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Sleep-Related Hypoventilation | Psychology Today Singapore
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layout-container" > <div class="layout-content-full"> <div> <div data-drupal-messages-fallback class="hidden"></div> </div> </div> <div class="layout-container--grid layout-container--primary-left-rail--single"> <div class="layout-content-main"> <div> <div id="block-pt-content" class="block"> <!-- is_first_page: 1 --> <!-- recent_posts_offset: 0 --> <!-- recent_posts_items_per_page: --> <!-- recent_posts: 0 --> <article data-history-node-id="1106027" role="article" class="basics-full"> <div class="content-header d-flex reference-header"> <div class="content-header--text"> <h1 class="reference__title section-title">Sleep-Related Hypoventilation</h1> <p class="reference__review-info fine-print"> <a href="/sg/docs/editorial-process" class="reference__review-info-link"> <span class="reference__review-info-icon"></span> <span class="reference__review-info-text">Reviewed by Psychology Today Staff</span> </a> </p> </div> </div> <div> <div class="reference__body"> <div class="field-name-body"> <p><span><span><span><span><span><span>Sleep-related hypoventilation is a breathing-related disorder that interrupts normal sleep. This condition may be diagnosed when all other sleep disorders have been ruled out, though it may appear simultaneously with other sleep disorders. Sleep-related hypoventilation can be due to shallow breathing, obstructed airways, or damaged lungs. Sleep-related hypoventilation can occur independently or, more commonly, with other medical or neurological disorders, <a href="https://www.psychologytoday.com/sg/basics/addiction" title="Psychology Today looks at substance abuse" class="basics-link" hreflang="en-SG">substance abuse</a>, or even the routine use of prescribed medications.</span></span></span></span></span></span></p> </div> </div> <div class="table-of-contents border-top"> <h4 class="table-of-contents--title">Contents</h4> <ul> <li class="table-of-contents--item"> <a href="#symptoms"> Symptoms </a> </li> <li class="table-of-contents--item"> <a href="#causes"> Causes </a> </li> <li class="table-of-contents--item"> <a href="#treatment"> Treatment </a> </li> </ul> </div> <div class="reference__sections"> <div> <div> <div class="section section--separator"> <div id="symptoms" class="section-anchor skip-inline-link-filter"></div> <div class="h2 section-title"> Symptoms </div> <div class="section__body"> <p><span><span><span><span><span><span>Sleep-related hypoventilation can occur in anyone, at any age, even in babies and young people. Because many different underlying conditions can contribute to sleep-related hypoventilation, the signs and symptoms can vary from person to person. The most common symptoms include: </span></span></span></span></span></span></p> <ul><li><span><span><span><span><span><span>Daytime sleepiness </span></span></span></span></span></span></li> <li><span><span><span><span><span><span>Frequent awakenings during sleep </span></span></span></span></span></span></li> <li><span><span><span><span><span><span>Morning headaches </span></span></span></span></span></span></li> <li><span><span><span><span><span><span>Insomnia</span></span></span></span></span></span></li> <li><span><span><span><span><span><span>Stomach problems</span></span></span></span></span></span></li> <li><span><span><span><span><span><span>Faintness </span></span></span></span></span></span></li> <li><span><span><span><span><span><span>Reduced exercise capacity. </span></span></span></span></span></span></li> </ul><p><span><span><span><span><span><span>A significant number of people with sleep-related hypoventilation experience few or no symptoms, or have only mild symptoms in early stages, and may not realize they have a potentially progressive condition. Early-stage sleep-related hypoventilation can progress to a more serious chronic hypoventilation disorder, and lead to more serious health problems, including heart failure, respiratory failure, and brain and blood disorders</span></span></span></span></span></span></p> </div> <div class="faqs"> <div class="faq faq--1"> <div itemscope itemprop="mainEntity" itemtype="https://schema.org/Question"> <div class="faq--title d-flex"> <div itemprop="name" class="h3 faq--question"> What happens during sleep-related hypoventilation? </div> <div class="faq--control-container"> <button class="faq--control"> <div class="faq--control-icon"> <svg width="13px" height="8px" viewBox="0 0 13 8" version="1.1" xmlns="http://www.w3.org/2000/svg" xmlns:xlink="http://www.w3.org/1999/xlink"> <!