Blog2023-05-07T12:45:23-06:00

Hair ON Nose: Cause & Solutions to Surface Nose Hair

Hair that grows ON the nose is actually quite normal, but there are a few great ways to get rid of this unattractive hair growth.

Do not be alarmed if you’ve recently noticed that a lot of hair has been growing ON your nose.

Why shouldn’t it? After all, skin has hair follicles. Your nose is covered in skin.

For some people, the growth of hair on their nose is more obvious than that in other individuals.

In fact, it’s been said that the human face has as many hair follicles as the face of a lower primate.

It’s just that the hairs of our foreheads, cheeks and nose are very light, fine and short.

And some people end up having darker hair on their nose, making it more visible.

Very fine, “peach fuzz” hair on the nose (and face) is called vellus hair.

Get Rid of Hair on the Nose

There are options far better than that of using a plastic shaver that’s designed for the legs or a man’s facial contours.

And you certainly do not want to pluck at the hairs with a tweezer.

This will hurt and it’ll take forever to get enough hairs to make a difference. Plus, you’ll have to keep redoing this task every several days.

Furthermore, some hairs, though visible, will always be too short to pluck out.

Better Ways…

“Waxing and Biore Clay pore strips are excellent options for removing unwanted nasal hairs, blackheads and whiteheads,” says Estee Williams, MD, a board certified medical, cosmetic and surgical dermatologist and assistant clinical professor in dermatology at Mount Sinai Medical Center.

Waxing the nose can be done at home, but you’ll get better results having a professional aesthetician do the job.

Give the Biore pore strips a try. First wet your nose. Then peel a strip off the plastic and apply to your nose.

Leave on for 10 to 15 minutes. Then peel off the strip starting at its edges.

If the hairs aren’t removed, your nose will still benefit from the deep cleansing action to the pores, which should last three weeks.

Dermaplaning to Rid Hair on the Nose

A trained professional uses a sterile, surgical-grade blade to gently scrape the surface of the skin.

This process removes the top layer of dead skin cells and fine, thin hairs.

While professional dermaplaning is often recommended for the best results and to ensure safety, there are also at-home dermaplaning tools available — which will cost a lot less than what a professional would charge.

If you choose to do it yourself, be cautious to avoid cutting or irritating the skin.

Dr. Williams strives to be at the forefront of her field, being active in local, national and international medical and cosmetic dermatology conferences. 
Lorra Garrick has been covering medical, fitness and cybersecurity topics for many years, having written thousands of articles for print magazines and websites, including as a ghostwriter. She’s also a former ACE-certified personal trainer.

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Top image: Shutterstock/Point Fr

10 Signs You’re in Denial of Having Sleep Apnea

Here’s a checklist of 10 signs that are very suspicious for sleep apnea. How many apply to you?

You may think you know all the signs of sleep apnea, but this list will enlighten you and make you really wonder if you just mght have this very often-misdiagnosed condition.

“Sleep apnea increases your risk of high blood pressure,” says Daniel Rifkin, MD, a sleep medicine expert at the Sleep Medicine Centers of Western New York.

“In fact, sleep apnea is one of the common causes of high blood pressure –also known as hypertension.

“We all know the dangers of hypertension including kidney disease, heart disease and so on.”

“Sleep apnea makes you more likely to have atrial fibrillation, an abnormal heart rhythm.

“This can increase your risk of stroke. Furthermore, like noted above with hypertension, sleep apnea, independent of atrial fibrillation, can increase your risk of stroke.

“Almost every patient with stroke should be tested for sleep apnea, as it is seen in 69% of patients with stroke.”

10 Signs You Might Have Sleep Apnea

#1     You snore.

#2     You snort and gasp in your sleep.

#3     People tell you your breathing stops during sleep, then after up to 30 seconds or more, resumes, sometimes followed by a gasp.

#4     You just have to have your daily naps. You’ve repeatedly told yourself that napping is a healthy habit and can’t possibly mean you have a health problem.

