{"id":12177,"date":"2020-06-17T09:00:45","date_gmt":"2020-06-17T13:00:45","guid":{"rendered":"https:\/\/www.singlecare.com\/blog\/?p=12177"},"modified":"2020-10-20T15:19:34","modified_gmt":"2020-10-20T19:19:34","slug":"sleep-apnea-test","status":"publish","type":"post","link":"https:\/\/www.singlecare.com\/blog\/sleep-apnea-test\/","title":{"rendered":"Who should get a sleep apnea test?"},"content":{"rendered":"<p><span style=\"font-weight: 400;\">\u201cI look like the alien from Predator!\u201d This was the caption that accompanied the photo I texted my husband while I was hooked up to the wires for my sleep study. I had started snoring, and my doctor wanted to check me for sleep apnea\u2014a condition where you repeatedly stop breathing in your sleep. As the mother of young children, in some ways I relished the chance for a night of uninterrupted rest, but I can\u2019t say it was relaxing.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">It was a strange night, but I was glad I consented to the study. It turned out I have severe sleep apnea, and I had no idea.<\/span><\/p>\n<h2><b>What are the warning signs of sleep apnea?<\/b><\/h2>\n<p><span style=\"font-weight: 400;\">There are two types of sleep apnea. Obstructive sleep apnea (OSA) is the most common. Airways repeatedly become blocked or partially blocked during sleep, which reduces or stops airflow. Less commonly, central sleep apnea occurs when the brain does not send the signals needed to breathe.<\/span><\/p>\n<p><a href=\"https:\/\/www.nhlbi.nih.gov\/health-topics\/sleep-apnea\" target=\"_blank\" rel=\"noopener noreferrer\"><span style=\"font-weight: 400;\">Symptoms<\/span><\/a><span style=\"font-weight: 400;\"> of sleep apnea include:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Excessive daytime sleepiness<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Apnea episodes (stopping and starting of breathing)<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Snoring<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Gasping for air during sleep<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Daytime fatigue<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Dry mouth when waking<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Headaches when waking<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Decreases in attention, vigilance, concentration, motor skills, and verbal and visuospatial memory<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Waking often (or waking up often to pee)<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Sexual dysfunction\/decreased libido<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Depression<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Irritability\/mood swings<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Hypertension<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Weight gain<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Insomnia<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">Symptoms in children can include: <\/span><a href=\"https:\/\/www.singlecare.com\/blog\/bedwetting-tips-treatment-medication\/\"><span style=\"font-weight: 400;\">bedwetting<\/span><\/a><span style=\"font-weight: 400;\">, asthma exacerbations, hyperactivity, and learning and academic performance issues.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">\u201cUntil sleep apnea is treated, symptoms and side effects will only get worse,\u201d says Kent Smith, DDS, the founding director of <\/span><a href=\"https:\/\/www.sleepdallas.com\/\" target=\"_blank\" rel=\"noopener noreferrer\"><span style=\"font-weight: 400;\">Sleep Dallas<\/span><\/a><span style=\"font-weight: 400;\">, a dental sleep medicine practice that provides oral appliance therapy to patients with sleep apnea. \u201cProlonged sleep deprivation increases a person\u2019s risk of developing serious and\/or life-threatening health conditions including obesity, diabetes, high blood pressure, <\/span><a href=\"https:\/\/www.singlecare.com\/blog\/signs-of-heart-problems\/\"><span style=\"font-weight: 400;\">heart disease<\/span><\/a><span style=\"font-weight: 400;\">, and stroke.\u201d<\/span><\/p>\n<h2><b>What should someone do if they suspect they might have sleep apnea?<\/b><\/h2>\n<p><span style=\"font-weight: 400;\">Start with a call to a healthcare provider, usually a general practitioner. If the healthcare provider feels sleep apnea is a possibility, you will make an appointment with a sleep specialist for a sleep apnea test.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">\u201cSince sleep apnea symptoms occur as you sleep, they can be hard to detect,\u201d says Michelle Worley, RN, the clinical operations manager at <\/span><a href=\"https:\/\/aeroflowinc.com\/\" target=\"_blank\" rel=\"noopener noreferrer\"><span style=\"font-weight: 400;\">Aeroflow Healthcare<\/span><\/a><span style=\"font-weight: 400;\">. \u201cBecause many people assume that they are just tired without thinking they have a sleep disorder, it is estimated that about 80% of sleep apnea cases remain undiagnosed. It is important to contact your doctor immediately if you have any symptoms of sleep apnea.\u201d More often, your partner can help you identify if you snore, which is a common sign for sleep apnea.\u00a0<\/span><\/p>\n<h2><b>How to test for sleep apnea\u00a0<\/b><\/h2>\n<p><span style=\"font-weight: 400;\">There are two main tests for sleep apnea: one done in a clinic, and one done at home.<\/span><\/p>\n<h3><b>Home sleep apnea testing<\/b><\/h3>\n<p><span style=\"font-weight: 400;\">The home sleep test (HST) evaluates for obstructive sleep apnea your own home. This study measures oxygen saturation, heart rate and airflow, and movement in the chest and abdomen.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">\u201cAn HST uses sensors\u2014typically on the finger or wrist and on the chest,\u201d says Dr. Smith. \u201c[They are] simplified tests, usually to measure your heart rate, blood oxygen level,<\/span> <span style=\"font-weight: 400;\">airflow and<\/span> <span style=\"font-weight: 400;\">breathing patterns. While an HST isn\u2019t as comprehensive as a PSG, it provides sufficient data to diagnose or rule out sleep apnea.