The individual affected by male orgasmic disorder is unable to experience an orgasm following a normal sexual excitement phase. The affected man may regularly experience delays in orgasm, or may be unable to experience orgasm altogether.

Therefore, an overview of male orgasmic problems and attendant diagnostic issues is presented. In addition, we discuss the prevalence of these two disorders and briefly survey theories and research on the causes of male orgasmic disorders.

Mitigating factors include age and adequacy of the stimulation. Orgasmic disorders may be due to a physical disorder or use of a substance (egg, alcohol, opioids, antihypertensive, antidepressants, and antipsychotics).

Diagnostic criteria for Male Orgasmic Disorder

* Persistent or recurrent delay in, or absence of, orgasm following a normal sexual excitement phase during sexual activity that the clinician, taking into account the person's age, judges to be adequate in focus, intensity, and duration.
* The disturbance causes marked distress or interpersonal difficulty.
* The orgasmic dysfunction is not better accounted for by another mental disorder (except another sexual dysfunction) and is not due exclusively to the direct physiological effects of a substance (e.g., a drug of abuse, a medication) or a general medical condition.

Causes: – Situational and psycho logic factors can contribute to orgasmic disorder. They include the following:

* Lovemaking that consistently ends (as when the man ejaculates) before the woman is aroused enough
* Insufficient foreplay
* Lack of understanding about how their genital organs function in one or both partners
* Poor communication about sex (for example, about what sort of stimulation a person enjoys)
* Problems in the relationship, such as unresolved conflicts and lack of trust
* A physically or emotionally traumatic experience, such as sexual abuse

As a man who is experiencing Male orgasmic disorder, it is important to meet with a physician to determine what, if any, underlying medical issues may be associated with development of the sexual dysfunction disorder. Often, it is during the evaluation and treatment by a mental health specialist that you learn your fears of unprotected sex, pregnancy; sexual taboos, stress and even depression are often leaving you unable to achieve orgasm during your sexual experiences.

Treatment of Male Orgasmic: –

* A premature orgasm can often be stopped more easily by tensing the muscles along and around your urethra and your prostate area after you have paused your actions.
* Another trick the women can use is to press with all her fingers down towards the man's urethra between his scrotum and prostate area. When doing so she can feel the beginning pumping action and she presses so firmly that the pumping action and any flow of semen stops.
* Masturbating a couple of hours before sex with the partner can bring down the excitement to a level that makes it possible to keep on a long time before climax. This technique works best for younger men, while it can be difficult for elder men to get a satisfactory erection so soon after masturbation.
* The women should learn what types of pelvic postures and actions during intercourse that gives good sensations for the man and what types are not felt well or lead to unwanted orgasm.
* It is necessary that both partners cooperate and talk together about doing sex the best way and about tricks and adjustments that can help both of them to have a more satisfactory sex experience and hinder unwanted happenings.
* If the unpleasant sensations are caused by hair around the vaginal opening, adjusting the hair to a shorter length can help.

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symptoms of sleep apnea in men

31 thoughts on “Symptoms Of Sleep Apnea In Men

    1. M T

      Snoring is not just a nuisance for your bedmate (or, in extreme cases, for your neighbor). It can be a sign of a serious medical disorder called sleep apnea. The first issue to address regarding chronic snoring is whether this is a symptom of sleep apnea.

      Use a single low pillow. Sleeping on too many pillows can stretch and narrow the nasal passage. If, however, you are congested, elevate the head by placing books under the mattress to encourage better drainage.

      Try to sleep on your stomach, since snoring is less likely to occur in this position. You can buy anti-snoring pillows designed to keep snorers on their side while asleep

      Adopt a healthy lifestyle. Extra weight, smoking, alcohol and drugs all exacerbate snoring.

      Review your meds. Sleeping pills, antihistamines and other medications increase snoring.

      Consult your doctor if you suspect that allergies and nasal congestion may be causing the problem. Make sure your allergy medication is antihistamine free.

      Try an over-the-counter nasal strip. These strips may widen the nasal passages and decrease congestion to reduce snoring.

      Ask your dentist about using an oral appliance designed to reduce snoring.


  1. poochiee1

    11yr old over weight ,thirsty, and she sleeps a lot could she be a diabetic ?
    I have an 11yr old that weighs about 141lbs (over weight) and she sleeps a lot. She stays thirsty she sleeps at least the majority of the day could she be a diabetic or could she have sleep apnea.

    1. MamaSmurf

      She could have any number of problems. Being overweight does not mean she would have diabetes, sleeping a lot does not mean that either. She may have a thyroid problem. Many kids her age like to sleep, it does not mean they are sick. Have her checked out by her doctor. Here is a list of the most common symptoms of diabetes

      Constant thirst
      Frequent urination
      Sweet smelling urine
      Constant hunger
      Nausea or vomiting
      Unexplained weigh loss OR gain
      Reoccurring yeast infections in women, itching penis in men
      Frequent boils
      Leg cramps
      Slow healing wounds
      Itching skin with no rash
      Burning tingling sensations in hands, feet, arms, legs,

      Being overweight can cause her to be more fatigued. I would take her to a doctor asap and find out if she has any problems other than being overweight. No matter what the doctor says, (if she is ill or not), make an appointment with a nutritionist and get her to help with meals and meal plans for your daughter so she can lose some weight.

  2. Luna

    How to reduce sweating?
    My husband sweats a lot in his sleep, and because of this our bedroom smells of sweat the whole time. He is perfectly hygienic. Is there anything he can do to reduce his sweating, or else get rid of the smell in our bedroom?
    No piss-takers. Thank you.

