Sleep Apnea: Symptoms, Concerns, and When to Seek Help - Otolaryngology

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Sleep apnea?


Hello doctor, my situation is that during sleep, it feels like I forget how to breathe when my breathing stops, and I also experience a buzzing sound in my head.
Although I can resume breathing by turning over, my body feels very heavy and it's difficult to turn.
I don't snore and I have a relatively light body type.
Should I get checked?

Hanna, 20~29 year old female. Ask Date: 2017/06/05

Dr. Li Jiaxuan reply Otolaryngology


You can first visit the otolaryngology outpatient clinic for a physical examination.
If the structure is conducive to snoring, further sleep studies can be conducted.
Wishing you well.

Reply Date: 2017/06/05

More Info


Sleep apnea is a serious sleep disorder characterized by repeated interruptions in breathing during sleep. These interruptions can last for a few seconds to minutes and can occur many times throughout the night. The most common type of sleep apnea is obstructive sleep apnea (OSA), which occurs when the muscles in the throat relax excessively during sleep, leading to a blockage of the airway. Central sleep apnea (CSA) is less common and occurs when the brain fails to send proper signals to the muscles that control breathing.

Based on your description, it sounds like you may be experiencing symptoms consistent with sleep apnea. The sensation of feeling like you’ve forgotten how to breathe, along with the buzzing sound in your head, could indicate that your body is struggling to maintain adequate airflow during sleep. The heaviness you feel when trying to turn over may also be a sign of fatigue or muscle weakness, which can be exacerbated by poor sleep quality.

Here are some common symptoms of sleep apnea to consider:
1. Loud Snoring: While you mentioned that you do not snore, it is important to note that not all individuals with sleep apnea snore. Some may have silent apnea episodes.

2. Gasping or Choking During Sleep: Many people with sleep apnea experience episodes where they wake up gasping for air.

3. Excessive Daytime Sleepiness: If you find yourself feeling excessively tired during the day, it may be due to disrupted sleep caused by apnea episodes.

4. Morning Headaches: Frequent headaches upon waking can be a sign of sleep apnea.

5. Difficulty Concentrating: Sleep apnea can lead to cognitive issues, including difficulty focusing or memory problems.

6. Mood Changes: Anxiety, depression, and irritability can be linked to sleep disturbances caused by apnea.

Given your symptoms, it is advisable to seek a medical evaluation. A healthcare provider, particularly a sleep specialist, can conduct a thorough assessment, which may include a sleep study (polysomnography) to monitor your breathing patterns, oxygen levels, and other vital signs during sleep. This study can help determine if you have sleep apnea and the severity of the condition.

In the meantime, there are several lifestyle changes you can consider to help manage your symptoms:
1. Sleep Position: Sleeping on your side rather than your back can help keep your airway open.

2. Weight Management: If applicable, maintaining a healthy weight can reduce the severity of sleep apnea.

3. Avoid Alcohol and Sedatives: These substances can relax the throat muscles and worsen apnea.

4. Establish a Sleep Routine: Going to bed and waking up at the same time every day can improve sleep quality.

5. Create a Comfortable Sleep Environment: Ensure your bedroom is conducive to sleep—dark, quiet, and cool.

If diagnosed with sleep apnea, treatment options may include lifestyle changes, continuous positive airway pressure (CPAP) therapy, oral appliances, or in some cases, surgery. The appropriate treatment will depend on the severity of your condition and your overall health.

In conclusion, your symptoms warrant further investigation. Seeking help from a healthcare provider is essential to determine the underlying cause of your breathing difficulties during sleep and to develop an appropriate treatment plan. Sleep is crucial for overall health, and addressing any sleep-related issues can significantly improve your quality of life.

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