The disorder that stops breathing during sleep is sleep apnea, where repeated pauses in breathing disturb rest and strain the heart and brain.
Waking up tired, foggy, or with a sore throat every morning can feel baffling, especially if you think you slept through the night. When breathing shuts down over and over during sleep, the body never fully rests. That pattern has a name: sleep apnea, the main disorder that stops breathing during sleep.
This condition is common, often missed for years, and tightly linked with high blood pressure, heart disease, type 2 diabetes, and car crashes. The good news is that once spotted, sleep apnea has clear tests and a range of treatments that can ease symptoms and lower long-term risk.
This guide walks through what this sleep disorder is, how it feels, why it matters, and what usually happens when someone finally talks with a doctor about it.
What Is The Disorder That Stops Breathing During Sleep?
When people talk about a disorder that stops breathing during sleep, they almost always mean sleep apnea. In sleep apnea, airflow stops or drops many times an hour while someone is asleep. Each pause can last a few seconds or longer and often ends with a brief arousal or a loud snort.
There are two main medical labels. Obstructive sleep apnea (OSA) happens when the upper airway collapses during sleep, even though the chest and diaphragm still try to pull air in. Central sleep apnea (CSA) happens when the brain fails to send steady signals to the breathing muscles, so effort fades for short bursts. Some people live with a mix of both forms.
Every time breathing stops, oxygen drops and carbon dioxide rises. The brain reacts with a surge of stress hormones, a brief wake-up, and a spike in heart rate and blood pressure. Many people never remember these events, yet they repeat hundreds of times per night.
Sleep apnea fits within a wider group called sleep-related breathing disorders. These include conditions such as obesity hypoventilation syndrome and sleep-related hypoxemia, which also disturb breathing at night but in slightly different ways.
| Disorder | What Happens During Sleep | Typical Clues |
|---|---|---|
| Obstructive Sleep Apnea (OSA) | Upper airway narrows or collapses, blocking airflow despite breathing effort. | Loud snoring, gasping, pauses in breathing, morning headaches, daytime sleepiness. |
| Central Sleep Apnea (CSA) | Brain signals to breathing muscles fade for short periods, so effort stops. | Observed pauses without much snoring, insomnia, shortness of breath at night. |
| Mixed Or Complex Sleep Apnea | Combination of obstructive and central events during the same night. | Features of both OSA and CSA on a sleep study. |
| Obesity Hypoventilation Syndrome | Shallow breathing leads to low oxygen and high carbon dioxide across the night. | Morning headaches, fatigue, shortness of breath, often alongside OSA. |
| Sleep-Related Hypoxemia Disorder | Oxygen levels fall during sleep without classic apnea events. | Unrefreshing sleep, breathlessness with exertion, often tied to lung disease. |
| Snoring Without Apnea | Vibration of soft tissues causes noise, but airflow and oxygen stay normal. | Habitual snoring, fewer daytime problems, may still bother partners. |
| Sleep-Related Hypoventilation From Medicines | Opioids or sedatives slow breathing, sometimes in combination with apnea. | Slow or shallow breathing, morning grogginess, higher risk with high doses. |
Among these, obstructive sleep apnea is by far the most common disorder that stops breathing during sleep. It affects both men and women, children and adults, and shows up in people of many body sizes, though extra weight around the neck and trunk raises the odds.
Sleep Disorder That Stops Breathing During Sleep Symptoms And Clues
Few people see their own breathing during sleep, so they tend to notice daytime fallout first. Partners, roommates, or parents often spot the nighttime signs long before the person with symptoms does.
Nighttime Signs You Might Miss
Several patterns during sleep point toward sleep apnea rather than simple snoring. Common ones include:
- Loud, chronic snoring that pauses, then restarts with a choke, gasp, or snort.
- Witnessed pauses in breathing that last for several seconds at a time.
- Restless sleep with tossing, turning, or frequent awakenings.
- Waking up with a dry mouth, sore throat, or pounding headache.
- Needing to get up to urinate many times during the night.
