Sleep Paralysis and Breathing Issues in Allergic Rhinitis

Respiratory arrest

Hello, doctor.
I have some questions to ask you.
I have had allergic rhinitis since childhood, and my nose is often congested on both sides, especially worse in winter.
I have seen many doctors, but there has been no improvement.
Since high school, I occasionally experience sleep paralysis where I cannot move or breathe while sleeping.
I often struggle in my dreams to wake up or breathe, and as I get older, this has become more frequent.
Now, even when I don't have complete nasal congestion, I sometimes experience body paralysis while sleeping, accompanied by shaking, and it takes a while for me to wake up.
Additionally, I sometimes wake up suddenly in the middle of the night, gasping for air while still in a dream state, which has led to poor sleep quality.
As a result, I can fall asleep even at red lights on my way to work, and I dream uncontrollably.
I would like to know if these issues could affect the health of the fetus if I become pregnant in the future?

Guoo, 20~29 year old female. Ask Date: 2020/02/04

Dr. Li Jiaxuan reply Otolaryngology

It is recommended to undergo a sleep study at the hospital to identify the underlying causes and receive treatment when necessary.
Poor sleep can affect not only yourself but also the fetus.
Wishing you safety and well-being.

Reply Date: 2020/02/04

More Info

Sleep paralysis and breathing issues during sleep can be significantly influenced by underlying conditions such as allergic rhinitis. Your experience with allergic rhinitis, characterized by nasal congestion and difficulty breathing, can exacerbate sleep disturbances, including sleep paralysis.

Understanding Sleep Paralysis
Sleep paralysis is a phenomenon that occurs when a person is either falling asleep or waking up and experiences an inability to move or speak. This can be accompanied by hallucinations and a feeling of pressure on the chest, which can be quite distressing. The exact cause of sleep paralysis is not fully understood, but it is often associated with disrupted sleep patterns, sleep deprivation, and certain sleep disorders, including narcolepsy.
In your case, the frequent nasal congestion due to allergic rhinitis can lead to poor sleep quality. When the nasal passages are blocked, it can result in shallow breathing or even temporary cessation of breathing, which may trigger episodes of sleep paralysis. The struggle to breathe during these episodes can create a cycle of anxiety and fear, further disrupting your sleep.

Breathing Issues and Allergic Rhinitis
Allergic rhinitis can lead to chronic nasal congestion, which may cause obstructive sleep apnea (OSA) or other breathing difficulties during sleep. OSA is characterized by repeated episodes of partial or complete obstruction of the airway during sleep, leading to reduced oxygen levels and disrupted sleep. Symptoms of OSA include loud snoring, gasping for air during sleep, and excessive daytime sleepiness.
In your situation, the combination of allergic rhinitis and potential sleep apnea could explain the episodes of waking up gasping for air. The nasal congestion may not only affect your ability to breathe comfortably but also contribute to the overall poor quality of your sleep, leading to daytime fatigue and difficulty concentrating.

Impact on Pregnancy
Regarding your concern about how these issues might affect a future pregnancy, it is essential to address both your allergic rhinitis and sleep disturbances. Chronic sleep deprivation and untreated sleep apnea can have implications for both maternal and fetal health. Studies have shown that pregnant women with untreated sleep apnea may be at higher risk for complications such as gestational hypertension, preeclampsia, and low birth weight. Additionally, poor sleep quality can affect mood and overall well-being during pregnancy.

Recommendations
1. Consultation with Specialists: It would be beneficial to consult with an ear, nose, and throat (ENT) specialist to evaluate your allergic rhinitis and consider potential treatments, such as nasal corticosteroids or allergy immunotherapy. Additionally, a sleep specialist can conduct a sleep study to assess for sleep apnea or other sleep disorders.

2. Nasal Hygiene: Regular use of saline nasal sprays or a neti pot can help alleviate nasal congestion and improve breathing during sleep. This can be particularly effective in managing symptoms of allergic rhinitis.

3. Sleep Hygiene: Establishing a consistent sleep schedule, creating a comfortable sleep environment, and practicing relaxation techniques before bed can help improve sleep quality. Avoiding stimulants such as caffeine and alcohol in the hours leading up to bedtime is also advisable.

4. Monitoring Symptoms: Keep track of your symptoms and any changes you notice, especially as you consider pregnancy. This information can be valuable for your healthcare providers in tailoring a treatment plan that addresses both your allergic rhinitis and sleep issues.

5. Discussing Pregnancy Plans: If you are planning to become pregnant, discuss your health concerns with your obstetrician. They can provide guidance on managing your allergic rhinitis and sleep issues during pregnancy to ensure the best outcomes for both you and your baby.

In summary, addressing your allergic rhinitis and sleep disturbances is crucial for improving your overall health and well-being, especially as you consider future pregnancy. Seeking appropriate medical care and making lifestyle adjustments can significantly enhance your quality of life and reduce the risk of complications.

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