FAQ - sleep apnea, central
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what is the treatment for central sleep apnea?


im on cpap. doesnt work. cant get enough pressure to go thru my nose. only my mouth. i sleep using my nose only. sleep study says negative for obstructive sa. do i have central. what can i do. doc is no help.
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This article might help. Its about a person who went through the same stuff you are.

http://www.parade.com/health/2010/05/16-the-end-of-snoring.html?index=2

Hope this helps :)  (+ info)

Can somebody explain to me what is central end-peripheral sleep apnea? treatments included?


(sorry for the grammer and spelling)
So far i found out that tissues at the back of your throat are collapsing and that's normal but the thing that prevents it from collapsing is the problem.

Well, my cousin's son (infant) is having a problem breathing and some doctors said that there is something wrong with the brain (the neurons go to something, i don't know; i'm sorry). The probable diagnosis was central end-peripheral sleep apnea or obstructive sleep apnea.
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Obstructive sleep apnea (OSA) is the most common category of sleep-disordered breathing. Since the muscle tone of the body ordinarily relaxes during sleep, and since, at the level of the throat, the human airway is composed of walls of soft tissue, which can collapse, it is easy to understand why breathing can be obstructed during sleep. Mild, occasional sleep apnea, such as many people experience during an upper respiratory infection, may not be important, but chronic, severe obstructive sleep apnea requires treatment to prevent sleep deprivation and other complications. The most serious complication is a severe form of congestive heart failure called cor pulmonale.

Individuals with decreased muscle tone, increased soft tissue around the airway (e.g., due to obesity), and structural features that give rise to a narrowed airway are at high risk for obstructive sleep apnea. Older people are more likely to have OSA than younger people. Men are more typical sleep apnea sufferers, although the condition is not unusual in women or children.

Common symptoms include loud snoring, restless sleep, and sleepiness during the daytime. Diagnostic tests include home oximetry or polysomnography in a sleep clinic.

Some treatments involve lifestyle changes, such as avoiding alcohol or muscle relaxants, losing weight, and quitting smoking. Many people benefit from sleeping at a 30 degree angle or higher, as if in a recliner. Doing so helps prevent gravity from collapsing the airway. Lateral positions (sleeping on your side), as opposed to supine positions (sleeping on your back), are also recommended as a treatment for sleep apnea, largely because the airway-collapsing effect of gravity is not as strong to collapse the airway in the lateral position. Some people benefit from various kinds of oral appliances to keep the airway open during sleep. "Breathing machines" like the continuous positive airway pressure (CPAP) may help. There are also surgical procedures that can be used to remove and tighten tissue and widen the airway.

The most common treatment for sleep apnea is the use of a positive airway pressure (PAP) device[13] (PAP), which 'splints' the patient's airway open during sleep by means of a flow of pressurized air into the throat.

In addition to PAP, a dentist specializing in sleep disorders can prescribe Oral Appliance Therapy (OAT). The oral appliance is a custom made mouthpiece that shifts the lower jaw forward which opens up the airway. OAT is usually successful in patients with mild to moderate obstructive sleep apnea. OAT is a relatively new treatment option for sleep apnea in the United States, but it is much more common in Canada and Europe.  (+ info)

if my sleep studys says negative for obstructive sa do i have central sleep apnea?


the doc has me on a cpap. its not working. i cant get enough air going to my nose.
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If you do not have OSA, why did they put you on cpap. A sleep study would show what is central and obstructive events. CSA is treated with Bipap ST.  (+ info)

What causes Central sleep apnea?


I have been diagnosed with both central and obstructive sleep apnea.

My sleep studies both showed that I do got 0.00% delta sleep, which I understand is the deepest sleep, and allows the brain to do its regulation and restoration of necessary functions, such as sending growth hormone into the body.

Is there any way to know why I am not making the effort to breathe at certain times in the night?

I am about to go on C-PAP, but am not convinced that I will get delta sleep.

Thank you for any helpful responses-
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Hello Flam!

Here is what I learned about central sleep apnea:

A person with central apnea has issues with the respiratory center from the brain. The respiratory center controls the chest muscles to make breathing movements.

When the respiratory center stops working during sleep, then your breathing stops, too. The brain does not respond to the changes of the respiratory gas levels from the blood (oxygen and carbon dioxide).

In central apnea, you stop breathing in sleep for a period of time (at least 10 seconds), but there is no effort to breathe at all like in obstructive sleep apnea. Therefore snoring is not present in central apnea.

But I understand you have a mixed sleep apnea, so you have obstructive apnea symptoms, too. Snoring is one of the symptoms.

The cause of central apnea is unknown, but there are risk factors that can influence the development, such as:

* age
* gender
* sleep state
* thyroid disease
* neurological or cardiological abnormalities

I hope it helps!  (+ info)

whats the cure for central sleep apnea?


on my 4th mask. cpap. sleep study says non obstructive. do i have central sa. when i put my mask on my nose i cant get much pressure. do not know why. my sinus area x ray says its ok. looking for answers. tired all the time.
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You can treat central sleep apnea with medicine or with CPAP. However, I know that some people with nasal masks have some problems.

