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<ul class="summary-list"><li>"The Real" co-host Jeannie Mai underwent emergency <keyword id="26785" type="PERSON" weightage="60" keywordseo="surgery">surgery</keyword> after being diagnosed with epiglottitis Sunday evening.</li><li>Epiglottitis is a potentially life-threatening condition caused by swelling in the throat.</li><li>It occurs when the <keyword id="1470839" type="PERSON" weightage="60" keywordseo="epiglottis">epiglottis</keyword>, a cartilage flap that covers the windpipe, becomes inflamed and blocks the airway.</li></ul>Jeannie Mai's "<a href="https://www.insider.com/celebrities-who-competed-on-dancing-with-the-stars-2018-9">Dancing with the Stars</a>" journey came to an abrupt end when she required emergency surgery this week."The Real" co-host, 41, underwent an operation after being diagnosed with epiglottitis, a potentially life-threatening swelling in the throat, Sunday evening. She opened up about her condition in a video that aired during Monday night's episode of DWTS."I found out that I have a <a href="https://www.medicalnewstoday.com/articles/324049#summary">throat abscess</a>, where my tonsils and my throat had gotten so infected that it started permeating to the rest of the areas behind my neck and my ears that I had to get emergency surgery, which is why I'm here now," Mai said from her <keyword id="6358650" type="UNKNOWN" weightage="60" keywordseo="hospital">hospital</keyword> bed.The remaining DWTS contestants dodged a double elimination due to Mai's early exit, while the talk show host avoided a worse fate. Mai's doctor told her that if she had waited one more day before going to the hospital, her throat would have closed up, <a href="https://people.com/tv/jeannie-mai-throat-closed-up-waited-go-hospital-dwts/">People</a> reported."I am heartbroken that my DWTS journey has to end here. The last several weeks have been an amazing learning experience. I have pushed myself to new limits physically and mentally, and I am so proud of how far we've come," Mai said in a statement to People.Here's what you need to know about epiglottis, the rare but life-threatening condition that landed Mai in the hospital.<h2>Epiglottitis occurs when there is swelling at the top of the vocal cords</h2>Epiglottitis, with the ending "-itis" meaning inflammation, is characterized by swelling of the epiglottis, a cartilage flap that sits beneath the tongue and just above the vocal cords.The epiglottis prevents food from entering the windpipe during swallowing. The spoon-shaped flap is there to protect your airway, but any swelling in the area could block your breathing.Sam Huh, MD, chief of otolaryngology at Mount Sinai Brooklyn, said people with epiglottitis usually present with drooling, trouble swallowing, and sometimes leaning forward to prevent the flap from blocking the airway entirely. Other symptoms of epiglottitis can include fever, <a href="https://www.insider.com/how-to-get-rid-of-a-sore-throat">sore throat</a>, difficulty breathing, or a high-pitched noise when breathing in, according to <a href="https://www.mayoclinic.org/diseases-conditions/epiglottitis/symptoms-causes/syc-20372227">Mayo Clinic</a>. <h2>The condition is rare nowadays, but still dangerous</h2>Huh told Insider that epiglottitis used to be more common in children, who sometimes developed the condition after contracting Haemophilus influenzae type b (Hib). Most kids today get <a href="https://www.insider.com/how-do-vaccines-work">vaccinated</a> for Hib, which can also cause pneumonia, meningitis, and blood infections. Nowadays, adults can develop epiglottitis due to an infection or abscess in the area, such as in Mai's case, or due to injury such as smoke inhalation or swallowing something hot. Early diagnosis of epiglottitis is key to managing it, Huh said. Any problems with breathing or swallowing merit a trip to the emergency room, and the person who is struggling should sit upright and stay quiet so they can continue to breathe. "People do die from this," Huh said. "If you don't get to the hospital or emergency room or go to the doctor right away, it could be a day or even sometimes hours can make the difference between life and death."Read more:<a href="https://www.insider.com/can-you-get-strep-throat-without-tonsils">Yes, you can still get strep throat even if your tonsils are removed</a><a href="https://www.businessinsider.com/difference-between-coronavirus-symptoms-flu-allergies-common-cold-chart-2020-9">How coronavirus symptoms differ from the flu, allergies, and common cold, in one chart</a><a href="https://www.insider.com/celebrities-recovered-from-coronavirus">Celebrities who have recovered from the coronavirus</a>

Jeannie Mai quit Dancing with the Stars to have emergency surgery for epiglottitis. Here's what you need to know about the throat condition.