    1. Dan

      Hey Luna,

      Sorry to hear the problems that you are having, however I would like to reiterate that it is VERY common and therefore not alone, however I do understand and appreciate that it must be both difficult and at times both embarrassing for you and your husband.

      It sounds very much to me that your husband could very well have a condition called;

      ‘Sleep Hyperhidrosis’ – simply means profuse sweating during sleep and usually see’s no problems during the day.

      More often than not Sleep Hyperhidrosis is due to something harmless and often ‘man made/influenced’ and therefore can be changed. As you haven’t provided a great amount of detail I shall break the condition down as much as possible and hopefully from there you can assist yourself and your husband further.

      First of all there are some questions, which I would like you to read and consider the responses to;

      1) Do you sleep with windows closes and with a thick tog duvet?
      A) If so, simply buy a thinner tog duvet, maybe a 4tog and open a window on vent. A fan is not recommended because quite often the noise can disturb sleep, which will create another problem entirely.

      2) Does your husband sweat during the day?
      A) If yes then this makes more of the problem in the sense that it effects him for many more hours? If not then as we said it probably is ‘Sleep Hyperhidrosis’

      3) Is/Does your husband smoke, over-weight, drink alcohol?
      A) All of these can have SOME influence over problems such as S.H. However you have to ask yourself how extreme if any does he do any of the above?

      4) Does your husband have any other medical problems such as heart conditions, diabetes, history of strokes, obesity etc?
      A) Again all of these can impact upon someone and cause excessive sweating either day/night or just one of the times.

      In pretty much all cases though there is NO specific treatment for the sweating itself. A Doctor will have to undertake further tests to find out WHY he is sweating so much at night and then if need be TREAT THAT problem, which in turn should resolve the S.H

      Sleep Hyperhidrosis can be due to a variety of underlying disorders, such as:

      > Febrile (feverish) illness
      > Diabetes insipidus (the chronic excretion of large amounts of pale urine, acompanied by extreme thirst)
      > Hyperthyroidism (A disorder in which the thyroid is over-active)
      > Pheochromocytoma (secretion from usually benign cells in the brain that produces excessive sweating as one of its symtoms)
      > Hypothalamic lesions
      > Epilespy
      > Cerebral and brain stem strokes
      > Cerebral palsy
      > Chronic paroxysmal hemicrania (sudden onset migrane)
      > Spinal cord infarction (sudden insufficiency in blood supply)
      > Head injury
      > Familial dysautomia (a congenital syndrome with specific disturbances of the nervous system)
      > The sleep disorder, obstructive sleep apnea syndrome

      DO NOT assume that because your husband doesn’t appear ill or show any other specific symptoms that none of the above can be possible. Many hundreds of thousands of people each year carry on as if everything is OK, when in fact (mainly men) have experienced some other symptoms for some time.

      After reading and considering the above I would book an appointment with your family Doctor for him to do further tests and treat appropriately. Our bodies are amazing ‘machines’ that are very precise at telling us something is wrong, don’t allow your husband to be a typical British male and leave this untreated.

      Good Luck with everything (both of you) and I hope everything is sorted swiftly.

  3. bigtex_08

    Sometimes i stop breathing in my sleep?
    Sometimes while im asleep i just stop breathing.. It freaks me out and usually wakes me up and my eyes are wide awake and im panic and tell myself to breathe. Im not over- weight in anyway im a collegiate soccer player. Its been happening all my life but it stopped for a few years and just recently came back up. Ive heard of sleep apnea but i thought that was more for people over-weight. What might be the problem?

  4. jlimfw

    How does sleep deprivation cause a lack of energy?
    In terms of physiology and biochemistry, why does a lack of sleep cause a lack of energy?

    Yes the body and brain need time to rest and recuperate, but how exactly is this related to energy?

    1. epona

      It’s normal and happens to both genders.
      For women it’s menopause and for men it’s andropause.
      Basically the body stops producing as much gender specific hormones.
      For men it’s a gradual decrease in production of testosterone. Men might experience one or more of the following symptoms:
      “Andropause Symptoms
      The symptoms of male menopause:
      * Irritable Male Syndrome
      * Weight gain
      * Sleep apnea
      * Memory loss
      * Diminished libido
      * Hair Loss
      * Erectile dysfunction
      * Hot Flashes
      * Muscle loss
      * Depression
      * Fatigue
      * Night Sweats
      * Gynecomastia (male breasts)”
      And it doesn’t mean your life is over! Just a reminder that the best is yet to come!

  5. Anonymous

    How do I know if I have liver or kidney problems problems?
    I’m always tired and sore and just not feeling right.Many many nighttime trips to the bathroom. Lots of nightmares too. Could it be my liver or kidney? Or am I just a hypochondriac. I ask here because I don’t like seeing doctors.
    Only one “problems”, lol. Sorry for the typo.

    1. Crystal

      Nocturia is a common problem defined as waking at night to void – a completely separate issue from urinary frequency throughout the day. These nighttime wakings can cause significant sleep disturbances and have even been linked to depression and decreased productivity. Most of the time, symptoms of nocturia are progressive and can vary from night to night. Rarely does it come on as a sudden, new condition.

      Any disorder that results in one or more of the following can contribute to nocturia: 1) increased volume of nighttime urine output, 2) low bladder voids or 3) generalized sleep disturbances.

      There are various causes of increased urine output during the night. Normal nighttime variation in the naturally occurring hormone vasopressin prevents nighttime voiding. This variation may be disrupted for various reasons. Additionally, solutes normally made by the body need to be excreted and the timing of this and varying amounts may affect urination. Furthermore, fluid shifts in patients with chronic swelling due to heart failure, venous insufficiency or heavy protein excretion can also lead to nighttime urination. Finally, damage to central nerves can result in inappropriate nighttime urination as in Parkinson’s disease or stroke.