-- Generator: Sketch 46.2 (44496) - http://www.bohemiancoding.com/sketch --> <desc>Created with Sketch.</desc> <defs></defs> <g id="-small" stroke="none" stroke-width="1" fill="none" fill-rule="evenodd"> <g id="Tests---Listing-Page---SM" transform="translate(-490.000000, -597.000000)" fill="#2C2D30"> <g id="Left-col" transform="translate(74.000000, 162.000000)"> <g id="Table" transform="translate(0.000000, 426.000000)"> <polygon id="navigatedown" points="422.310547 16.3125 428.621094 10.0019531 427.62793 9 422.310547 14.3173828 416.993164 9 416 10.0019531"></polygon> </g> </g> </g> </g> </svg> </div> </button> </div> </div> <div itemscope="" itemprop="acceptedAnswer" itemtype="https://schema.org/Answer" class="faq--answer"> <div itemprop="text"> <p>Normal breathing is restricted in someone with sleep-related hypoventilation, resulting in low levels of oxygen and elevated levels of carbon dioxide in the blood. Retention of carbon dioxide in the blood can lead to respiratory acidosis, or an elevated amount of acid in the bloodstream, and can interrupt cellular respiration.</p> </div> </div> </div> </div> <div class="faq faq--2"> <div itemscope itemprop="mainEntity" itemtype="https://schema.org/Question"> <div class="faq--title d-flex"> <div itemprop="name" class="h3 faq--question"> Is sleep-related hypoventilation different from sleep apnea? </div> <div class="faq--control-container"> <button class="faq--control"> <div class="faq--control-icon"> <svg width="13px" height="8px" viewBox="0 0 13 8" version="1.1" xmlns="http://www.w3.org/2000/svg" xmlns:xlink="http://www.w3.org/1999/xlink"> <!-- Generator: Sketch 46.2 (44496) - http://www.bohemiancoding.com/sketch --> <desc>Created with Sketch.</desc> <defs></defs> <g id="-small" stroke="none" stroke-width="1" fill="none" fill-rule="evenodd"> <g id="Tests---Listing-Page---SM" transform="translate(-490.000000, -597.000000)" fill="#2C2D30"> <g id="Left-col" transform="translate(74.000000, 162.000000)"> <g id="Table" transform="translate(0.000000, 426.000000)"> <polygon id="navigatedown" points="422.310547 16.3125 428.621094 10.0019531 427.62793 9 422.310547 14.3173828 416.993164 9 416 10.0019531"></polygon> </g> </g> </g> </g> </svg> </div> </button> </div> </div> <div itemscope="" itemprop="acceptedAnswer" itemtype="https://schema.org/Answer" class="faq--answer"> <div itemprop="text"> <p>Sleep-related hypoventilation is a reduced oxygen flow during sleep, while sleep apnea is the temporary cessation of breathing during sleep. They can occur simultaneously, and continuous positive airway pressure <a href="https://www.psychologytoday.com/sg/basics/therapy" title="Psychology Today looks at therapy" class="basics-link" hreflang="en-SG">therapy</a> (CPAP) machines can be used in the treatment of both.</p> </div> </div> </div> </div> <div class="faq faq--3 collapsed faq--last"> <div itemscope itemprop="mainEntity" itemtype="https://schema.org/Question"> <div class="faq--title d-flex"> <div itemprop="name" class="h3 faq--question"> What are the dangers of sleep-related hypoventilation? </div> <div class="faq--control-container"> <button class="faq--control"> <div class="faq--control-icon"> <svg width="13px" height="8px" viewBox="0 0 13 8" version="1.1" xmlns="http://www.w3.org/2000/svg" xmlns:xlink="http://www.w3.org/1999/xlink"> <!-- Generator: Sketch 46.2 (44496) - http://www.bohemiancoding.com/sketch --> <desc>Created with Sketch.</desc> <defs></defs> <g id="-small" stroke="none" stroke-width="1" fill="none" fill-rule="evenodd"> <g id="Tests---Listing-Page---SM" transform="translate(-490.000000, -597.000000)" fill="#2C2D30"> <g id="Left-col" transform="translate(74.000000, 162.000000)"> <g id="Table" transform="translate(0.000000, 426.000000)"> <polygon id="navigatedown" points="422.310547 16.3125 428.621094 10.0019531 427.62793 9 422.310547 14.3173828 416.993164 9 416 10.0019531"></polygon> </g> </g> </g> </g> </svg> </div> </button> </div> </div> <div itemscope="" itemprop="acceptedAnswer" itemtype="https://schema.org/Answer" class="faq--answer"> <div itemprop="text"> <p>Continual low blood oxygen content, or hypoxemia, can lead to pulmonary hypertension (high blood pressure), and neurocognitive disorders.</p> </div> </div> </div> </div> </div> </div> </div> <div class="pt-ad pt-ad--300x250 d-block d-none d-md-block d-lg-none block" id="block-ad-subpage-300x250-programmatically-rendered"> <div class="pt-ad--container pt-ad-show-text"> <div class="pt-ad--text"> <span>article continues after advertisement</span> </div> <div id="div-gpt-ad-1404853927369-9" class="pt-ad--content"> <script type="text/javascript"> if (window.googletag && googletag.apiReady) { googletag.cmd.push(function () { googletag.display('div-gpt-ad-1404853927369-9'); }); } </script> </div> </div> </div> <div> <div class="section section--separator"> <div id="causes" class="section-anchor skip-inline-link-filter"></div> <div class="h2 section-title"> Causes </div> <div class="section__body"> <p><span><span><span><span><span><span>Multiple factors can lead to sleep-related hypoventilation, such as</span></span></span></span></span></span><span><span><span><span><span><span> </span></span></span></span></span></span><span><span><span><span><span><span>underlying medical, environmental, and genetic circumstances, including: </span></span></span></span></span></span></p> <ul><li><span><span><span><span><span><span>Use of medications and other substances that suppress the central <a href="https://www.psychologytoday.com/sg/basics/neuroscience" title="Psychology Today looks at nervous system" class="basics-link" hreflang="en-SG">nervous system</a>, such as benzodiazepines, opiates, and <a href="https://www.psychologytoday.com/sg/basics/alcohol" title="Psychology Today looks at alcohol" class="basics-link" hreflang="en-SG">alcohol</a></span></span></span></span></span></span></li> <li><span><span><span><span><span><span>Neuromuscular and chest wall disorders</span></span></span></span></span></span></li> <li><span><span><span><span><span><span>Asthma or another pulmonary disorder</span></span></span></span></span></span></li> <li><span><span><span><span><span><span>Hypothyroidism</span></span></span></span></span></span></li> <li><span><span><span><span><span><span>Obesity</span></span></span></span></span></span></li> </ul> </div> <div class="faqs"> <div class="faq faq--1"> <div itemscope itemprop="mainEntity" itemtype="https://schema.org/Question"> <div class="faq--title d-flex"> <div itemprop="name" class="h3 faq--question"> Does weight affect sleep-related hypoventilation? </div> <div class="faq--control-container"> <button class="faq--control"> <div class="faq--control-icon"> <svg width="13px" height="8px" viewBox="0 0 13 8" version="1.1" xmlns="http://www.w3.org/2000/svg" xmlns:xlink="http://www.w3.org/1999/xlink"> <!-- Generator: Sketch 46.2 (44496) - http://www.bohemiancoding.com/sketch --> <desc>Created with Sketch.</desc> <defs></defs> <g id="-small" stroke="none" stroke-width="1" fill="none" fill-rule="evenodd"> <g id="Tests---Listing-Page---SM" transform="translate(-490.000000, -597.000000)" fill="#2C2D30"> <g id="Left-col" transform="translate(74.000000, 162.000000)"> <g id="Table" transform="translate(0.000000, 426.000000)"> <polygon id="navigatedown" points="422.310547 16.3125 428.621094 10.0019531 427.62793 9 422.310547 14.3173828 416.993164 9 416 10.0019531"></polygon> </g> </g> </g> </g> </svg> </div> </button> </div> </div> <div itemscope="" itemprop="acceptedAnswer" itemtype="https://schema.org/Answer" class="faq--answer"> <div itemprop="text"> <p>Obesity adds additional mass to the respiratory system and can reduce lung capacity, but it is not known yet with certainty why or to what degree obesity affects hypoventilation. Sleep-related hypoventilation in overweight individuals is often diagnosed separately as obesity hypoventilation syndrome (OHS).</p> </div> </div> </div> </div> <div class="faq faq--2 faq--last"> <div itemscope itemprop="mainEntity" itemtype="https://schema.org/Question"> <div class="faq--title d-flex"> <div itemprop="name" class="h3 faq--question"> How do I know if I have sleep-related hypoventilation? </div> <div class="faq--control-container"> <button class="faq--control"> <div class="faq--control-icon"> <svg width="13px" height="8px" viewBox="0 0 13 8" version="1.1" xmlns="http://www.w3.org/2000/svg" xmlns:xlink="http://www.w3.org/1999/xlink"> <!-- Generator: Sketch 46.2 (44496) - http://www.bohemiancoding.com/sketch --> <desc>Created with Sketch.