Sleep apnea - obstructive; Apnea - obstructive sleep apnea syndrome; Sleep-disordered breathing
Symptoms
A person who has obstructive sleep apnea often is not aware of the apnea episodes during the night. Often, family members, especially spouses, witness the periods of apnea.
A person with obstructive sleep apnea usually snores heavily soon after falling asleep. The snoring continues at a regular pace for a period of time, often becoming louder. It is then interrupted by a long silent period during which there is no breathing. This is followed by a loud snort and gasp, and the snoring returns. This pattern repeats frequently throughout the night.
The main symptoms are usually associated with excessive daytime sleepiness:
- Abnormal daytime sleepiness, including falling asleep at inappropriate times
- Awakening unrefreshed in the morning
Other symptoms may include:
- Depression (possibly)
- Memory difficulties
- Morning headaches
- Personality changes
- Poor concentration
- Restless and fitful sleep
- Frequent waking up during the night to urinate
-
Insomnia
Other symptoms that may occur with this disease:
- Hyperactive behavior, especially in children
- Leg swelling (if severe)
Signs and tests
The health care provider will perform a complete history and physical exam. This will involve carefully checking your mouth, neck, and throat. You may be given a survey that asks a series of questions about daytime sleepiness, sleep quality, and bedtime habits.
A
Other tests that may be performed include:
-
Arterial blood gases -
Electrocardiogram (ECG) -
Echocardiogram - Thyroid function studies
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