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Symptoms

For many people, their spouses are the first ones to recognize something is wrong. The loud snoring, the stoppage of breathing, and the gasping for air are signs of trouble. Friends may notice that the individual falls asleep during the day at inappropriate times. While snoozing at a meeting or sitting with friends can be embarrassing, falling asleep at work or driving a car can be dangerous! Most sleep apnea patients do not know they have a problem and in fact do not believe it when told. Ask your spouse and friends if they are aware of symptoms. They will tell you the truth and may in fact help you to a more restful and safer sleep.

The following symptoms relate to sleep disorders (sleep apnea). If three or more apply to you, it is recommended that you speak to a health care professional.

       
* Daytime sleepiness * Chronic, loud snoring
* 17 inch neck size for men, 15 ½ inch neck size for women * Patterns of snoring interrupted by pauses, then gasps
* Difficulty concentrating * Forgetfulness
* Irritability * Depression
* A loss of interest in sex * Learning and memory difficulties
* High blood pressure * Waking with a headache
* Waking with heartburn * Waking gasping for breath
* Falling asleep at inappropriate times, work, on the phone, or driving * Waking with a bad taste in your mouth
* Clenching or grinding of your teeth    

Proper evaluation can only be done by physicians who specialize in sleep medicine. Diagnosis of obstructive sleep apnea, which may be treatable with oral appliances, must be made with a sleep study (polysomnogram – PSG) as there are many types of sleep disorders.

The Epworth Sleepiness Scale is used to determine the level of daytime sleepiness. A score of 18 or more is considered very sleepy. A score of 18 or more is very sleepy. If you score 7 or more on this test, you should consider whether you are obtaining adequate sleep, need to improve your sleep hygiene and/or need to see a sleep specialist. These issues should be discussed with your personal physician. Dr. Steinberg and staff at Philadelphia Dental Sleep Medicine can aid in your consultation and treatment.

Use the following scale to choose the most appropriate number for each situation:

0 = would never doze or sleep.
1 = slight chance of dozing or sleeping
2 = moderate chance of dozing or sleeping
3 = high chance of dozing or sleeping

Fill in your answers and see where you stand.

 Situation
 Chance of Dozing or Sleeping
Sitting and reading  
Watching TV  
Sitting inactive in a public place  
Being a passenger in a motor vehicle for an hour or more  
Lying down in the afternoon  
Sitting and talking to someone  
Sitting quietly after lunch (no alcohol)  
Stopped for a few minutes in traffic while driving  


Total score (add the scores up)
(This is your Epworth score)


Snoring and Sleep Apnea can be managed with the CPAP alternative!
Call Philadelphia Dental Sleep Medicine now to help with healthier sleeping!
215-735-8844


©2007“Philadelphia Dental Sleep Medicine”
Carl E. Steinberg, D.D.S., M.A.G.D. - Master of the Academy of General Dentistry
1628 Spruce Street - Philadelphia, PA 19103 - 215-735-8844
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