Relationship
Not all snoring is created equal
When people are unable to differentiate between your snore and a locomotive engine or a trumpet that could break down walls, it may not just be a nuisance to your bed and housemates, but it may signal a serious medical condition.
Loud snoring may be a warning that you have Sleep Apnoea, a condition that opens doors to several serious life-threatening complications.
Not every snoring is associated with sleep apnoea and also there may be sleep apnoea without snoring.
Sleep Medicine is no luxury, we need to do everything possible to get good quality sleep, especially when sleep is one of the greatest legal performance enhancing ‘drugs’ known to man.
In sleep apnoea, breathing repeatedly stops and starts during sleep. It may be as often as 30 times in an hour. This shortchanges our brain of oxygen, and it is a potentially dangerous sleep disorder.
Types of Sleep Apnoea;
• Obstructive Sleep Apnoea (OSA)
o The commonest by far. Throat muscles relax and block flow of air
• Central Sleep Apnoea
o Brain does not send proper signals to muscles controlling breathing
• Complex Sleep Apnoea
What may signal Sleep Apnoea/ What to look out for
• Loud snoring
• Episodes in which you stop breathing during sleep — which would be reported by another person
• Gasping for air during sleep
• Awakening with a dry mouth
• Morning headache
• Difficulty staying asleep, known as insomnia
• Excessive daytime sleepiness, known as hypersomnia
• Difficulty paying attention while awake
• Irritability
• You may just not be able to complete a movie?
• Involved in minor accidents at home, work or even on the road?
Get checked out. Even children may suffer from sleep apnoea.
What increases our chance of developing Sleep Apnoe?
• Excess weight or fat.
• Neck circumference. People with thicker necks might have narrower airways.
• A narrowed airway. Tonsils or adenoids also can enlarge and block the airway, particularly in children.
• Being male. Men are two to three times more likely to have sleep apnea than women. However, women increase their risk if they’re overweight or if they’ve gone through menopause.
• Being older. Sleep apnea occurs significantly more often in older adults.
• Family history. Having family members with sleep apnea might increase your risk.
• Use of alcohol, sedatives or tranquilisers.
• Smoking. Smokers are three times more likely to have obstructive sleep apnoea
• Nasal congestion. If you have trouble breathing through your nose — whether from an anatomical problem or allergies — you’re more likely to develop obstructive sleep apnea.
• Medical conditions. Congestive heart failure, high blood pressure and type 2 diabetes are some of the conditions that may increase the risk of obstructive sleep apnea. Polycystic ovary syndrome, hormonal disorders, prior stroke and chronic lung diseases such as asthma also can increase risk.
What complications may
occur from untreated Sleep
Apnoea
Sleep apnea is a serious medical condition. Complications of OSA can include:
• Daytime fatigue. The repeated awakenings associated with sleep apnea make typical, restorative sleep impossible, in turn making severe daytime drowsiness, fatigue and irritability likely.
You might have trouble concentrating and find yourself falling asleep at work, while watching TV or even when driving. People with sleep apnea have an increased risk of motor vehicle and workplace accidents.
You might also feel quick-tempered, moody or depressed. Children and adolescents with sleep apnea might perform poorly in school or have behaviour problems.
• High blood pressure or heart problems. Sudden drops in blood oxygen levels that occur during OSA increase blood pressure and strain the cardiovascular system. Having OSA increases your risk of high blood pressure.
OSA might also increase your risk of recurrent heart attack, stroke and irregular heartbeats, such as atrial fibrillation. If you have heart disease, multiple episodes of low blood oxygen (hypoxia or hypoxemia) can lead to sudden death from an irregular heartbeat.
• Type 2 diabetes. Having sleep apnea increases your risk of developing insulin resistance and type 2 diabetes.
• Metabolic syndrome. This disorder, which includes high blood pressure, abnormal cholesterol levels, high blood sugar and an increased waist circumference, is linked to a higher risk of heart disease
• Liver & Kidney problems
• Sleep-deprived room or house mates
• Complications during surgery and also with some medication
Lifestyle modifications that may help
• Lose excess fat. Even a slight weight loss might help relieve constriction of your throat. In some cases, sleep apnea can resolve if you return to a healthy weight, but it can recur if you regain weight.
• Exercise. Regular exercise can help ease the symptoms of obstructive sleep apnea even without weight loss.
• Avoid alcohol and certain medicines such as tranquilisers and sleeping pills. These relax the muscles in the back of your throat, interfering with breathing.
