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A Fatal Slumber: What is Sleep Apnea?

Do you snore while you are sleeping? Do you wake up during the night sometimes with the sensation of choking or grasping for breath? Do you wake up with headaches and have trouble staying awake during the day?

If you answered yes to the questions above, chances are you may already be under a threat of a serious, potentially life-threatening sleeping disorder called sleep apnea.

Sleep apnea is a breathing disorder characterized by brief interruptions of breathing during sleep. It comes from the Greek word, apnea, meaning "want of breathe."

There are two types of sleep apnea: central and obstructive. Central sleep apnea, which is less common, occurs when the brain fails to send the appropriate signals to the breathing muscles to initiate respirations, usually with decreases in blood oxygen saturation. Obstructive sleep apnea is far more common and occurs when air cannot flow into or out of the person's nose or mouth usually accompanied by a reduction in blood oxygen saturation, and followed by an awakening to breathe.

According to the National Institute of Health, sleep apnea affects more than 18 million Americans. It occurs in all age groups and both sexes but is more common to men over the age of forty. Sleep apnea seems to run in some families, suggesting a possible genetic basis.

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Early recognition and treatment of sleep apnea is important because it may be associated with memory problems, weight gain, impotency, irregular heartbeat, high blood pressure, heart attack, and stroke.

Sleep apnea generally has the following symptoms:

Loud, frequent snoring. This is probably the best and most obvious indicator. Though not everyone who snores has sleep apnea.

Cessation of breathing during sleep.

Excessive daytime sleepiness/fatigue.

Unrefreshing sleep with feelings of grogginess, dullness, morning headaches and severe dryness of mouth.

Fortunately, sleep apnea can be diagnosed and treated. Several treatment options exist, such as behavioral therapy, physical or mechanical therapy and surgery. For many sleep apnea patients, their spouses are the first ones to suspect that something is wrong, usually from their heavy snoring and apparent struggle to breathe. Friends or coworkers of the sleep apnea victim may notice that the individual falls asleep during the day at inappropriate times, such as while driving a car, working or talking. The patient often does not know he or she has a problem. It is important that the person see a doctor for further evaluation.

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