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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Sleep Apnea

My BP is 166/111 and I have not had a problem with high BP in the past. I had blood work done in Dec and my BP was fine and blood work was great. I'm in a high elevation 8000 + feet and can't sleep well. I have untreated sleep apnea. any advise would be great.
Mon, 14 Jul 2014
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Internal Medicine Specialist,  's  Response
Thank you for the query.
I would like to know your age and gender and whether you suffer from any comorbities, apart from hypertension like thyroid dysfunction, COPD, Cardiac ailments etc. I would also like to know your height and weight, which would help to calculate your BMI (to rule out overweight/obesity).
Sleep apnea is usually diagnosed by a Polysomnography (Sleep study). If you had one done, I would like to know your Apnea/Hypopnea Index (AHI). Obstructive sleep apnea can be classified as per AHI values wherein, 5–15/hr = mild; 15–30/hr = moderate; and > 30/h = severe. Depending on the severity, the treatment can be advised. In case of mild sleep apnea, simple weight reduction may improve the symptoms. Moderate and severe cases may be managed by medications (like fluoxetine, tryptomer, modafinil), used of interventions like overnight CPAP (continuous positive airway pressure) and in very severe cases surgery (like uvuloplasty). Simple home oxygen therapy overnight may help in some cases.
Treatment of associated conditions like hypertension is recommended.
Please consult your primary physician for further investigations and check up.
Hope this helps you out.
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Suggest Treatment For Sleep Apnea

Thank you for the query. I would like to know your age and gender and whether you suffer from any comorbities, apart from hypertension like thyroid dysfunction, COPD, Cardiac ailments etc. I would also like to know your height and weight, which would help to calculate your BMI (to rule out overweight/obesity). Sleep apnea is usually diagnosed by a Polysomnography (Sleep study). If you had one done, I would like to know your Apnea/Hypopnea Index (AHI). Obstructive sleep apnea can be classified as per AHI values wherein, 5–15/hr = mild; 15–30/hr = moderate; and 30/h = severe. Depending on the severity, the treatment can be advised. In case of mild sleep apnea, simple weight reduction may improve the symptoms. Moderate and severe cases may be managed by medications (like fluoxetine, tryptomer, modafinil), used of interventions like overnight CPAP (continuous positive airway pressure) and in very severe cases surgery (like uvuloplasty). Simple home oxygen therapy overnight may help in some cases. Treatment of associated conditions like hypertension is recommended. Please consult your primary physician for further investigations and check up. Hope this helps you out.