• Sleep on your side or abdomen rather than on your back. Sleeping on your belly has many posture related challenges but we may adopt that briefly as we work on definitive treatment.
• Don’t smoke.
Diagnosis and Treatment
There is help so if you think you may have sleep apnoea do not hesitate to speak to your doctor.
A few questions, examination and Sleep Studies and a diagnoses may be reached and the appropriate treatment, advice or support systems put in place.
Yes, the options vary from just lifestyle modifications to the famous CPAP, implants and even surgery BUT do seek help, not only will you feel brand-new when the condition is resolved, you may be saving relationships.
……definitely not all snoring is created equal. Find out about yours.
AS ALWAYS LAUGH OFTEN, ENSURE HYGIENE, WALK AND PRAY EVERYDAY AND REMEMBER IT’S A PRICELESS GIFT TO KNOW YOUR NUMBERS (blood sugar, blood pressure, blood cholesterol, BMI)
Dr. Kojo Cobba Essel
Health Essentials Ltd (HE&W Group)
(dressel@healthessentialsgh.com)
*Dr. Essel is a Medical Doctor with a keen interest in Lifestyle Medicine, He holds an MBA and is an ISSA Specialist in Exercise Therapy, Fitness Nutrition and Corrective Exercise. He is the author of the award-winning book, ‘Unravelling The Essentials of Health & Wealth.’
Thought for the week (1) – “I am hard pressed to choose the greatest legal performance enhancing drug. Is it good quality Sleep or Exercise?”
By Dr. Kojo Cobba Essel
Marriage is meant to be a safe place where two people build, grow, and support each other. But what happens when one partner’s need for admiration, control, and self-importance slowly erodes the emotional safety of the home?
As a marriage counsellor and mental health professional, I meet women who say, “I feel like I’m walking on eggshells at home,” or “No matter what I do, it’s never enough.” Often, what they are describing are patterns linked to living with a narcissistic husband.
Narcissism exists on a spectrum. Not every selfish or proud man is a clinical narcissist. But when these traits become consistent patterns that harm your mental health, self-worth, and sense of reality, it is time to pay attention.
Here are seven realistic signs you may be married to a narcissistic husband:
1. Everything is about him
Conversations, decisions, and even your achievements somehow circle back to him. If you share good news, he quickly shifts the focus to his own success or minimizes yours.
Over time, you feel invisible in your own marriage. A healthy marriage makes space for both partners’ voices. A narcissistic dynamic makes space for only one.
2. You feel constantly blamed and criticised
No matter how hard you try, you are made to feel inadequate. He may use subtle sarcasm, public criticism, or outright blame to keep you off balance. This is not constructive feedback—it is a tactic to control and diminish you. You begin to question your memory, judgment, and worth. In psychology, this is called “gaslighting,” and it is a common tool in narcissistic relationships.
3. Empathy is missing when you need it most
When you are sick, stressed, or grieving, a narcissistic husband often appears emotionally distant or irritated. He struggles to validate your feelings unless it benefits him. Real empathy requires stepping outside oneself. Narcissism keeps the focus inward, making emotional support feel transactional or absent.
4. Control disguised as “Love” or “Protection”
He may monitor your phone, dictate how you dress, or isolate you from friends and family under the guise of caring for you. Healthy love promotes freedom and trust. Narcissistic control seeks to keep you dependent and manageable. Over time, this erodes your independence and confidence.
5. Love feels conditional and performance-based
Affection, praise, and attention come when you meet his expectations. When you do not, you face silent treatment, anger, or withdrawal. This creates a cycle where you work harder to “earn” love that should be freely given. Marriage is not a performance stage—it’s a partnership.
6. He avoids accountability
When issues arise, he rarely apologizes sincerely or takes responsibility. Instead, he deflects, blames you, or rewrites the story to make himself the victim. A marriage cannot heal if one partner refuses to own their part. Accountability is the foundation of trust.
7. Your mental health is declining
Perhaps the clearest sign is what is happening inside you. Do you feel anxious, drained, confused, or less confident than when you got married? Living with chronic emotional invalidation and control takes a toll on your nervous system and self-esteem. Your mental health is a reliable indicator that something is wrong.
What can you do?
Recognizing these signs is not about labeling and leaving. It is about seeing clearly so you can make informed choices for your mental and emotional well-being.
1. Seek clarity through professional support: A trained counsellor can help you separate reality from manipulation and rebuild your self-worth.
