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Not all snoring is created equal

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• Snoring is not only harmful to our physical health but it affects all 6 pillars of wellness especially social wellness

Snoring is not only harmful to our physical health but it
affects all 6 pillars of wellness especially social wellness

    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.

    Snoring is not only harmful to our physical health but it affects all 6 pillars of wellness especially social wellness.
    Snoring is not only harmful to our physical health but it affects all 6 pillars of wellness especially social wellness.

    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)

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    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

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    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.

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    • Awakening with a dry mouth.

    • Morning headache.

    • Difficulty staying asleep, known as insomnia.

    • Excessive daytime sleepiness, known as hypersomnia.

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    • 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.

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    Get checked out. Even children may suffer from sleep apnoea.

    What increases our chance of de­veloping Sleep Apnoea?

    • Excess weight or fat.

    • Neck circumference. People with thicker necks might have nar­rower airways.

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    • A narrowed airway. Tonsils or adenoids also can enlarge and block the airway, particularly in children.

    • Being male. Men are 2 to 3 times more likely to have sleep ap­noea 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 apnoea might increase your risk.

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    • 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 apnoea.

    • 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 apnoea. Polycystic ovary syndrome, hormonal disorders, prior stroke and chronic lung diseases such as asthma also can increase risk.

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    What complications may occur from untreated Sleep Apnoea

    Sleep apnoea is a serious medical condition. Complications of OSA can include:

    • Daytime fatigue. The repeat­ed awakenings associated with sleep apnoea 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.

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    You might also feel quick-tem­pered, moody or depressed. Children and adolescents with sleep apnea might perform poorly in school or have behavior 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 apnoea increases your risk of devel­oping insulin resistance and type 2 diabetes.

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    • 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

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    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.

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    • 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.

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    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)

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    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.’

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    Thought for the week (1) – “I am hard pressed to choose the greatest legal performance enhancing drug. Is it good quality Sleep or Exercise?”

    References:

    1. www.mayoclinic.org

    2. Team at Penn State Health Holy Spirit Sleep Center

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    • Snoring is not only harmful to our physical health but it affects all 6 pillars of wellness especially social wellness.

    By Dr. Kojo Cobba Essel

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    Health Essentials

    My ten + one tips to better sleep

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    Popping pills to sleep will not solve the challenge of correcting sleep wars.

    Sleep comes in different shades. There are those who sleep pretty and hardly move an inch in bed. Then we have those who are virtually at war when in bed and may turn a whole 360 degrees several times in the land of the unknown. Woe betide you if you find yourself in the same “sleep ring” with such a fighter. The most “decorated” ones bring music to sleep and the noise that exudes from their throats, nostrils and mouth could compete with any orchestra except that harmony is often thrown to the wind; those of us who belong to this category know ourselves.

    Inspite of all the above, when I am hard pressed to pick one thing that has the greatest impact on one’s health, I will say SLEEP reigns. Too many challenges spring up when we fail to get enough sleep and it’s no wonder that at the doctor’s office we hear many complaints of not being able to sleep.

    Most of the time the solution is not in popping pills but the Sleep Hygiene Tips below will go a long way to make a difference in your sleep and subsequently your health.

    Sleep hygiene tips

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    1. Create darkness in the room
      1. Sleep is easier when your room is dark. A bright room may be a challenge especially if you already have a bunter with sleep.
    2. Have a Regular sleep plan
      1. Keep to the safe time you go to bed and also time you wake up. Regularity is key.
    3. Ensure room is cool and well ventilated
      1. An extremely hot or cold room may keep you awake just tossing and turning. A nice breeze makes sleep even better.
    4. Wind down or unplug about an hour to bedtime
      1. Rushing throughout the day and then diving into bed may not be the best remedy for sleep. Slow down, start putting off lights, stop working and maybe spend about 5 minutes meditating or speaking to God.
    5. Avoid phones, laptops, work in bed/bedroom
      1. These have no business in your sleep area and should not be in your bed for sure. The glare from lights, the vibrations or sounds from messages and even calls may keep you awake and give you a nightmare with your eyes wide open.
    6. Exercise
      1. Exercise and laugh and you will be preparing yourself for a sound sleep. You may exercise anytime of the day but when you struggle a lot with sleep the ideal time may be four to six hours before bedtime. Exercising an hour or two before you sleep may rather keep you alert and awake.
    7. Watch your food intake; don’t overeat, avoid spicy food and lots of oil
      1. Gluttony is definitely “sinful” and one of the instant punishments is discomfort and difficulty sleeping. A full stomach at bedtime makes one wish for daybreak. The spices can also cause havoc especially when eaten late. That heartburn will wake you up and keep you sitting and cursing all night.
    8. Watch what you drink; stimulants may affect your sleep e.g. caffeine, fizzy drinks, alcohol and energy drinks
      1. If you have trouble with sleep or you do not want your sleep to be disturbed in any way, avoid these 4 clear hours or more before sleep time. ACOHOL deceives you into thinking you will sleep only to wake up early, feeling unrested or making dashes to the washroom.
    9. Discuss with your doctor when to take some of your prescribed medication
      1. Sometimes some medications we are on may cause us to wake up several times to urinate and should preferably be taken much earlier in the day. Others keep us alert over several hours.
    10. Writing your TO DO LIST for the next day relaxes the brain
      1. The brain sometimes will keep “working” in an attempt not to forget what you need to do the following day. Hack your brain by writing down or typing out your To Do List for the following day and you will be blessed with good sleep.
    11. Get professional care to diagnose and manage medical conditions
      1. Sometimes it’s a medical condition that is directly or indirectly depriving us of good sleep and our health professional can help us find and treat this so we can once more enjoy the bliss of the Lotus Eaters. Maybe it could be a medication that is just not right for you.

