Man sleeps using a Sleep Apnoea CPAP Machine

Understanding Sleep Apnoea and the Epworth Sleepiness Scale (ESS)

Sleep plays a crucial role in our overall well-being and health. However, numerous individuals suffer from sleep disorders which disrupt their rest, potentially leading to severe health problems. Among the most prevalent and hazardous sleep disorders is sleep apnoea. At CAS Medical, our aim is to help you develop an understanding of sleep apnoea, recognise its warning signs, and take proactive measures to safeguard your health.


The Dangers of Sleep Apnoea

Sleep apnoea is characterised by repeated cessations and restorations of breathing during sleep. These pauses in breathing can range from a few seconds to minutes and can occur 30 times or more an hour, resulting in fragmented sleep and lower blood oxygen levels. This condition can have severe implications for one's health.


Associated Health Risks

If left untreated, sleep apnoea can significantly increase the risk of:

  • Hypertension: Recurring episodes of low oxygen levels during sleep can contribute to the development of high blood pressure.
  • Cardiovascular Disease: The strain of repeated awakenings can tax the heart, increasing the likelihood of heart attacks, arrhythmias, and other cardiovascular issues.
  • Stroke: Sleep apnoea can substantially elevate the risk of suffering a stroke.
  • Type 2 Diabetes: There exists a strong link between sleep apnoea and type 2 diabetes due to the body's inability to regulate blood sugar levels properly.
  • Depression: Sleep disruptions can have a negative impact on mental health, potentially leading to depression and anxiety.
  • Daytime Fatigue: Poor sleep quality can result in severe daytime drowsiness, heightening the risk of accidents at work or while operating a vehicle.


Warning Signs of Sleep Apnoea

Early recognition of the warning signs of sleep apnoea is crucial for timely diagnosis and treatment. Here are some common symptoms:

  • Loud Snoring: Often noticed by a bed partner, chronic and loud snoring is a common indicator.
  • Gasping for Air During Sleep: Witnessed by others, this can signify interrupted breathing.
  • Morning Headaches: Frequent headaches upon waking up are a potential warning sign.
  • Excessive Daytime Sleepiness: Feeling excessively sleepy during the day, even after a full night's sleep.
  • Difficulty Concentrating: The condition can lead to cognitive issues and problems with memory.
  • Irritability: Mood swings and irritability are often caused by poor sleep quality.


Understanding Obstructive Sleep Apnoea (OSA)

The most common form of this condition is Obstructive Sleep Apnoea (OSA). OSA occurs when the muscles in the back of the throat relax excessively, blocking the airway. The severity of OSA can vary:

  • Mild OSA: Characterised by 5-15 episodes of interrupted breathing per hour.
  • Moderate OSA: Involving 15-30 episodes per hour.
  • Severe OSA: Characterised by more than 30 episodes per hour.

The severity of OSA significantly impacts overall health. Individuals suffering from severe OSA are at higher risk for the aforementioned health issues and should seek immediate medical attention.


Undiagnosed Cases in the UK

Sleep apnoea is underdiagnosed, with many individuals being unaware that they suffer from this condition. In the UK alone, it is estimated that millions of people have sleep apnoea, but a large number of cases remain undiagnosed. This lack of awareness can lead to untreated conditions, putting individuals at risk of the serious health complications mentioned earlier.


The Epworth Sleepiness Scale (ESS)

One effective tool to assess your risk for sleep apnoea is the Epworth Sleepiness Scale (ESS). Developed by Dr. Murray Johns, the ESS is a simple, self-administered questionnaire that helps measure daytime sleepiness. It consists of eight questions that ask about your likelihood of dozing off in various daily situations.

Here’s how it works…

The ESS prompts you to rate, on a scale from 0 to 3, your usual chances of dozing off or falling asleep while engaged in eight different activities, such as:

  • Sitting and reading
  • Watching TV
  • Sitting inactive in a public place
  • As a passenger in a car for an hour without a break
  • Lying down to rest in the afternoon
  • Sitting and talking to someone
  • Sitting quietly after lunch without alcohol
  • In a car, while stopped for a few minutes in traffic.

Your total ESS score can range from 0 to 24. A higher score indicates a greater degree of daytime sleepiness, which could suggest the presence of a sleep disorder like sleep apnoea.

What to Do If You Are at Risk

If you suspect you might have sleep apnoea, or if you score high on the ESS, it's crucial to take action. Here are some steps you can take:

Measure Your Risk

Make use of free self-assessment questionnaires online to evaluate your risk level. Some available resources include the STOP-BANG questionnaire and OSA Partnership Screening Tool.

Schedule a Consultation

Contact CAS Medical for a comprehensive evaluation. Our experienced team can provide a detailed assessment and discuss your symptoms. We offer personalised care to diagnose and manage sleep apnoea effectively.

Participate in a Sleep Study

A sleep study, or polysomnography, is the gold standard for diagnosing sleep apnoea. This test monitors your breathing, oxygen levels, and other vital signs overnight to identify any sleep disorders. Speak to us about getting you on a sleep study via our vast network of private medical practitioners and facilities. It costs less than you think, and the reward it offers can be critical to a better quality of life.

Explore Treatment Options

  • If diagnosed with sleep apnoea, several treatment options are available:
  • Lifestyle Changes: Weight loss, quitting smoking, and avoiding alcohol can improve symptoms.
  • Continuous Positive Airway Pressure (CPAP): This device delivers air pressure through a mask to keep your airways open while you sleep.
  • Oral Appliances: These devices help keep your throat open by repositioning your jaw or tongue.
  • Surgery: In some cases, surgery might be necessary to remove tissue or correct structural issues causing the apnoea.