      Possible causes of low bladder voids include low bladder volumes or overactive bladder and bladder obstruction (e.g. related to benign prostate hypertrophy (BPH) or enlarged prostate). Decreased bladder volume and overactive bladder is common in seniors. BPH is common in men and may or may not be related to prostate cancer. Medications and/or surgery may help.

      Finally, primary sleep disturbances (e.g. obstructive sleep apnea or restless leg syndrome) may create a misperception about the reason you are waking up. Sleep studies that monitor patients while they sleep can help detect sleep disorders and provide treatment recommendations.

      A thorough history of symptoms, current medications, intake and output of fluids and comorbid medical problems can help your doctor determine the cause of your nighttime waking. From there, appropriate treatment options can be determined and you can get a good night’s rest.

      Sounds like you’d better go see the Doc. Even if you don’t like them (maybe you just haven’t found the right one yet).

  6. Staci

    What are the symptoms and what are the treatments? What meds do you take if you have it. Is is life threatening.

    1. ren_faire_rose

      Basically, PCOS looks like a strand of pearls [many cysts] that ring the ovaries. It is rarely life threatening. It is often genetic. And men can get it, sometimes diagnosed in them as male menopause, etc. There are great books and info on-line about PCOS. Talk to your doctor about symptoms you have that may possibly indicate PCOS.

      I have had it forty years, with no idea why I kept getting pregnant and miscarried 6 times. PCOS has many symptoms, but is rarely diagnosed until the woman gets testing due to infertility. Some symptoms include storing weight in the belly area, depression, “alligator skin” patches [my armpits and my daughter’s neck look like small cobblestones sitting on the skin – I scrubbed that poor kid so much, I cringe to think of it]. Skin tags, male hair patterns [girls with mustache and / or beard may have PCOS], baldness or thinning hair in the top-front area. Sleep apnea. Adult acne [my skin can’t decide if I’m 50 or 15] or excess oil in the “T” zone. A steady weight increase of 5 to 20 pounds, no matter how hard you diet or exercise. A family history of late life and/or unexpected pregnancy. There are more symptoms…

      Good news: my daughter, now officially diagnosed, is simply taking a basic birth control pill. Each person is, of course, an individual and should be evaluated and treatment ordered by their personal medical provider…not everyone is going to respond to BC pills like my daughter did.

      How she reacted to treatment: she has energy, she is always optimistic and happy again, she went from a very stretched and strained size 3X to a size 2 in just a matter of weeks. Her skin is clear again. Her sleep apnea has improved [I no longer spend most of my days trying to get enough naptime so I could wake her up several times during the night when she stopped breathing.

      Good luck!

  7. Julia

    How do i cope with an epileptic who has sleep apnea?
    My partner was recently diagnosed with epilepsy. After witnessing all three of his seizures I’m pretty scared. He also has sleep apnea which is the main cause of his epilepsy. At this point, I’m too scared to sleep. Considering he had his seizures in his sleep and he always stops breathing and the twitching I’m so terrified. How do I cope with this. I haven’t slept in weeks. I know he gets annoyed with my constant worry so could someone please help me?


      Sleep is one of those things that is absolutely necessary for people to live full and healthy lives. It is supposed to be a source of rest as well as a way to repair the body to take on the activities the following day. However, there are some people who do not experience the kind of slumber others do. One of the disorders that is associated with sleep is a condition known as apnea seizures.

      Sleep apnea is caused by the body’s inability to breathe properly during sleep. This can be caused by various factors such as obstruction of the air passages. When this occurs, the person has trouble breathing and the sleep is disturbed. Another cause for sleep apnea is the inability of the central nervous system to perform its function of regulating breathing properly. When this occurs, one of the symptoms that can manifest is seizures. The signs of seizures can range from feeling disoriented to involuntary muscle movement.

      Sleep apnea and epilepsy are two medical conditions that are often connected by their tendency to exacerbate the manifestation of each other. When a person experiences sleep apnea, the person is deprived of sleep because he or she tends to wake up at various times. The constant lack of sleep can decrease an epileptic patient’s ability to fight off the occurrence of a seizure. On the other hand, the medication taken to treat epilepsy has side effects that affect the respiratory functions of the central system as well as relaxing the air passages. Thus, this can cause a predisposition to sleep apnea. Both of these conditions tend to cause seizures for people.

      Apnea seizures can happen to anyone and at any particular point. However, there are some people who are more prone to experiencing it. For example, apnea more commonly occurs in men. People who snore or are overweight also have a higher risk of experiencing apnea seizures. The reason behind this is that they are the ones who have more trouble getting enough oxygen in their systems while they sleep.

      Sleep apnea seizures can take a major toll on the body. People who experience involuntary movement while they sleep tend to wake up tired and without energy in the morning. A headache is also most likely to set in. Besides the inconvenience of exhaustion, the effects of apnea seizures can also be life-threatening. The deprivation of sleep over prolonged periods of time can cause cardiac arrhythmia, or the irregular beating of the heart.

      Doctors recommend an overall healthy lifestyle when it comes to lessening apnea seizures. Weight loss and regular exercise is needed because it will help the body regulate the oxygen it uses. Thus, the cause of sleep apnea, which is abnormal respiration, can be eliminated or lessened. In some extreme cases, surgery may be resorted to in order to tear sleep apnea and the seizures that accompany it. A procedure called the tracheostomy, which involves the removal of any obstructing uvula, can be performed.

  8. Meredith

    If I take medicine to fix my hormones will my facial hair go away?
    I have facial hair and in order to get rid of it with laser, I did some blood tests to check my hormones levels. They came up high and the doctor said that they will not go away….I don’t know what to do…

    1. Kasja

      Do you have polycistic ovarian disorder?
      Are your testosterone levels elevated?