In children, the picture can look different. Parents may notice open-mouth breathing, bedwetting, growth problems, or behavior that resembles attention-deficit conditions. Enlarged tonsils or adenoids often contribute for younger kids.
Daytime Signs That Raise A Flag
Because sleep is broken into many small fragments, the brain never achieves deep, steady rest. That can show up during the day as:
- Persistent daytime sleepiness or fatigue, even after a full night in bed.
- Dozing off during meetings, in front of the TV, or at the wheel.
- Brain fog, slower thinking, or memory slips.
- Mood changes, such as irritability, low mood, or anxiety.
- Morning headaches that fade later in the day.
Many people blame age, stress, or late-night screens and never connect these symptoms to a disorder that stops breathing during sleep. That delay can stretch for years, which is one reason so many cases stay undiagnosed.
Why This Disorder Matters For Your Health
Sleep apnea does far more than disturb rest. Each breathing pause triggers a burst of stress signals, swings in blood pressure, and short dips in oxygen. Over time that pattern strains the heart, blood vessels, and metabolism.
According to the
National Heart, Lung, and Blood Institute page on sleep apnea, untreated sleep apnea raises the risk of high blood pressure, heart disease, stroke, and type 2 diabetes. People with this disorder also face a higher chance of heart rhythm problems and heart failure.
The Mayo Clinic article on sleep apnea notes links with liver problems, glaucoma, and complications after surgery as well. Poor sleep and oxygen swings also tie in with depression and anxiety symptoms.
Safety on the road and at work comes into play too. A driver who nods off at the wheel or a machine operator who fights heavy eyelids has a higher risk for serious accidents. That is why many commercial driving and safety-sensitive jobs now ask about sleep apnea directly.
How Doctors Diagnose The Disorder That Stops Breathing During Sleep
A diagnosis usually starts with a conversation. A doctor or sleep specialist asks about snoring, breathing pauses others have noticed, daytime sleepiness, weight changes, medications, and any heart or lung problems. They may use a simple questionnaire, such as the STOP-BANG or Epworth Sleepiness Scale, to gauge risk.
If the story fits, the next step is a sleep study. This can happen either in a sleep clinic or, in selected cases, at home. The goal is to measure breathing, oxygen levels, heart rhythm, and sleep stages through the night to see how often breathing events occur.
Overnight Sleep Study In A Clinic
In a lab study, called polysomnography, sensors on the scalp, face, chest, and legs track brain waves, eye movements, muscle tone, heart rate, airflow, and breathing effort. Staff watch the recordings and adjust equipment if needed.
Afterward, a sleep specialist calculates the apnea-hypopnea index (AHI): the number of breathing pauses and shallow breaths per hour of sleep. In adults, many centers classify:
- Mild sleep apnea: AHI of 5–14 events per hour.
- Moderate sleep apnea: AHI of 15–29 events per hour.
- Severe sleep apnea: AHI of 30 or more events per hour.
These numbers help guide treatment choices and also show how the disorder that stops breathing during sleep changes over time.
Home Sleep Apnea Testing
Some adults with a strong story for moderate or severe obstructive sleep apnea may use a home sleep apnea test. This usually includes sensors for airflow, oxygen level, breathing effort, and heart rate but does not record full brain waves. It can be more convenient and less costly.
Home testing is not a fit for everyone. People with heart failure, lung disease, suspected central sleep apnea, or other complex conditions often still need a full lab study. A specialist reviews results and decides whether more testing or direct treatment makes sense.
Treatment Options For The Disorder That Stops Breathing During Sleep
Treatment depends on the type and severity of sleep apnea, other health issues, and personal preferences. Many people need a mix of lifestyle changes and medical devices. The goal is simple: keep the airway open so breathing stays steady through the night.
Lifestyle Changes That Reduce Events
Small shifts can sometimes bring big relief, especially for mild obstructive sleep apnea:
- Losing weight when extra weight is present, especially around the neck and trunk.
- Avoiding alcohol close to bedtime, since it relaxes airway muscles.
