Gary Null and Amy McDonald
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 Pearl says. "Sleep apnea is an episode in which your breathing is interrupted for about 10 seconds. The person will stop breathing. Ten seconds later, you hear them suddenly gasp for air once. That causes them to awaken and typically, fall right back to sleep again. A sleep apnea episode can happen as many as several hundred times a night, without the person knowing it. If you are older and overweight, if you snore and are sleepy during the day, it is important to talk to a physician about the possibility of sleep apnea."
Cardiovascular and digestive disorders also contribute to insomnia. |
| Foremost among them is sleep apnea. "If you or your sleeping partner experiences problems with snoring, it's important to explore whether there might be some kind of breathing disorder," Dr. Pearl says. "Sleep apnea is an episode in which your breathing is interrupted for about 10 seconds. The person will stop breathing. Ten seconds later, you hear them suddenly gasp for air once. That causes them to awaken and typically, fall right back to sleep again. A sleep apnea episode can happen as many as several hundred times a night, without the person knowing it. |
Benjamin H. Natelson, M.D.
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 Half of all UARS patients are women, and half of them are premenopausal, and, in contrast to the typical patient with sleep apnea, many UARS patients are not overweight. But the complaints sound very much the same as those of patients with sleep apnea: poor quality of sleep, frequent awakenings, and daytime fatigue or sleepiness. Here the problem is frequent arousals throughout the night and not apnea. The medical consequences of these arousals and mild blockages to breathing are still under investigation. |
Alan R. Gaby, M.D., Jonathan V. Wright, M.D., Forrest Batz, Pharm.D. Rick Chester, RPh., N.D., DipLAc. George Constantine, R.Ph., Ph.D. Linnea D. Thompson, Pharm.D., N.D.
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 When the resistance to airflow in the airways becomes so great as to cause significant interruptions in breathing, it is known as sleep apnea. sleep apnea represents a more serious health concern than simple snoring;5 therefore, chronic snoring, which can be associated with sleep apnea, should be evaluated by a healthcate provider.
What are the symptoms of snoring?
People with snoring may make a rough, rattling, noisy sound while breathing in during sleep. |
Joan Liebmann-Smith, Ph. D., and Jacqueline Nardi Egan
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 Snoring can be your body's way of sounding an alarm that you have a potentially serious condition called sleep apnea. In sleep apnea, a person may stop breathing or the breathing can become extremely shallow. These breathing cessations can happen scores of times every hour, causing the person's oxygen level to drop dramatically, which the body interprets as a medical emergency. The heart then
. c j i . |
Gary Null and Amy McDonald
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| That causes them to awaken and typically, fall right back to sleep again. A sleep apnea episode can happen as many as several hundred times a night, without the person knowing it. If you are older and overweight, if you snore and are sleepy during the day, it is important to talk to a physician about the possibility of sleep apnea."
Cardiovascular and digestive disorders also contribute to insomnia. "Angina, in which the heart muscle receives insufficient oxygen, can cause a person to awaken during the night with a choking pain," Dr. Pearl explains. |
Marshall Editions
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 If snoring is associated with sleep apnea, treatment should be sought immediately. Studies have shown that untreated sleep apnea can result in pulmonary and systemic hypertension and neurocognitive problems.
TRADITIONAL CHINESE MEDICINE
To use traditional Chinese medicine to treat cases of snoring, it is best to consult a practitioner. The primary cause of snoring is the focus for prescribing medicinal formulas. mmm^m Acupuncture: Treatment can be used to address the underlying problem causing the snoring. Targeting the local points around nasal passages and throat is very beneficial. |
Mehmet C. Oz., M.D. and Michael F. Roizen, M.D.
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 While we often associate sleep apnea with snoring, the truth is that sleep apnea is actually signaled by silence (often preceded or followed by power-tool sounds), where you're not breathing for up to ten seconds at a time. And that's what actually rustles you awake. You can have as many as two hundred episodes a night (two hundred!),
Po You Need Sleep Prugs?
Your first line of sleep therapy should be trying the hygiene strategies we outline on page 195, but for some people, medications or herbal supplements can be the answer-if you know the right one. |
Marshall Editions
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| Established and frequent problems with snoring will require more professional medical attention, especially if snoring is combined with sleep apnea (a condition that is closely related to snoring and causes you to hold your breath during sleep). Those who suffer from sleep apnea are potentially more vulnerable to health problems such as strokes.
Calc carb: This is a potential remedy if colds and ear infections frequently occur during the fall and winter months, leading to lingering catarrh and swollen glands, which can cause snoring. Being overweight may also make snoring more likely. |
Joan Liebmann-Smith, Ph. D., and Jacqueline Nardi Egan
See book keywords and concepts |
| Snoring can be your body's way of sounding an alarm that you have a potentially serious condition called sleep apnea. In sleep apnea, a person may stop breathing or the breathing can become extremely shallow. These breathing cessations can happen scores of times every hour, causing the person's oxygen level to drop dramatically, which the body interprets as a medical emergency. The heart then
. c j i . |
Benjamin H. Natelson, M.D.
