Sleep apnoea, or obstructive sleep apnoea (OSA) is on the rise in the Australian population, however many go undiagnosed and untreated It characterised by repeated episodes of obstruction of the throat during sleep and is usually associated with loud snoring and excessive daytime sleepiness. Sleep apnoea can lead to the development of hypertension and insulin resistance, and is associated with heart attack, increased blood pressure, stroke and Type 2 Diabetes. There is also an increased risk of motor vehicles and work place accidents
Symptoms of sleep apnoea
Snoring
Episodes of gasping, snorting or choking during sleep
Excessive daytime sleepiness, fatigue or lethargy
Lack of energy
Daytime tiredness/ needing to have a nap
Disturbed or restless sleep (OSA sometimes causes insomnia)
Poor memory and concentration
Morning headaches
Dry mouth or sore throat upon waking
Grinding
Irritability, depression, anxiety, mood and behaviour changes (including ADHD in children)
Increased frequency of urination during the night
Rapid weight gain or difficulty in losing weight
In Children
Behavourial changes - aggression
Difficulty at school
Sleep walking
Bed wetting
Nightmares and night terrors
Treatment options
Sleep apnoea can be a symptom of an underlying issue, therefore treatment options should be individualised and based on possible causes.
Most common treatment options include lifestyle changes such as weight loss and reducing alcohol consumption, cessation of smoking, adjusting sleep habits. Treatment for OSA may involve Continuous Positive Airway Pressure (CPAP) treatment, an oral appliance, surgery (in selected patients), or other medical therapies; these are used to improve nasal air-flow. Investigation into the anatomy of the upper airway should also be considered for any nasal airways issues, tonsils & adenoids enlargement and allergies.