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Posts for tag: sleep apnea

By Pacific Sleep Program
June 04, 2019
Category: Sleep Apnea
Tags: sleep apnea  

Sleep apnea isn’t something that you can just treat on your own—it requires proper evaluation and treatment from board certified sleep sleep-apneaapnea doctors in Portland and Astoria, OR, who can determine not just the severity of your sleep disorder but also help you determine the treatment that is right for you. 

That's why our sleep medicine team including Dr. Radhika Breaden and Dr. Jennifer Kim are here to provide you with the care you need to understand and manage your sleep apnea. 

Symptoms of sleep apnea include

  • Snoring
  • Pauses in breathing throughout the night
  • Gasping sounds while sleep
  • Daytime fatigue
  • Trouble concentration
  • Mental fog
  • Increased irritability
  • Depressive or anxiety symptoms
  • Insomnia or restless sleeping
  • Morning headaches
  • Waking up during the night to urinate
  • Acid reflux/heartburn during the night
  • Tooth grinding 

Not all patients with sleep apnea have all or most of these symptoms. The symptoms can also vary in severity based on age. For example, in a child, sleep apnea may manifest as issues of attention or hyperactivity. For women, symptoms may include insomnia alone without any other observed symptoms. 

In order to determine whether sleep apnea is present, we may consider either home sleep testing or in-laboratory sleep testing (at our clinic). There are pros and cons to both types of testing, which we will review with you at the time of your initial consultation. 

Once you’ve undergone a sleep study, the next step is to create a treatment plan for you. This treatment plan will be based on how severe your sleep apnea is as well as other factors, including changes in severity based on position, stage of sleep and other medical conditions you may have. At your follow up appointment, we will review all treatment options including PAP (positive airway pressure), oral appliance therapy, surgery, Inspire neurostimulator therapy, Provent therapy and positional therapy. 

Many patients can also benefit from lifestyle modifications that can help reduce symptoms. Certain lifestyle modifications that our sleep specialists in Portland and Astoria, OR, may recommend include,

  • Losing excess weight or maintaining a healthy weight
  • Quitting smoking
  • Avoiding or limiting alcohol, caffeine, and sedatives

While lifestyle changes can reduce the severity and frequency of your symptoms, you may also require additional treatment, depending on the severity of your sleep apnea. 

One common treatment option is CPAP therapy, in which the patient wears a mask interface over their nose and/or mouth. The mask is attached to a machine that generates a gentle air pressure to apply just the amount of pressure needed to keep the airways open and to prevent airflow obstruction. 

Many patients may also benefit from getting oral appliance therapy. Using a custom-made device that fits over the upper and lower teeth, oral appliance therapy repositions the jaws to prevent the collapse of tissues in the back of the throat. 

Surgical options including the UPPP (uvulopalatalpharyngoplasty) in which the uvula and part of the palate are removed, as well as the MMA (maxillomandibular advancement) in which both the upper and lower jaw are advanced forward to provide more airway space. These surgeries are performed by ENT (Ear, Nose and Throat) surgeons. 

A newer option for treatment is the Inspire neurostimulator therapy, in which an implantable device has electrodes which stimulate the airway muscles to provider structure and tone during the night. Inspire surgery is used in patients who have moderate or severe obstructive sleep apnea with a BMI (body mass index) of 32 or less. 

Other options including positional belts and collars as well as Provent therapy, which are nasal expiratory pressure stickers for the nasal passages that are used predominantly when camping or travelling internationally. 

Pacific Sleep Program has two offices to ensure that patients living in Portland and Astoria, OR, get the comprehensive sleep care that they need. If you suspect that you might be dealing with sleep apnea, we recommend that you schedule a sleep medicine consultation with our clinic. 

By Pacific Sleep Program
November 30, 2018
Category: Sleep Apnea
Tags: sleep apnea   Lack of Sleep  

Do you need help from your Portland and Astoria, OR, doctor when it comes to sleep medicine?