You’ve also told yourself that it’s normal to nap for two hours nearly every day despite getting at least eight hours of sleep overnight.

#5     You tell people that your naps are necessary because you “put in long hours at work” or have three young children who keep you on your toes all day long. In short, you keep coming up with excuses.

#6     You keep blaming the frequent morning headaches on either overnight dehydration or lying funny on your pillow.

#7     You blame the most comfortable chair in the house for making you fall asleep nearly every time you watch TV or read.

#8     You’ve convinced yourself that your fatigue is due to not being as young as you used to be or maybe it’s caused by recently gaining 10 pounds. 

#9     Your irritability and difficulty with concentration is due to stress — or so you keep telling yourself.

#10     Getting up several times overnight to void is perfectly normal in people over 40 — and you keep reminding yourself of this every time a lot of urine comes out of you in the middle of the night.

Sleep Apnea Checklist

Having just one of the above signs doesn’t automaticaly mean you have OSA. 

In fact, none of the above symptoms is caused ONLY by sleep apnea.

However, all of the signs in the checklist deserve an evaluation by a physician.

You might then be referred for a sleep study (polysomnography) — a test overnight to see if you have sleep apnea.

Dr. Rifkin is board certified in both neurology and sleep medicine. He also treats insomnia, RLS and narcolepsy. 

Lorra Garrick has been covering medical, fitness and cybersecurity topics for many years, having written thousands of articles for print magazines and websites, including as a ghostwriter. She’s also a former ACE-certified personal trainer.  
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Top image: Shutterstock/Maria Sbytova

Feeling More Tired after Using CPAP: Causes & Solutions

CPAP therapy for sleep apnea should not be making you feel even more tired and drained.

“If you’re actually sleeping the majority of the night and feeling MORE tired than you did without the CPAP, chances are that you have developed complex sleep apnea,” explains Joseph Krainin, MD, board certified in sleep medicine and neurology and founder of the online sleep apnea clinic Singular Sleep.

Complex sleep apnea refers to a few different conditions, but one of them is when patients with obstructive sleep apnea ‘flip’ to central sleep apnea after initiation of positive airway pressure,” continues Dr. Krainin.

“A sleep apnea test on PAP is required to diagnose this issue.”

What causes the “flip” to central sleep apnea?

First off, if there’s too many central events throughout your sleep, even if your airway is maintained wide open, this can result in feeling bogged down the following day.

A central apnea is when a disconnect between the brain’s signaling system and the respiratory muscles causes you to cease breathing.

So if your airway is nice and wide due to CPAP, it’s as good as being collapsed if you’re not breathing!

Many central events will cause many associated brain arousals — depriving you of restorative sleep.

When the flip occurs, this may be referred to as treatment-emergent central apnea.

According to studies, it occurs in about 10 percent of CPAP users.

Shutterstock/iLoveCoffeeDesign

But there’s good news for the vast majority of this 10 percent:

These treatment-emergent centrals will resolve within several months on their own while continuing CPAP therapy.

Don’t let any of this make you think that CPAP machines cause central sleep apnea.

In fact, it’s not clear just what causes that flipped switch when everything else seems to be working smoothly as far as the CPAP therapy.

But there is a theory.

When CPAP corrects the issue of a collapsed airway, this removes a burden from the respiratory system.

This leads to lower than normal levels of carbon dioxide in the blood, which may trigger a cessation of breathing.

So it’s no wonder that, for a small percentage of patients, they end up feeling as tired with CPAP as they did before the treatment, or in some cases even sleepier despite compliant CPAP use.

Another Reason for Still Feeling Sleepy Despite CPAP Use

If the mask doesn’t fit right and just feels uncomfortable, or if it’s irritating the skin, this will disturb one’s sleep. Mask leaks, too, will disrupt sleep.

Sleep fragmentation results, and this ups the occurrence of what are known as transitional central apneas.