Can't you try full face mask? Or, are you really sure that you have the right pressure? Maybe you need to take the sleep test again.

As for the medicine, I recommend to speak with your doctor, because some of the drugs can harm your sleep and your health.  (+ info)

how is central sleep apnea treated?


sleep test says non obstuctive sa. is this central sa. im on cpap. 4th mask. i cant get any pressure to go thru my nose but it has alot on my mouth. i use my nose only to breathe when i sleep. any advice.
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Central sleep apnea is when the brain does not tell the body to breath. They treat it with bipapST. The machine will take a breath for you if you do not. Cpap will not work  (+ info)

I have "central sleep apnea." What is this? What causes it? Is there treatment?


I already had a sleep study, and the doctors said I had apnea, but it was "central apnea." They said I would stop breathing 20+ times during the night. My follow-up MRI was normal. No brain injury, damage or tumor--glad to hear THAT! I am not overweight, and they told me a PPAP or other sleep machine would NOT help me. I would like to know more about "central sleep apnea."
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In pure central sleep apnea , the brain's respiratory control centers are imbalanced during sleep. Blood levels of carbon dioxide, and the neurological feedback mechanism that monitors it do not react quickly enough to maintain an even respiratory rate, with the entire system cycling between apnea and hyperpnea(faster breathing). The sleeper stops breathing, and then starts again. There is no effort made to breathe during the pause in breathing: there are no chest movements and no struggling. After the episode of apnea, breathing may be faster for a period of time, a compensatory mechanism to blow off retained waste gases and absorb more oxygen.In central sleep apnea, the basic neurological controls for breathing rate malfunctions and fails to give the signal to inhale, causing the individual to miss one or more cycles of breathing. Possible causes of central sleep apnea include heart or neuromuscular disorders, and treating those conditions may help.
Here are a couple of treatments you could ask your physician about:
Bilevel positive airway pressure (bi-PAP). Unlike CPAP, which supplies steady, constant pressure to your upper airway as you breathe in and out, bi-PAP builds to a higher pressure when you inhale and decreases to a lower pressure when you exhale. The goal of this treatment is to boost the weak breathing pattern of central sleep apnea. Some bilevel PAP devices can be set to automatically deliver a breath if the device detects you haven't taken a breath after so many seconds.
Adaptive servo-ventilation (ASV). This more recently approved airflow device is designed to treat central sleep apnea and complex sleep apnea. The device learns your normal breathing pattern and stores the information into a built-in computer. After you fall asleep, the machine uses pressure to normalize your breathing pattern and prevent pauses in your breathing.
Courtesy Mayo Clinic  (+ info)

Does anyone know about Central Sleep Apnea Disorder in children?


I have a 4 year old son diagnosed with this last week and I'm told it can be life threatening..We've had the sleep study done and confirmed it. My Pediatric doc. thinks it Neurological, but what's that mean? Any answers would be greatly appreciated, I don't sleep much, too scared.
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Central Sleep Apnea Disorder is a neuorological disorder because the brain fails to signal the muscles to breath. You can read ALL about it on this website:

http://www.webmd.com/sleep-disorders/sleep-apnea/sleep-apnea

  (+ info)

Do I have Obstructive or Central sleep apnea?


Ok so Ill jsut be sleeping and randomly every once in a while ill wake up not breathing. somtimes it happens when im sick and other times it will happen out of the blue.
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Given that brief history, the condensed answer is 'yes', you could have obstructive or central sleep apnoea. Features which suggest a problem of sleep apnoea include: a history of witnessed episodes of breathing cessation during sleep, loud snoring, unrefreshing sleep, waking episodes with choking/gasping/shortness of breath, and increased sleepiness during the day.

The only way to confidently diagnose sleep apnoea is via a sleep study (polysomnogram)... so if there is a significant concern, then seeing a sleep physician would be the next step.  (+ info)

Sleep apnea?


I made an exam (polysonomgram) where I slept in a clinic with loads of wires on my body and head. I got the results but havent gone to dcotor yet only next week. the exam says i had loads of apneas during the night. it says i had 5 central apneas, 47 mistas (mixed?) apneas. the longest was 39 seconds. i really feel asleep during the day and have fatigue. i wanted to know if that result is just a little apnea or if its a high level of it, which can cause damage(as it seems to do).
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Your test results seem to indicate a fairly severe apnoea. Your doctor will give you whatever advice you need but from my nursing experience he is going to tell you to lose weight. Sleep apnoea is very rare in normal weight or underweight people.
Check out this link for more info.
http://en.wikipedia.org/wiki/Sleep_apnoea  (+ info)

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