      Having elevated levels of testosterone is a significant sign of PCOS, Facial and body hair is also a sign of PCOS..

      Here are some symptoms of PCOS just incase you do not know.
      infrequent menstrual periods, no menstrual periods, and/or irregular bleeding
      infertility (not able to get pregnant) because of not ovulating
      increased hair growth on the face, chest, stomach, back, thumbs, or toes—a condition called hirsutism (HER-suh-tiz-um)
      ovarian cysts
      acne, oily skin, or dandruff
      weight gain or obesity, usually carrying extra weight around the waist
      insulin resistance or type 2 diabetes
      high cholesterol
      high blood pressure
      male-pattern baldness or thinning hair
      patches of thickened and dark brown or black skin on the neck, arms, breasts, or thighs
      skin tags, or tiny excess flaps of skin in the armpits or neck area
      pelvic pain
      anxiety or depression due to appearance and/or infertility
      sleep apnea—excessive snoring and times when breathing stops while asleep

      If you have any of these symptoms bring up PCOS to your doctor if you have yet to be diagnosed and talk to your doctor about metformin…
      Metformin is a pharmaceutical drug often prescribed for women with PCOS (Polycystic Ovarian Syndrome). It is an insulin-sensitizing biguanide commonly used to treat elevated blood glucose levels in people with Type 2 Diabetes. Metformin is used as an off-label prescription for PCOS. This means that it was originally used only for individuals with Type 2 Diabetes but is now prescribed for PCOS patients because it has similar actions in both groups.

      Many women with PCOS are insulin resistant. With this condition, the ability of cells to respond to the action of insulin in transporting glucose (sugar) from the blood stream into muscle and tissue is greatly diminished. Metformin improves the cell’s response to insulin, and helps move glucose into the cell. As a result, your body will not be required to make as much insulin.
      PCOS and it’s symptoms of hyperandrogenism (acne, hirsutism, alopecia), reproductive disorders (irregular menses, anovulation, infertility, polycystic ovaries), and metabolic disturbances (weight gain) have been linked to hyperinsulinemia and Insulin Resistance. Therefore, it makes sense to address the hyperinsulinemia and Insulin Resistance caused by this condition.
      Metformin improves hirsutism((facial and body hair)), induce ovulation and normalize menstrual cycles.

      Or you can talk to your doctor about Birth Control……For women who don’t want to become pregnant, birth control pills can control menstrual cycles, reduce male hormone levels, and help to clear acne. However, the menstrual cycle will become abnormal again if the pill is stopped. Women may also think about taking a pill that only has progesterone, like Provera, to control the menstrual cycle and reduce the risk of endometrial cancer. ( polycystic ovary syndrome puts women at risk for other health problems) But progesterone alone does not help reduce acne and hair growth.

      Medicine for increased hair growth or extra male hormones. Medicines called anti-androgens may reduce hair growth and clear acne. Spironolactone (Aldactone), first used to treat high blood pressure, has been shown to reduce the impact of male hormones on hair growth in women. Finasteride (Propecia), a medicine taken by men for hair loss, has the same effect. Anti-androgens often are combined with oral contraceptives.
      Vaniqa cream also reduces facial hair in some women. Other treatments such as laser hair removal or electrolysis work well at getting rid of hair in some women. A woman with PCOS can also take hormonal treatment to keep new hair from growing.

      I hope i helped!

  9. Callie

    Could the guy I’ve been seeing be going through male menopause?
    I’ve noticed that the guy I’ve been seeing casually for the past 2 years has undergone some changes. He’s over twenty years older than me, and I think he’s starting to turn into an old man now. He’s put on some weight and has man boobs, his voice sounds higher than it used to, and he snores like crazy! Does this normally happen when a man ages? What should I do?
    Also, he hasn’t been wanting intercourse lately saying that he’s ‘too tired’.
    Also, he hasn’t been wanting intercourse lately saying that he’s ‘too tired’.

    1. Elizabeth Rose

      There’s still a debate in the medical community about whether or not men have menopause. These changes could just be caused by hormonal changes. It might also be caused by something else. Before my husband was diagnosed with sleep apnea, he was gaining weight, snoring loudly, feeling tired, and losing his sex drive. All of those symptoms turned out to be related to the sleep apnea. There are other disorders that could cause some of the same symptoms as well.

      If you’re nervous about the changes, you could ask your manfriend if he’d be willing to speak to a doctor about it. It’s a sensitive topic so try to be gentle when you bring it up. Just tell him that you care about him and don’t want anything bad to happen to him. Good luck!

    1. Ben Trolled

      Cardiovascular disease risk increases due to overweight elevating blood pressure, cholesterol, triglycerides, and increasing insulin resistance. The location of excess body fat can further increase CVD risk. Central obesity for example, is directly associated with an increased risk of heart disease. A 20% reduction in body weight can reduce CVD risk by 40%. This can be achieved by keeping BMI in the normal range. Over 50% of all cases of hypertension are simply due to being overweight.

      The incidence of diabetes increases with increasing weight. Diabetes is three times more likely in obese individuals with a BMI of 28 or greater.

      Osteoarthritis symptoms are worse in men and women with a BMI over 25. Excess body weight stresses joint cartilage.

      Cancer risk can increase due to elevated hormones associated with obesity, influencing cancer development. Excess estrogen is linked with reproductive system cancers. Adipose tissue (fat tissue) is a major site of estrogen synthesis in women. Scientists link a BMI of 28 to 30 with an increase in cancer risk.

      Other diseases associated with obesity include sleep apnea, abdominal hernias, varicose veins, gout, gall bladder disease, respiratory problems including pickwickian syndrome (a breathing blockage linked with sudden death), and liver malfunction.

