Recognizing the Stealthy Symptoms of Central Sleep Apnea

Symptom 8: Nocturnal Choking or Coughing

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Nocturnal Choking or Coughing
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Imagine drifting into a peaceful sleep only to be abruptly awakened by a choking sensation or a fit of coughing. For individuals with CSA, this terrifying scenario can be a regular occurrence. The brain’s inconsistent signaling to breathe can sometimes lead to a sensation of choking, as the body grapples with the sudden breathing cessation.

These episodes aren’t just momentary glitches in the sleep cycle. They’re stark reminders of the body’s fight for oxygen, moments when the balance between sleep and survival is precariously tipped. Each episode can be accompanied by a racing heart, a sense of panic, and an overwhelming fear.

Moreover, the throat’s constant struggle can lead to irritation, resulting in bouts of nocturnal coughing. This coughing, while serving as a mechanism to clear the airways, further disrupts sleep, leading to fragmented, non-restorative rest.

The cumulative effect of these choking and coughing episodes can lead to a heightened fear of sleep. The bed, typically a place of rest, becomes a battleground, with the looming threat of another choking episode creating a palpable tension.(8)

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