Sleep Apnoea

Sleep apnoea is a medical condition where your breathing stops and starts while you sleep. The most common type is called obstructive sleep apnoea (OSA).

Check if you have sleep apnoea

Symptoms mainly happen while you sleep.

They include:

• breathing stopping and starting
• making gasping, snorting or choking noises
• waking up a lot
• loud snoring
• During the day, you may also:
• feel very tired
• find it hard to concentrate
• have mood swings
• have a headache when you wake up

Getting tested for sleep apnoea

If a GP thinks you might have sleep apnoea, they may refer you to a specialist sleep clinic for tests.

At the clinic, you may be given devices that check things like your breathing and heartbeat while you sleep.

You will be asked to wear these overnight so doctors can check for signs of it.

You can usually do this at home, but sometimes you may need to stay in the clinic overnight.

The test can show if you have sleep apnoea and how severe it is. This is based on how often your breathing stops while you sleep (AHI score).

Understand your AHI score

Your AHI score shows how severe the issue is:

• AHI of 5 to 14 – mild
• AHI of 15 to 30 – moderate
• AHI over 30 – severe

Treatments for sleep apnoea

The issue does not always need to be treated if it is mild.

However, many people need to use a device called a CPAP machine. You will be given this free on the NHS if you need it.

CPAP machine

A CPAP machine gently pumps air into a mask you wear over your mouth or nose while you sleep.

It can help:

• improve your breathing while you sleep by stopping your airways getting too narrow
• improve the quality of your sleep and help you feel less tired
• reduce the risk of problems linked to sleep apnoea (like high blood pressure)

Using a CPAP machine may feel strange or awkward at first, but try to keep using it. It works best if you use it every night.

Tell your doctor if you find it uncomfortable or hard to use.

Other treatments

Less common treatments include:

• a gum shield-like device that holds your airways open while you sleep (mandibular advancement device)
• surgery to help your breathing, such as removing large tonsils

These treatments may not work as well as a CPAP machine.

Things you can do to help with sleep apnoea

If you have been diagnosed with sleep apnoea, there are some things you can do to help if the issue is mild.

Things to do:

• try to lose weight if you’re overweight
• sleep on your side – try taping a tennis ball to the back of your sleepwear, or buy a special pillow or bed wedge to help keep you on your side

Things not to do:

• do not smoke
• do not drink too much alcohol – especially shortly before going to sleep
• do not take sleeping pills unless recommended by a doctor

Sleep apnoea can cause other problems

Without treatment, other problems can be causes, such as:

• high blood pressure
• a higher chance of having a stroke
• depression or changes in your mood
• a higher chance of having a serious accident caused by tiredness, such as a car accident
• difficulty concentrating at work

The issue can also be difficult for your partner and put a strain on your relationship with them.

Important

You may need to tell the DVLA about your sleep apnoea. Sometimes you may need to stop driving until your symptoms are under control.

You can check the rules for driving if you have sleep apnoea on the GOV.UK website.

Causes of sleep apnoea

The issue occurs if your airways become too narrow while you sleep. This stops you breathing properly. It has also been linked to:

• obesity
• having a large neck
• getting older – although children and young adults can also get it
• smoking and drinking alcohol
• having large tonsils or adenoids
• sleeping on your back

Source – NHS