      Massive obesity, indicated by a BMI over 40, is so closely associated with health problems that it is regarded as a disease in its own right.

      Take care

      Ben Trolled

  10. redleg510

    How common is sleep apnea?
    I have been diagnosed with sleep apnea. My doctor says I’m not getting up to urinate, I’m awake because of sleep apnea. Is this a common problem?

    1. Mary

      yes-when you sleep your body shuts off the bladder, so you should not get up to go the bathroom.

      Sleep apnea is very common often underdiagnosed. (some statistics say 1 in 4 men have it) The sleep study will clearly have shown how many times you stopped breathing every hour. That may have been written as either an AHI or RDI.

      From webmd:
      The most common symptoms of obstructive sleep apnea (OSA) that you may notice include:

      Excessive daytime sleepiness, which is falling asleep when you normally should not, such as while you are eating, talking, or driving.
      Waking with an unrefreshed feeling after sleep, having problems with memory and concentration, feeling tired, and experiencing personality changes.
      Morning or night headaches. About half of all people with sleep apnea report headaches.2
      Heartburn or a sour taste in the mouth at night.
      Swelling of the legs if you are obese.
      Getting up during the night to urinate (nocturia).
      Sweating and chest pain while you are sleeping.
      Symptoms of sleep apnea that others may notice include:

      Episodes of not breathing (apnea), which may occur as few as 5 times an hour (mild apnea) to more than 50 times an hour (severe apnea). How many episodes you have determines how severe your sleep apnea is.
      Loud snoring. Almost all people who have sleep apnea snore, but not all people who snore have sleep apnea.
      Restless tossing and turning during sleep.
      Nighttime choking or gasping spells.

      When you stop breathing, the oxygen levels in your blood go down and carbon dioxide levels go up. This makes your heart and blood vessels work harder and can affect your heart rate and nervous system. This in turn may lead to other problems including high blood pressure (hypertension) and coronary artery disease (CAD). Sleep apnea can also make these diseases worse and more difficult to treat. Sleep apnea also raises your risk of having a stroke.3

      Because sleep apnea disturbs your sleep, it can make you very tired during the day. If you have sleep apnea, you may:

      Be more likely to have a car accident.
      Perform poorly at school or work and have difficulty concentrating. You also may have memory problems.
      Have personality changes, anxiety, and depression.
      Lose the desire for sex.

      CPap is generally the treatment. Best wishes.

  11. Red Rum

    Why do I get really hot when I take a nap?
    This only happens when I take a nap for some reason. I’ll be sleeping, then I suddenly wake up, not because I’m all done sleeping or I’m all rested up, but because I’m hot.

    Today I was freezing, fell asleep with all the covers on, then I woke up because I got so hot (I’m wearing shorts and a long-sleeved shirt.)

    Why does this happen?

    1. Jack Rosen

      You’re having night sweats
      Night sweats, sometimes called hyperhydrosis, can disrupt your sleep and leave you feeling all washed up—literally. Individuals who suffer from night sweats may awaken in the middle in the night feeling either too cold or too hot, their palms clammy, and their bed sheets moist with sweat. Night sweats are surely a nuisance and can cause insomnia-inducing stress. How do you know if you suffer from night sweats? Most likely, your wet bedding and extreme body temperature will be enough to diagnose night sweats. If you are still in doubt, visit your doctor.

      What do night sweats mean? Night sweats are not inherently harmful. Usually, they are a symptom of another condition. There are myriad causes of night sweats. Perhaps the most common cause of night sweats in women is menopause. Most menopausal women will experience some form of night sweats. Men too can suffer from night sweats due to hormonal changes. Andropause, sometimes referred to as ‘male menopause,’ can also cause men to experience night sweats.

      Another common cause of night sweats are sleep disorders, particularly sleep apnea. Sleep apnea occurs when individuals experience frequent pauses of breath during the course of a night’s sleep. Individuals who suffer from sleep apnea will experience pauses that can last for up to ten seconds, and may experience up to 30 pauses in breath per night. People who experience sleep apnea will experience frequent disruptions in sleep, which can often cause night sweats. Often, night sweats can be indicative of sleep apnea. If you tend to wake up at night, sweaty and out of breath, you may be suffering from sleep apnea. You will want to consult your medical professional, who might recommend

      Night sweats also commonly stem from any illness that can produce fevers and chills. Immune-suppressing diseases such as HIV, AIDS, Hodgkin’s disease, and tuberculosis can result in severe disruptions of sleep, and even frequent night sweats. Women who have undergone chemotherapy are also particularly vulnerable to suffering from night sweats. Chemotherapy robs the body of estrogen. When a woman’s body lacks estrogen, signs of menopause will emerge. These may include hot flashes, insomnia, and of course, night sweats.

      Another cause of night sweats stems from the effect of certain medications. Certain anti-depression and anti-anxiety medications, as well as some birth control pills, can cause night sweats.

      A laundry list of other possible causes of night sweats may include: diabetes, strokes, epilepsy, cerebral palsy, anemia, migraines, hyperthyroidism, head or brain injury, and any condition that can cause fever.

      As you can see, night sweats may be the result of any number of conditions. The best way to take control of your night sweats, you must determine what is causing them. If the cause of your night sweats is not evident, make a list of anything you suspect may be triggering them. Visit your doctor, who will perform a complete health evaluation and conduct tests to identify the cause of your night sweats. Most of the time, finding the cause of your night sweats can help you eliminate or reduce their frequency. Although very rare, you may want to be tested for primary hyperhydrosis. Primary hyperhydrosis is a rare disorder that causes very heavy night and daytime sweating. Primary hyperhydrosis can interfere with an individual’s quality of life. In the most severe cases, surgical removal of the sweat glands may be advised.

