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Obstructive Sleep Apnea in Down Syndrome

When your child with Down Syndrome sleeps issome of the common ones:Snoring or noisy
his head bent back in an odd position? Is hebreathing ( okay, that's the obvious one),
waking frequently during the night, or is hestrange sleeping positions (for example with
a restless sleeper? Do you notice a lot ofthe neck hyper-extended), restless sleep,
mouth breathing during the day, and at night?frequent waking at night, mouth breathing,
Read this for important informationbehavioral problems, weight loss or not
concerning Down Syndrome and Sleep Apnea.gaining  weight  at  the  expected  rate.
Obstructive Sleep Apnea
occurs in over 50% of people with DownHow is Obstructive Sleep Apnea diagnosed?
Syndrome. It has been recommended by U.S.Your ear, nose and throat doctor will likely
researchers that all children with Downrecommend a test called a polysomnography. A
Syndrome be tested by the time they are threepolysomnography is usually done on an
or  four  years  of  age.overnight basis. Your child will be carefully
monitored  while  he  or  she  sleeps.
In children with heart problems, a common
condition in Down Syndrome, the decreasedTreatments for OSATreatments for OSA include:
oxygen levels in the blood caused by OSA canremoval of the tonsils and/or adenoids,
cause some serious complications. Thereforegetting allergies under control, or the use
it is important to get it checked out if youof  CPAP.
notice  any  of  the  signs  of  OSA.
In his article about OSA in children with
In children with Down Syndrome OSA can beDown Syndrome Dr. Len Leshin,MD,FAAP
caused by a number of factors: low tone, flatrecommends that the removal of tonsils and
facial profile and the typical facialadenoids should not be day surgery. A child
structure often seen in people with Downwith Down Syndrome will usually have a longer
Syndrome, enlarged tonsils and/or adenoids,recovery period and he or she will also have
allergies and stuffy noses, the small mouthlonger periods of decreased oxygenation so
and  seemingly  large  tongue.this child should be watched for a bit longer
than a child who does not have Down Syndrome.
The symptoms of OSA vary but here are listed



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