php/Working_with_Physicians_Insurance_and_DMEs here].<br>
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Contents of Page
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  o 1 Physician Help
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          o 1.1 Getting into a Sleep Specialist/Sleep Lab Quickly
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          o 1.2 Suggested Specific CPAP Equipment Rx/Scripts
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          o 1.3 Glossary for PSG (Sleep Study) Terms
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  o 2 Insurance and DME Help
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          o 2.1 Getting the data-capable xPAP machine you need
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                + 2.1.1 WRITE, don't call
  
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• COPD (chronic obstructive pulmonary disease), asthma
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=Treating Sleep Apnea=
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• heart abnormalities, stroke
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To learn more about Treating Sleep Apnea, visit the page devoted to CPAP newbies, found on the CPAP Wiki sidebar or [http://www.cpaptalk.com/wiki/index.php/CPAP_Newbie here].
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• high blood pressure that doesn’t respond to medication
 
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• acid reflux or GERD
 
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• diabetes
 
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• deviated septum (cartilage separating the nostrils going off midline)
 
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• bruxism (teeth grinding)
 
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• insomnia
 
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• adult bed wetting
 
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• irritability, mood changes, anxiety, depression
 
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• procrastination, difficulty acting on plans or finishing projects, diminished work performance
 
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• social withdrawal, neglected relationships
 
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• less interest in sex, sexual dysfunction
 
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• persistent recurring dreams of struggle and failure
 
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• the ability to fall asleep two or three hours after getting up in the morning, and/or long naps in the afternoon, and/or sleeping nine or more hours a night
 
  
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Assessment Quizzes
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==The ABCD's of Treating Sleep Apnea==
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by sleepguide submitted by ozji
  
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If you suspect a sleep problem, take at least the first quiz listed below. The quizzes are designed to build awareness and create dialog with your doctor, not to diagnose. Discuss the quiz results and your symptoms with your primary care physician, or a sleep doctor, pulmonologist (breathing specialist), cardiologist, ENT (Ear/Nose/Throat) doctor, or other specialist. If indicated by symptoms, the doctor may suggest a sleep study to rule out sleep apnea or other diagnostic procedures.
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Here's a simple way to remember what I wish I had known at the very beginning of my own Sleep Apnea treatment: my ABCD's of Sleep Apnea treatment. The hope is that you will not have to stumble over or run into as many obstacles as I did.
  
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A very comprehensive but easy quiz looks at a wide variety of symptoms to help detect sleep apnea in the appendix of Sleep Apnea – The Phantom of the Night , a book by T. Scott Johnson MD, William A. Broughton MD, Jerry Halberstadt, a patient. An online version of this excellent quiz is at
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See the full article [http://www.cpaptalk.com/wiki/index.php?title=The_ABCDs_of_Treating_Sleep_Apnea here].  
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http://www.healthyresources.com/sleep/apnea/phantom/orders/quiz.html
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Contents of Page
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  o 1 A is for Attitude
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  o 2 B is for Buying
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  o 3 C is for Collaboration
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  o 4 D is for Documentation
  
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American Academy of Family Physicians, Berlin Questionnaire (includes only a few symptoms)
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=Selecting your CPAP Equipment=
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http://www.aafp.org/afp/20000315/tips/5.html
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For information regarding specific xPAP equipment and choices see the page devoted to [http://www.cpaptalk.com/wiki/index.php/CPAP CPAP].
  
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Online sleep evaluation (includes only a few symptoms)
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=Relevant CPAPtalk Posts=
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http://www.sleepeducation.com/SleepEval.aspx
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====Symptom Posts====
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[http://www.cpaptalk.com/viewtopic/t17785/I-am-not-sure-everyone-understands.html?sid=2226cb049bfe94a360773a79e7d9ac78 Is it you or sleep apnea?]
  
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Epworth Sleepiness Scale and Scores widely used by sleep doctors for a before-and-after treatment comparison (looks only at sleepiness)
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[http://www.cpaptalk.com/viewtopic/t25205/Waking-Up-to-the-Problem-of-OSA--Improved-Recognition.html Awareness for doctors and patients]
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http://www.stanford.edu/~dement/epworth.html
 
  
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The Boiled Frog Analogy
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[http://www.cpaptalk.com/viewtopic/t22134/What-took-you-so-long.html What took you so long to seek diagnosis]
  
