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Answer by OOlala!
Well, actually it could be sleep apnea. Just because you are in shape, doesn’t mean you don’t have it. It is more common in overweight people but not always. Do you know if you snore?

You should check on it because it could possibly be something related to your heart. Please don’t freak out but it’s not exactly the norm to be waking up with trouble breathing.
Most likely it’s sleep apnea but don’t freak out. HOwever you need to take of this because in recent studies, sleep apnea has been related to heart disease.

Just go see a physician/PA/NP ok? Please don’t worry too much.

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Answer by RNinProgress
Just because your not overweight does not mean it is not possible to have sleep apnea. This is your oxygen supply here so get to a doc so they can do a sleep study on you and find out if there is some sort of diaphram malfunction, or lung issue….but it could very well be sleep apnea, its not just for overweight people.

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Answer by Chakooch
she died from pulmonary embolism
its one of the complications of DVT … as the clots may travel through the viens of the lower extrimities and get in to the lungs either as massive emolism or showering embolies …

well … the effect of the drug interaction in a patient with long term uncontroled Diabetis , Hypertenssio , hypothyroidism in addition to psychological stress and depreesion … and i suppose immobilisation … the risk becomes morbidly high …

the appropriate treatment of DVT and preventing the pulmonary embolsm is by
blod thinners pills or injections
mobilisation is so very important
Good Control of pre-excisting diseases
avoiding drug interaction
but never can obtain a 0% of risk or 100% of prevention.

and for such cases it is done in a special care units

my kindest regards and deepest sympathy

Havoc

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. It is a little bit price-y but hey if you know of someone who can’t sleep and you they have that sleep apnea and are at risk for even death then the price should be covered by insurance I think. Tell me if you find it helpful

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Answer by xxleesa32
i wish i could afford the operation , my husband ends up sleeping on the sofa because of my snoring lol

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My situation: 2 upper biscuspids extracted years ago, 4 wisdom teeth also extracted. Sleep apnea, neck pain. Flat facial profile

Proposed treatment: Bring upper teeth outside lowers using 1 screw upper schwartz, 2 months, turn once every 2 days. Bring front teeth forward with a schwarz 3d- like appliance, to allow lower jaw to come forward. Braces, implants to replace teeth. There may be things missing, but this is what I gathered. Probably an expander somewhere. Is this ok, to just tip teeth initially and start proper expansion later?

Does this seem sound to you?

1. Can the lower jaw actually come forward at my age?
2. In fact, I thought it odd he wants to move my lower jaw forward, as it always looked more prominent (or at least larger) than my upper. I know that narrow upper jaws can cause retruded lower jaws, so I understand its likely in my case, but does it look bigger only as my upper jaw is slightly back, and narrow?
3. I’ve heard extractions can cause the upper jaw to move backwards, which is likely in my case- is it possible to move it forward, and if so, should this be done?

Sorry for the questions, but I feel uncomfortable questioning my ortho directly, in case he would take it the wrong way.

Thanks!!
forgot to mention, i’m 26.

Best answer:

Answer by tooth975
The treatment plan you described is an excellent one. The only things I would do different is use an upper Schwartz with 2 screws instead of one because it would be more effective. One turn every 2 days is too fast for an adult and I would suggest one turn a week but at 26 years of age you can probably squeak by at one turn every 5-6 days. Slow expansion is more stable than rapid expansion. FYI, expansion with a Schwartz plate will not tip teeth if done correctly, it will actually expand the jaw. At the rate you described tipping will likely occur so go slow because you do not want to tip teeth. The bone needs time to remodel also so one turn every 7 days would be ideal. Almost always when bicuspids are extracted and the front teeth are retracted to close excess space during traditional orthodontic treatment, the mandible becomes trapped posteriorly. When the front teeth are moved forward again, the mandible sometimes moves forward on its own because that is where it wants to be. If the mandible does not move forward on its own, a functional appliance (i.e. Twin Blocks) will need to be worn to reposition it properly to a Class I relationship. When a mandible is translated, it does not change in size, only in position so your jaw will not look bigger; your facial profile will improve and you will look better. And YES, a narrow maxilla can make the mandible look too large. Whether the premaxilla needs to be moved forward will depend on what the cephalometric analysis shows (you must have one done because that will be your road map and it will tell you what needs to be done). Yes, it is possible to move the premaxilla forward if necessary with a sagittal appliance with or without the help of a Reverse Face Mask. The Face mask is worn only at night, BTW. Congratulations on finding someone who knows what he/she is doing.

