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Nasal Surgery to cure Sleep Apnea?
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feelingud posted:
I have been diagnosed with Sleep Apena and have had no success with my CPAP machine due insomnia and being a light sleeper. My doctor even prescribed sleeping pills but this only a temporary solution. My concern is I also have high blood pressure which I am sure is related to my high BP (sometimes wake up at night with fast heart beat due to sleep apena) I have tried HP meds but hate the side effects so I am not taking anything. I have noticed that I breath through my mouth because I cannot breath so good through my nose. A recently went to an ENT and surgery was recommend for a slight obstruction in my nasal cavities. If I get the surgery for my nose and breath better will I automatically start breathing through my nose when I sleep? What is success rate of nasal surgery correcting sleep apnea? If I breath through my nose will this stop my sleep apnea? I read that nasal surgery has a higher success rate than throat surgery which more risky. Any info would be appreciated. Thank you
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Jordan_Josephson_MD responded:
Dear Feelingud: This is a complicated question to say the least, but here goes. First, sorry to hear that you have been having such a problem. Sleep apnea is important to correct and unfortunately usually does not have a simple answer. Sleep apnea can be dangerous. Losing weight is paramount. SO if you are overweight then getting on a diet which is not easy is very important. Being overweight can cause a host of other problems: heart disease, high blood pressure, diabetes and orthopedic problems like back and knee problems to mention a few. You also need to know that sleeping pills are contraindicated in sleep apnea as is alcohol and any other drugs that make you sleepy. These medicines can be dangerous because when you have sleep apnea you obstruct and your oxygen levels drop leaving your brain and your heart and the rest of your body oxygen deprived. The low oxygen levels are what causes heart attack and stroke in sleep apnea patients. So let?s get started. First, you should have a qualified sleep specialist perform a sleep study and I will explain why. Sleep apnea is the number one cause for heart attack and stroke. And snoring can cause problems for your partner as they may not be getting proper sleep secondary to the noise that the snorer is making. Thus snoring is the number one medical cause for breakup of same and opposite sex partners and the number one medical cause for divorce. Nevertheless, you are experiencing the misery that snoring can cause and the symptoms may be more than you describe. Next you are going to need to need to see a board certified Otolaryngologist who specializes in snoring and sleep apnea and the related problems including CAID. Snoring and sleep apnea are connected to other problems by what I call CAID- chronic airway-digestive inflammatory disease which connects sinus problems, allergies, asthma, snoring, sleep apnea, and gastroesophageal reflux disease (GERD). You should pick up a copy of my book Sinus Relief Now as it will help you to understand all of these problems and how they may be connected in your body which may be causing the sleep apnea. Weight is important as I mentioned but is not the only cause.
 
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Jordan_Josephson_MD responded:
Part 2 of answer: I don?t know if you are experiencing nasal congestion or sinus problems which are common. If so you are not alone. There are over 70 million patients that suffer from sinus problems allergies and asthma. Symptoms that sinus sufferers may suffer from include either nasal symptoms- nasal blockage, stuffy or runny nose, yellow, green or white discharge, nasal bleeding (epistaxis), post-nasal drip, sinus or facial pain, pressure or headaches, dental- gingivitis-gum disease, cavities, bad breath (halitosis), toothache, dental sensitivity, pain; ear problems- ear infections, hearing loss, ear pain, difficulty flying and diving and equalizing, tinnitus-ringing in the ears, dizziness; headaches- sinus and or migraines, eye problems like tearing- tear duct blockage (dacrocystitis), redness of the eye-conjunctivitis, swelling of the eye(s); chest problems-chronic cough, wheezing, asthma, bronchitis, shortness of breath; throat problems- throat clearing, hoarseness, laryngitis, sore throat, tonsillitis, difficulty swallowing-dysphagia; and/or nasal blockage leading to snoring, and/or sleep apnea. This can lead to poor memory, fatigue and irritability. And many of these people have decreased productivity at work and at home. Hopefully you don?t have the really bad symptoms, like debilitating headaches and poor memory and some patients are actually disabled. Sleep apnea can as I mentioned cause terrible things like heart attack and stroke and can cause fatigue. This leads to poor productivity at work and in children that suffer from sleep apnea it leads to poor productivity at school and can lead to them acting out. Lastly, there are various different problems that can lead to sleep apnea. Weight is one of them. Any blockage from the tip of the nose to the back of the throat can lead to obstruction leading to sleep apnea. And each cause needs to be diagnosed accurately and then treated. Most patients want a quick medicine or operation that is going to fix the problem. Unfortunately there are many medicines and various different operations that treat the different causes of blockage leading to snoring and sleep apnea. And all of these amount to tools to fix blockages along the breathing passageway. Your doctor has to figure out exactly where the blockages are and then needs to pick the right tools to fix the problem. And that will give you the best chance of success. The good news is that there is an answer and with good success rates. So get to a sleep specialist and a board certified ENT that understands CAID. Sinus Relief Now will be a big help to getting the proper care. So let?s get to the bottom of things before things get worse. And hopefully they will get better. Here?s to feeling better. Keep us posted and good luck. All the best. DrJ
 
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Geturdun replied to Jordan_Josephson_MD's response:
I just read your recommendations. Thank you very much for taking the time to provide the detailed information.
 
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pattiyan replied to Geturdun's response:
If you mean laser treatment to the uvular my consultant would not recommend it and he said it is very painful. \do you have a CPAP machine?
 
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anothermarkg responded:
You might try taking a decongestant before going to bed in order to see if this helps to clear up any nasal congestion you are experiencing. I have done this, and it helps me to breathe better at night although I still use my CPAP at the same time. If this does help you, it would indicate some type of nasal or sinus problem. This may not be all of your problem, but it may be part of it. Good luck.


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