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Maybe you’ve heard this story. If you put a healthy frog into a pot of hot water, it will quickly jump out. If you put a frog into a pot of lukewarm water, and very gradually increase the temperature, it will stay in the pot until boiled. In the hot water, the frog noticed instant discomfort and danger and took action. In the tepid water, it was lulled into complacency until unaware or unable to take action. How does this translate to sleep apnea? Have you unconsciously adapted to fatigue and eventually daytime sleepiness because its progression was so long and gradual? Have you found other reasons for fatigue, while making the best of circumstances? Are those reasons valid? You can find out by consulting a physician, taking informal sleep quizzes and, if indicated, getting a sleep study in a sleep lab. When you find the real reason for your fatigue, you can crawl out of the pot to change, improve, or reverse the condition.
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[http://www.cpaptalk.com/viewtopic/t23161/What-led-you-to-your-diagnosis-of-apnea.html What led to diagnosis]
  
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[http://www.cpaptalk.com/viewtopic/t27149/Can-young-people-have-Sleep-Apnea.html All ages]
  
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Sources: Based on personal experience with obstructive sleep apnea and gleaned from the collective wisdom of cpaptalk.com contributors.
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[http://www.sleepdisordersguide.com/sleep-apnea-symptoms.html Sleep apnea symptoms]
  
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Want more?
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[http://www.cpaptalk.com/viewtopic.php?t=16134&postdays=0&postorder=asc&start=15 More consequences, scroll down for the post from neversleeps]
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Is it you or sleep apnea? http://www.cpaptalk.com/viewtopic/t17785/I-am-not-sure-everyone-understands.html?sid=2226cb049bfe94a360773a79e7d9ac78
 
  
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Awareness for doctors and patients
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[http://www.cpaptalk.com/viewtopic/t13698/Any-non-snorers-with-obstructive-sleep-apnea.html Non-snorers with sleep apnea]
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http://www.cpaptalk.com/viewtopic/t25205/Waking-Up-to-the-Problem-of-OSA--Improved-Recognition.html
 
  
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What took you so long to seek diagnosis http://www.cpaptalk.com/viewtopic/t22134/What-took-you-so-long.html
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[http://www.cpaptalk.com/viewtopic/t24108/I-have-severe-sleep-apnea-but-Im-not-tired-anyone-else.html Sleep apnea but not tired]
  
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What led to diagnosis http://www.cpaptalk.com/viewtopic/t23161/What-led-you-to-your-diagnosis-of-apnea.html
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[http://www.cpaptalk.com/viewtopic/t24642/so-what-was-you-wierd-not-listed-symptom.html Weird symptoms]
  
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All ages http://www.cpaptalk.com/viewtopic/t27149/Can-young-people-have-Sleep-Apnea.html
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[http://www.cpaptalk.com/viewtopic.php?t=21675&postdays=0&postorder=asc&start= How long have you had sleep apnea]
  
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Sleep apnea symptoms http://www.sleepdisordersguide.com/sleep-apnea-symptoms.html
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[http://www.cpaptalk.com/viewtopic/t26485/Well-Here-Goes.html How SA affects life and health] Scroll down for the post by countrygent
  
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More consequences, scroll down for the post from neversleeps: http://www.cpaptalk.com/viewtopic.php?t=16134&postdays=0&postorder=asc&start=15
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[http://www.cpaptalk.com/viewtopic.php?t=15831&postdays=0&postorder=asc&start=0 Dad refuses to see doctor]
  
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Non-snorers with sleep apnea
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[http://www.cpaptalk.com/viewtopic.php?t=16490&postdays=0&postorder=asc&start=0 Trucker headed to court]
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http://www.cpaptalk.com/viewtopic/t13698/Any-non-snorers-with-obstructive-sleep-apnea.html
 
  
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Sleep apnea but not tired http://www.cpaptalk.com/viewtopic/t24108/I-have-severe-sleep-apnea-but-Im-not-tired-anyone-else.html
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[http://www.cpaptalk.com/viewtopic/t16484/Im-SOOOOO-Lucky.html Lucky to be treated]
  
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Weird symptoms http://www.cpaptalk.com/viewtopic/t24642/so-what-was-you-wierd-not-listed-symptom.html
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See the peer coaching articles at http://smart-sleep-apnea.blogspot.com on Sleep Study Tests, Introduction to Sleep Apnea, More Sleep-Related Web Sites, and CPAP Machine Choices.
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How long have you had sleep apnea http://www.cpaptalk.com/viewtopic.php?t=21675&postdays=0&postorder=asc&start=
 
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How SA affects life and health, scroll down for the post by countrygent
 
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http://www.cpaptalk.com/viewtopic/t26485/Well-Here-Goes.html
 
  
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Dad refuses to see doctor http://www.cpaptalk.com/viewtopic.php?t=15831&postdays=0&postorder=asc&start=0
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===Sleep Lab Posts===
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Discussion threads:
  
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Trucker headed to court http://www.cpaptalk.com/viewtopic.php?t=16490&postdays=0&postorder=asc&start=0
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http://www.cpaptalk.com/viewtopic/t14035/Cheap-Sleep-Apnea-Screening-Diagnosis-and-Auto-CPAP-Rx.html
  