2. Set healthy boundaries: Boundaries are not punishment. They are protection for your peace and dignity.
3. Build a support system: Isolate yourself less. Share with trusted friends, family, or support groups. You are not crazy, and you are not alone.
4. Prioritise your mental health: Therapy, journaling, prayer, and self-care are not selfish. They are necessary for survival and clarity.
Marriage should add to your life, not subtract from your sense of self. If you recognise these patterns, know this: naming the problem is the first step toward healing, whether that healing happens within the marriage or through creating a safer life for yourself.
Source:
Counselor Prince Offei is a leading Mental Health Professional, Marriage Counsellor, Author, ADR Expert/Arbitrator, and Spectator Newspaper Columnist. He writes on relationships, marriage, parenting, special needs support, and their connection to mental health.
Marriage is meant to be a safe place where two people build, grow, and support each other. But what happens when one partner’s need for admiration, control, and self-importance slowly erodes the emotional safety of the home?
As a marriage counsellor and mental health professional, I meet women who say, “I feel like I’m walking on eggshells at home,” or “No matter what I do, it’s never enough.” Often, what they are describing are patterns linked to living with a narcissistic husband.
Narcissism exists on a spectrum. Not every selfish or proud man is a clinical narcissist. But when these traits become consistent patterns that harm your mental health, self-worth, and sense of reality, it is time to pay attention.
Here are seven realistic signs you may be married to a narcissistic husband:
1. Everything is about him
Conversations, decisions, and even your achievements somehow circle back to him. If you share good news, he quickly shifts the focus to his own success or minimizes yours.
Over time, you feel invisible in your own marriage. A healthy marriage makes space for both partners’ voices. A narcissistic dynamic makes space for only one.
2. You feel constantly blamed and criticised
No matter how hard you try, you are made to feel inadequate. He may use subtle sarcasm, public criticism, or outright blame to keep you off balance. This is not constructive feedback—it is a tactic to control and diminish you. You begin to question your memory, judgment, and worth. In psychology, this is called “gaslighting,” and it is a common tool in narcissistic relationships.
3. Empathy is missing when you need it most
When you are sick, stressed, or grieving, a narcissistic husband often appears emotionally distant or irritated. He struggles to validate your feelings unless it benefits him. Real empathy requires stepping outside oneself. Narcissism keeps the focus inward, making emotional support feel transactional or absent.
4. Control disguised as “Love” or “Protection”
He may monitor your phone, dictate how you dress, or isolate you from friends and family under the guise of caring for you. Healthy love promotes freedom and trust. Narcissistic control seeks to keep you dependent and manageable. Over time, this erodes your independence and confidence.
5. Love feels conditional and performance-based
Affection, praise, and attention come when you meet his expectations. When you do not, you face silent treatment, anger, or withdrawal. This creates a cycle where you work harder to “earn” love that should be freely given. Marriage is not a performance stage—it’s a partnership.
6. He avoids accountability
When issues arise, he rarely apologizes sincerely or takes responsibility. Instead, he deflects, blames you, or rewrites the story to make himself the victim. A marriage cannot heal if one partner refuses to own their part. Accountability is the foundation of trust.
7. Your mental health is declining
Perhaps the clearest sign is what is happening inside you. Do you feel anxious, drained, confused, or less confident than when you got married? Living with chronic emotional invalidation and control takes a toll on your nervous system and self-esteem. Your mental health is a reliable indicator that something is wrong.
What can you do?
Recognizing these signs is not about labeling and leaving. It is about seeing clearly so you can make informed choices for your mental and emotional well-being.
1. Seek clarity through professional support: A trained counsellor can help you separate reality from manipulation and rebuild your self-worth.
2. Set healthy boundaries: Boundaries are not punishment. They are protection for your peace and dignity.
3. Build a support system: Isolate yourself less. Share with trusted friends, family, or support groups. You are not crazy, and you are not alone.
4. Prioritise your mental health: Therapy, journaling, prayer, and self-care are not selfish. They are necessary for survival and clarity.
Marriage should add to your life, not subtract from your sense of self. If you recognise these patterns, know this: naming the problem is the first step toward healing, whether that healing happens within the marriage or through creating a safer life for yourself.
Source:
Counselor Prince Offei is a leading Mental Health Professional, Marriage Counsellor, Author, ADR Expert/Arbitrator, and Spectator Newspaper Columnist. He writes on relationships, marriage, parenting, special needs support, and their connection to mental health.