    Popping pills to sleep in most cases will not solve the challenge and should never be our first line of correcting our sleep wars. Adopt these hygiene tips today even if you sleep well and your health will be on the right path. Not even the decorated bedroom trumpeter or the sleep fighter can take your sleep away from you.

    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/Medics Clinic

    (www.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 – “ A good laugh and a long sleep are the best cures in the doctor’s book.” – Irish Proverb

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    Health Essentials

    Whatever you practice or focus on grows

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    A young woman writing down her goals

    These last few months of 2026, I am embarking on a new journey. Over the past several months I have tried out some aspects of my “new way of life” but not in the manner I am doing now and I am sure you are doing same too. Draft your own points based on what is important to you and let us begin the journey together. It is never too late.

    Many of the things I am working on now are guided by years of interaction with different people, what may be my purpose in my opinion, great family and friends and the type of wisdom that comes only with years.

    1. Self-Care

    Quite often we try to take care of everything and everyone without ensuring we are appropriately “charged”. There is nothing to give out if you are empty. Self-care is NOT a luxury and it has taken me years to appreciate this;

    • I will add a new hobby I have been toying with.
    • Surrounding myself with like-minded people who energise me, make me laugh and be the best version of myself. Building Social capital pays.
    • I am spending quality time with God daily
    • Spending time in nature is key and I ensure that I take much needed breaks
    • Spending a few minutes a day to meditate, exercise and spoil myself sometimes
    • I will have some hours each day that will be blocked out as “no phone time”
    • Keeping a Goal Diary

    Many people have described ways of putting down your goals and seeing them happen. My coach taught me the power of VISUALISATION but over the years I went off that golden path. It’s time to get back. This is what I am doing now;

    • In a diary I am writing everything I want to be or do as long as I have breath. No pressure.
    • I am writing in the present tense; “I am spending an amazing week in a 7-Star resort with the people I love the most”
    • I will look at this list everyday
    • Start a Gratitude Bank

    I listened to this recently and though it was not referred to as a Gratitude Bank, I believe that is exactly what it is

    • I picked a diary to write in but others choose a transparent container to drop in written points. Choose what you are comfortable with.
    • At the end of each week I will write something(s) I am grateful for and put in the container.
    • Whenever I feel “ungrateful” I will read through them to remind myself how blessed I am and surely I will be holding the “evidence”
    • On December 31, I will go through the list irrespective of my mood.
    • Practice. Practice. Practice

    This is exactly as it is – whatever you have written out in your diary to do from self-care through your goals etc. prioritise or focus on a few at a time. As you practice e.g. meditating, exercising, eating right and the many great things you want to do, these will all GROW. Whatever you practice GROWS.

    • Make the world a better place

    I believe that we can make a difference in our corner no matter the challenges.

    • That smile will change someone’s life
    • An act of kindness is contagious and the giver, receiver and all those observing benefit immensely. Let us spread kindness.
    • The Blood Bank on my mind for this year and beyond.

    What are you focusing on, what are you practicing?

    Do share your list with me via email.

    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)

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    Dr. Kojo Cobba Essel

    Health Essentials Ltd/ Medics Clinic

    (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.’

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    Thought for the week –“Never change your originality for the sake of others because no one can play your role better than you. So be yourself. You are the best.” – Unknown

    References:

    1. Unravelling the Essentials of Health & Wealth; Dr. Kojo Cobba Essel
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