Sleep ApneaSleep apnea is a sleep-related breathing disorder that affects a person's respiratory airflow. The airflow is interrupted when soft tissue, like the tongue, collapse in the back of your throat while you're asleep, causing a partially closed windpipe. The soft tissue vibrates resulting in snoring.

More About Sleep Apnea

Some interesting facts about sleep apnea are that 12.5 percent of people suffer from a sleep disorder. Sleep apnea may also lead to erectile dysfunction and increase risks of heart attacks, high blood pressure and strokes.

Not getting the sleep you need can be linked to many diseases, which is why it's important to contact your Portland and Astoria sleep medicine physicians.

Obstructive Sleep Apnea occurs when the upper airway is blocked and significant airflow disruption occurs, complete blockage of airflow may result as well.

Someone suffering from sleep apnea may wake up several times a night. These awakenings are called micro-arousals and prevent deep and restful sleep.

Lack of Sleep

There are many diseases that are linked to a lack of sleep, so make sure you ask your Portland and Astoria doctor about how he can help you cope with or treat certain your sleep apnea. The leading sleep apnea treatment is a CPAP (continuous positive airway pressure) machine which blows a gentle stream of air into the airway to keep it open. Your doctor also provides an oral appliance that you wear while you sleep. This helps reposition the jaw and tongue so that there is no obstruction of the airway while you sleep and decreases the effects of sleep apnea.

If you have any questions or concerns regarding your health and would like to know if you are suffering from sleep apnea, then it's a good idea to contact your Portland and Astoria, OR, sleep medicine specialists Dr. Gerald Rich, Dr. Radhika Breaden and Dr. Gregory Clark today!

By Pacific Sleep Program
November 16, 2018
Category: Sleep Apnea
Tags: sleep apnea  

According to the National Heart, Lung, and Blood Institute, sleep apnea is a fairly common sleep disorder that affects millions of adults and children in the United States. Because the condition often goes diagnosed, many people are unaware that they are having problems with their breathing while they sleep. There are three types of sleep apnea: obstructive, central, and complex (a combination of obstructive and central). If left untreated, sleep apnea can disrupt quality of life and increase the risk of potentially serious health problems. The sleep medicine doctors at Pacific Sleep Program in Astoria and Portland, OR, offer testing and treatment plans a number of sleep disorders.

Sleep Medicine Programs in Astoria and Portland, OR

Sleep apnea causes momentary pauses in breathing throughout the night while a person sleeps. Many people with sleep apnea are unaware that their breathing is being interrupted until someone witnesses it. The main symptoms are loud and chronic snoring, but the lack of oxygen caused by irregular breathing causes a number of additional symptoms and potential health problems such as:

  • Daytime exhaustion and fatigue, even after a "full" night's sleep
  • Difficulty concentrating and focusing
  • Memory problems
  • Irritability
  • Dry mouth
  • Headaches

Possible complications include:

  • Cognitive problems/decreased motor skills
  • High blood pressure
  • Cardiovascular problems
  • Complications during pregnancy

Anyone can develop sleep apnea, but there are a few factors that can potentially increase the risk such as obesity, large tonsils, endocrine issues, neuromuscular problems, and lifestyle issues like smoking or alcohol consumption.

Obstructive sleep apnea is the most common type and occurs when the muscles in the throat relax during sleep and block the airway. Central sleep apnea is much less common and results when the brain's signals to the muscles that control breathing malfunction. There are a number of different treatment options including lifestyle modifications and breathing devices that help keep the airway open during sleep.

Find a Sleep Medicine Doctor in Astoria and Portland, OR

For more information about the symptoms and treatment options for sleep apnea and other sleep disorders, contact the Pacific Sleep Program to schedule an appointment with one of our sleep medicine doctors and specialists by calling 503-325-4933 in Astoria or 503-228-4414 in Portland.

