Managing Sleep Apnea Symptoms: Tips for Immediate Relief - Neurology

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Hello Doctor, I occasionally experience a heart rate of around 100 beats per minute while lying down at night, and during the day, when sitting at the computer, my heart rate ranges from 100 to 120 (measured with a fingertip pulse oximeter).
I have seen a cardiologist and had an echocardiogram, which showed mild valvular insufficiency.
A 24-hour Holter monitor and a stress test showed no abnormalities.
At the same time, I consulted a neurologist regarding difficulty falling back asleep after waking up early, but I did not undergo tests for autonomic nervous system dysfunction; instead, I was referred to a sleep center where I was diagnosed with an AHI of 36, indicating severe obstructive sleep apnea.
I am currently waiting for the hospital to rent a CPAP machine for home use, but before I can get it (due to the Lunar New Year), are there any self-help methods I can try? My sleep duration has been decreasing (2 to 4 hours), and my daytime heart discomfort has worsened.
I have tried sleeping on my side and breathing through my nose with my mouth closed, but the results have not been very effective.
I am genuinely worried that my condition is deteriorating.
Thank you very much.

Ben, 40~49 year old female. Ask Date: 2022/02/05

Dr. Cai Zongzhang reply Neurology


Hello Ben: It is recommended to visit an otolaryngologist to check for any other underlying causes.

Reply Date: 2022/02/05

More Info


Managing sleep apnea symptoms can be challenging, especially when you're experiencing significant discomfort and anxiety about your health. Given your situation, where you've already been diagnosed with severe obstructive sleep apnea (AHI of 36), it's crucial to take immediate steps to alleviate your symptoms while you await the rental of a continuous positive airway pressure (CPAP) machine. Here are some strategies that may help you manage your symptoms in the short term:
1. Sleep Positioning: Since you've mentioned trying to sleep on your side, it's worth emphasizing that this position can significantly reduce the severity of sleep apnea symptoms. Sleeping on your back can exacerbate airway obstruction, so continue to prioritize side sleeping. You might find it helpful to use a body pillow to maintain this position throughout the night.

2. Elevate Your Head: Elevating the head of your bed or using a wedge pillow can help keep your airways open. This position can reduce the likelihood of airway collapse during sleep, which is particularly beneficial for those with sleep apnea.

3. Avoid Alcohol and Sedatives: These substances can relax the muscles in your throat, increasing the risk of airway obstruction. It's best to avoid them, especially in the hours leading up to bedtime.

4. Maintain a Healthy Weight: If applicable, weight loss can significantly improve sleep apnea symptoms. Even a modest reduction in weight can lead to improvements in your condition. Focus on a balanced diet and regular physical activity, as these can also help improve your overall cardiovascular health.

5. Practice Good Sleep Hygiene: Establish a regular sleep schedule by going to bed and waking up at the same time every day. Create a relaxing bedtime routine to signal to your body that it's time to wind down. This can include activities such as reading, taking a warm bath, or practicing relaxation techniques.

6. Breathing Exercises: Engaging in deep breathing exercises can help calm your nervous system and may improve your overall breathing patterns. Techniques such as diaphragmatic breathing or pursed-lip breathing can be beneficial.

7. Stay Hydrated: Dehydration can lead to thicker mucus in your airways, which can worsen sleep apnea symptoms. Ensure you're drinking enough water throughout the day.

8. Monitor Your Heart Rate: Since you've noted elevated heart rates during the day, it's essential to manage stress and anxiety, which can contribute to increased heart rates. Techniques such as mindfulness meditation, yoga, or gentle stretching can help reduce stress levels.

9. Consult with Your Healthcare Provider: Given your history of heart valve issues and the symptoms you're experiencing, it's crucial to keep your healthcare provider informed about your condition. They may recommend further evaluations or adjustments to your treatment plan.

10. Consider a Sleep Study: If your symptoms persist or worsen, it may be beneficial to undergo a sleep study to assess your breathing patterns and oxygen levels during sleep. This can provide valuable information for tailoring your treatment.

In conclusion, while waiting for your CPAP machine, implementing these strategies can help manage your sleep apnea symptoms and improve your overall well-being. It's essential to prioritize your health and seek medical advice if your symptoms continue to escalate. Remember, sleep apnea is a serious condition that requires appropriate management to prevent complications, so staying proactive about your health is key.

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