- Reviewing sedating medicines with a doctor to see if safer timing or options exist.
- Switching from back sleeping to side sleeping with pillows or positional aids.
- Treating nasal congestion with sprays or allergy care when appropriate.
These steps may not fully control a disorder that stops breathing during sleep, yet they often reduce the number of events and raise comfort with other treatments.
Devices And Therapies That Keep Airflow Moving
For many adults with moderate or severe obstructive sleep apnea, continuous positive airway pressure (CPAP) remains the mainstay. A small machine pumps air through a mask, splinting the airway open. Variants such as bilevel PAP and auto-titrating PAP adjust pressures to match breathing patterns.
Some people with mild to moderate OSA do well with oral appliances made by dentists trained in sleep medicine. These mouthpieces shift the jaw and tongue slightly forward to open the airway. People with central sleep apnea may receive other devices or adjustments to heart failure care, oxygen, or certain medicines, guided by specialist advice.
| Treatment | Who It Often Helps | What To Know |
|---|---|---|
| CPAP Or Other PAP Devices | Most adults with moderate to severe obstructive sleep apnea. | Masks and pressures may need fine-tuning; long-term use cuts symptoms and heart risk. |
| Oral Appliance Therapy | Mild to moderate OSA, people who cannot tolerate PAP. | Custom mouthpiece from a trained dentist; can change bite slightly over time. |
| Positional Therapy Devices | OSA that worsens while lying on the back. | Belts or vibration devices prompt side sleeping during the night. |
| Weight Management Programs | People with extra body weight and OSA or obesity hypoventilation. | Even modest loss can reduce events; long-term habits matter more than quick diets. |
| Upper Airway Surgery | Selected patients with structural blockages, enlarged tonsils, or severe OSA. | Varied techniques; benefits and risks depend on anatomy and surgeon skill. |
| Hypoglossal Nerve Stimulation | Certain adults with moderate to severe OSA who cannot use PAP. | Implanted device moves the tongue forward during sleep; requires careful selection. |
| Therapies For Central Sleep Apnea | People with CSA related to heart failure, stroke, or opioid use. | Care may include PAP variants, oxygen, or changes to heart and pain treatment. |
Surgery And Other Procedures
When anatomy plays a large part—such as very large tonsils, a deviated septum, or a crowded jaw—ear, nose, and throat surgeons or oral surgeons may offer options. Procedures range from removing tissue in the throat to reshaping the jaw or implanting devices that stimulate airway muscles.
Surgery is not a quick fix for every disorder that stops breathing during sleep, and many people still use PAP afterward. Yet for selected patients, it can reduce pressure needs, cut events, or relieve snoring that disturbs partners.
Practical Tips For Living With Sleep Apnea Every Night
Daily routines make a big difference once treatment starts. A few habits often help people feel better faster:
- Go to bed and wake up at similar times every day, even on weekends.
- Keep the bedroom dark, cool, and quiet to encourage deeper sleep.
- Use PAP or oral devices every night, not just on weekdays.
- Work with equipment providers to adjust mask fit before small irritations turn into excuses.
- Limit heavy meals and alcohol close to bedtime.
Many people find it helpful to track energy levels, headaches, or snoring volume over several weeks. That log gives a more realistic sense of progress than a single night.
When To See A Doctor About Pauses In Breathing During Sleep
You should talk with a doctor or sleep specialist if you snore loudly most nights, feel sleepy during the day, or if someone has noticed pauses in your breathing while you sleep. Those signs suggest more than simple snoring and may signal a disorder that stops breathing during sleep.
Treat the situation as urgent, and seek emergency care, if breathing problems at night come with chest pain, severe shortness of breath while awake, new confusion, or signs of stroke such as sudden weakness or trouble speaking.
Sleep apnea care is not a do-it-yourself project. Online quizzes and tracking gadgets can raise suspicion, but a formal assessment and treatment plan from a qualified clinician keeps you safe. The goal is steady breathing, clear mornings, and long-term protection for the heart and brain.
