If you snore loudly, gasp at night or feel exhausted by day, it is not normal — it is worth evaluating.
Understanding Sleep Apnoea
Breathing That Pauses in Sleep
Obstructive sleep apnoea (OSA) occurs when the throat muscles relax during sleep and repeatedly block the airway. Each pause briefly cuts off breathing until the brain wakes you with a gasp — this can happen dozens or even hundreds of times a night, often without you remembering it.
Sleep becomes fragmented, oxygen levels dip repeatedly, and the body's stress response is switched on all night. Over time, this increases the load on the heart and brain — which is why untreated OSA is linked to hypertension, heart disease, diabetes and poor concentration.
Common symptoms
Loud snoring, gasping or choking at night, witnessed breath pauses, dry mouth on waking, morning headache, severe daytime sleepiness, irritability, poor memory.
How it is evaluated
A structured assessment of symptoms and risk factors, Epworth sleepiness scoring, and a formal sleep study (polysomnography) where indicated.
Management approach
Lifestyle measures, positional advice and weight guidance, CPAP therapy for moderate-to-severe OSA, and referral to ENT where nasal obstruction is present.
Why It Matters
Sleep is Not a Luxury
Many people think loud snoring and daytime tiredness are just "the way they are". They are not — and the consequences of ignoring them are real:
High blood pressure that is hard to control
Falling asleep while driving or at work
Worsening of diabetes and heart conditions
Relationship strain from disturbed nights
Mood changes, memory fog and reduced productivity
Note for patients
Bring your bed partner's observations to the consultation — they often hold the clue. If you have hypertension or diabetes with heavy snoring, mention sleep apnoea to your physician.
Sleep Apnoea FAQs
Sleep Apnoea Questions, Answered
How do I know if I have sleep apnoea?
The common signs are loud snoring, witnessed pauses in breathing during sleep, choking or gasping at night, morning headaches, and extreme daytime sleepiness. If several of these apply, a formal sleep evaluation is worthwhile.
Is snoring alone a problem?
Simple snoring can be harmless, but when it is accompanied by gasping, breath pauses or daytime sleepiness, it suggests obstructive sleep apnoea — which deserves medical evaluation.
Can sleep apnoea improve with weight loss?
In many people, yes. Weight reduction often reduces the severity of obstructive sleep apnoea and may allow a lower treatment level. It is recommended alongside, not instead of, the prescribed treatment.
Is CPAP treatment lifelong?
Not necessarily. The need for CPAP is reviewed over time. In some people — with weight loss, lifestyle change or surgery for specific causes — the requirement reduces or resolves.
Why is untreated sleep apnoea serious?
Untreated OSA strains the heart and circulation, increases daytime accidents, worsens hypertension and diabetes, and reduces quality of life. Treatment is simple and highly effective for most people.
বাংলায় জানুন — স্লিপ অ্যাপনিয়া
স্লিপ অ্যাপনিয়া এমন একটি ঘুমের সমস্যা, যাতে ঘুমের মধ্যে বারবার শ্বাস বন্ধ হয়ে যায় — ফলে ঘুম ভেঙে যায় এবং সারাদিন ক্লান্ত লাগে। জোরে নাক ডাকা, রাতে হাঁপানো বা দম বন্ধ হয়ে জেগে ওঠা, সকালে মাথা ব্যথা, দিনের বেলা ঘুম ঘুম ভাব — এই লক্ষণ থাকলে ঘুমের পরীক্ষা (স্লিপ স্টাডি) করা দরকার। সঠিক চিকিৎসায় (কখনও সিপ্যাপ মেশিন) উপসর্গ নিয়ন্ত্রণে আসে এবং হার্ট-রক্তচাপের ঝুঁকি কমে।