      If you find yourself suffering from night sweats, here are a few things you can do to reduce their frequency and intensity. Certain lifestyle changes can help you deal with night sweats. If you are experiencing night sweats, it’s very important that you practice excellent sleep hygiene. Retire to bed at the same time every night, get at least eight hours of sleep, and avoid alcoholic beverages before bedtime. Spicy foods have also been linked to the occurrence of night sweats, so abstain from eating hard to digest foods near bedtime. You may also benefit from keeping your bedroom at a cool temperature, or sleeping with the window open to increase air circulation. Some people swear by taking a cold shower right before bedtime. If night sweats do strike in the middle of the night, have a cool glass of water or juice to re-hydrate. If the night sweats were severe enough, you will also want to take a bath, and then change your bedding and sleeping clothes.

  12. need2know

    why do I wake up gasping for breath?
    Sometimes I wake up in the middle of the night and its like I,ve forgotton how to breathe! I have to force myself to draw in breath, or cough or something.It’s quite a scary thing at the time.

    1. junk_mail_100

      Perhaps you have sleep apnea or some other sleeping or breathing disorder. Consult your doctor and they can run some tests to find out.

      Sleep apnea (alternatively sleep apnoea) is a common sleep disorder characterized by brief interruptions of breathing during sleep. These episodes, called apneas, last 10 seconds or more and occur repeatedly throughout the night. People with sleep apnea partially awaken as they struggle to breathe, but in the morning they may not be aware of the disturbances in their sleep.

      The most common type of sleep apnea is obstructive sleep apnea (OSA), caused by relaxation of soft tissue in the back of the throat that blocks the passage of air.
      Central sleep apnea (CSA) is caused by irregularities in the brain’s normal signals to breathe.

      The hallmark symptom of the disorder is excessive daytime sleepiness. Additional symptoms of sleep apnea include restless sleep, loud snoring (with periods of silence followed by gasps), falling asleep during the day, morning headaches, trouble concentrating, irritability, forgetfulness, mood or behavior changes, weight gain, increased heart rate, anxiety, and depression. Obstructive Sleep Apnea is more likely to occur in men than in women, and in people who are overweight or obese.

      Considering how common a condition it is, it is remarkable that the first reports of what is now called obstructive sleep apnea date only from 1965 when it was independently described by French and German investigators. The term “Pickwickian syndrome”, inspired by Charles Dickens’ account in The Pickwick Papers of Joe, the fat boy, has been used in medicine to describe various conditions associated with obesity, excessive appetite and sleepiness and it was once presumed to be due to an endocrine problem. “Pickwickian syndrome” soon became the descriptor for the newly identified disorder but as more cases were recognized it became clear that neither obesity nor somnolence were necessarily present. “Pickwickian” was later reserved for “the obesity-hypoventilation syndrome” and today the term is best avoided because of its ill-defined meaning.

      The early reports of sleep apnea described individuals who were very severely affected, often presenting with severe hypoxemia, hypercapnia and congestive heart failure. Tracheostomy was the recommended treatment and, though it could be life-saving, post-operative complications in the stoma were frequent in these very obese and short-necked individuals.

      The management of obstructive sleep apnea was revolutionized with the introduction of continuous positive airway pressure (CPAP), first described in 1981 by Colin Sullivan and associates in Sydney, Australia. The first models were bulky and noisy but the design was rapidly improved and by the late 1980s CPAP was widely adopted. The availability of an effective treatment stimulated an aggressive search for affected individuals and led to the establishment of hundreds of specialized clinics dedicated to the diagnosis and treatment of sleep disorders. Though many types of sleep problems are recognized, the vast majority of patients attending these centers have sleep disordered breathing.

      Obstructive sleep apnea (OSA)

      Two minute epoch representing continuous OSA. Click on this image for larger version.Most people with sleep apnea have obstructive apnea, in which the person stops breathing during sleep due to airway blockage. Sufferers usually resume breathing within a few seconds, but periods of as long as sixty seconds are not uncommon in serious cases. It is more common amongst people who snore, who are obese, who consume alcohol, or who have anatomical abnormalities of the jaw or soft palate. However, atypical cases do occur, and the condition should not be ruled out unilaterally merely because the patient does not fit the profile.

      “OSA” is caused by the relaxation of the muscles in the airway during sleep. While the vast majority of people successfully maintain a patent (open) upper airway and breathe normally during sleep, a significant number of individuals are prone to severe narrowing or occlusion of the pharynx, such that breathing is impeded or even completely obstructed (Mortimore & Douglas, 1997). As the brain senses a build-up of carbon dioxide, airway muscles are activated which open the airway, allowing breathing to resume but interrupting deep sleep.

      Recurrent airway obstruction gives rise to the obstructive sleep apnoea (OSA) syndrome, the most common category of sleep-disordered breathing, with 2% of female and 4% of male subjects meeting the minimal diagnostic criteria for OSA of at least 10 apneic events per hour. An “event” can be either an apnea, characterised by complete cessation of airflow for at least 10 seconds, or a hypopnea in which airflow decreases by 50 percent for 10 seconds or decreases by 30 percent if there is an associated decrease in the oxygen saturation or an arousal from sleep (American Academy of Sleep Medicine Task Force, 1999). To grade the severity of sleep apnea the number of events per hour is reported as the apnea-hypopnea index (AHI). An AHI of less than 5 is considered normal. An AHI of 5-15 is mild; 15-30 is moderate and more than 30 events per hour characterizes severe sleep apnea.

