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Sleep Disorders

Dr. Mahesh Goyal, MD

Page 2

Topics

Symptoms

A. Symptoms During Sleep

Snoring: This is the main symptom of OSA and it is due to partial obstruction of airways. In early stage of disease snoring is loud and persistent while in advance stage it becomes intermittent with periods of silence due to frequent apneas

  • Abnormal movement
  • Disturbed sleep
  • Heavy sweating
  • Bed wetting and nocturia
  • Heartburn and acid reflux

B. Daytime Symptoms

Excessive Daytime Sleepiness: It may vary from fatigue and tiredness in mind cases, to excessive sleepiness with monotonous task such as watching TV and reading books. In severe cases patient goes to sleep while driving, eating or even writing. The exact cause of sleepiness is not known, but poor sleep in night due to frequent awakening, caused by hypoxia, hypercapnea or stimulation of mechanoreceptors may be one reason.

  • Irritability
  • Impaired concentration
  • Impaired memory and Judgment
  • Morning headaches
  • Sexual Problem
  • Personality changes

Aggravating Factors for OSA

  • Alcohol
  • Hypnotics and Tranquilizers
  • Anesthesia
  • Partial sleep deprivation and shift work
  • Nasal obstruction and nasal allergies
  • Hypothyroidism
  • Obesity

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