Sleep Apnea – A Sleeping Epidemic

Wow. The news was shocking. I hope I don’t die before Tuesday.

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Snoring, waking up after a night’s sleep and feeling more tired than ever are just two of the symptoms of sleep apnea. This sleep disorder can contribute to many adverse events, including heart attacks and strokes. Diagnosis of sleep apnea can take place wiht a sleep study at Lewis-Gale Medical Center’s Sleep Center. Dr. Bruce Stewart describes some of the risks and complications of sleep apnea as well as treatments for it, including a CPAP machine. Up-to-the-Minute Health with HCA Virginia’s Joy Sutton http://lewis-gale.com

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It’s estimated that 18 million Americans suffer from sleep apnea. The sleep disorder can lead to heart problems and other health issues. A CPAP is considered the gold standard of treatment. But many patients cannot tolerate the machine. The cost of the dental appliance is about the same as the CPAP machine. Some insurers cover the device, but may require patients with severe sleep apnea to first try the CPAP. News 8 On Your Side medical reporter Susan Shapiro looks at the alternative that’s helping many people.

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Showing what Sleep Study is like.

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Dr. Allen Moses’s patient Jim explains how he was able to return to a quality of life and loss his CPAP dependence with a small inner oral appliance from Dr. Moses. For more info please visit www.ChicagoDowntownDentist.com

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Patients often present to ENT clinics with sleep disturbance. Their symptoms can include insomnia, interrupted sleep, interrupted sleep of the sleeping partner, poor energy levels and daytime sleepiness.

The stages of sleep
Sleep is divided into five stages. The first four are associated with deepening sleep, decreased muscle activity and slowed breathing and pulse rate. The fifth stage is reached when rapid eye movement occurs. It is in this stage that dreaming occurs. The fourth stage is the deepest form of sleep during which the patient is the least arousable. It is associated with delta waves on the electroencephalogram.

How many people are affected?
Sleep disorder, in its various forms, is very common. A third of adults report sleep disorder at some point in their lives. 20-40% of adults report sleep disorder at some time in the year. 17% rate their sleep disorder as serious. 20% of adults complain of chronic insomnia.

Gender
Sleep disorder is more common in women with a female:male ratio of 3:2. Men are more likely to have obstructive sleep apnoea (OSA). 4% of men have OSA compared with 2.5% in women.

Age
Sleep disturbance gets worse with age. In the 30 to 50 year old age group, 5% suffer. Over 50 years this rises to 30%. The elderly experience decrease sleeping periods, awake more often in the night and are more likely to take medications which disrupt sleep.

Causes
The causes of sleep disturbance can be split into medical, psychological and environmental problems.

Medical problems
These are myriad and include heart failure, neurological conditions, thyroid problems and other disorders of the hormone system, acid reflux from the stomach, stimulants (caffeine and alcohol), certain medications and upper airway obstruction.

Psychological problems
These include depression, post-traumatic stress, anxiety, thought disorder and psychiatric medication.

Environmental problems
Life-threatening events, shift-working, jet lag, changes in altitude, hot sleeping environment, environmental noise (e.g. snoring form the sleeping partner) or frequent external disturbance.

Treatment
Given the number of serious medical conditions that can cause sleep disturbance, patients should always consult their primary care doctor.

Simple life-style changes may also help. Dietary modifications are not generally required but avoiding big meals and spicy foods 3 hours before bedtime helps.

Stimulants and substances that disturb sleep architecture should be avoided. These include caffeine, alcohol and nicotine. Nicotine and caffeine should be avoided from late afternoon onwards.

Strenuous exercise is good during the day but should be avoided in the 3 hours before sleep. Psychologically stimulating activities should also be avoided including tense films, engrossing novels, thrilling TV and arguments.

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http://www.cpap.com — ComfortGel CPAP Mask – Adjusting Cheek Pad Supports on Face

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Pt 1 of 2 of www.cpapchoice.com review of the Respironics Full Face Comfort Gel CPAP Mask.

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A very rough video made to demonstrate what CPAP is and to highlight the dire need for funding for CPAP across the whole of the UK. Please sign the petition http://is.gd/mSly

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Sleep Apnea – Mouthpc vs CPAP Mask (VIDEO #22

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