      These recurrent episodes of airway obstruction are associated with asphyxia, hypertension, depression, and daytime fatigue, since a transient interruption of the sleep cycle accompanies the restoration of airway patency. Most sufferers are not aware of these events, and are informed of the symptoms by their sleep partner. The apneic episodes are thought to account for the clinical sequelæ (symptoms that arise from a particular condition), which include increased incidence of chronic hypertension, a 700% rise in road traffic accidents, excessive daytime somnolence (similar, but unrelated to narcolepsy), social and family disruption, and cardiac arrhythmias and morbidity (Strollo, Jr. & Rogers, 1996). Obstruction of the upper airway may also be a cause of or may contribute to sudden infant death syndrome (SIDS) (Mathur & Douglas, 1994).

      The typical patient with obstructive sleep apnea is an overweight middle-aged male with a neck size of more than 17 inches. However, the condition is also common in women and not all sufferers are overweight. Almost everybody who has obstructive sleep apnea is a snorer, often a very heavy snorer. Pauses in breathing during sleep are commonly noticed by a bed partner but this history is often lacking and up to five “events” per hour are considered normal. One of the more consistent symptoms is “nonrestorative sleep,” meaning that the patient wakes in the morning feeling unrefreshed no matter how much he slept during the night. Excessive daytime sleepiness is common in sleep apnea of any severity, but some patients complain of fatigue rather than sleepiness and others notice neither. Other symptoms include hypertension, anxiety/depression, trouble concentrating, and nocturnal awakenings.

      The most accurate diagnostic tool, polysomnography, can establish the diagnosis and assist in identifying the type of sleep apnea present. This test is usually done overnight in specialized sleep laboratories, either freestanding or in a hospital. Portable sleep recording systems that can perform unattended polysomnography in the patient’s home or hospital bed are used in certain circumstances, but in-laboratory testing with a technician present remains the gold standard and is required by many insurers, (eg. Medicare of the United States) before they will pay for treatment of the condition.

      Screening devices, measuring fewer parameters than traditional polysomnography, are sometimes used to determine if patients are likely to test positive for obstructive sleep apnea. The value of such devices is the subject of debate and study among sleep medicine professionals. Some feel that such devices can reduce costs and conserve resources, while others feel that the devices are unnecessary: a positive result leads to polysomnography anyway, while a negative result cannot be trusted if the patient still complains of symptoms.

      There are a variety of treatments for sleep apnea, depending on an individual’s medical history and the severity of the disorder. Some treatments involve lifestyle changes, such as avoiding alcohol and medications that relax the central nervous system (for example, sedatives and muscle relaxants), losing weight, and quitting smoking. Some people are helped by special pillows or devices that keep them from sleeping on their backs, or oral appliances to keep the airway open during sleep. If these conservative methods are inadequate, doctors often recommend continuous positive airway pressure (CPAP), in which a face mask is attached to a tube and a machine that blows pressurized air into the mask and through the airway to keep it open. There are also surgical procedures that can be used to remove tissue and widen the airway. Some individuals may need a combination of therapies to successfully treat their sleep apnea.

      Physical intervention
      The most widely used current therapeutic intervention is positive airway pressure whereby a breathing machine pumps a controlled stream of air through a mask worn over the nose, mouth, or both. The additional pressure splints or holds open the relaxed muscles, just as air in a balloon inflates it. There are several variants:

      (CPAP), or Continuous Positive Airway Pressure, in which a controlled air compressor generates an airstream at a constant pressure. This pressure is prescribed by the patient’s physician, based on an overnight test or titration. Newer CPAP models are available which slightly reduce pressure upon exhalation to increase patient comfort and compliance. CPAP is the most common treatment for obstructive sleep apnea.
      (VPAP), or Variable Positive Airway Pressure, also known as bilevel or BiPAP, uses an electronic circuit to monitor the patient’s breathing, and provides two different pressures, a higher one during inhalation and a lower pressure during exhalation. This system is more expensive, and is sometimes used with patients who have other coexisting respiratory problems and/or who find breathing out against an increased pressure to be uncomfortable or disruptive to their sleep.
      (APAP), or Automatic Positive Airway Pressure, is the newest form of such treatment. An APAP machine incorporates pressure sensors and a computer which continuously monitors the patient’s breathing performance. It adjusts pressure continuously, increasing it when the user is attempting to breathe but cannot, and decreasing it when the pressure is higher than necessary. Although FDA approved, these devices are still considered experimental by many and are not covered by most insurances.
      While the face mask makes some sufferers hesitant to try treatment, many patients find that the initial difficulty of adapting to the machine is quickly surpassed by improved, deeper sleep. In addition, the introduction of masks that resemble an oversized oxygen cannula have been better tolerated by some users. The vast majority of patients are surprised to find that they tolerate the mask fairly easily and sleep well while wearing it. Despite their nature as “air compressors”, modern CPAP machines are extremely quiet.

      These treatments are often used with accompanying humidification, as some users experience a drying effect of the airway and mucous membranes. In the United States, these machines require a prescription. A sleep study is first done to determine what kind of treatment is needed, and to determine the proper settings for the nPAP device.

      A second type of physical intervention, a Mandibular advancement splint (MAS), is sometimes prescribed for mild or moderate sleep apnea sufferers. The device is a mouthguard similar to those used in sports to protect the teeth. For apnea patients, it is designed to hold the lower jaw slightly down and forward relative to the natural, relaxed position. This position holds the tongue further away from the back of the airway, and may be enough to relieve apnea or improve breathing for some patients.

      The FDA accepts only 16 oral devices for the treatment of sleep apnea. A listing is available at their website

      Oral appliance therapy is less effective than CPAP, but is more ‘user friendly’. Side-effects are common but rarely is the patient aware of them.

      Medical (pharmaceutical) treatment
      Few drug-based treatments of obstructive sleep apnea are known despite over two decades of research and tests.

