How can I tell if I have sleep apnea and how can I treat it?
Diagnosis
The typical patient with sleep apnea is an overweight middle-aged male with a neck size of more than 17 inches. However, the condition is also common in women and not all sufferers are overweight. Almost everybody who has sleep apnea is a snorer, often a very heavy snorer. Pauses in breathing during sleep are commonly noticed by a bed partner but this history is often lacking and up to five “events” per hour are considered normal.
One of the more consistent symptoms is “nonrestorative sleep” meaning that the patient wakes in the morning feeling unrefreshed no matter how much he slept during the night. Excessive daytime sleepiness is common in sleep apnea of any severity but some patients complain of fatigue rather than sleepiness. However, many patients with severe sleep apnea have no complaint of sleepiness or fatigue.
The most accurate diagnostic tool, polysomnography, can confirm the diagnosis and assist the doctor in identifying the type of sleep apnea present. In the past, this test was only done in hospitals and in specialized sleep laboratories. There...
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