By Pacific Sleep Program
September 26, 2017
Category: Health
Tags: sleep apnea  

Find out why you should treat your sleep apnea if you suffer from this disorder.sleep apnea

Are you wondering whether your tossing and turning nights and exhausting days are just the cause of everyday stressors or if there is something more at hand? Could you be suffering from sleep apnea? While most people do feel tired at some point during the day, someone with true sleep apnea experiences extreme fatigue no matter how much sleep they get. Here at Pacific Sleep Program in Portland and Astoria, OR, we are dedicated to providing quality sleep medicine to help those with sleep apnea get the care they deserve.

So, what exactly does sleep apnea do to your sleep and how does it affect your health?

If you thought that sleep apnea only affected the quality of your sleep, you’re mistaken. Think about it: You have a disorder that stops you from breathing multiple times throughout the night. This means that each night you aren’t getting the necessary amount of oxygen that your brain requires. Sure, you’ll feel groggy and zombie-like when waking up in the morning, but that’s just the tip of the iceberg.

Untreated or unmanaged sleep apnea is linked with a slew of health problems such as:

  • Stroke
  • Hypertension (high blood pressure)
  • Diabetes
  • Heart attack and heart failure
  • Headaches
  • Depression

On top of these serious and potentially life-threatening health problems, sleep apnea can also affect your work performance and increase your chances of car accidents or work-related injuries due to extreme fatigue.

If you wake up feeling extremely tired all the time despite getting a full night’s sleep, if you find it difficult to concentrate at work, if you notice frequent headaches in the morning or if you are a loud snorer, then these are problems that need to be properly evaluated by a Portland and Astoria sleep medicine specialist.

If you want to learn more about the sleep medicine services we offer in Portland and Astoria, OR, then turn to the experts at Pacific Sleep Program to help you achieve the quality sleep you need to wake up feeling refreshed. Don’t let sleep apnea dictate your sleep schedule.

By Pacific Sleep Program
September 13, 2017
Category: Health
Tags: sleep apnea   snoring  

What your doctors in Astoria and Portland, Oregon, want you to knowsnoring

Snoring is a common problem. In fact, according to the National Sleep Foundation, 37 million people in the United States snore regularly. There are several reasons you might be snoring. Your doctors at Pacific Sleep Program in Portland, Oregon want to share the facts about snoring and what you can do about it. They have offices in Portland, and Astoria, Oregon to help you.

Snoring is caused when your soft palate, tongue, and throat relax completely during deep sleep. The soft tissues begin to vibrate causing snoring. The sounds will become louder as your airway narrows. If your airway is blocked completely, you may have sleep apnea which can be serious. According to the National Sleep Foundation, about half of people who snore regularly have sleep apnea.

There are several risk factors and causes of snoring. You are at greater risk of snoring due to:

  • Oral anatomy; if you have a low soft palate, your airway can become narrow or blocked
  • Structural issues with your nose; if you have narrowed nasal passages due to a deviated septum, it increases your chances of snoring
  • Excess weight; if you are overweight, you may have extra tissue in the back of your throat which can narrow or block your airway
  • Drinking alcohol; alcohol relaxes your throat, which can cause narrowing of your airway
  • Sleeping position; if you sleep on your back, it will relax your throat, narrowing your airway

There are some lifestyle changes you can do to limit snoring. You can try:

  • Maintaining a healthy weight
  • Taking a nasal decongestant before bed
  • Avoiding alcohol consumption before bed
  • Sleeping on your side


For chronic, loud snoring, it’s best to visit your doctors at Pacific Sleep Program. They may suggest a sleep study to determine your sleep patterns, snoring, or if you have sleep apnea. They may suggest several effective treatments including:

  • An oral mandibular advancement appliance, which moves your jaw and tongue forward, keeping your airway open while you sleep
  • A continuous positive airway pressure appliance, which provides a continuous flow of oxygen while you sleep
  • Tissue ablation or laser surgery to remove excess tissue


Snoring can be annoying to you and your family members, but you don’t have to put up with it. Call your doctors at Pacific Sleep Program in Portland, or Astoria, Oregon. They want to help you get a good night’s sleep, so call today!