Take Action Today

Don't let sleep apnoea go undiagnosed and untreated. It's time to take control of your health and ensure you get the restful sleep you need. If you or a loved one is experiencing symptoms of sleep apnoea, or if you score high on the ESS or similar self-assessment, reach out to us at CAS Medical sooner rather than later. Our experts are here to help you diagnose and manage sleep apnoea, providing you with the best possible care.

Contact us today and schedule a consultation to start your journey to better sleep and better health.

Take Control of Your Liver Health with FibroScan

Tireless. Versatile. Vital. That's your liver - an unsung hero toiling behind the scenes, every minute of every day, to keep your body running smoothly. This mighty organ tackles a staggering array of essential tasks. In this article, we’ll explore the dangers of neglecting your liver and a revolutionary early detection procedure, FibroScan.

From filtering toxins and metabolising medications, to regulating blood clotting and cholesterol levels, the liver does it all. Yet how often do you actually stop to appreciate what a workhouse you liver is? Likely not enough. And that’s a problem, because an alarming number of people are unknowingly living with a condition that puts undue stress on this all-star organ: non-alcoholic fatty liver disease (NAFLD). In fact, a staggering 1 in 4 adults in the UK has NAFLD, with obesity and diabetes being leading risk factors. The scary part? Most don’t experience any symptoms whatsoever… until it’s too late.


Dangers of Not Addressing Fatty Liver Disease

Left unchecked over time, NAFLD can progress into something far more severe – hepatic fibrosis (scarring), cirrhosis, liver failure, even cancer. A fate no liver deserves after its lifetime of tireless service to your health. That’s why at CAS Medical, we’re determined to empower you with the resources to take true control of your liver’s wellbeing.


Introducing FibroScan – Your Window to Liver Health

Through our partnership with LiverScan, we offer this cutting-edge FibroScan technology. A specialised ultrasound imaging that literally opens a window into the state of your liver. This quick, painless, non-invasive scan deploys safe shear wave technology to assess your liver for fat deposition and fibrosis levels – two key risk factors that can progress to chronic, irreversible damage if left unchecked.

But FibroScan isn’t just a high-tech diagnostic tool. It’s an empowerment tool, designed to shed light on your liver health before it takes a turn for the worse.


From Insight to Tailored Action

After undergoing your FibroScan, our experienced medical team will comprehensively review the results with you. We’ll translate those insights into a personalised plan for monitoring and actively improving your liver health through lifestyle adjustments.

If warranted, we can also coordinate additional diagnostic liver tests or specialist referrals. Our holistic approach also evaluates metabolic factors like obesity, diabetes, and diet that frequently co-occur with NAFLD. Identifying connections is key for sustained lifestyle changes.

Crucially, the FibroScan gives you a quantitative baseline to track progress. Routine follow-up scans provide measurable feedback on how effectively your efforts are reducing liver fat and fibrosis over time. This motivating data holds you accountable while celebrating wins along your recovery journey.


Be Proactive, Not Reactive

The sobering truth? Millions of people in the UK have NAFLD and don’t realise it due to a lack of symptoms. Early detection is paramount for protecting your liver’s vital role. Through our convenient FibroScan package (just £375), you can gain unprecedented insights into your liver health and take proactive steps to optimise it. No more guesswork.

After all, your liver is the ultimate unsung hero of your health. It’s time to stop taking this overachieving organ for granted.

Contact CAS Medical today to schedule your FibroScan – because when it comes to your liver, an ounce of prevention is worth a pound of cure.

Unveiling CAS Medical’s New Website

Let me be the first to welcome you to the brand new website for CAS Medical. We've rebuilt this platform with our patients and visitors at the heart of it all. Making your healthcare experience as seamless and informative as possible drove every decision behind

What can you expect? Clean navigation that gets you where you need to go without the endless searching. Clearly defined sections to explore details on our wide range of medical services.

But that’s just the start. Over time, you’ll uncover a wealth of reliable, easy-to-understand health resources. Regular blog updates put timely news, practical healthy living guidance, overviews of common conditions, and previews of cutting-edge medicine/healthcare solutions right at your fingertips. Consider it your go-to source for credible, ad-free health content from experienced medical professionals with only your optimal health in mind.

Whether you’re a longtime CAS patient or looking to join our community, I encourage you to spend some time exploring our new digital home. Bookmark and make it a habit to stay informed and engaged with your healthcare.

We’re excited to start building a legacy of trusted, compassionate care through this new online experience. Your health is our priority – that will never change. What has evolved is how we empower you with the resources and connectivity to play an active, educated role in your personal wellbeing.

Additionally, we’ve taken things a step further by also launching our CAS Medical LinkedIn business page. Stay connected by following us for regular updates on LinkedIn and other social media platforms.

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We’re here for you, whether through the website, social media, or by phone. You’ve got a partner in you journey to optimal health and wellbeing.

If you have any questions or would like to schedule an appointment, please don’t hesitate to contact us through our Contact Form or by calling us on 0141 280 6956.

We appreciate your time reading this and hope that you choose CAS Medical as your healthcare partner. We look forward to serving you.

With heartfelt optimism,
Dr. Chris Sockalingam