Snoring Obstructive Sleep Apnea and Treatment Animation
Snoring and sleep apnea.In normal breathing, air enters the nostrils and goes through the throat and the tracheato the lungs. In people who snore this airway is partiallyobstructed by excess tissue of the throat, such as large tonsils, large soft palate ortongue. Another common cause of obstruction is the dropping of the tongue into the throatdue to over relaxation of tongue muscles during sleep. Air currents competing throughnarrow spaces in the throat cause the soft palate essentially a piece of soft tissuehanging in the throat to vibrate. This vibration is the source of the noise we hear when someoneis snoring.
Sleep apnea happens when the airway is completelyobstructed, no air can go through and the person stops breathing. This cessation ofbreathing triggers the brain to respond by waking up the person just enough to take abreath. This repeats itself again and again during the course of the night and may resultin sleep deprivation. Snoring and mild sleep apnea may be treatedwith a mandibular advancement device. This device is designed to move the lower jaw andthe tongue slightly forward and thus making the space in the back of the throat larger.
Urge To Urinate In The Middle of the Night Expert Urologist Explains
gt;gt;gt; DR. JERRY BLAIVAS: Getting up in the middleof the night to urinate is called nocturia. Nocturia is very very common, in fact mostpeople get up once or twice at night to urinate starting in the teenage years even. If you think about it, there is only two possiblereasons why someone would get up in the middle of the night to urinate. One is that theirbladder does not comfortably hold enough to allow them to sleep through the night, and,two, you make more urine, that it is to say your kidney is making more urine then yourbladder cannot comfortably hold overnight. The second condition, we called nocturnalpolyuria. The nocturnal means nighttime and
poly means too much and uria means urine.So nocturnal polyuria means that you make too much urine overnight and that is probablythe commonest cause of nocturia. The most common cause of that even is justdrinking too much before you go to sleep. So if you have a couple of beers or you havewine before dinner and then you take a glass of water with some pills, all of that fluidthat you ingest will then overnight be converted by the kidneys to urine and then if you makemore urine overnight than your bladder can hold, then of course you have to get up tourinate. So nocturnal polyuria is the commonest causeand the other cause, the bladder not holding
enough urine, has many many many causes. Probablythe most common one is, temporary problem is, urinary tract infection. It can be causedby blockages by the prostate. It can be caused by bladder cancer, by all kinds of other irritablekind of conditions so thinking back then we have these two different causes, making toomuch urine at night or the bladder not holding enough at night. So, then what to do aboutit. Well the first thing you need to do aboutit is to diagnose it. How do we diagnose ité Very very simply! We have you keep a bladderdiary, that is to say you record the time and amount of urine, time and amount of eachurination that you make in a 24hour period,
then we simply see how much you urinate atnight, how much you urinate for the 24hours and through some mathematical formula, wecan figure out if you are making too much urine at night. Generally, people make less than a third oftheir urine during sleep hours. If you make more than that then you have this nocturnalpolyuria and we look for the causes of that. I briefly alluded to what they were in thebeginning but now to get more complete, the most common cause is simply drinking too much. Probably the second most common cause is peoplethat take medications at night that can have
a diuretic like effect. Another cause is anythingthat causes your legs to swell up, so people with varicose veins or from prior surgery,if your leg swell up during the day that the swelling is actually fluid and when you liedown at night, your body resorbs that fluid, that fluid gets into your system and the kidneysmake more urine. Another common cause is something called sleepapnea, people who snore, best diagnosed by going to a sleep lab and if you have sleepapnea, then that is what causes the problem and the treatment of the sleep apnea is theproblem. The bladders that do not hold enough urine,again we first determine that by the bladder
diary and then we look for the common causes,common causes of urinary tract infection, prostatic obstruction, dropped bladder inwomen, overactive bladder, sometimes bladder cancer, bladder stones, no matter what theycause though, once the diagnosis is clearly understood then treatment of the underlyingcondition that is causing the nocturia is very often effective, it is usually effective. However, just having nocturia, just gettingup at night to urinate by itself does not demand any treatment. So if you get up once or twice at night orthree times and you are not bothered by it,