Sleep Apnea: Causes, Symptoms, and When to Seek Help - Family Medicine

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Why is this happening?


My mother is 57 years old and her health check-up was normal, but recently she mentioned that she sometimes wakes up during sleep feeling like she has stopped breathing.
She rarely snores while sleeping, and her weight is within the normal range.
Why could this be happening? I heard that my aunt (51 years old) experiences the same thing; could it be hereditary? Which specialist should I take my mother to see?

Danxin, 20~29 year old female. Ask Date: 2004/12/29

Dr. Lin Mingxing reply Family Medicine


Dr.
Lin Ming-Hsing, the Director of the Family Medicine Department at Tainan Hospital, responded: It is currently difficult to assess whether it is hereditary.
I suggest that you visit an Ear, Nose, and Throat (ENT) specialist and a Neurologist to check for any anatomical abnormalities (e.g., soft palate) or conditions such as sleep apnea.
Tainan Hospital wishes you good health and all the best!

Reply Date: 2004/12/29

More Info


Sleep apnea is a serious sleep disorder that occurs when a person's breathing is interrupted during sleep. It can lead to various health issues, including daytime fatigue, cardiovascular problems, and impaired cognitive function. Understanding the causes, symptoms, and when to seek help is crucial for managing this condition effectively.


Causes of Sleep Apnea
There are several types of sleep apnea, with the most common being obstructive sleep apnea (OSA). OSA occurs when the muscles in the throat relax excessively during sleep, leading to a temporary blockage of the airway. Other types include central sleep apnea, which is related to the brain's inability to send proper signals to the muscles that control breathing, and complex sleep apnea syndrome, which is a combination of both obstructive and central sleep apnea.

Factors that can contribute to sleep apnea include:
1. Obesity: Excess weight can increase the amount of tissue in the throat, leading to airway obstruction.

2. Age: The risk of sleep apnea increases with age, particularly in individuals over 40.

3. Anatomical Factors: Certain physical characteristics, such as a thick neck, enlarged tonsils, or a narrow airway, can predispose individuals to sleep apnea.

4. Family History: Genetics can play a role, as sleep apnea can run in families, suggesting a hereditary component.

5. Lifestyle Factors: Smoking, alcohol consumption, and sedative use can relax the throat muscles, increasing the risk of airway obstruction.


Symptoms of Sleep Apnea
Common symptoms of sleep apnea include:
- Loud snoring (though not everyone with sleep apnea snores)
- Episodes of breathing cessation during sleep, often witnessed by another person
- Gasping or choking sensations during sleep
- Excessive daytime sleepiness or fatigue
- Difficulty concentrating or memory problems
- Morning headaches
- Irritability or mood changes
In your mother's case, her experience of waking up feeling like her breathing has stopped could indicate sleep apnea, even if she does not snore frequently. The fact that your aunt also experiences similar symptoms may suggest a genetic predisposition to this condition.


When to Seek Help
If you suspect that your mother may have sleep apnea, it is essential to seek medical advice. The first step would typically be to consult with a primary care physician, who may then refer her to a sleep specialist or an ear, nose, and throat (ENT) doctor for further evaluation. A sleep study, either conducted in a sleep lab or at home, may be recommended to monitor her breathing patterns, oxygen levels, and other vital signs during sleep.


Conclusion
Sleep apnea is a manageable condition, but it requires proper diagnosis and treatment. If left untreated, it can lead to serious health complications, including cardiovascular disease, high blood pressure, and increased risk of accidents due to daytime drowsiness. Encourage your mother to seek medical attention to discuss her symptoms and explore potential treatment options, which may include lifestyle changes, the use of a CPAP machine, or other interventions tailored to her specific needs. Early intervention can significantly improve her quality of life and overall health.

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