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| Oddly, this means that the sleep apnea patient and his partner may both find themselves experiencing daytime fatigue—one from being awakened repeatedly when his breathing stops, and the other from being kept awake by the spouse's loud snoring—or worry over his total lack of breathing.
Sleep apnea is caused by the combination of sleep-related muscular relaxation and weight-related thickening of the respiratory passages. That's why this condition is seen most often in heavy people with thick necks. |
Mehmet C. Oz., M.D. and Michael F. Roizen, M.D.
See book keywords and concepts |
| While we often associate sleep apnea with snoring, the truth is that sleep apnea is actually signaled by silence (often preceded or followed by power-tool sounds), where you're not breathing for up to ten seconds at a time. And that's what actually rustles you awake. You can have as many as two hundred episodes a night (two hundred!),
Po You Need Sleep Prugs?
Your first line of sleep therapy should be trying the hygiene strategies we outline on page 195, but for some people, medications or herbal supplements can be the answer-if you know the right one. |
J. Douglas Bremner
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 Medications (including bronchodilators, caffeine, theophylline, and stimulants such as Ritalin, amphetamines, steroids, antihypertensive drugs, and antidepressants) Snoring or restless bed partner Stress and anxiety Excessive alcohol or other drug use
Sleep apnea, often seen in overweight individuals, where the airways become obstructed and cause the individual to wake up frequently. sleep apnea can be accurately diagnosed and treated by a doctor using a machine called Continuous Positive Airway Pressure (CPAP), which delivers air into the airways through a mask that is worn at night. |
Joan Liebmann-Smith, Ph. D., and Jacqueline Nardi Egan
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| And men with sleep apnea may find that their sexual performance can take a nosedive.
You may be able to turn a deaf ear to sun sneezing, but snoring is hard to ignore. Perhaps you can't get a good night's sleep because your partner sounds like he's orchestrating a symphony through his nose. Or your own nasal nocturnes drive your bed-mate crazy and to the living room— or analyst's couch, or even a marriage counselor.
For some, snoring can be a very annoying telltale sign of drinking too much, especially at bedtime. |
Bottom Line Health
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| American sleep apnea Association
1424 K St. NW, Suite 302 Washington, DC 20005 202-293-3650 www.sleepapnea.org m American Society of Hypertension
148 Madison Ave., 5th Floor New York, NY 10016 212-696-9099 www.ash-us.org
¦ American Society of Plastic Surgeons
444 E. Algonquin Rd. Arlington Heights, IL 60005 888-4-PLASTIC (475-2784) www.plasticsurgery.org
¦ American Speech-Language-Hearing Association
10801 Rockville Pike Rockville, MD 20852 800-498-2071, 800-638-8255 www.asha.org
¦ American Stroke Association
7272 Greenville Ave. Dallas, TX 75231 888-4-STROKE (478-7653) www. |
Benjamin H. Natelson, M.D.
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| These include narcolepsy, sleep apnea, and moderate to severe cases of a condition known as chronic shift work sleep disorder, which gets its name from the severe sleepiness some night shift workers feel. The advantage of modafinil over general pharmacological stimulants is that it targets the brain regions controlling sleep and wakefulness while not affecting those sites responsible for addiction. This enhanced specificity greatly lowers the risk of abuse. |
Bottom Line Health
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| People who have lower BMIs may also be considered candidates for the surgery if they have obesity-related health problems, such as type 2 diabetes, severe sleep apnea or heart disease.
A majority of the procedures are done on women (84%) and those who have private insurance (83%), according to the study.
To learn more about surgery for obesity, — visit the National Institute of Diabetes and Digestive and Kidney Diseases's Weight-control Information Network at http://win.nid.dk. nih.gov/publications/gastric.htm.
Families that Stay Together... |
Marshall Editions
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| Studies have shown that untreated sleep apnea can result in pulmonary and systemic hypertension and neurocognitive problems.
TRADITIONAL CHINESE MEDICINE
To use traditional Chinese medicine to treat cases of snoring, it is best to consult a practitioner. The primary cause of snoring is the focus for prescribing medicinal formulas. mmm^m Acupuncture: Treatment can be used to address the underlying problem causing the snoring. Targeting the local points around nasal passages and throat is very beneficial. Treatment once a week is normal, but the frequency depends on an individual's condition. |
Jack Challem
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 Heartburn is often caused by consuming soft drinks or processed foods, especially in the evening, and can disrupt sleep. sleep apnea, which is common among overweight, diabetic, and prediabetic people, interferes with normal breathing and interrupts sleep. The consequence is that we go to bed tired, wake up tired, and muddle through the day feeling tired, cranky, and like zombies.
