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Causes

By Mayo Clinic staff

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Illustration showing soft tissues of the throat 
Obstructive sleep apnea

Obstructive sleep apnea occurs when the muscles in the back of your throat relax too much to allow normal breathing. These muscles support structures including the soft palate, the uvula — a triangular piece of tissue hanging from the soft palate, the tonsils and the tongue.

When the muscles relax, your airway narrows or closes as you breathe in and breathing may be inadequate for 10 to 20 seconds. This may lower the level of oxygen in your blood. Your brain senses this impaired breathing and briefly rouses you from sleep so that you can reopen your airway. This awakening is usually so brief that you don't remember it.

You can awaken with a transient shortness of breath that corrects itself quickly, within one or two deep breaths, although this sequence is rare. You may make a snorting, choking or gasping sound. This pattern can repeat itself five to 30 times or more each hour, all night long. These disruptions impair your ability to reach the desired deep, restful phases of sleep, and you'll probably feel sleepy during your waking hours.

People with obstructive sleep apnea may not be aware that their sleep was interrupted. In fact, many people with this type of sleep apnea think they slept well all night.

References
  1. Strohl KP. Overview of obstructive sleep apnea in adults. http://www.uptodate.com/home/index.html. Accessed Feb. 18, 2011.
  2. Sleep apnea. National Heart, Lung, and Blood Institute. http://www.nhlbi.nih.gov/health/dci/Diseases/SleepApnea/SleepApnea_WhatIs.html. Accessed March 1, 2011.
  3. Kryger MH. Management of obstructive sleep apnea in adults. http://www.uptodate.com/home/index.html. Accessed Feb. 18, 2011.
  4. Grover DP. Obstructive sleep apnea an ocular disorders. Current Opinion in Ophthalmology. 2010;21:454.
  5. Dave NB, et al. Initiation of positive airway pressure therapy for obstructive sleep apnea in adults. http://www.uptodate.com/home/index.html. Accessed March 1, 2011.
DS00968 June 4, 2011

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