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Suggest treatment for sleep apnea - Online Doctor Chats

Date : 10-Sep-2014
User rating for this question
Very Good Posted in: Ear, Nose and Throat Problems
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2548 Questions
User:Hi,
Can you kindly advise me the cure/remedy for Sleep apnea. Details of patient is
34 year old obese male , currently diagnosed with high BP and high Cholestrol.
Weight - 81 , Height - 5 ft 7 inches
Diet - Non vegeterian
Non smoker and non drinker.
User:Hi
Doctor:Hi,
User:I need to talk to a pulmonologist
Doctor:I am physician. Pulmonologist are not available on live chat.
Doctor:If you wish to discuss with the specialist, please use Ask A Specialist option from your dashboard.
Doctor:I can help you within my expertise. So if you want you may discuss here.
User:i did not get the option of pulmonologist in the ask a specialist dashboard
User:it was missing
User:i want to know about treatment options for sleep apnea
User:can u help?
Doctor:If you have customer care number on the home page, you can call them and they will help you about that.
Doctor:I would like to know if he is diagnosed to have sleep apnea?
User:ok, will see that
Doctor:I will need some details before giving my opinion here. So could you answer some of my questions?
Doctor:Is he diagnosed to have sleep apnea?
Doctor:I have to close the window as you are not responding. Please
User:Details of patient is34 year old obese male , currently diagnosed with high BP and high Cholestrol.Weight - 81 , Height - 5 ft 7 inchesDiet - Non vegeterianNon smoker and non drinker.
User:he has been diagmosed with Sleep apnea
User:would u need any other details
Doctor:What is the current treatment that he is on?
User:nothing
User:hi
User:r u there
Doctor:I am sorry, there was a temporary internet snag.
Doctor:I am here.
Doctor:Let me brief you.
User:ok
Doctor:Sleep apnea has two different forms of it.
User:what are those
Doctor:1. Obstructive apnea where the laxity of tongue, presence of extra fat all narrows down the throat especially while sleeping resulting in apnea episodes
Doctor:2. Central apnea where there is no obstruction but higher centres in the brain doesn't work in cordination resulting in apnea episodes.
User:his is the first one
Doctor:If he has obstructive sleep apnea, then it can be treated more effectively.
Doctor:The treatments that I suggest are as follows:
Doctor:1. He should shed extra weight from the body.
Doctor:He is in over weight category based on his height.
User:yes he is
Doctor:The extra fat may be deposited in the throat regions leading to apnea.
Doctor:Encourage him to shed the weight down.
User:and tring a lot of ways to reduce weight but not helping so far
Doctor:We can talk about weight reduction measures later.
User:sure
User:what else are the treatments
User:for sleep apnea
Doctor:Before I come to the treatment, I would like to give you the options that you can try at home.
Doctor:2. Sleep on the sides instead of supine (on the back).
User:ok sure
Doctor:3. Try steam inhalation or nasal strips that dilate the nostrils before going to bed.
Doctor:4. If sleeping on the sides is uncomfortable, encourage him to sleep in a semirecline posture by placing couple of pillows or elevating the head end of the cot.
User:how is that
User:ok
User:anything else that can be done
Doctor:Simple means is to place couple of pillows so that his head and neck region is atleast 10 inches above the body.
Doctor:5. Avoid caffeine, smoking and alcohol if any.
Doctor:6. There are certain medications that can aggravate sleep apnea such as medicines for cold/allergies (allergies) and sleeping pills.
Doctor:If he needs them discuss with the doctor first.
Doctor:These are the few tips that I suggest.
Doctor:Now coming to the treatment aspects.
User:which doctor shud be visited for this?
User:and u were going to tell about the treatment options
Doctor:Since he has obstructive causes, it would be a good option to see what that cause is.
User:obesity
Doctor:If he as an enlarged uvula or extra pad of fat behind the throat we can use surgical means to correct it.
Doctor:The procedure can be performed by ENT doctors / oral surgeons.
User:ok...
Doctor:That will be an option you can consider if feasible.
User:hmm..what are the other options
Doctor:However most doctors treat sleep apnea with Cpap machines and behavioural changes
Doctor:to help him change the way he sleeps.
User:which is the most effective way to treat it?
Doctor:Since he has obstructive condition,
Doctor:pulmonologist will be the apt method.
Doctor:Since surgery clears obstructions, on papers it is the most effective especially when it is obstructive condition.
User:ok... can u suggest me some good pulmonologists
Doctor:However I would like him to shed the extra weight before he considers this approach.
Doctor:So I were the treating doctor,
Doctor:I would advice him strongly to shed weight.
User:he is trying ...but i dont see much improvement to be honest
Doctor:Along with it, I will suggest the other means which I mentioned earlier.
User:he is following a diet and walking for about 30 mins daily
Doctor:If things don't improve, I will order for Cpap machine
Doctor:and give the option of surgery to you.
Doctor:Weight is not difficult to shed. I have seen plenty of people who have lost weight with dedication and motivation.
User:hmm.. will try
Doctor:So frankly I don't think it is not possible.
User:can u suggest some good doctors
Doctor:Since this is going to be important,I suggest you to try diet plan service from HealthcareMagic, if you have it in your dashboard.
Doctor:May I know your location?
User:hadapsar , XXXXXXX
User:r u there
User:?
Doctor:As I am from XXXXXXX I do not personally know any doctors from XXXXXXX I do not find any specialist registered on HealthcareMagic too.
Doctor:I found Dr. XXXXXXX K T
User:ok where does he practice?
Doctor:who practises at Apple Pulmonology and Sleep care centre at XXXXXXX XXXXXXX
Doctor: XXXXXXX
User:ok , thanks much
Doctor:The exact address would be Next to Bajaj Service Centre
User:alright
User:appreciate ur help
Doctor:Aundh - Hinjawadi Road, Jagtap Dairy
Doctor:, XXXXXXX XXXXXXX XXXXXXX
Doctor:You can try this place.
Doctor:He seems very qualified to treat this problem.
Doctor:Is there anything else that I can assist you with?
User:no that shud be all
User:thanks
Doctor:Thanks for visiting me here. Bye for now.
User:closing the chat ...bye
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