If your mask is giving you trouble, you will be repeatedly awakened to consciousness.

You’ll then transition back into sleep. Here is where you may experience the central events as you enter back into slumber – enough to rob you of the restorative deep sleep that you need.

You may also have arousals below the conscious level as you fitfully cope with the troublesome mask. Subconscious arousals prevent fully restorative sleep.

So even though your airway remains open due to the CPAP, you’re just not refreshed upon waking up and feel tired throughout the day.

Solutions

• As mentioned, treatment-emergent central apnea resolves on its own for most patients.

• About two percent of these patients do not have resolution. To date there is no firmly established protocol for correcting non-resolving TECAs.

• Work with your provider until you find a mask that’s comfortable enough to tolerate well.

• Work to resolve leakage issues.

In 2013 Dr. Krainin was elected a Fellow of the American Academy of Sleep Medicine, an honor reserved for sleep doctors who’ve made significant contributions to the field in education, research and service.
Lorra Garrick has been covering medical, fitness and cybersecurity topics for many years, having written thousands of articles for print magazines and websites, including as a ghostwriter. She’s also a former ACE-certified personal trainer.  
 
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Top image: ©Lorra Garrick
Sources
sleepapnea.org/learn/sleep-apnea/central-sleep-apnea/
ncbi.nlm.nih.gov/pmc/articles/PMC3417331/ 

How Many People Have Sleep Apnea? It’s Often Misdiagnosed

Many people have sleep apnea and have no idea they have this dangerous condition, and contrary to myth, thin people CAN have obstructive sleep apnea.

Obstructive sleep apnea is quite prevalent – and not just because so many people are obese.

It’s one of the most under-diagnosed and misdiagnosed medical conditions.

It’s years before many patients are finally diagnosed.

OSA can cause life-threatening complications if not treated.

It does not affect only older overweight men who snore. Younger people including women of normal body weight can be affected.

Why is OSA dangerous?

“Sleep apnea causes high blood pressure — plain and simple, and we know high blood pressure can lead to cardiovascular disease,” says Daniel Rifkin, MD, a sleep medicine expert at the Sleep Medicine Centers of Western New York.

“However, sleep apnea alone, and independent of high blood pressure, is associated with cardiovascular disease.”

Just how many men and women have sleep apnea?

The New England Journal of Medicine says that nine percent of middle age women and 24 percent of middle age men have sleep apnea.

While more conservative estimates say that two to four percent of middle age men and one to two percent of middle age women are affected by sleep apnea, this does NOT account for the vast demographic that remains undiagnosed.

Fact is, most people with sleep apnea, including in societies with the most advanced medicine, are walking around without a diagnosis.

Or, they’re walking around with the wrong diagnosis.  

Number of Americans with OSA

The estimation is about 22 million, with 80 percent being at the moderate to severe level. This means over 15 disordered-breathing events per hour of sleep.

One reason obesity is associated with obstructive sleep apnea is because obesity exacerbates daytime symptoms, making patients miserable.

Fj.toloza992, CC BY-SA

Those with troubling daytime symptoms are more likely than thin patients with milder daytime symptoms to seek medical attention.

Hence, obese sufferers may be getting faster and more numerous diagnoses. 

Obesity also can also crowd out the upper airway during sleep when it’s most relaxed.

However, craniofacial structure and natural throat anatomy are the driving forces behind OSA.

Shutterstock/iLoveCoffeeDesign

If a skinny person has a large uvula (the “punching bag” that hangs in the back of your throat) in combination with a narrow airway, this is the perfect storm for obstructions during sleep.

Other contributing elements include a large tongue base and surplus pharyngeal tissue.

If this person becomes fat, then the tissue around these structures becomes plumper, increasing the degree and frequency of obstructions.

