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Not all snoring is created equal

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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.

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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

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• 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

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• 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

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• Morning headache

• Difficulty staying asleep, known as insomnia

• Excessive daytime sleepiness, known as hypersomnia

• Difficulty paying attention while awake

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• 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.

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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.

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• 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.

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• 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

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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.

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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.

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• 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

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• 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.

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• 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

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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.

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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)

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*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

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…Tips on how to handle children during holidays

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Although school holidays are a great time to relax and rejuvenate they can also be stressful for parents searching for ways to keep children “amused”. So here are my top five tips to survive the school holidays.

  1. Plan activities

Sit down with your kids and plan activities that they can look forward to. Make a list of free activities, activities they can do at home, and activities with a budget. Check your local papers or log the internet to see what’s happening in your area. Put the full list on the fridge and refer kids to the “activities at home” section when you’re hit with the “I’m bored” syndrome!

  • Holiday budget

 Organise a holiday budget and discuss this with the children. It’s important for children to understand that you don’t have a bottomless pit of money and that, in fact, you don’t need lots of money to have fun. You may like to plan some activities with a dollar tag attached but there are plenty of free activities in parks, museums, and libraries.

  • Don’t become a full time entertainer

Don’t fall into the trap of “full time entertainer”. Children need to learn to amuse themselves and to find interesting and fun things to do in a safe environment.

Depending on your child’s age you may need to help them start an activity but don’t take it over. And remember, it’s important to show an interest when your child is busy and absorbed and not just when they’re bored and seeking an audience.

  • Set rules

Set ground rules for computer and TV use such as turn taking and time limits. Although it’s ok for children to watch a little more TV or use the computer more often during the holidays, it’s important that children have a balance of indoor and outdoor activities. Set a time limit and monitor programs and computer games. If turn taking is a problem, set a timer and allocate a time limit for each child.

  • Set child free time

It’s easier to look after children’s needs if we also look after our own needs as parents. Set aside some child free time. Organise a play at a friend’s house or enlist the help of relatives to give you a break. If our own needs as adults are neglected, it’s much more difficult to be calm, patient, and consistent with our children.

-source: informedfamilies.org

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Beyond hangover: How alcoholism affects mental health, children, marriage –Part 2

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Alcohol Addiction And Family Problems Concept. Drunk man sitting on sofa with glass of whiskey while his wife angry with him

Marriage is meant to be a place of rest. A place where two people face the world together, not where one person battles the world alone while the other battles a bottle.

As a marriage counsellor and mental health professional in Accra, I have sat with wives who say, “The man I married disappears every evening,” and husbands who whisper, “I don’t know who I am living with anymore.”

They are not just describing drinking. They are describing alcoholism-and its slow, painful erosion of mental health, trust, and family life.

Let us be clear: Alcohol use is not the same as alcoholism. Many Ghanaians drink socially at funerals, weddings, and weekends without harm. Alcoholism, also called Alcohol Use Disorder, is when drinking becomes compulsive, despite consequences to health, job, and relationships.

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The World Health Organisation (WHO) estimates that alcohol contributes to over three million deaths yearly worldwide, and in Ghana, alcohol-related harm is a growing public health concern.

The hangover fades by morning. The damage to marriage and children does not. This article is a continuation from last week’s edition and is for every spouse, parent, and child living “beyond the hangover.”

C. How alcoholism destroys the marriage itself

Alcohol does not just hurt individuals. It attacks the 3 pillars of marriage:

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1. Trust dies: Broken promises become normal. Money disappears. “I was at work” becomes a lie. Over time, trust erodes and suspicion replaces intimacy.

2. Communication collapses: Sober conversations are impossible when one partner is drunk. Important issues — money, parenting, sex — are either avoided or become fights. The marriage becomes silent or hostile.

3. Intimacy fades: Emotional intimacy dies when one partner is unreliable. Physical intimacy suffers because alcohol reduces libido, causes erectile dysfunction, and creates shame. Many couples become “roommates with resentment.”

4. Financial strain: Beer, spirits, hospital bills, and job loss drain the family budget. Children go without school fees while money is spent on alcohol. This creates a second layer of conflict and hopelessness.

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Marriage counsellors call this “the disease of more.” More drinking, more lies, more damage — until someone says “enough.”

What can you do if alcoholism has invaded your marriage?

This is not about shame. Alcoholism is a medical and psychological condition, not so much a moral failure. Healing is possible, but it requires truth, boundaries, and support.

1. Stop enabling, start supporting recovery 

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Enabling is covering up: paying debts, lying to family, cleaning up messes. Support is different: “I love you, but I will not live with active addiction. I will support you in getting treatment.”

2. Set clear, non-negotiable boundaries 

Example: “I will not argue with you when you’re drunk. I will leave the room. I will not give you money for alcohol. Our children will not be exposed to drunken behavior.” Boundaries protect your mental health and your children.

3. Get professional help from CPAC — for both of you 

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The alcoholic spouse needs medical detox, counselling, and support groups like Alcoholics Anonymous. The sober spouse needs individual therapy to heal from trauma, anxiety, and codependency. Couples therapy only works when the alcoholic is committed to sobriety.

4. Protect the children 

Children need one stable, emotionally healthy adult. Be that adult. Get them counselling if needed. Teach them that “Daddy/Mummy’s drinking is not your fault.” Break the cycle of secrecy by giving them safe adults to talk to.

5. Know when to seek safety

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If drinking leads to violence, threats, or driving under influence with children, safety comes first. Contact police, social welfare, or a trusted family member. In Ghana, the Domestic Violence and Victim Support Unit – DOVVSU can help. No marriage is worth your life.

6. Hope is real, but it requires action 

I have seen marriages recover when both partners do the work. Sobriety + therapy + accountability = healing. I have also seen spouses find peace through separation when addiction refused treatment. Both choices can be acts of love — love for yourself and your children.

A final word to the spouse reading this

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Beyond the hangover is pain. But beyond the pain, there is a path to healing. You did not cause your partner’s alcoholism. You cannot control it. You cannot cure it. But you can choose how you respond.

You deserve a home with peace, not panic. Your children deserve a childhood with memories, not trauma. Your mental health is not a small thing — it is the foundation of your life.

If this article touches your story, please do not suffer in silence. Speak to a counsellor (Counselor Prince & Associates Consult — CPAC), doctor, pastor, or trusted friend today. Naming the problem is the first step toward freedom.

Marriage was designed to be a place of healing, not hurting. And healing is still possible.

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Source: 

Counselor Prince Offei, founder of CPAC, is a leading Mental Health Professional, Marriage Counsellor, Published Author, ADR Expert/Arbitrator, and Spectator Newspaper Columnist. He writes weekly on relationships, marriage, parenting, special needs support, and their connection to mental health and psychological well-being.

For therapy, counselling, mediation, or enquiries, contact Counselor Prince & Associates Consult (CPAC) in Accra on 0559850604 or 0551428486. 

Website: https://princeoffei22.wixsite.com/website

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