About Sleep Apnoea

When to treat snoring ?

  • If snoring is loud, continuous and persistent .
  • Snoring troubles bed partner/spouse/friend/children.
  • Snoring accompanied by tiredness, fatigueness, sleeping during day, etc.
  • Snoring with difficulty in breathing at night.
If answer is yes to any of the above questions, this should be treated. Untreated snoring can lead to hypertension, diabetes, heart attacks, etc.

Contact us on 011-46070321, 011-41656260 or write us on neurologysleepcentre@gmail.com.


Q. What are the warning signs of OSA?

  • Excessively loud snoring which can be heard rooms away (or even by neighbors).
  • A pattern of snoring interrupted by pauses, then gasps, is a sign that breathing stops and restarts. Occasionally, patients will remember waking up short of breath or gasping, although the vast majority of episodes are not recalled.
  • Falling asleep at the wrong times, such as at work or while driving.
  • Trouble concentrating, or becoming forgetful, irritable, anxious, or depressed.
  • Morning headaches or nausea, frequent trips to the bathroom to urinate at night, and loss of interest in sex. Men may complain of impotence and women may have menstrual irregularities.

These problems usually appear slowly and progress over many years, so that the patient may not recognize the symptoms. Sometimes the patient thinks the symptoms are just from getting older or are not serious. Family members, employers or coworkers may be the first to recognize a pattern of excessive sleepiness and/or changes in mood or behavior, and should encourage a visit to a healthcare professional.

Q. What happens if I am not treated for OSA?

  • The most common complaint of people with OSA is excessive sleepiness.
  • The sleepiness is most often felt when the person with OSA is sitting still or not active, either physically or mentally
  • He or she may be unable to remain awake or to concentrate while reading or watching TV, even if they are interested in the material.
  • Driving an automobile can often be difficult because of unwanted sleep, and people with OSA have more automobileaccidents due to dozing or inattention.
  • Untreated OSA has other consequences for health and well-being besides sleepiness. These include increased risk of developing high blood pressure, diabetes, heart attacks, stroke etc.
  • Medical science is learning that treatment of OSA can reduce or eliminate these risks. In many cases, the patient feels the benefits, such as reduced sleepiness and better mood, quickly after treatment begins.

Q. How is OSA confirmed?

Diagnosis:

If a patient's signs and symptoms indicate sleep apnea, evaluation by a physician specializing in sleep disorders is recommended.

Sleep Study:

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Overnight Sleep Study

What is Sleep Study?
The sleep study consists of a non-invasive test called a polysomnogram. This records a variety of body functions during sleep such as electrical activity of the brain, sleep pattern, breathing, oxygen levels, heart rate and rhythm, and muscle tone. The sleep technologist will connect the patient to the monitoring equipment via a series of stick-on electrode patches. The wires are long enough so that you can sleep in any position you wish. Once the study is complete, the test data is reviewed and "scored" by a specialist and relevant recommendations are made.

Types of Sleep Study

Type I . Complete Study

Level 1 : (Clinic) In this, the patient is asked to come to the clinic in night's comfortable clothing at 9:30 pm on the day of the test - a sleep technologist will place sensors on patient's scalp, face, chest and legs. These sensors will record brainwave activity (to assess sleep stage), eye movements, muscle activity, heart rhythm, body movements, nasal/oral airflow, respiratory effort and oxygenation. The test is an overnight test, will continue till the usual wake-up time of the patient.

Level 2 : (Home-based) It's the same study like clinic- based, the only difference is it is performed at patient's home and the technician will stay overnight at patient's home till the completion of the test.

CPAP Titration-will be performed during the above if required on the same night.

Type II . Screening-(without technician)

Level 3 :In this the Technician will go to the patients home and fix the machine, will teach the patient how to use the equipment but NOT spend the night. The equipment shall be picked up the next morning or dropped by patient(after discussion). This will record more than 4 channels i.e. snoring, breathing effort, oxygen saturation and ECG.

Level 4 : In this patient comes to the clinic, learns how to use the sleep recording device by himself and will drop the equipment to the clinic , the following morning. This will record only two channels: breathing and oxygen saturation.

Q. What are the treatment options available ?
Specific: use of CPAP

Normal Breathing about sleep apnoea

1. Airway is open
2. Air flow freely to lungs
3. No snoring

Obstructive Sleep Apnea

1. Airway collapses
2. Blocked air flow
3. Loud snoring with choking

If you are diagnosed with OSA you may benefit from both general measures and specific treatments. General measures

  • Weight loss may help in the treatment of OSA if you are overweight. Even small amounts of weight loss- 10 kg in a 100 kg - may improve breathing during sleep, making sleep more restful and lessening daytime sleepiness.
  • Avoid alcohol within four hours of bedtime. Alcohol depresses breathing and makes OSA episodes more frequent and severe. Alcohol also appears to trigger OSA in people who would otherwise merely snore.
  • Avoid sleeping pills. Sleeping pills may also depress breathing, relax the muscles of the throat, and generally make OSA worse. Seek out a healthcare professional's advice if you use sleeping pills and have OSA.
  • Take all drugs with care. Medications prescribed for headaches, anxiety and other common problems can affect sleep and breathing.
  • Sleep lying on one side or your stomach. Some people suffer from OSA only when lying on their backs. Pillows placed behind the back or a tennis ball attached to the back or pajamas will prevent back-sleeping throughout the night.
  • Medications to relieve nasal stuffiness may be helpful in reducing snoring and may help OSA slightly. Mechanical nasal dilators and similar devices available at drug stores can also be used to reduce nasal obstruction.

Impact of PAP therapy:

PAP treats Obstructive Sleep Apnea by providing a gentle flow of positive pressure air via a mask. The positive pressure air splints the airway open during sleep to prevent airway collapse.

This result in:

  • Elimination of snoring and abnormal breathing events
  • Absence of daytime sleepiness or fatigue
  • Improved quality of life
  • Reduction or elimination of comorbities, such as hypertension
  • Decreased consumption of health care resources

Obstructive Sleep Apnea is a serious, potentially life altering and life-threatening condition that is:

  • Easily identified
  • Effectively treated

However there is often a delay in diagnosis. Thus early recognition, effective management of this disorder is essential to prevent sequelae and improve quality life.

Dental Devices
This dental device is used in patients with mild sleep apnoea and in those with moderate to severe who cannot tolerate CPAP.These are custom made.They work by moving lower jaw forward and opening the airway.

For further details please contact: 011-46070321, 41656260


sleep apnoea video