Many people think of sleep apnea as a nighttime problem that causes loud snoring and poor sleep. But some people with sleep apnea also notice shortness of breath during the day, when they’re awake. This sensation can be worrying and confusing.
In this article, we’ll explain how sleep apnea can affect daytime breathing. You’ll also learn which other conditions may cause shortness of breath, whether treatment can help, and when breathing trouble is an emergency.
Breathing pauses mainly happen at night. But sleep apnea can contribute to shortness of breath during the daytime too.
Obstructive sleep apnea (OSA), the most common type, causes repeated upper airway collapse during sleep. This leads to airway blockages, drops in blood oxygen levels and disrupted breathing patterns.
Another type of sleep apnea called central sleep apnea (CSA) happens when signals from the brain that control breathing don’t work properly. This leads to repeated pauses during sleep.
Over time, these nighttime breathing problems can affect how the lungs, heart, and breathing muscles feel and function during the day. It may lead to daytime symptoms such as:
Shortness of breath during the day can look and feel different for everyone, especially depending on what’s causing it.
Several changes in the body caused by sleep apnea may help explain shortness of breath in the daytime.
During sleep apnea events, breathing stops and becomes shallow. This lowers oxygen levels in the blood. In people with moderate to severe sleep apnea, these drops can happen more than 30 times per hour.
Repeated nighttime oxygen drops lead to unstable oxygen levels and even low oxygen levels in the blood, a condition known as hypoxemia. Sometimes hypoxemia can cause symptoms such as shortness of breath or trouble breathing.
Interrupted breathing also allows carbon dioxide to build up in the blood, a condition called hypercapnia. High carbon dioxide levels can increase the brain’s drive to breathe and contribute to shortness of breath.
Sleep apnea causes repeated cycles of low oxygen levels. This may trigger low-grade inflammation throughout the body. Inflammation can make airways more sensitive and increase discomfort when breathing during the day.
During apnea events, the lungs have to work harder to continue breathing. This can put your body under stress and result in high blood pressure. Such stress can damage blood vessels and lung tissues in the body over time, making shortness of breath more likely.
Not all daytime shortness of breath in people with sleep apnea is caused by sleep apnea itself. Many heart, lung, blood, and mental health conditions can also cause breathing difficulties.
Many of these conditions can happen alongside sleep apnea. That’s why it’s important to be evaluated by a doctor if you notice daytime breathing problems.
For some people, treating sleep apnea can improve breathing comfort during the day. Targeting sleep apnea directly is often the first step toward easing breathing symptoms that linger into the day.
Continuous positive airway pressure (CPAP), a common treatment option for sleep apnea, keeps the airway open during sleep and prevents apnea events. Studies show that CPAP treatment can improve oxygen levels, reduce inflammation, and decrease the risk of heart complications, all of which may ease shortness of breath.
If CPAP isn’t an option for you, treatment alternatives such as oral appliances, weight loss, positional therapy, or surgery may help. They can often reduce sleep apnea severity and potentially improve symptoms like daytime shortness of breath, but there is much less available research to show that it does.
Your healthcare provider can advise you on whether sleep apnea treatment is likely to help ease your shortness of breath. If it’s due to underlying causes, such as lung disease or heart problems, you’ll need to address those to reduce your symptoms.
Sometimes shortness of breath can signal a life-threatening problem, and there are symptoms that should never be ignored.
No matter your sleep apnea history, sudden or severe breathing changes should always be treated as urgent.
Sleep apnea's effects don’t always go away when the sun comes up. Through low oxygen levels, airway inflammation, and increased breathing effort during the night, sleep apnea can cause breathing discomfort that follows you through the day.
Achieving restful sleep through effective sleep apnea treatment may be one of the most important steps toward easing those daytime symptoms. That said, shortness of breath is rarely due to one single cause. Working closely with your doctor to rule out heart, lung, or other contributing conditions is just as important as treating the apnea itself.
If you have sleep apnea and notice ongoing breathing difficulties during the day, don’t brush it off. Follow up with your healthcare provider, and seek emergency care right away if you notice any breathing trouble that feels sudden, severe, or different from usual.
On MySleepApneaTeam, people share their experiences with sleep apnea, get advice, and find support from others who understand.
How do you manage daytime breathing symptoms related to your sleep apnea? Let others know in the comments below.
Get updates directly to your inbox.
Become a member to get even more
This is a member-feature!
Sign up for free to view article comments.
We'd love to hear from you! Please share your name and email to post and read comments.
You'll also get the latest articles directly to your inbox.