Many people with undiagnosed OSA are wrongly diagnosed with the following:

• Age related fatigue

• Stress

• Exhaustion from a hectic lifestyle

• Side effects from weight gain

• Chronic fatigue syndrome

• Fibromyalgia

• ADHD

• Depression

• Chronic sinusitis

• Poor nutrition

Not all people with sleep apnea snore, and not all snorers have sleep apnea.

Symptoms of Sleep Apnea

• Morning headaches that quickly dissapate once up and about

• Excessive urine production overnight

• Gasping or snorting during sleep

• Family members witnessing episodes of stopped breathing

• Difficulty concentrating or irritability

• Easily falling asleep while driving, reading or watching TV

• Jaw soreness or dry mouth when waking

Dr. Rifkin is board certified in both neurology and sleep medicine. He also treats insomnia, RLS and narcolepsy. 
Lorra Garrick has been covering medical, fitness and cybersecurity topics for many years, having written thousands of articles for print magazines and websites, including as a ghostwriter. She’s also a former ACE-certified personal trainer.  
 
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Top image: Shutterstock/Rawpixel.com
nejm.org/doi/full/10.1056/NEJMoa1306766#t=article
academic.oup.com/bmb/article/72/1/49/272854
sleepapnea.org/learn/sleep-apnea-information-clinicians/

Morning Headache: Brain Tumor or Sleep Apnea?

Waking up with morning headaches can mean a brain tumor or sleep apnea.

This is because when headaches are caused by these two conditions, they typically are present as the patient wakes up for the day.

A person may wake with a headache caused by more benign conditions, but this article compares the brain tumor headache to the sleep apnea headache.

(more…)

What the Typical Person with Sleep Apnea Looks Like

Think the typical person with sleep apnea looks like a beer gutted middle age man with a short fat neck?

Think again!

There is NO typical appearance of a person with obstructive sleep apnea, and here is why:

“Most people think of OSA as associated with obesity, but it’s now understood that it is not just obesity, but actually the anatomical structures of the upper airway that can cause obstructive sleep apnea.” explains Dr. C. Phillip Amoils, MD, a board certified otolaryngologist with SC-ENT Ear, Nose & Throat Specialists in CA.

Once you know the actual cause of obstructive sleep apnea, you’ll never again stereotype patients as being fat people with no necks.

Here’s what happens in obstructive sleep apnea.

Now you may be thinking, “Well gee, obesity causes that to happen.” But what you see in the illustration can occur to thin people, including young women and children.

It has to do with the anatomy we’re born with.

  • This could be plus-size tonsils or a large uvula.
  • It could be surplus throat tissue – which has nothing to do with obesity.
  • It could be a tongue with a big base in combination with a small jaw.
  • Or it could be structures that are just prone to excess laxity during sleep.

It can also be acquired via poor lifestyle choices. Smoking causes inflammation of the upper airway tissue. This can lead to obstruction during sleep.

Drinking liquor shortly before bedtime can cause upper airway structures to become way too relaxed, collapsing them — which compromises airflow down the throat.

“I could have sleep apnea.” Shutterstock/Kamira

 

“I could have sleep apnea.” Shutterstock/ShotPrime Studio

 

“I could have sleep apnea.” Freepik.com

Obesity is a major risk factor, not the ONLY risk factor.

Of course, obesity adds fat to the throat’s tissue, plumping it up and thereby making the airway smaller during sleep.

In cases of mild sleep apnea, weight loss can eliminate the problem for some patients.

But because obstructive sleep apnea is founded upon structural or anatomical issues, weight loss is not a cure for moderate and especially severe OSA.

Dr. Amoils is considered among the best surgeons worldwide for sinus surgery and OSA, having helped thousands of patients for 30+ years. He also demonstrates to physicians the protocols he’s developed for mouth breathing, nasal congestion, obstructive sleep apnea and snoring using minimally invasive procedures.
Lorra Garrick has been covering medical, fitness and cybersecurity topics for many years, having written thousands of articles for print magazines and websites, including as a ghostwriter. She’s also a former ACE-certified personal trainer. 
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