Sleep apnoea: Detection and treatment

Sleep apnoea in Singapore

Sleep apnoea is an extremely common sleep disorder. It’s estimated that around 15% of the Singaporean community are impacted by sleep apnoea, causing them to stop breathing for short periods of time throughout the night.

Sleep apnoea is a serious and dangerous condition that can lead to heart disease, high blood pressure, memory loss and other problems if left untreated.

What is sleep apnoea?

Sleep apnoea is a disorder where your breathing stops and starts repeatedly during sleep. This happens when your throat muscles relax during sleep and block the airway, forcing you to wake and breathe normally.

This breathing pattern can happen hundreds of times each night, causing you to wake up choking or gasping for air.

For some people, these pauses may be so brief (10 seconds or less) that they do not wake you up. In these cases, sleep apnoea causes oxygen levels to drop and carbon dioxide levels to rise in the blood. At this point, the brain sends signals that tighten muscles in your throat so you can breathe again – beginning another cycle of shallow breathing, followed by another pause. This cycle repeats itself throughout the night until you wake with severe sleepiness, headaches, dizziness or lightheadedness.

What are the causes of sleep apnoea?

Sleep apneoa can be caused by anatomical factors, such as a large tongue or jaw, and by other high-risk conditions (e.g., obesity or heart failure). The risk of developing sleep apnoea increases with age, however it can still occur in children and teenagers.

What are the different types of sleep apnoea?

There are three types of sleep apnoea: obstructive sleep apnoea (OSA), central sleep apnoea (CSA) and mixed obstructive/central sleep apnoea (MSA). Central sleep apnoea occurs when your brain poorly controls your breathing while you sleep. The most common type, obstructive sleep apnoea, occurs when something blocks the airway during sleep.

What are the signs and symptoms of sleep apnoea?

Signs and symptoms of sleep apnoea include:

• Loud snoring – This is the most common symptom of sleep apnoea

• Loud pauses in breathing during sleep

• Feeling tired during the day despite sleeping well at night

• Frequent headaches or migraines that worsen with time or don’t go away with treatment

• Problems concentrating (e.g., being ‘foggy’)

• Problems staying awake while driving or doing other tasks that require concentration

• Headaches and dry mouth/nose when waking

What are the risk factors for untreated sleep apnoea?

Sleep apnoea is a common but serious condition that can cause severe fatigue, daytime sleepiness, high blood pressure, heart attack, stroke, irregular heartbeat, diabetes, depression and other health problems if left untreated.

How is sleep apnoea diagnosed?

Doctors use an instrument called a polysomnogram (PSG) to diagnose sleep apnoea. The PSG records brain waves and muscle activity, as well as eye movement and blood oxygen levels, to help your doctor determine if you have sleep apnoea and, if so, what type of sleep apnoea it is.

Treatments for sleep apnoea

If you are diagnosed with sleep apnoea, there are several treatments available to improve your quality of life:

• Using a CPAP machine – This device delivers air through a mask worn over the nose and mouth to keep your airways open while you sleep

• Treating underlying medical conditions – Some conditions like hypertension or diabetes may worsen breathing problems, so treating these conditions could also improve your symptoms

• Weight loss – Losing weight can help reduce snoring and potentially improve pre-existing health conditions that impact breathing such as high blood pressure or diabetes

What to do if you think you may have sleep apnoea

Sleep apnoea can lead to serious health consequences including high blood pressure and stroke if left untreated, so early detection and management is vital.

Don’t take your sleep for granted! If you’re worried about your snoring or have been experiencing any of the signs and symptoms listed above, please see your doctor as soon as possible to ensure an early diagnosis.