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Old 02-23-2008, 10:31 AM   #1
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bethsheba HB Userbethsheba HB Userbethsheba HB Userbethsheba HB User
Sleep Apnea---do you have it? If so, it may be elevating your blood pressure!

Obstructive sleep apnea (OSA) is a condition that occurs when a person stops breathing (apnea) OR breathes shallowly (hypopnea)at least 10 times in an hour. It’s a very common condition but it often goes undiagnosed because the person is sleeping when the apneas and/or hypopneas occur (and therefore, doesn’t know that this is happening), and because physicians don’t screen adequately, if at all.

About 1/2 of the patients who have essential hypertension have obstructive sleep apnea.

About 1/2 of the patients who have OSA, have hypertension.

Despite having clear symptoms of OSA, 80-90 percent of the cases remain undiagnosed by physicians. But when physicians routinely screen for OSA, the number of cases increases by 8 times.

Apnea may trigger other conditions and as a result the following may be present:
allergies
asthma
acid reflux
anxiety
cardiovascular disease
depression
nocturia (getting up to urinate at night)
obesity
hypertension

In my humble opionion, anyone with the above conditions should screen themselves for apnea...it's just tooooo important to overlook.

Symptoms of OSA
gradual gain in weight (when you don't sleep well, you don't eat
right or exercise)
being overweight (excess tissue whether it be fat or other tissue
can block the airways)
thick throat
receding chin
nasal polyps
large tonsils, adenoids
yawning
mood changes (depression, anxiety, short temper, etc)
blood pressure that doesn't dip at least 10 points at night (a non
dipper)
blood pressure that is difficult to control with medication
fatigue
snoring
waking up during the night with a choking sensation
waking up gasping for air and perspiring during the night
waking up with a panic attack at night
waking up with a headache
waking up with a dry mouth

Some people only have one symptom...and it may not be noticable!

What do you do if you suspect you may have a sleep disorder? You can take self tests...one of the most common is the Epworth Sleep Scale that is on the government's Medline Plus Website under Sleep Disorders...

[url]http://www.nlm.nih.gov/medlineplus/sleepdisorders.html[/url]

If you scroll half way down the page, you will see on the left side of the page "Health Check Tools" and under that is a "Sleepiness Scale". This is one (of many) little self tests that one can take to see if you should see a sleep specialist. You can also do a sleep log or a sleep diary to record your sleep patterns, and quality of life issues that may be related to sleep. These logs are easy to find but if you'd like me to design one, I could do that, too.

My favorite "self test" is "Do you yawn alot?" Although I never got/get sleepy, I always yawned alot...I think it was about the only visable symptom I had...but my point is, you don't have to have obvious symptoms to have apnea.

Good luck with your "research"! I'll try to post more about the correlation of sleep problems and acid reflux, asthma, cardiovascular disease, and hypertension.

Bethsheba

Last edited by bethsheba; 02-23-2008 at 03:40 PM. Reason: added more symptoms

 
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Old 02-23-2008, 12:47 PM   #2
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Re: Sleep Apnea---do you have it? If so, it may be elevating your blood pressure!

Hi Beth, and thanks for your post on SA.

I was visiting another site while researching hypertension and came across sleep apnea. I identified immediately with some of the symptoms listed. They were: waking up with a headache, waking up during the night with a choking sensation, waking up gasping for air and perspiring during the night. While the aforementioned has happened only occasionally - they have still happened. If I mention this discovery to my GP, he'll just dismiss it as usual (sigh!).

Marantz,
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At the moment I am free from medication.

 
Old 02-23-2008, 03:33 PM   #3
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Re: Sleep Apnea---do you have it? If so, it may be elevating your blood pressure!

Quote:
Originally Posted by marantz1935 View Post
Hi Beth, and thanks for your post on SA.
You're welcome! Thank you for reading it, . Wish more people would do so considering about 1/2 of us with hypertension have it.

Quote:
... I identified immediately with some of the symptoms listed. They were: waking up with a headache, waking up during the night with a choking sensation, waking up gasping for air and perspiring during the night. While the aforementioned has happened only occasionally - they have still happened. If I mention this discovery to my GP, he'll just dismiss it as usual (sigh!).Marantz,
Marantz, I am so very glad that you mentioned this for several reasons...first of all, these are CLASSIC signs...classic...so I will add them to the list along with anxiety and panic as these symptoms often accompany the ones you describe (I didn't experience any of these symptoms so I forgot to put them on the list, sorrrry!).

Second, these things don't happen all the time....and often when they do happen, we just don't notice (or if they happen at night we don't remember them when we wake up). The fact that you've experienced these symptoms ONCE is a sign that it needs to be investigated.

Thirdly, although apnea is relatively easy to treat (treatment can be 100 percent effective and med free), untreated apnea can be deadly for some...so you need to find a doctor who is better versed (or at least willing to listen) than your present doctor! And I would recommend doing so right away (it can take several months to get in to see a specialist.)

My sleep specialist told me that most of his referrals come from heart specialists (I was the exception, ) ..if it were me, and I had problems getting a referral I would:

1. Put together info with a sleep log/diary, self tests, and other reasons why I thought I had a sleep problem. I would presesnt this to my primary doctor, who should then give a referral.

2. If my primary wouldn't give me a referral, I would call my insurance company and ask for the names and contact info for the sleep specialists in my area. I would then call the offices of those sleep specialists and tell them that I was having a problem getting a referral from my doctor and ask them what they would recommend...or I would ask for the names of the primary (or other)doctors that gave them referrals and get an appointment to see one of them for the purpose of getting a referral.

Thank goodness, I didn't have to fight that battle...but I did switch sleep specialists before I had my sleep study done...I may have made a mistake there, but that's another story.

Good luck, Marantz...do let us know how you fare.

Bethsheba

Last edited by bethsheba; 02-23-2008 at 03:36 PM.

 
Old 02-23-2008, 05:16 PM   #4
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Re: Sleep Apnea---do you have it? If so, it may be elevating your blood pressure!

Thanks Beth,

Great information that I will be discussing with my Dr. (he is a BIG believer in sleep apnea so it should not be a fight - I too have many of these symptoms which I have noticed over the past few months do seem MUCH worse at night.

Thanks so much!!!

Vanessa

 
Old 02-23-2008, 09:22 PM   #5
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Re: Sleep Apnea---do you have it? If so, it may be elevating your blood pressure!

Beth,

Thanks for taking the time to post this information and your suggestions. I plan on taking at least one self-test in the next few days.
P.S. I am one of the people who have never been screened for this condition. I wonder why?

FG

 
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