FAQs

Obstructive Sleep Apnoea (Osa) In Children

  • Snoring is not cute
  • If a child snores most nights – exclude OSA
  • Adenotonsillectomy (70-80% cure)
  • Continuous positive airway pressure (CPAP)
  • Diagnostic sleep study
  • Non-invasive overnight testing of sleep and respiratory parameters
  • Poor weight gain
  • Poor concentration and behaviour problems
  • Learning difficulties
  • Increased risk of hypertension and heart failure
  • If both parents snore it increases the risk of the child having OSA three fold
  • Large tonsils and adenoids
  • Facial dysmorphism
  • Muscle weakness
  • Obesity
  • Unrefreshed on waking
  • Irritable during the day
  • Poor concentration
  • Snoring or heavy breathing
  • Laboured breathing
  • Choking or gagging 
  • Pauses in breathing
  • Excessive sweating
  • Nocturnal cough
  • Snoring is the main symptom
  • 10% of children snore and 1 out of 3 have OSA
  • Common under the age of 6 years

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Non Respiratory Sleep Disorders

  • Rhythmic movement disorder
  • Onset before 1 year of age
  • More common in boys
  • Disappears by 4 years
  • If persistent – exclude underlying medical problems
  • Occurs in Non-REM sleep
  • Screaming/confusion/disoriented
  • No recall of events
  • Common age 4-12 years
  • Occurs in REM sleep
  • Peak age 3-6 years
  • Able to recall dream
  • Frequent nightmares associated with underlying medical problems

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My Child Won't Sleep

  • 5-10% of adolescents
  • Difficulty falling asleep
  • Significant difficulty waking
  • Day time sleepiness
  • Poor school performance
  • School avoidance
  • Any age group
  • Difficulty in remaining asleep
  • Several wake ups during the night
  • Exclude medical problems such as sleep apnoea, developmental delay
  • Common after 18 months
  • Separation anxiety
  • Limit setting disorder
  • Prolonged sleep latency
  • Common under 12 months
  • More than 40% of infants
  • Inappropriate environmental cues
  • Requires parental input to fall asleep

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