\u201d<\/span><\/p>\n<h3><b>Clinic sleep apnea test<\/b><\/h3>\n<p><span style=\"font-weight: 400;\">\u201cThe polysomnography lab sleep study (PSG) is an overnight polysomnographic evaluation (sleep study) at an accredited sleep center,\u201d says Worley. \u201cThis monitors your heart rhythm, brain waves, breathing rate, and airflow while you sleep. An in-lab sleep test offers the most accurate and comprehensive assessment of your condition and provides clinicians with the best information with which to diagnose obstructive sleep apnea.\u201d<\/span><\/p>\n<p><span style=\"font-weight: 400;\">This is where my \u201cPredator\u201d look appeared. \u201cDuring a PSG in a sleep lab sleep study, a person is outfitted with equipment that monitors their heart, lung and brain activity, breathing patterns, arm and leg movements, and blood oxygen levels while they sleep,\u201d Dr. Smith explains.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Wires were attached to the skin on my head and parts of my body with a small amount of toothpaste-like substance. These wires were attached to monitors that sent signals to the people running the study in their control room. At my sleep clinic, there were several bedrooms, each with one person.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">At a set time, we all laid down to go to sleep. If we needed something, such as to be unhooked to use the bathroom, we said so out loud and someone came to our aid. Occasionally, one of the overnight sleep study technicians would come in to reposition a rogue wire or monitor.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">I had been nervous about the study before I went, feeling it would be intrusive\u2014but it wasn\u2019t nearly as uncomfortable as I had pictured. My worries that I would feel like I was being \u201cwatched\u201d were quickly assuaged.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">After testing is completed and analyzed, a follow-up appointment with the sleep specialist is scheduled to discuss treatment options or further steps.<\/span><\/p>\n<h2><b>How is sleep apnea treated?<\/b><\/h2>\n<p><span style=\"font-weight: 400;\">\u201cOnce diagnosed, sleep apnea can be <\/span><a href=\"https:\/\/www.singlecare.com\/conditions\/sleep-apnea-treatment-and-medications\/\"><span style=\"font-weight: 400;\">treated in several ways<\/span><\/a><span style=\"font-weight: 400;\">, including continuous positive airway pressure (CPAP), oral appliances, surgery or surgical implants,\u201d says Worley. \u201cCPAP remains the leading choice for sleep apnea treatment, but each patient should consult their doctor and sleep therapists to identify the option that meets their individual needs.\u201d<\/span><\/p>\n<p><span style=\"font-weight: 400;\">CPAP machines help keep airways open using pressurized air. There are various options when it comes to CPAP machines, including different masks and settings. While some settings are by a sleep specialist based on sleep study results, others are individualized for comfort. CPAP machines and accessories are usually obtained through CPAP and sleep equipment stores, and may be covered by insurance plans.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">\u201cAn alternative to the CPAP machine is a custom-fit, customized oral appliance that holds the mouth in a position that helps prevent the collapse of relaxed oral muscles and tissues, allowing the airway to stay unblocked,\u201d Dr. Smith says.<\/span><\/p>\n<h2><b>Does testing need to be repeated at a later date?<\/b><\/h2>\n<p><span style=\"font-weight: 400;\">A sleep physician or healthcare provider may ask you to do another sleep study with a CPAP machine or other treatment, both to determine proper settings, and to ensure the treatment is effective. More sleep studies could be administered down the line if you feel the treatment you are using has become less effective or isn\u2019t working for you.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">A repeat study may be conducted if there is reason to believe the first results were inaccurate. \u201cAt-home monitoring devices don&#8217;t always catch all cases of sleep apnea,\u201d says Dr. Smith. \u201cIf your at-home test results are negative, but your doctor still suspects sleep disordered breathing, they might still recommend a clinical sleep study, just to be sure.\u201d<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Sleep studies are not quite a night away at a hotel, but they can be life-changing. \u201cDon&#8217;t ignore your symptoms,\u201d Worley says. \u201cTreating sleep apnea can greatly improve your quality of life as well as your health and well-being.\u201d Despite improving the quality of life, sleep apnea treatment also reduces the risk of heart disease and stroke.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Despite not even suspecting I had sleep apnea, I noticed a big difference once I started using a CPAP machine. I sleep better, I\u2019m more alert during the day, and I simply feel better overall. Don\u2019t assume a snore is just a snore or fatigue is just fatigue\u2014it\u2019s worth it to be tested.<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>\u201cI look like the alien from Predator!\u201d This was the caption that accompanied the photo I texted my husband while I was hooked up to the wires for my sleep study. I had started snoring, and my doctor wanted to check me for sleep apnea\u2014a condition where you repeatedly stop breathing in your sleep. As [&hellip;]<\/p>\n","protected":false},"author":93,"featured_media":11792,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[8029],"tags":[790,816],"coauthors":[8622],"class_list":["post-12177","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-health-education","tag-chronic-disease","tag-sleep","wpautop"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v27.4 (Yoast SEO v27.4) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Who should get a sleep apnea test? Symptoms, tests, and treatments<\/title>\n<meta name=\"description\" content=\"If you\u2019re in bed for 8 hours a night, but still waking up exhausted\u2014with a dry mouth, it could be a sign of a problem. 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