Obstructive Sleep Apnea Symptoms

• Snoring
• Daytime sleepiness/falling asleep at the wheel
• Chronic dependence on caffeine or energy drinks
• Depression/irritability
• Poor concentration/memory/focus problems
• Morning headaches
• Poor job performance/attention deficit disorder
• Obesity

Diagnosing OSA

So how is OSA diagnosed? To diagnose OSA you should undergo a formal sleep study at the comfortable Woodinville Sleep Improvement Center. The overnight test is easy and preliminary results for the test are available as soon as the following day. We analyze different parameters like breathing, heart rate, brain waves, limb movements etc. while you sleep. This way we can determine what is fragmenting your sleep.

Speech and OSA Diagnosis

If you’re human, and you can talk, then you’re susceptible to breathing problems at night, even if you don’t suffer from any apneas. The reason is that complex speech and language development unprotected our upper airways, and everyone’s tongue can fall back and obstruct your breathing at night, especially when you’re in deep sleep, due to muscle relaxation.

Associated Medical Conditions

• 50% greater incidence of high blood pressure (HTN)
• 1½ times more likely to have heart disease
• Diagnosed depression- 18 times more likely have OSA
• Increased risk of Type II Diabetes

Central and Complex Sleep Apnea

Besides insomnia, obstructive sleep apnea (OSA) is the most common sleep issue for men and women. However a significant number of people with obstructive sleep apnea (OSA) may also have central sleep apnea or complex sleep apnea (CSA) which is a combination of the two. CSA is thought to be a condition that’s associated with a number of different neurologic problems, as well as heart or kidney failure.
During the night, people with CSA stop breathing when signals in the brain that tells the body to breathe do not work properly. Exhaling during sleep could also become problematic and may result in dangerous Co2 retention. To make matters worse for those who have CSA, no effort is even made to inhale. In contrast, with OSA, an effort is made to breathe in and out, but because of collapse in the upper airways, air can’t get into the lungs.

Treatment

Unfortunately, treating some cases of CSA is more of a challenge than treating OSA. The most effective method of treating challenging CSA conditions is to use a variation of CPAP as a respirator. This breathing machine is called an assisted servo-ventilator (ASV). When the ASV senses that you’re not breathing, it literally breathes for you, rather than applying constant positive pressure for obstructive events.

Insomnia Symptoms

• Difficulty falling asleep
• Waking up often during the night and having trouble going back to sleep
• Waking up too early in the morning
• Feeling tired upon waking

Causes of Insomnia

Causes of acute insomnia can include:

• Poor sleep hygiene
  • TV/laptop/Smartphone/video games in bedroom
  • Food in bed
  • Pets in bed
  • Young children in your bed
• Significant life stress
  • Job loss/change
  • Death of a loved one
  • Financial
  • Divorce/moving,
  • Children,
  • Health issues/illness
• Emotional or physical discomfort (fibromyalgia)
• Environmental factors like noise, light, or extreme temperatures (hot or cold) that interfere with sleep
• Some medications (for example those used to treat colds, allergies, depression, high blood pressure, and asthma) may interfere with sleep
• Interferences in normal sleep schedule
  • Jet lag
  • Night shift/third shift
  • Rotating work schedule
  • Infant care/feedings

Acute vs. Chronic Insomnia

Insomnia also varies in how long it lasts and how often it occurs. It can be short-term (acute insomnia) or can last a long time (chronic insomnia). Insomnia can also come and go, with periods of time when a person has no sleep difficulties. Acute insomnia may last from one night to a few weeks. Insomnia is chronic when a person has insomnia at least three nights a week for a month or longer.

Diagnosing Insomnia

If you think you have insomnia, click here to schedule an appointment. You can also go to the Download tab and fill out the Sleep Questionnaire. There is also a Worry Worksheet and Sleep Diary available to download. The Sleep Diary will help track of your sleep patterns and how you feel during the day. By contacting Woodinville Sleep via phone or online appointment, Dr. Park can do a complete sleep consultation and you may require an overnight sleep study. The overnight sleep study often discovers a significant underlying reason that is the primary cause for your insomnia. An additional day study, composing of a series of short naps, may also be useful to determine the level of your daytime sleepiness.

Treatment for Acute Insomnia

Mild insomnia often can be prevented or cured improving your sleep hygiene. After your sleep study results are known, Dr. Park may prescribe medication for a limited time, if your insomnia makes it hard for you to function during the day. Rapid onset, short-acting drugs can help you avoid effects such as drowsiness the following day. Avoid using over-the-counter sleeping pills for insomnia since they may have undesired side effects and tend to lose their effectiveness over time.

Treatment for Chronic Insomnia:

• Treating any underlying conditions or health problems
• Cognitive Behavioral Therapy or CBT

CBT approaches help you change behaviors that may cause/worsen insomnia, and to learn new behaviors to promote good sleep. Techniques such as relaxation exercises, sleep restriction therapy, worry worksheet, even sleep music (check out Dueter) can be useful.