Your Seasonal Guide to Sleep Apnea: Why Symptoms Can Worsen in Fall and Winter

As temperatures cool and respiratory illnesses become more common, many people notice changes in their sleep quality. If you're waking up tired, snoring more frequently, or experiencing pauses in breathing during sleep, it could be a sign of sleep apnea.

While sleep apnea can occur year-round, symptoms often become more noticeable during the fall and winter months. Seasonal allergies, colds, sinus congestion, and dry indoor air can all contribute to airway obstruction, making it harder to get a good night's rest.

In This Article...

1. What is sleep apnea?
2. Why can sleep apnea get worse during the fall and winter?
3. How can I manage my sleep apnea?
4. When should I seek treatment for my sleep apnea?

What is sleep apnea?

Sleep apnea is a common sleep disorder that causes breathing to repeatedly stop and start throughout the night. The most common form, obstructive sleep apnea (OSA), occurs when the muscles and tissues in the back of the throat relax and partially block the airway during sleep.

These interruptions in breathing can happen dozens or even hundreds of times each night, often causing you to briefly wake up without realizing it. As a result, many people with sleep apnea experience:

• Loud snoring
• Gasping or choking during sleep
• Morning headaches
• Dry mouth upon waking
• Excessive daytime fatigue
• Difficulty concentrating

Without proper treatment, sleep apnea can increase the risk of serious health conditions, including high blood pressure, heart disease, and stroke.

Why can sleep apnea get worse during fall and winter?

Several seasonal factors can make sleep apnea symptoms more pronounced during the cooler months.

Seasonal allergies and nasal congestion

Fall allergies caused by ragweed, mold spores, and other airborne irritants can lead to nasal congestion and inflammation. When nasal passages become blocked, it becomes more difficult to breathe through the nose, which may worsen sleep apnea symptoms.

Cold, flu, and sinus infections

Respiratory illnesses tend to become more common during fall and winter. Colds, flu, and sinus infections can increase swelling and mucus production in the nasal passages, further restricting airflow while you sleep.

Dry indoor air

As outdoor temperatures drop, furnaces and heating systems can reduce humidity levels indoors. Dry air may irritate the nose and throat, leading to inflammation and discomfort that can contribute to breathing difficulties during sleep.

Spending more time indoors

During colder months, people naturally spend more time inside, increasing exposure to allergens, dust, pet dander, and respiratory viruses that can trigger congestion and worsen sleep-disordered breathing.

How can I manage my sleep apnea?

While seasonal factors can aggravate symptoms, there are several ways to support better breathing and sleep.

• Sleep on your side rather than your back whenever possible.
• Stay well-hydrated throughout the day.
• Use a humidifier in your bedroom to help combat dry indoor air.
• Manage seasonal allergies with treatments recommended by your physician.
• Avoid smoking and limit alcohol consumption, especially before bedtime.
• Seek prompt treatment for sinus infections or persistent nasal congestion.

When should I seek treatment for my sleep apnea?

Lifestyle changes may help reduce symptoms, but they may not be enough to address the underlying cause of sleep apnea. If you regularly snore, wake up gasping for air, or feel exhausted despite a full night's sleep, it's important to seek evaluation from a sleep specialist.

According to ENT and sleep surgeon Nathaniel Breslin, MD, some patients may have reservations about using CPAP.

“CPAP is effective, but up to half of patients struggle to use it consistently, making sleep surgery an important option for select patients with obstructive sleep apnea," says Dr. Breslin. " Our goals are to help patients get more restful sleep and feel better day-to-day while also addressing the long-term health risks associated with untreated sleep apnea.”

At CEENTA, our ENT specialists and sleep surgeons offer a range of sleep apnea treatments tailored to each patient's needs. Depending on the cause of your airway obstruction, treatment options may include:

• CPAP therapy
• Septoplasty for a deviated septum
• Nasal and airway procedures
• Inspire therapy for eligible patients

To schedule your sleep apnea consultation with Dr. Breslin at CEENTA Salisbury and Concord, call 704-295-3000.

This blog is for informational purposes only. For specific medical questions, please consult your physician.