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Answer by Jessica
Haven’t heard anything about it personally. Sorry.

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I’m getting the impression that these sleep pulmonologists might not be exactly the brightest kids right out of medical school. Does anyone know if this is a real treatment for snoring?

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Answer by Jason
For starters, this is a more complicated question than you probably realized, so I’ll do my best…

The reason you are snoring is because when you are asleep, the muscles of your upper airway are relaxing to the point that it requires a significant amount of effort to get air past them and they are “flopping” around each time you breathe. You don’t have to completely stop breathing to have obstructive sleep apnea — you merely have to have airflow decreased enough to cause a dip in your blood oxygen levels sufficient to wake your brain up. The snoring is a symptom of a much more serious problem, not the problem in and of itself. Your doctor recognized this and that’s why he/she sent you for a sleep study.

If you’ve had a polysomnogram (a “sleep study”) then several areas have been monitored all at the same time to come to the diagnosis. A polysomnogram monitors brain activity (to tell what stage of sleep you are in), air flow at the upper airway (to see whether and how much airflow has decreased) inspiratory effort (to compare the number of efforts made to the airflow acheived), oxygen saturation (to compare oxygen level to the state of wakefulness, airflow, and inspiratory effort), and heart rate and rhythm (to measure stress levels on the heart and by extension the rest of the body). All of these measurements combine to paint a picture of how hard you are working to breathe, whether your breathing is sufficient while you’re asleep, and whether your breathing is interrupting your brain’s ability to get to deep sleep and stay there.

If you’ve had a sleep study and been prescribed a CPAP machine you are having apneic episodes. This means that at several times during the night (in some people hundreds and even thousands of times) you made inspiratory efforts, the airflow across your upper airway dropped below where it had been while you were awake, your oxygen level dropped, and your brain came out of deep sleep. Your airway then opened up, you took a few normal breaths, your oxygen level increased, and your brain continued back down into deep sleep. Then the process started all over again. Again, you don’t have to “stop breathing” for you to have obstructive apnea. Your breathing merely needs to be insufficient to meet your oxygen needs and result in your brain coming out of deep sleep.

CPAP works by stenting open the upper airway with air pressure. This prevents the muscles from collapsing the upper airway when your brain gets to deep sleep. That will indeed treat your snoring but again, snoring is a symptom of a much more serious underlying condition. Sleep apnea kills people. If you have untreated apnea you are 15 times more likely to die in an automobile accident, you are at significantly increased risk for both stroke and heart attack (especially if you have other risk factors), and a whole host of other complications and comorbidities.

As an aside, a sleep pulmonologist has to have a real dedication to the job. Aside from four years of medical school, four years of residency, and another three years of fellowship to specialize in pulmonary medicine followed by one of the most difficult board exams in all of medicine; he/she has also had to undergo a fellowship in sleep medicine and take a second board exam in sleep disorders. The dumb kids don’t get to be sleep medicine specialists.

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Answer by James
CPAP works by regulating air pressure into the lungs. You should not expect to lose much, if any weight, by using a CPAP. Buuuuut, you should be able to sleep through the night better! Maybe you’ll have more energy during the day and be better able to exercise to help lose weight.

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since she has had the test and will soon find out a way to treat it, more likely the cpap,what are some things that can change for her positively? will she be less tired in the day, not so much out of breath, maybe even more energetic? she weighs around 220 pounds so could this help her lose the weight more so since she’ll be getting better sleep? she eats very healthy foods and small portions throughout the day.

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Answer by ANDCATZ
I have had sleep apnea since I was 17 and now I am 24. It may take her time to get used to the mask. She will have a better quality sleep and be less moody. You will have to see in time of what happens.

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