Sleep Problems & Sleep Aid
Sleep apnea and other sleep disorders can be treated at an affordable price to enable you to sleep better. About 10% of women and 25% of men suffer from sleep disorders affecting breathing. A Bangkok sleep center and sleep lab has the modern technologies needed to accurately monitor sleep patterns and do a sleep study to diagnose and treat sleep apnea (apnoea) & other types of sleep disorders. They can also stop snoring as well as determine if you are getting sufficient REM sleep and the deep sleep needed to achieve a restful sleep every night. Available are:
- Routine Overnight Polysomnographic Diagnostic Study (PSG);
- Continuous Positive Airway Pressure (CPAP) Titration Study;
- Split-Night Study;
- Multiple Sleep Latency Test (MSLT) or Nap Study;
- Sleep apnea surgery; and
- Snoring treatment
Sleep apnea results from your upper airway collapsing during sleep causing numerous brief interruptions in breathing that in turn cause intermittent deficient oxygenation of the blood (hypoxemia). Snoring can be a symptom but it is not the same.
If you suffer from sleep deprivation you can sleep better by getting effective treatment from a sleep specialist at a Thailand sleep clinic during a seven day visit. Whether it's obstructive sleep apnea or other types of sleep disturbances, they have the skills, experience, training and technology you need to solve your sleep problems and improve your sleep quality.
For example: sleep studies, also called a polysomnogram (PSG), is a sleep lab test to record sleep quality that costs just US$275, including the cost of one night stay in an ISO-certified international hospital. It usually requires you to sleep in a controlled environment at a sleep center. The test monitors your sleep patterns, body position, blood oxygen levels, respiratory events, muscle tone, heart rate, amount of snoring and general sleep behavior during the night, including sleep duration. A technician connects you to various instruments and is in attendance in a nearby room while you doze in the sleep laboratory. In some situations, the study can be done without the presence of a technician.
Sleep apnea is a serious condition associated with daytime sleepiness, narrowing of the coronary artery, high blood pressure, increased risk of heart disease and even sudden cardiac death. In their 8-year study “Sleep-Disordered Breathing and Mortality”, Johns Hopkins University found that men 40-70 with severe sleep disorders affecting their breathing are twice as likely to die from any cause as healthy men the same age.
About 15 million Americans have adult sleep apnea. The countries most concerned about sleep apnea and sleep problems besides the USA are Canada, India, Australia and the UK. The Top 10 American cities most concerned about sleep apnea are: Dallas, Philadelphia, Boston, Minneapolis, St Louis, Atlanta, Orlando, Portland, Seattle and Austin. Residents of those countries and cities are all welcome. Severe sleep apnea raises the risk of dying early by 46% but treatment of your sleep disorders is affordable and there is a direct, 16-hour flight to Bangkok from New York City. India and Australia are a short flight from Thailand. You only need to stay in Bangkok one week.
A routine diagnostic study takes about 6-8 hours per night. Based on the results of your first sleep study, you might need to return for a second study. On the second night the specialist may use a treatment called Continuous Positive Airway Pressure (CPAP). A CPAP Titration Study uses a device connected to an air compressor that gently blows air into your nasal passages to keep the airway and your throat open while the optimal pressure for you is found.
You can arrange an appointment with a specialist, confirm current prices, and ask any specific questions you have for the doctor at the same time by completing and submitting this medical history form here.
- Sleep Apnea | Snoring — Radiofrequency ablation (RFA): US$480
- Sleep Apnea | Snoring — Laser-Assisted Uvulopalatoplasty, including one night hospital stay: US$1,100-1,300
- Sleep Apnea | Snoring — Uvulopharyngopalatoplasty (UPPP), including one nigh hospital stay: US$1,300
- Sleep Apnea | Snoring — Pillar Procedure: US$1,500
- Sleep Study at Sleep Center (including 1 night hospital stay): US$275
- Consultation Fee (doctor's fee): Thai Baht 500-1,000 (US$15-30)
- Hospital Patient Card: Thai Baht 20 (about US$0.61)
Sometime costs can be minimized by participating in a “split-night” test, in which half the night will be used to diagnose your sleep problem and the other half will be used to treat the problem using CPAP.
A Multiple Sleep Latency Test (MSLT) or Nap test can be done the day following a routine diagnostic study. The patient will take five naps during the day and the study can tell how sleepy you are.
Snoring is frequently treated by surgical trimming of the soft tissue at the back of the throat (partial uvulectomy) together with two sessions of radiofrequency ablation of the soft palate tissue. It can significantly reduce severity of snoring immediately and remain effective as long as three years.
Radiofrequency ablation (RFA) delivers high frequency alternating electric current through non-insulated electrodes for about 10 minutes to generate heat that cauterizes a 3 cm spherical area of tissue (coagulative necrosis). The treated tissue remains in place and shrinks within a few months, eventually being replaced by fibrosis and scar tissue.
Uvulopalatopharyngoplasty (which everyone prefers to call UPPP or UP3) is surgical removal of throat tissue that could include removal of tissue from the uvula, soft palate, tonsils, adenoids and/or pharynx. It costs US$1,400.
The Pillar Procedure is minimally-invasive snoring treatment for snoring and sleep apnea that costs US$1,500. This common, simple, safe, short treatment that implants three small polyester into the soft palate is often done in combination with other procedures to achieve the most effective result that will last the longest period of time. The implants provoke your body to to stiffen and increase the structural support of the soft palate to prevent or reduce it's vibration or collapse — both of which can produce snoring or cause sleep apnea.
What procedure(s) would be most appropriate for you can only be determined by a consultation, physical exam and sleep lab test in Bangkok. A sleep lab test must be done before surgery.
The doctor will discuss success rates and operative risks based on the results of the test. Success rate depends on the severity of the obstruction.
Surgery and treatment is performed under general anesthesia and if more than one procedure is required they will be done at the same time.
Hospital stay is usually 2-3 nights.
You will be on antibiotics 2-3 weeks.
You will probably be on intravenous painkillers for two days and oral painkillers for one week.
Patients can return home seven days after treatment if there are no problems or complications.
If you plan to pay by credit card, the hospital recommends patients inform their credit card provider they will be having surgery in Thailand. It is not unusual for credit card companies to block card payments when they notice large amounts are being charged in a foreign country.
A comprehensive list of sleep-related terms and definitions from Alpha Rhythm to Zeitgeber and abbreviations from AHI (Apnea/Hypopnea Index) to WASO (Wake time After Sleep Onset) is available here.