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Suggest Treatment For Sleep Apnea

Posted on Tue, 5 Jul 2016

Question: I have had a weird feeling like my tongue is swollen or bigger and sometimes talking funny with "s" sound. it kinda comes and goes but its freaking me out. I kinda have a scalloped tongue I think. I will attach pic. I weigh 330lbs 39 women I've had tyroid tested before and it was fine. I think I have insulin resistance as my last labs insulin was 50 and my liver enzymes were 75-150 or so...negative hepatitis. I have horrible anxiety...I take lexapro and omnprazole (sp?) for reflux...I think I might have sleep apnia cuz I've woken up startled taking gasp of air... My health anxiety is off the charts.

Answered by Dr. Drkaushal85 (48 minutes later)

Brief Answer:
Get done sleep study.

Detailed Answer:
Thanks for your question on Healthcare Magic.
I can understand your concern.
Yes, you should definitely rule out sleep apnea.
So get done sleep study for this.
Also get done sugar levels to rule diabetes.
Please let me know
1. Are you taking any drug for this?
2. Do you have normal menstrual cycle?
Please reply me answers of above asked questions, so that I can guide you better. I will be happy to help you further. Wish you good health. Thanks.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Drkaushal85 (3 minutes later)

Sugar normal...no I take progesterone to have periods...those are the only meds I take. First sleep apnea cause that?

Answered by Dr. Drkaushal85 (6 hours later)

Brief Answer:
Yes, sleep apnea can cause this.

Detailed Answer:
Thanks for your follow up question on Healthcare Magic.
I can understand your concern.
Yes, sleep apnea can cause this.
So please let me know
1. Do you snore at night?
2. What is your exact height and weight?
Please reply me answers of above asked questions, so that I can guide you better. I will be happy to help you further. Wish you good health. Thanks.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Drkaushal85 (26 minutes later)

yes I snore and 5'4" 330lbs

Answered by Dr. Drkaushal85 (4 minutes later)

Brief Answer:
You should definitely loose weight.

Detailed Answer:
Thanks for your follow up question on Healthcare Magic.
I can understand your concern.
Sorry to say but you are having morbid obesity.
And this can cause similar symptoms.
So you should definitely loose weight as soon as possible.
Please let me know
1. Have you ever undergone sleep study?
2. May I ask you some personal questions? Only if you permit.
Please reply me answers of above asked questions, so that I can guide you better. I will be happy to help you further. Wish you good health. Thanks.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Drkaushal85 (8 minutes later)

no I have not done sleep study. I just started weight watchers. any questions are fine

Answered by Dr. Drkaushal85 (3 minutes later)

Brief Answer:
You should definitely get done sleep study first.

Detailed Answer:
Thanks for your follow up question on Healthcare Magic.
I can understand your concern.
In my opinion, you should definitely get done sleep study first.
Please let me know
1. Are you sexually active?
2. Why you are taking progesterone pills? Is it for menses or for birth control?
Please reply me answers of above asked questions, so that I can guide you better. I will be happy to help you further. Wish you good health. Thanks.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Drkaushal85 (21 minutes later)

yes I am married with 3 kids and I take progesterone to bring on period.

Answered by Dr. Drkaushal85 (3 minutes later)

Brief Answer:
Do you do oral sex?

Detailed Answer:
Thanks for your follow up question on Healthcare Magic.
I can understand your concern.
So you are sexually active.
Please let me know
1. Do you do oral sex?
Sorry if you don't like this question but oral sex for long time can cause tongue problem.
So please let me know this, so that I can guide you better.
I will be happy to help you further. Wish you good health. Thanks.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Drkaushal85 (8 minutes later)

not that often

Answered by Dr. Drkaushal85 (3 minutes later)

Brief Answer:
Better to avoid oral sex.

Detailed Answer:
Thanks for your follow up question on Healthcare Magic.
I can understand your concern.
In my opinion, you should avoid oral sex.
Please let me know
1. Are you obese since teens?
2. Or you gained weight after three pregnancies?
3.. Are you trying anything for weight loss?
Please reply me answers of above asked questions, so that I can guide you better. I will be happy to help you further. Wish you good health. Thanks.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Drkaushal85 (41 minutes later)

no just after 3rd kid. I just started weight watchers this week

Answered by Dr. Drkaushal85 (3 minutes later)

Brief Answer:
Along with weight watchers, you should also follow strict dieting & exercis

Detailed Answer:
Thanks for your follow up question on Healthcare Magic.
I can understand your concern.
Along with using weight watchers, you should also start strict dieting and regular aerobic exercise like running, cycling, swimming etc.
Avoid oily and spicy food. Avoid large meals, instead take frequent small meals.
Take high fiber diet like green leafy vegetables and fruits more.
Also get done sleep study to confirm see for need of CPAP.
Once you loose your weight, your all symptoms will mostly going away.
Hope I have solved your query.
If you are not having further queries, then please close the conversation and rate my answer.
You can ask me directly on bit.ly/askdrkaushalbhavsar. Wish you good health. Thanks

Note: Consult an experienced Otolaryngologist / ENT Specialist online for further follow up on ear, nose, and throat issues - Book a Call now.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar