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Wednesday, June 29, 2022

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Sleep Disrupt

Whether you are camping or staying at a hotel, you may be in close quarters with your family this summer. This may give you an opportunity to take note of how your children are breathing when they sleep. Do they sound a little like Darth Vader? Is their breathing loud, interrupted or labored? These could all be signs of sleep disordered breathing, according to pediatric ear, nose and throat specialists (ENTs).

Dr. Thomas Andrews describes sleep disordered breathing as a characterization of sleep patterns in children, which include snoring, restless sleeping, waking at night and apnea. Medical experts add that it also can affect a child’s behavior — hyperactivity, lethargy and increased daytime fatigue. Dr. Andrews says that can often lead to a misdiagnosis of attention deficit disorder (ADD) in children.

In addition, experts say children who have prolonged sleep disordered breathing can have cognitive and learning disabilities, which can extend into the teenage years. More importantly, they say the benefits of diagnosis and treatment can lead to a significant improvement in quality of life. Experts point out that greater than 80% of children who have documented sleep disordered breathing will benefit from long term increases in cognitive ability, behavioral stabilization and a more even temperament. Prolonged bedwetting has also been associated with problems with sleeping, and doctors say sleep disordered breathing is no exception.

A child with this disorder may exhibit restless sleep, tossing and turning in bed, waking in the middle of the night, sleep walking and exhaustion during the day. Parents take note – experts say it’s a behavior that can also affect siblings. Dr. Andrews explains that siblings who have to sleep in the same bedroom with the child having difficulties will usually complain about not being able to sleep well due to snoring, pauses in breathing from the child affected or their bedmate sleeping restlessly and pushing them out of bed.

Doctors say the most common cause of sleep disordered breathing in children is an enlarged adenoid and/or tonsils. If it’s left untreated, they say it could affect a child’s cognitive function and behavior and could also significantly decrease their quality of life. However, Dr. Andrews says while snoring is a sign not all snoring is a sign of sleep disordered breathing. “Snoring is very common in children, and in fact, it is prevalent in about 12% of children in the general population. However, 1%-3% of children will exhibit not only snoring, but sleep disordered breathing,” Dr. Andrews says.

FAQs

What is sleep disordered breathing?
Sleep disordered breathing is a characterization of sleep patterns in children, which include snoring, restless sleeping, awakening at night, obstructive events (apnea), behavioral changes during the day (hyperactivity, lethargy, increased daytime fatigue) as well as difficulty in arousal and difficulty in getting a child to sleep. The most common cause of sleep disordered breathing in children is an enlarged adenoid and/or tonsils. It is a disorder, which, if left untreated, results in difficulty in cognitive function during the day, behavioral changes and significantly decreased quality of life.

How can I tell if my child has sleep disordered breathing?
Parents will usually notice this when families are together on vacation and the child is sleeping in the same room. Frequently, the child will exhibit signs of restless sleep, tossing and turning throughout the night, waking in the middle of the night (usually after midnight), sleep walking, bedwetting and tiredness during the day. Other children who have to sleep in the same bedroom will usually complain about not being able to sleep well because of the noise of snoring, pauses in breathing or their bedmate sleeping restlessly and pushing them out of bed.

Why is it important to determine if my child has sleep disordered breathing?
Children who have prolonged sleep disordered breathing (longer than four months) and not due to an acute illness, suffer from decreased quality of life. Behavioral changes such as hyperactivity, loss of concentration and cognitive function have led to the diagnosis of ADD in children. In addition, children who have prolonged sleep disordered breathing can have cognitive and learning disabilities, which can extend into the teen years. More importantly, diagnosis and treatment leads to a significant improvement in quality of life. Greater than 80% of children who have documented sleep disordered breathing will see improvements in cognitive ability, behavior and temperament.

What should I do if I suspect my child has sleep disordered breathing?
If your child exhibits signs of sleep disordered breathing, talk with your pediatrician about a referral to an ENT. The ENT will ask you about symptoms and examine your child. If the physical exam matches the medical history, further studies or treatment may be offered at that time. For some small children, adenoidectomy alone may be sufficient to alleviate the symptoms. However, in most cases, tonsillectomy and adenoidectomy is the treatment of choice. There are several methods. Your doctor will choose the method best suited for your child to make the best recovery possible.

Lissette Campos is director of community affairs and Kristin Moore is special projects producer for ABC Action News.

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