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FORUMS > Ask Dr. Ledereich
Replying to Topic: Sleep Apnea and night time oxygen use in DS
Created On 2/22/05 4:07 AM by ImaD


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ImaD
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Posts: 25
Joined: Feb 2005

2/22/05 4:07 AM
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Dr. Ledereich,
After I posted under Down syndrome, I found your excellent write up on apnea.
The post was as follows

Anyone have any info on apnea in DS. My son, who B"H has no heart problems but a long history of breathing issues, needs oxygen pretty much whenever he gets anything more than a cold. He is asthmatic, and has been on inhalants his whole life. After his last "vacation" in the hospital with pneumonia, it took another week to wean him off of full time oxygen. Since then, he has been super fine all day, with average sats about 94 or 95. Within two minutes of falling asleep, he is down to between 86 and 88. The pulmonologist said go to the cardiologist to do another echo and rule out pulmonary hypertension. B"H that done, we are back to, "well, it seems that even though it looks like he is breathing fine, he isn't doing it deeply enough." Truthfully, he only needs about a liter and a half or two and only at night so it isn't such a big deal. The question is, now what?
additional info
My son is 3 1/2, weighs about 13 kilo, is short, even for DS, probably because of his medical history (and long term use of Budicort?) and a bit full in the stomach, but not obese. He did gain back the weight he lost during his recent illness very quickly after he was put on oral steroids, gained a total of about a kilo and a half pretty quickly. Once we weaned him off of them, he slimmed down immediately. We do a lot to keep him active -hydrotherapy, PT, lots of ball playing and climbing in the park, as well as watching his diet, and hopefully we'll get rid of the last of that extra weight, but since his breathing problems existed since he was born, and he was pretty scrawny as a baby, I am not sure how large a part that plays. He rarely snores, although a broncoscopy done when he was a baby showed enlarged adenoids and traceomalcia. He has had a few incidences of oxygen saturation dropping during the day in the past few days, with his saturation going down further, to a low of 80, during sleep. We give him oxygen whenever he sleeps and his sats are below 90-92. We have been referred to a sleep lab. Any information would be appreciated.
 
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P. S. Ledereich, MD
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Posts: 43
Joined: Jan 2005

2/26/05 11:28 PM
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Hi - I saw your post on the "Downs" column and answered you there.
Hope I was able to help!


-------------------------
P. S. Ledereich, MD
Family Ear Nose and Throat Care
1033 Clifton Avenue, Suite 204
Clifton, NJ 07013
Telephone: 973 470 8266
144 Route 59
Suffern, NY 10901
Telephone: 845 357 8302
 
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chanybraun
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Posts: 19
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5/24/06 11:09 AM
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i have a problem lately that when i sleep i breathe through my mouth because i feel that i dont have enough oxegen to breathe through my nose. do you have some advice. i dont feel congested or i dont feel like i have a stuffy nose.
 
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P. S. Ledereich, MD
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Posts: 43
Joined: Jan 2005

5/29/06 11:58 PM
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You write that you "have a problem lately that when i sleep i breathe through my mouth because i feel that i dont have enough oxegen to breathe through my nose. do you have some advice. i dont feel congested or i dont feel like i have a stuffy nose".

without examining you, it is difficult to know exactly what your anatomy looks like.
Some ideas for you:
there may be a deviated nasal septum, a nasal valve collapse, swollen turbinates from an environmental allergy which is not making you congested.

It may be a good idea to be evaluated by an ear, nose and throat physician.



-------------------------
P. S. Ledereich, MD
Family Ear Nose and Throat Care
1033 Clifton Avenue, Suite 204
Clifton, NJ 07013
Telephone: 973 470 8266
144 Route 59
Suffern, NY 10901
Telephone: 845 357 8302
 
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