Another problem that can occur with weakness in
the area of swallowing is sleep apnoea. Snoring is a good indicator
that the airways are not clear when asleep and you don't have to be polio
to have problems with snoring as we all know.
Other indications for sleep apnoea include disturbed
sleep, particularly waking with a start for no explainable reason; waking
even more tired in the morning; waking with a headache in the front of
the head (from lack of oxygen during the night - the headache often goes
as oxygen levels improve with normal breathing after a few hours of waking).
Nightmares, particularly of falling or drowning, may indicate difficulty
in breathing while asleep. Often your sleeping partner wakes because
you are not breathing and becomes concerned. You are not going to
die from sleep apnoea on the spot, which is often the concern. When
oxygen levels drop, carbon dioxide levels rise. At a certain level
of carbon dioxide, the brain wakes you up and then you resume breathing.
This means that you don't get the benefit of the restful deep sleep that
you should. So you can end up sleepy during the day and even fall
asleep driving your car and cause an accident. As well as fatigue
this can increase pain. Over 15 years or so of this happening, people
end up with shortness of breath during the daytime as well and eventually
heart failure as the heart enlarges to cope with the strain.
Simple methods can often make a difference like
always sleeping on your side not your back; avoid-ing things that make
your muscles relax more or strains them - like alcohol at night, a heavy
dinner, even getting too tired can make you worse. Treating Asthma,
a blocked nose from allergies or nasal constriction can improve nocturnal
breathing. For some people, a specially made dental plate to keep the jaw
aligned, works. Others may need a C-PAP, a machine which pushes air
into the airways continuously through a face mask while you sleep.
A referral from your GP to your state Sleep Disorder Clinic (SCGH for WA)
is the first step. They deal with many people experiencing sleeping
problems and most are not from polio.