Cause
A blockage or narrowing of the
airways in your nose, mouth, or throat generally causes obstructive
sleep apnea (OSA). This usually occurs when the throat
muscles and tongue relax during sleep and partially or completely block the
airway. When you stop breathing or have reduced flow of air into your lungs
during sleep, the amount of oxygen in your blood decreases briefly.
Obstructive sleep apnea can also occur if you have bone deformities or
enlarged tissues in your nose, mouth, or throat. For
example, you may have enlarged
tonsils. During the day when you are awake and
standing up, this may not cause problems. But when you lie down at night, the
tonsils can press down on your airway, narrowing it and causing sleep
apnea.
See pictures of
normal and blocked airways
during sleep.
Other factors that may
contribute to sleep apnea include:
- Drinking alcohol, which affects the part of the
brain that controls breathing. This may relax the breathing muscles and cause a
narrowing of the airway and sleep apnea.
- Obesity. Fat in
the neck area can press down on the tissues around the airways. This narrows
the airways and can cause sleep apnea. About 70% of people who have sleep apnea
are obese.1
- Some medicines that are taken for conditions such as
allergies,
depression,
insomnia, or
anxiety. These medicines, especially
sedatives, can also relax the muscles and tissues in
the throat, causing it to narrow.
In children, the main cause of sleep apnea is large
tonsils or adenoids
.