Always Tired? You May Have Sleep Apnea

If you wake up feeling irritable and like you haven’t had enough rest, and if your spouse complains about your snoring, you may have Obstructive Sleep Apnea (OSA).

OSA is a sleep disorder affecting over 12 million Americans, and it can affect your entire body and mental state if it goes untreated. Untreated OSA causes heart attacks, strokes, high blood pressure, car accidents, depression and work-related accidents.

The FDA (Food and Drug Administration) makes sure that the products used to treat OSA are effective. One of the most common devices used to treat OSA is the Continuous Positive Airway Pressure machine (CPAP), and there is also a new product called the Inspire Upper Airway Stimulation (UAS) System.

What is Sleep Apnea?

Apnea is the Greek word meaning “without breath.”  A person with sleep apnea experiences episodes where breathing is interrupted several times while asleep. The interruptions can last from a few seconds to a few minutes and can happen up to 100 times per hour. (It’s normal to have this happen less than five times per hour.). Sometimes when the breathing resumes, there’s a choking sound or loud snort.

The most common type of sleep apnea is obstructive sleep apnea, and it occurs because of a blockage of the airway (for instance, when the soft tissue in the back of the throat collapses). Central sleep apnea is a less common form of sleep apnea that occurs when the part of the brain that controls breathing doesn’t properly send signals to your breathing muscles.

Dr. Eric Mann, deputy director of the Division of Ophthalmic, Neurological, and Ear, Nose and Throat Devices for the FDA, states that most people don’t know they have sleep apnea because it takes place while they are asleep. The frequent interruptions in breathing that cause you to wake up keep you feeling tired and irritable the next day.

Sleep Apnea in Men more than Women. Risk factors for Sleep Apnea include:

  • smoking
  • being over age 40,
  • being overweight (The extra fat around the neck can obstruct the airway.)
  • a family history of sleep apnea, and
  • a nasal obstruction caused by allergies, sinus problems or a deviated septum

Some children can have sleep apnea between age 3 to 6 if they have enlarged adenoids and tonsils obstructing the upper airway.

Dr. Mann recommends consulting your health care provider as soon as possible if you suspect you (or your child) have sleep apnea. However, to get a confirmation of such diagnosis, there will have to be a sleep study.

A polysomnogram (PSG) is a sleep study used to determine a diagnosis of sleep apnea. It is often done in a lab or center to monitor eye movement, brain activity, blood pressure and how much air moves in and out the lungs.

Getting Treatment

Sometimes a change in our behavior can improve sleep apnea. For starters, we can try managing our weight and reducing the use of medicines and beverages (like alcohol) that makes us drowsy and also make it harder to breathe.

As stated earlier, the CPAP machine is the most commonly used treatment for OSA because it uses mild air pressure to prevent the airway from being blocked. Some devices only cover your nose and some cover both your mouth and nose.


What is Sleep Apnea?

The word “apnea” is a Greek word which means “without breath.” If you have sleep apnea, during sleep your breathing pauses several times. This pause may last minute or just a few seconds and may occur about five times per hour or as many as 100 times per hour. Less than five times per hour is also quite normal. When you start to breathe again you may make a choking sound or snort loudly.

The most common type if apnea is called obstructive sleep apnea. This is a blockage of the airway which is caused when the soft tissue in the back of the throat collapses. Central sleep apnea is less common and it’s caused when the area of the brain that controls your breathing doesn’t send the right signals to the breathing muscles.

Deputy Director of FDA’s Division of Ophthalmic, Neurological, and Ear, Nose and Throat Devices, Eric Mann, M.D., Ph.D., says that you can be unaware that these events are occurring when you sleep. You partially wake up when you have pauses in your breathing. Your sleep ends up being interrupted and you’ll feel irritable and extra tired the next day.

Sleep apnea is about twice as common in men than women. Risks for it also include:

  • If you’re overweight the extra fat around the neck makes it harder to keep airways open.
  • Those over age 40
  • Smokers
  • Those with a family history of sleep apnea
  • Those with some type of nasal obstruction due to allergies, sinus problem, or deviated septum.

Children can also develop sleep apnea and it’s most common with children 3-6 years old. Enlarged tonsils and adenoids are the common cause.

Mann says you should speak with your physician if you suspect that your child or even you has sleep apnea. A formal sleep study is required to diagnose these conditions properly.

A common sleep study for sleep apnea is called PSG or Polysomnogram. This is usually done in a sleep center or some sort of lab where brain activity, blood pressure, air through the lungs, and eye movement can be monitored.

Treatment for Sleep Apnea

Behavioral changes are the first line of defense in combating sleep apnea. Weight loss can help those that have obstructive sleep apnea. Reducing the use of medications or alcohol consumption which makes you sleepy can also help because these tend to make it harder to breathe.

A CPAP machine is often used to treat OSA. They use mild air pressure which keeps the airways open. The mask fits over the face, mouth and nose or just your nose.

The CPAP machine is not the only medical device that’s been approved by the FDA to treat sleep apnea. The FDA approved an implanted medical device for the treatment of sleep apnea on May 1, 2014. The UAS Inspire Upper Airway System helps people with moderate or severe OSA or those with a BMI (body mass index) under 32 and don’t have a complete collapse in the back of their throat. It’s also designed for those that didn’t see good results with a CPAP machine or couldn’t use the CPAP treatment.

Sleep Apnea Causes Constant Tiredness

Untreated OSA (obstructive sleep apnea) has been linked to high blood pressure, heart attacks, strokes, car accidents, work-related accidents and depression. According to the American Sleep Association, OSA affects more than 12 million Americans.

The Food and Drug Administration regulates the safety and effectiveness of devices, including the device most often used to treat OSA—the Continuous Positive Airway Pressure machine, commonly known as CPAP.

Sleep Apnea and Tiredness

The Greek word “apnea” literally means “without breath.” With sleep apnea, your breathing pauses multiple times during sleep. The pauses can last from a few seconds to minutes and can occur 30 times or more an hour. Sometimes when you start breathing again, you make a loud snort or choking sound.

Obstructive sleep apnea, the most common type, is caused by a blockage of the airway, usually when the soft tissue in the back of the throat collapses. The less common form, central sleep apnea, happens if the area of your brain that controls breathing doesn’t send the correct signals to your breathing muscles.

According to Eric Mann, M.D., Ph.D., deputy director of FDA’s Division of Ophthalmic, Neurological, and Ear, Nose and Throat Devices, you may be unaware of these events since they happen while you’re sleeping.

Because you partially wake up when your breathing pauses, your sleep is interrupted, and you often feel tired and irritable the next day.