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Symptoms

By Mayo Clinic staff

The signs and symptoms of obstructive and central sleep apneas overlap, sometimes making the type of sleep apnea more difficult to determine. The most common signs and symptoms of obstructive and central sleep apneas include:

  • Excessive daytime sleepiness (hypersomnia)
  • Loud snoring, which is usually more prominent in obstructive sleep apnea
  • Episodes of breathing cessation during sleep witnessed by another person
  • Abrupt awakenings accompanied by shortness of breath, which more likely indicates central sleep apnea
  • Awakening with a dry mouth or sore throat
  • Morning headache
  • Difficulty staying asleep (insomnia)
  • Attention problems

When to see a doctor
Consult a medical professional if you experience, or if your partner notices, the following:

  • Snoring loud enough to disturb the sleep of others or yourself
  • Shortness of breath that awakens you from sleep
  • Intermittent pauses in your breathing during sleep
  • Excessive daytime drowsiness, which may cause you to fall asleep while you're working, watching television or even driving

Many people don't think of snoring as a sign of something potentially serious, and not everyone who has sleep apnea snores. But be sure to talk to your doctor if you experience loud snoring, especially snoring that's punctuated by periods of silence.

Ask your doctor about any sleep problem that leaves you chronically fatigued, sleepy and irritable. Excessive daytime drowsiness (hypersomnia) may be due to other disorders, such as narcolepsy.

References
  1. Ropper AH, et al. Adams & Victor's Principles of Neurology. 9th ed. New York, N.Y.: The McGraw-Hill Companies; 2009. http://www.accessmedicine.com/content.aspx?aID=3633173. Accessed May 1, 2012.
  2. What is sleep apnea? National Institute of Neurological Disorders and Stroke. http://www.ninds.nih.gov/disorders/sleep_apnea/sleep_apnea.htm. Accessed April 27, 2012.
  3. What is sleep apnea? National Heart, Lung, and Blood Institute. http://www.nhlbi.nih.gov/health/health-topics/topics/sleepapnea/. Accessed April 27, 2012.
  4. Longo DL, et al. Harrison's Online. 18th ed. New York, N.Y.: The McGraw-Hill Companies; 2012. http://www.accessmedicine.com/content.aspx?aID=9129170. Accessed May 1, 2012.
  5. Javaheri S. Central sleep apnea. Clinics in Chest Medicine. 2010;31:235.
  6. Badr MS. Central sleep apnea syndrome: Risk factors, clinical presentation, and diagnosis. http://www.uptodate.com/index. Accessed May 1, 2012.
  7. Yaggi HK, et al. Adult obstructive sleep apnea/hypopnea syndrome: Definitions, risk factors, and pathogenesis. Clinics in Chest Medicine. 2010;31:179.
  8. Strohl KP. Overview of obstructive sleep apnea in adults. http://www.uptodate.com/index. Accessed May 1, 2012.
  9. Tamisier R, et al. Cardiovascular effects of obstructive sleep apnea. http://www.uptodate.com/index. Accessed May 1, 2012.
  10. Sunwoo B, et al. Ambulatory management of patients with sleep apnea: Is there a place for portable monitor testing?
  11. Kryger MH. Management of obstructive sleep apnea in adults. http://www.uptodate.com/index. Accessed May 1, 2012.
  12. Berry RB, et al. A novel nasal expiratory positive airway pressure (EPAP) device for the treatment of obstructive sleep apnea: A randomized controlled trial. Sleep. 2011;34:479.
  13. Provent therapy frequently asked questions. Ventus Medical. http://www.proventtherapy.com/provent-therapy-faq.php. Accessed May 2, 2012.
  14. Kushida CA, et al. Practice parameters for the treatment of snoring and obstructive sleep apnea with oral appliances: An update for 2005. Sleep. 2006;29:240.
  15. Aurora RN, et al. Practice parameters for the surgical modifications of the upper airway for obstructive sleep apnea in adults. Sleep. 2010;33:1408.
  16. Badr MS. Central sleep apnea syndrome: Treatment. http://www.uptodate.com/index. Accessed May 1, 2012.
  17. 17. Randerath WJ, et al. Non-CPAP therapies in obstructive sleep apnoea. European Respiratory Journal. 2011;37:1000.
  18. Freire AO, et al. Treatment of moderate obstructive sleep apnea syndrome with acupuncture: A randomised, placebo-controlled pilot trial. Sleep Medicine. 2007;8:43.
DS00148 July 24, 2012

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