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{{Sleep apnea}}
{{Sleep apnea}}
{{CMG}}; {{AE}} [[Kashish Goel|Kashish Goel, M.D.]]
{{CMG}} {{AE}} Saarah T. Alkhairy, M.D.


==Overview==
==Overview==


==Sleep Apnea History and Symptoms==
==Sleep Apnea History and Symptoms==
*Loud and chronic (ongoing) [[snoring]] with pauses in between
:*Choking or gasping may also follow the pauses
:*over time, the [[snoring]] may happen more often and get louder.
*Excessive day time sleepiness
*Non -specific [[symtoms]] include
**Morning [[headaches]]
**Trouble concentrating
**[[Irritability]]
**Memory problems
**Mood or behavior change, often depressed
**Personality changes
**Decreased [[libido]]
**Increased [[heart rate]]
**Increased frequency of urination, [[nocturia]] (getting up during the night to urinate)
**[[Gastroesophageal reflux disease|Esophageal reflux]]
**Heavy sweating at night


The most serious consequence of obstructive sleep apnea is to the heart. In severe and prolonged cases, there are increases in pulmonary pressures that are transmitted to the right side of the heart. This can result in a severe form of [[congestive heart failure]] ([[cor pulmonale]]).
Common Symptoms
*Loud and chronic [[snoring]] with apneas in between
*Gasping, snorting, or interruptions in breathing while sleeping
*Excessive day-time sleepiness


Age, body mass index, male sex, and snoring are the best predictors of sleep apnea.<ref name="pmid1863025">{{cite journal| author=Viner S, Szalai JP, Hoffstein V| title=Are history and physical examination a good screening test for sleep apnea? | journal=Ann Intern Med | year= 1991 | volume= 115 | issue= 5 | pages= 356-9 | pmid=1863025 | doi= | pmc= | url= }} </ref> Obstructive sleep apnea is difficult to diagnose based on the history and [[physical examination]]s.<ref name="pmid20143278">{{cite journal| author=Abrishami A, Khajehdehi A, Chung F| title=A systematic review of screening questionnaires for obstructive sleep apnea. | journal=Can J Anaesth | year= 2010 | volume= 57 | issue= 5 | pages= 423-38 | pmid=20143278 | url=http://www.springerlink.com/content/0384103252r31637/fulltext.html | doi=10.1007/s12630-010-9280-x }} </ref>
Non-specific symtoms include
:*Morning [[headaches]]
:*Lack of concentration
:*[[Irritability]]
:*Memory impairment
:*Mood changes, especially [[depression]]
:*Personality changes
:*Decreased [[libido]] and impotence
:*[[Tachycardia]]
:*[[Nocturia]]
:*Awakening with a dry mouth or sore throat
:*[[Gastroesophageal reflux disease|Esophageal reflux]]
:*Night sweats
:*Recurrent awakenings or [[insomnia]]
:*Awakening with [[angina pectoris]]
 
:*History of [[hypertension]], [[cardiovascular disease]], [[cerebrovascular disease]], or [[renal disease]]
 
:*History of type [[2 diabetes mellitus]]
 
:*Symptoms of [[fibromyalgia]]
 
 
 
Symptoms in children:
:*[[Hyperactivity]]
 
:*Poor school performance
:*Angry or hostile behavior
:*May breathe through their mouths instead of their noses during the day


==References==
==References==
{{Reflist|2}}
{{Reflist|2}}



Revision as of 13:03, 7 July 2015

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Saarah T. Alkhairy, M.D.

Overview

Sleep Apnea History and Symptoms

Common Symptoms

  • Loud and chronic snoring with apneas in between
  • Gasping, snorting, or interruptions in breathing while sleeping
  • Excessive day-time sleepiness

Non-specific symtoms include


Symptoms in children:

  • Poor school performance
  • Angry or hostile behavior
  • May breathe through their mouths instead of their noses during the day

References

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