J. Todd Arnedt, Ph.D., of the University of Michigan, has found that working very long hours produces the same slow reflexes and poor judgment as when we drink too much alcohol. |
Joan Liebmann-Smith, Ph. D., and Jacqueline Nardi Egan
See book keywords and concepts |
| Snoring is a common sign of sleep apnea. Anesthesia can be risky for patients with this condition, and special precautions should be taken.
AVERY RUNNY NOSE
Having a runny nose—medically known as rhinitis—is usually merely a sign of a simple cold or allergy. But a continuously drippy nose may be a telltale sign of snorting cocaine, heroin, or other drugs.
If you don't do drugs and don't have a cold or allergy but clear mucus drains continuously from your nose, it can signal a serious problem, such as a tumor. |
Marshall Editions
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| This condition is known as sleep apnea.
If your nasal passages are inflamed, because of a cold or allergy, for example, you may find that you snore more than usual. Drinking alcohol relaxes the throat opening muscles, making snoring worse. Certain types of allergy tablets, such as antihistamines, and sleeping pills can worsen the condition. Obesity, especially if there is excess fat in the neck area, can also trigger snoring as fatty tissue presses on the upper respiratory tract, causing it to narrow. Snoring is also associated with pregnancy and post menopause. |
Steven V. Joyal
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 RISKS ASSOCIATED WITH INSULIN RESISTANCE
The risks associated with insulin resistance are considerable and include diabetes, heart disease, stroke, polycystic ovary syndrome, fatty liver disease, nonalcoholic steatohepatosis (fatty inflammation of the liver), and sleep apnea. The risk of developing these conditions can be significantly reduced if you take the steps outlined in part II of this book. Compared with people who do not have insulin resistance, people with this problem are exposed to increased cardiovascular risk. |
Benjamin H. Natelson, M.D.
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| Unfortunately, this treatment does not work well enough to treat most patients with significant sleep apnea.
Sometimes the problem can be resolved simply by changing your sleep position. Many snorers stop snoring when they shift from their backs to their sides. But overweight people are more comfortable sleeping on their backs. To teach yourself to sleep on your side, you can try a snore-ball. Sew a pocket onto the back of a T-shirt and insert half a tennis ball into the pocket. |
| But the complaints sound very much the same as those of patients with sleep apnea: poor quality of sleep, frequent awakenings, and daytime fatigue or sleepiness. Here the problem is frequent arousals throughout the night and not apnea. The medical consequences of these arousals and mild blockages to breathing are still under investigation. Although they may differ from the consequences of severe apnea, that does not make them insignificant. People with UARS tend to have lower blood pressure and report more problems with feeling faint than people with other sleep disorders. |
| While many studies (including my own) find that sleep disorders occur no more often in patients with medically unexplained symptoms than in the general population, one sleep specialist at the medical school in Stony Brook, New York, has reported a mild form of sleep apnea to be common in patients with fibromyalgia (FM). One reason for the apparent discrepancy is that most sleep studies report on small numbers of patients. |
Mike Adams, the Health Ranger
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 Things like sleep apnea -- obstructive sleep apnea, where your trachea collapses and so forth -- this won't help with that. But, a lot of people find that this, for example, addresses insomnia, because if you are exposed to more light during the day, you will sleep better at night -- and that's a fact.
Mike: Absolutely.
Pederson: Because, you're going to regulate your body clock and you're going to say, "This is the day and this is the night. |
Tori Hudson, N.D.
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 Some women may need evaluation for sleep apnea, treatment of psychological issues, or pharmacological treatment.
Melatonin. One of the better-known natural treatments for insomnia is melatonin. One placebo-controlled trial on melatonin found that 0.5 mg of melatonin daily for two weeks shortened the amount of time it took to fall asleep but had no effect on sustaining sleep or improving the quality of the sleep.190 In another study, 2 mg of melatonin per day was effective in improving sleep efficiency. |
Craig Pepin-Donat
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 But consider how obesity, coupled with physical inactivity, dramatically increases the risk of developing heart disease, high blood pressure, high cholesterol, diabetes, stroke, gallbladder disease, sleep apnea and various types of cancers.3
As was the case with my father who drank, smoked and ate poorly for years until one of the arteries in his leg clogged and threatened his life, few take the potential of disease seriously until diagnosed with one. Will you wait to make the same ill-fated choice or will you change your mindset and lifestyle to improve your quality of life today? |
Joan Liebmann-Smith, Ph. D., and Jacqueline Nardi Egan
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| Other common signs of empty nose syndrome are shortness of breath and other breathing difficulties, a dulled sense of smell and taste, an odorous nose (see A Smelly Nose, below), sleep disturbance, and sleep apnea. These signs often show up many years after the surgery or damage to the turbinates.
SIGNIFICANT FACTS
A SMELLY NOSE
The first-ever survey on nose picking was conducted in Wisconsin in 1991. More than 90% of responders admitted to the habit. The most common places to pick were in offices and cars. |
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