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Lucky to be treated http://www.cpaptalk.com/viewtopic/t16484/Im-SOOOOO-Lucky.html
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http://www.cpaptalk.com/viewtopic/t14578/At-Home-Obstructive-Sleep-Apnea-Screener-Now-Available.html
  
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See the peer coaching articles at http://smart-sleep-apnea.blogspot.com on Sleep Study Tests, Introduction to Sleep Apnea, More Sleep-Related Web Sites, and CPAP Machine Choices.
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Comments from a SleepStrip engineer: http://www.cpaptalk.com/viewtopic.php?t=14035&postdays=0&postorder=asc&start=15=Sleep Symptoms=

Latest revision as of 12:35, 19 November 2009

Types of Sleep Apnea

There are two types of sleep apnea, Obstructive Sleep Apnea and Central Sleep Apnea. CPAP is used in when a person has Obstructive Sleep Apnea. This page is devoted to general Sleep Apnea facts - syptoms, risk factors and getting diagnosed. For information on the two specific types visit Obstructive Sleep Apnea or the page Central Sleep Apnea by clicking on the word.

Sleep Apnea Symptoms

See the CPAP Wiki page dedicated to these issues here.

Do I have Sleep Apnea? What are the symptoms and risk factors for Sleep Apnea? 

Contents of Page 
 o 1 Evaluating Your Sleep - Symptoms
         o 1.1 The Most Important Symptoms of Sleep Apnea
         o 1.2 Possible Risk Factors
               + 1.2.1 More Possible Indicators of Sleep Apnea
         o 1.3 Sleep Apnea Assessment Quizzes
         o 1.4 The Boiled Frog Analogy

Diagnosing Sleep Apnea

Who can Diagnose Sleep Apnea?

Sleep doctor, Ear/Nose/Throat doctor, pulmonologist, cardiologist, eye specialist, allergist, surgeon, dentist, other specialist

Who makes the best sleep Doctor?

A CPAPtalk thread discusses this issue here.

Visiting the Sleep Lab

For information on Sleep Study options and advice visit the page devoted to Sleep Studies.
(Click the term 'Sleep Studies' in the proceeding sentence.)

Working with Physicians, Insurance and DMEs

See the page devoted to working with Physicians, Insurace and DMEs here.

Contents of Page 
 o 1 Physician Help
         o 1.1 Getting into a Sleep Specialist/Sleep Lab Quickly
         o 1.2 Suggested Specific CPAP Equipment Rx/Scripts
         o 1.3 Glossary for PSG (Sleep Study) Terms
  o 2 Insurance and DME Help
         o 2.1 Getting the data-capable xPAP machine you need
               + 2.1.1 WRITE, don't call

Treating Sleep Apnea

To learn more about Treating Sleep Apnea, visit the page devoted to CPAP newbies, found on the CPAP Wiki sidebar or here.

The ABCD's of Treating Sleep Apnea

by sleepguide submitted by ozji

Here's a simple way to remember what I wish I had known at the very beginning of my own Sleep Apnea treatment: my ABCD's of Sleep Apnea treatment. The hope is that you will not have to stumble over or run into as many obstacles as I did.

See the full article here. 

Contents of Page
 o 1 A is for Attitude
 o 2 B is for Buying
 o 3 C is for Collaboration
 o 4 D is for Documentation

Selecting your CPAP Equipment

For information regarding specific xPAP equipment and choices see the page devoted to CPAP.

Relevant CPAPtalk Posts

Symptom Posts

Is it you or sleep apnea?

Awareness for doctors and patients

What took you so long to seek diagnosis

What led to diagnosis

All ages

Sleep apnea symptoms

More consequences, scroll down for the post from neversleeps

Non-snorers with sleep apnea

Sleep apnea but not tired

Weird symptoms

How long have you had sleep apnea

How SA affects life and health Scroll down for the post by countrygent

Dad refuses to see doctor

Trucker headed to court

Lucky to be treated

See the peer coaching articles at http://smart-sleep-apnea.blogspot.com on Sleep Study Tests, Introduction to Sleep Apnea, More Sleep-Related Web Sites, and CPAP Machine Choices.

Sleep Lab Posts

Discussion threads:

http://www.cpaptalk.com/viewtopic/t14035/Cheap-Sleep-Apnea-Screening-Diagnosis-and-Auto-CPAP-Rx.html

http://www.cpaptalk.com/viewtopic/t14578/At-Home-Obstructive-Sleep-Apnea-Screener-Now-Available.html

Comments from a SleepStrip engineer: http://www.cpaptalk.com/viewtopic.php?t=14035&postdays=0&postorder=asc&start=15=Sleep Symptoms=

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