</desc> <defs></defs> <g id="-small" stroke="none" stroke-width="1" fill="none" fill-rule="evenodd"> <g id="Tests---Listing-Page---SM" transform="translate(-490.000000, -597.000000)" fill="#2C2D30"> <g id="Left-col" transform="translate(74.000000, 162.000000)"> <g id="Table" transform="translate(0.000000, 426.000000)"> <polygon id="navigatedown" points="422.310547 16.3125 428.621094 10.0019531 427.62793 9 422.310547 14.3173828 416.993164 9 416 10.0019531"></polygon> </g> </g> </g> </g> </svg> </div> </button> </div> </div> <div itemscope="" itemprop="acceptedAnswer" itemtype="https://schema.org/Answer" class="faq--answer"> <div itemprop="text"> <p>The most effective test of sleep-related hypoventilation is polysomnography, or a sleep study. Polysomnography can be performed in a hospital or sleep center, and records a patient's brain waves, blood-oxygen level, heart rate, and breathing.</p> </div> </div> </div> </div> </div> </div> </div> <div> <div class="section section--separator"> <div id="treatment" class="section-anchor skip-inline-link-filter"></div> <div class="h2 section-title"> Treatment </div> <div class="section__body"> <p><span><span><span><span><span><span>Sleep-related hypoventilation is typically treated by addressing any underlying conditions that may be causing hypoventilation, such as substance use. Weight loss may be advised, treatment may be prescribed to restore <a href="https://www.psychologytoday.com/sg/basics/hormones" title="Psychology Today looks at hormone" class="basics-link" hreflang="en-SG">hormone</a> levels in those with hypothyroidism, or medications known as respiratory stimulants may be used to treat narrowing of airways that can result from drug or alcohol use. If sleep apnea or another <a href="https://www.psychologytoday.com/sg/basics/insomnia" title="Psychology Today looks at sleep disorder" class="basics-link" hreflang="en-SG">sleep disorder</a> is also present, use of positive airway pressure devices, known as CPAP or BPAP machines, may be required to continually feed oxygen into the lungs while <a href="https://www.psychologytoday.com/sg/basics/sleep" title="Psychology Today looks at sleeping" class="basics-link" hreflang="en-SG">sleeping</a>.</span></span></span></span></span></span></p> </div> </div> </div> </div> </div> <div class="reference__citations section--separator"> <h5>References</h5> <div class="citations"> <div class="citation citation--1"> Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition </div> <div class="citation citation--2"> American Sleep Association </div> <div class="citation citation--3"> B枚ing, S., & Randerath, W. J. (2015). Chronic hypoventilation syndromes and sleep-related hypoventilation.聽Journal of thoracic disease,聽7(8), 1273. </div> </div> <div class="revision-current">Last updated: 07/20/2021 </div> </div> </div> </article> </div> </div> </div> <aside class="layout-content-left-rail--first" role="complementary"> <div> <div id="block-conditionsnavigation" class="block index-page-menu"> <article> <div class="h2 index-page-menu--title"> Diagnosis Dictionary </div> <div class="index-page-menu--image hero--image"> <img src="https://cdn2.psychologytoday.com/assets/styles/index_page_navigation_image/public/2021-06/conditions-shutterstock-1696550344_0.jpg?itok=XiF2PjYS" width="519" height="198" alt="Decorative Image" loading="lazy" /> </div> <div class="index-page-menu--items"> <div class="views-element-container"><div class="js-view-dom-id-4f4305215beeeeee91a7341772600260b8edf6556a3e73674a9cb8a4fcb104ef"> <div class="accordion"> <div class="h2 block-title accordion--title"><span 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href="/sg/conditions/borderline-personality-disorder" title="Borderline Personality Disorder ">Borderline Personality Disorder</a></li> <li><a href="/sg/conditions/dependent-personality-disorder" title="Dependent Personality Disorder ">Dependent Personality Disorder</a></li> <li><a href="/sg/conditions/histrionic-personality-disorder" title="Histrionic Personality Disorder ">Histrionic Personality Disorder</a></li> <li><a href="/sg/conditions/malingering" title="Malingering ">Malingering</a></li> <li><a href="/sg/conditions/narcissistic-personality-disorder" title="Narcissistic Personality Disorder ">Narcissistic Personality Disorder</a></li> <li><a href="/sg/conditions/obsessive-compulsive-personality-disorder" title="Obsessive-Compulsive Personality Disorder ">Obsessive-Compulsive Personality Disorder</a></li> <li><a href="/sg/conditions/paranoid-personality-disorder" title="Paranoid Personality Disorder ">Paranoid Personality Disorder</a></li> </ul> </div> <div class="accordion"> 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