      Oral administration of the methylxanthine theophylline (chemically similar to caffeine) can reduce the number of episodes of apnea, but can also produce side effects such as palpitations and insomnia. Theophylline is generally ineffective in adults with OSA, but is sometimes used to treat Central Sleep Apnea (see below), and infants and children with apnea.

      In 2003 and 2004, some neuroactive drugs, particularly a couple of the modern-generation antidepressants including mirtazapine, have been reported to reduce incidences of obstructive sleep apnea. As of 2004, these are not yet frequently prescribed for OSA sufferers.

      When other treatments do not completely treat the OSA, drugs are sometimes prescribed to treat a patient’s daytime sleepiness or somnolence. These range from stimulants such as amphetamines to modern anti-narcoleptic medicines. The anti-narcoleptic modafinil is seeing increased use in this role as of 2004.

      In some cases, weight loss will reduce the number and severity of apnea episodes, but for most patients overweight is an aggravating factor rather than the cause of OSA. In the morbidly obese a major loss of weight, such as occurs after bariatric surgery, can sometimes cure the condition.

      Many researchers believe that OSA is at root a neurological condition, in which nerves that control the tongue and soft palate fail to sufficiently stimulate those muscles, leading to over-relaxation and airway blockage. A few experiments and trial studies have explored the use of pacemakers and similar devices, programmed to detect breathing effort and deliver gentle electrical stimulation to the muscles of the tongue.

      This is not a common mode of treatment for OSA patients as of 2004, but it is an active field of research.

      Surgical intervention
      A number of different surgeries are often tried to improve the size or tone of the patient’s airway. For decades, tracheostomy was the only effective treatment for sleep apnea. It is used today only in very rare, intractable cases that have withstood other attempts at treatment. Modern treatments try one or more of several options, tailored to the patient’s needs. Often the long term success rate is low, prompting many doctors to favour CPAP as the gold standard.

      Nasal surgery, including turbinectomy (removal or reduction of a nasal turbinate), or straightening of the nasal septum, in patients with nasal obstruction or congestion which reduces airway pressure and complicates OSA.
      Tonsilectomy and/or adenoidectomy in an attempt to increase the size of the airway.
      Removal or reduction of parts of the soft palate and some or all of the uvula, such as uvulopalatopharyngoplasty (UPPP) or laser-assisted uvulopalatoplasty (LAUP). Modern variants of this procedure sometimes use radiofrequency waves to heat and remove tissue.
      Reduction of the tongue base, either with laser excision or radiofrequency ablation.
      Genioglossus Advancement, in which a small portion of the lower jaw which attaches to the tongue is moved forward, to pull the tongue away from the back of the airway.
      Hyoid Suspension, in which the hyoid bone in the neck, another attachment point for tongue muscles, is pulled forward in front of the larynx.
      Maxillomandibular advancement (MMA). A more invasive surgery usually only tried in difficult cases where other surgeries have not relieved the patient’s OSA, or where an abnormal facial structure is suspected as a root cause. In MMA, the patient’s upper and lower jaw are detached from the skull, moved forward, and reattached with pins and/or plates.
      Pillar procedure, three small inserts are injected into the soft palate to offer support, potentially reducing snoring and mild to moderate sleep apnea[1].
      Untreated, sleep apnea can be life threatening. Excessive daytime sleepiness can cause people to fall asleep at inappropriate times, such as while driving. Sleep apnea also appears to put individuals at risk for stroke and transient ischemic attacks (TIAs, also known as “mini-strokes”), and is associated with coronary heart disease, heart failure, irregular heartbeat, heart attack, gout and high blood pressure. Although there is no cure for sleep apnea, recent studies show that successful treatment can reduce the risk of heart and blood pressure problems.

      Central apnea
      In central sleep apnea, a problem in the central nervous system (particularly the areas of the brainstem responsible for respiratory drive) interrupts breathing.

      See prevalence of different apneas in: [2]. For men aged 65 to 100 the prevalence is very common, nearly the same as for obstructive apnea.

      Overdoses of opiates, such as heroin and morphine, kill by inducing a severe central apnea; these drugs are thus called “respiratory depressants”. Central sleep apnea is more common at high elevations.

      A combination of Obstructive and Central Apnea is called Mixed Apnea

  13. Lindsey

    For an 39 AA male who has serious Sarcoidosis in lungs& a history of smoking- can this turn into lung cancer?
    He has dropped almost 50 pounds in 6 months and has had sleep apnea but this has went away. He is very weak and tired all the time. Problems and pain while sleeping at night. He has been dealing with the lymph nodes and chronic chest pain symptoms. There was a time when he had a severe cough that wouldn’t go away. He doesn’t like to go to the doctor, so when his doctor said that he needed another chest xray, he didn’t go. It’s been years since his last chest xray. He smoked for about 15 years, quit for a few years, started again, and now it’s been over a year since he last smoked. We believe that he’s afraid to hear that he has lung cancer because the Sarcoidosis has spread to his eyes, lungs, and now his bones. His eyes have gotten better, but he looks very sick. At night he breaks out in sweats, and my question is if this sounds like lung cancer or an advancement from Sarcoidosis? Has anyone else known someone’s Sarcoidosis to turn into lung cancer?

    1. Cycman

      Sarcoidosis is an inflammatory, autoimmune disease and is not associated with development of lung cancer, although some of the symptoms may resemble lung cancer in it’s advanced stages, especially in stage IV sarcoidosis. It can be a systemic disease causing a lot of pulmonary/respiratory difficulties. Having said that, since this man has a history of smoking, it would not be unthinkable for lung cancer to have developed independent of his sarcoidosis. Certainly, appropriate evaluation by a physician and work up is recommended.

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