Sleep Apnea FAQ
What exactly is sleep apnea? It is a serious sleep disorder where breathing repeatedly stops and starts. The most common form, Obstructive Sleep Apnea (OSA), occurs when throat muscles relax and block the airway.
What is the difference between simple snoring and sleep apnea? Snoring is the sound of tissue vibration, but sleep apnea involves actual pauses in breathing (apneas) and drops in oxygen levels. Not everyone who snores has apnea, but loud, chronic snoring is a primary symptom.
What are the different types of sleep apnea? There are three main types: Obstructive (OSA): Physical blockage of the airway (most common). Central (CSA): The brain fails to signal muscles to breathe. Complex/Mixed: A combination of both.
Is sleep apnea genetic/hereditary? Yes, it can run in families. Physical traits like a narrow throat, thick neck, or receding chin can be inherited, increasing risk.
Who is most at risk for getting it? While it can affect anyone (including children), it is most common in men, people over 40, and those who are overweight. However, post-menopausal women see a significant rise in risk.
Can I have sleep apnea if I’m not overweight? Yes. While weight is a major risk factor, thin people can have it too, often due to anatomical features like large tonsils, a deviated septum, or a naturally narrow throat.
How do I know if I have it? (What are the warning signs?) The "classic" signs are loud snoring, gasping or choking during sleep, and waking up with a dry mouth or headache.
Why am I so tired even after sleeping 8 hours? Apnea causes "micro-arousals" dozens of times an hour to restart breathing. This prevents you from reaching deep, restorative (REM) sleep, leaving you exhausted despite "sleeping" all night.
Do I really need a sleep study to be diagnosed? Yes. A doctor cannot diagnose it by symptoms alone. A sleep study (polysomnogram) tracks your breathing, oxygen, and heart rate to confirm the condition.
Can I do a sleep study at home instead of a lab? Often, yes. Home Sleep Tests (HST) are now common for uncomplicated cases. They involve a simplified monitor you wear in your own bed.
How many times do you have to stop breathing to have it? Doctors use the Apnea-Hypopnea Index (AHI). Mild: 5–15 events per hour. Moderate: 15–30 events per hour. Severe: 30+ events per hour.
What is the most effective treatment? CPAP (Continuous Positive Airway Pressure) is the gold standard. It uses a machine to blow a steady stream of air through a mask, keeping the airway splinted open.
Are there alternatives if I can't tolerate a CPAP mask? Yes. Options include oral appliances (custom mouthguards that hold the jaw forward), positional therapy (learning not to sleep on your back), and in some cases, surgery (like the Inspire implant).
Can I cure sleep apnea naturally with weight loss? Sometimes. For patients where obesity is the primary cause, significant weight loss can reduce or even eliminate apnea. However, if the cause is anatomical (e.g., jaw structure), weight loss may not cure it.
Does sleeping on my side help? Yes. Sleeping on your back (supine) allows gravity to pull the tongue/tissues back, blocking the airway. Sleeping on your side often reduces the severity of events.
Is surgery a good option? Surgery is usually a second-line treatment if CPAP fails. Procedures range from removing tonsils/uvula (UPPP) to newer options like hypoglossal nerve stimulation implants.
Can sleep apnea kill you? Directly dying in your sleep is rare, but the complications are deadly. Untreated apnea significantly increases the risk of heart attack, stroke, and sudden cardiac death.
How does it affect my heart/blood pressure? Every time you stop breathing, your oxygen drops and your body shoots adrenaline into your system to wake you. This constant stress keeps blood pressure high and strains the heart walls.
Can it cause mental health issues? Yes. Chronic sleep deprivation is strongly linked to depression, anxiety, irritability, and "brain fog."
Is it dangerous to drive with untreated sleep apnea? Extremely. People with untreated apnea are up to 2.5 times more likely to be involved in a car accident due to drowsiness and slower reaction times.