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Ear, nose problem - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Ear, Nose and Throat Problems
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2408 Questions
User :   I served in the active duty military from 29 September 1983 thru July 28, 1986. I entered the service weighing about 125lbs, and I left the service weighing about 147lbs. During the period of Feb 1985 thru August 1985 I was told by my roommate on many occassions that I stoped breathing in my sleep, and that I snored very loudly. My military service treatment records do not show I had any problems with my ear, nose, mouth, throat, chest or lungs prior to entering active duty service during September 1983. During the period of February 1985 thru August 1985 my roommate stated that he perceived that I stoped breathing in my sleep frequently throughout the night, while pausing my snoring at the same time. Service treatment records show that during April 1986 I complained of sleeping 2-4 hrs for the past two years, and military medical staff gave me a provisional diagnosis of insomnia x 2yrs. During my active duty service, I found that I struggled to stay awake while sitting still beginnin on or about May 1984. I started drinking during active duty service to help me deal with my sleep and/or emotional problems, and I continued to drinking after service. On or about October 2007 I was diagnosed with having obstructive sleep apnea by the VA. Question 1, Did I have obstructive sleep apnea while on active duty service? Question 2, If so, is there a 50% chance or better that there is a nexus between my currently diagnosed obstructive sleep apnea, and that inservice sleep apnea, and what percent is that connection
Doctor :   Hi
Doctor :   here
Doctor :   let me read ur query
Doctor :   give me 2 minutes
Doctor :   ok

Doctor :   Now at the start , u could have been having sleep apnea but at a mild degree when u were in service
Doctor :   But this could have also been due to weight gain or due to abnormal body postures
Doctor :   Right now, the VA has diagnosed u to be having OSA
Doctor :   which is a severe version of the same condition that u had earlier
Doctor :   the best method here to tackle this condition is Weight loss , physical excercise and active lifestyle
Doctor :   Once these steps have been initiated, and to improve the symptoms some medications can prescribed by ur doctor, to help u breath
Doctor :   Are u there ?
Doctor :   Are u following me ?
User :   yES
Doctor :   Have i answered ur queries ?

User :   So you're saying I suffered from obstructive sleep apnea while on active duty service, but in a mild form, and that my condition worsened throughout the years
Doctor :   yes thats right

Doctor :   the condition could have been diagnosed by a sleep study test at that time itslef
User :   Was my inservice obstructive sleep apnea most likely worsened throughout the years by my weight gain.
Doctor :   yes thats right
Doctor :   OSA is the ultimate effect of weight gain, and obesity
User :   What is your name, specialty and level of education
Doctor :   IM

User :   Does obstructive sleep apnea cure itself
Doctor :   Not likely

Doctor :   the best method here to tackle this condition is Weight loss , physical excercise and active lifestyle

Doctor :   Once these steps have been initiated, and to improve the symptoms some medications can prescribed by ur doctor, to help u breath

User :   I've continued to gain weight since leaving active duty military service, so what are the chances that I've continued to suffer from sleep apnea since leaving service.
Doctor :   yes definitely

Doctor :   the more u gain weight ,the more the progression of the condition
User :   Thank you for your help!!
Doctor :   You are welcome

Doctor :   thanks for consulting me here
Doctor :   please leave ur feedback as u log out
Doctor :   Bye for now and have a good day
User :   Same to you
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