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Sleep Disorders

The Snoring Sickness: Do You Have Sleep Apnea?


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Summary & Participants

Everyone knows snoring is a big problem--for the other person in bed. But in some cases, snoring is a sign of something more serious, a condition called sleep apnea. What is sleep apnea? If you snore, should you be worried? Join our panel as they discuss this disorder as well as treatments that can help bring silence to the bedroom.

Medically Reviewed On: July 10, 2008

Webcast Transcript


DANIEL WAGNER, MD: Right. Yeah. Many of our patients have to be convinced by either an audio or a videotape that, oh, yeah, that's them actually making all that sound.

SHELLEY ZAK, MD: Their wives.

DANIEL WAGNER, MD: Because the snorer actually never hears themselves. They're asleep and the nature of sleep is that we're cut off from sensory input, including hearing. So the snorer doesn't actually hear themselves snore, except perhaps at the end of an apnea or as they're arousing, they may [SNORTING SOUND] hear themselves snort a little bit like that. But very often, people will deny that they could possibly make that horrible noise until someone actually records it.

DAVID FOLK THOMAS: So snoring can be unrelated to sleep apnea.

DANIEL WAGNER, MD: Yes, about half of men at age 50 snore chronically or habitually. They snore at least part of every night. Probably about five to maybe eight percent of men at age 50 have sleep apnea.

DAVID FOLK THOMAS: How is sleep apnea diagnosed?

SHELLEY ZAK, MD: You go to a sleep center. The only way to diagnose it is to look at sleep and breathing. And do you breathe when you're sleeping. And so one has to go to a sleep center and have a polysomnogram or sleep study to make this diagnosis.

I actually wanted to make a point. Dr. Wagner mentioned how the incidence increases, and is quite prominent in middle age. This is very often a weight-related phenomenon. And it's very important -- if you put on some weight, and, all of a sudden, they notice you're snoring -- that's also a key. It's both weight and your anatomy and to whatever extent, that is also affected by weight.

DAVID FOLK THOMAS: And then what -- if you've been diagnosed, what can you do besides keeping slim and trim?

SHELLEY ZAK, MD: Well, that's right. I mean, there are two things. One is treatment is one is cure. And the long-term cure is usually not always, but usually, weight loss. But, you can't lose weight if you're exhausted, you're not sleeping, you have no energy.

So the short-term treatment, the most common is something called nasal CPAP. That stands for "Continuous Positive Airway Pressure," C-P-A-P. And I will bet that most of your viewers know someone who has a CPAP machine. It's a machine -- it's about the size of a loaf of bread. And it literally blows in pressurized air into the back of the throat. I mean, the problem is collapse of the back of the throat as one is breathing at night. And what this does is work as a pneumatic splint. It is pushing air into the back of the throat. It can't collapse on itself. And that sounds kind of like, "Ooh, ah, how can anyone sleep like that?" And the reality is, if someone has significant sleep apnea, they sleep wonderfully with the CPAP machine.

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