<ul class="summary-list"><li>A neurointensivist has invented a $14 straw that may cure hiccups, nine times out of 10.</li><li>He thinks it works by "fooling the brain," to reset the diaphragm. </li></ul>Suck on a lemon. Hold your breath. <a href="https://www.youtube.com/watch?v=Bd5lr1Aj97I">Drink water</a> from the far side of the cup. Home remedies for hiccups don't have a great track record. But Dr. Ali Seifi, a <a href="https://lsom.uthscsa.edu/neurosurgery/ali-seifi-md-facp-fncs-invents-device-to-stop-hiccups/">neurointensivist</a> from the University of Texas at San Antonio, thinks he's invented something that can do much better. It's just a straw - that you have to suck on really hard."For thousands of years, human beings, and all the mammals, they have hiccups, but nobody thinks that, 'oh, this is a simple way you can stop the hiccup!'" he told Insider of his invention, which requires patients to execute a forceful, <a href="https://hiccaway.com/medical/">diaphragm-contracting suction</a> - about four times harder than they would suck on a regular straw.<h2>Hiccups are a diaphragm spasm</h2>Seifi has seen how debilitating, hiccups can be. He's gotten them while he's teaching medicine, seen people in intensive care with head trauma suck down glass after glass of water trying to get them to go away, and watched cancer patients dealing with hiccups as a <a href="https://www.cancer.org/treatment/treatments-and-side-effects/physical-side-effects/hiccups.html#:~:text=In%20people%20with%20cancer%2C%20certain,last%20more%20than%20a%20month.">side effect of their chemotherapy treatments</a>. Hiccups are a chain reaction that begins when your diaphragm (the umbrella-like muscle under your rib cage that pulls air into your lungs) spasms. This is often triggered by a stimulus like spicy food, a drink, stress, or a drug.The <a href="https://www.britannica.com/science/diaphragm-anatomy">spasm</a> forces the brain to send a frantic "SOS!" to the vagus nerve, which controls the <a href="https://medlineplus.gov/ency/anatomyvideos/000126.htm">epiglottis. </a>The epiglottis is a crucial little flap at the back of your throat that organizes food into the esophagus and air into the lungs.This alert forces the epiglottis to seal itself shut, <a href="https://www.health.qld.gov.au/news-events/news/what-causes-how-to-cure-hiccups#:~:text=Your%20diaphragm%2C%20the%20band%20of,producing%20that%20infamous%20hiccup%20squeak.">creating the "hic" sound at the end of a hiccup</a>.Seifi says our <a href="http://news.bbc.co.uk/2/hi/health/2730251.stm">evolutionary ancestors needed this one-two punch move</a>, but we don't."It will take thousands and millions of years until this useless reflex goes away," he said.In the meantime, his new device - a $14 reusable straw called the HiccAway - is here.According to Seifi's latest research, released in the journal <a href="https://jamanetwork.com/journals/jamanetworkopen/currentissue">JAMA Network Open on Friday</a>, his straw cures hiccups more than nine times out of ten.<h2>92% success rate </h2><div type="image" title="hiccaway thick straw for curing hiccups pictured in a cup" height="2016" width="1512" msid="83641089" hostid="261"></div>For the study, Seifi and his team deployed 290 HiccAway straws to homes around the world. Then, the researchers waited around to see who got the hiccups. Out of 249 hiccuppers who tried HiccAway, <a href="https://www.amazon.com/HiccAway-Hiccup-Relief-Hiccups-Treatment/product-reviews/B08C1Y3GRC/ref=cm_cr_dp_d_show_all_btm?ie=UTF8&amp;reviewerType=all_reviewsiews">more than 90% said HiccAway worked</a>, and that they preferred it to home remedies. The design for HiccAway was inspired by Seifi's son's McFlurry straw (the "very, very first prototype," he called it). Now it's a patent-pending device the doctor carries around with him at all times. It's the kind of thing you could store in a cabinet next to a household thermometer, he says.Dr. Seifi is not a hard salesman for his straw. He says you can try to make one from a McFlurry spoon by sealing up most of the small circular hole at the top, so it's a tinier opening.To ensure that it isn't just a gimmick, Seifi is planning a gold standard randomized controlled trial with hiccup experts in Switzerland and Japan. They will test HiccAway straws against identical decoys among hundreds of hiccup-sufferers.He believes the straw does work, and it does its job by "fooling the brain" to stop the vicious cycle between the phrenic nerve (controlling the diaphragm) and the vagus nerve (controlling the epiglottis). Users have to both contract their diaphragm (to suck) and close their epiglottis (to swallow). "The diaphragm keeps being occupied by our intention of suctioning the water. Then, the brain forgets to keep spasming that diaphragm."

A doctor turned a McDonald's straw into a hiccup cure that has 92% efficacy, a new study finds

<ul class="summary-list"><li>Sleep apnea is a common sleep disorder that can lead to serious health complications if left untreated. </li><li>To treat sleep apnea, you may need to use a CPAP machine, a special oral appliance, or make a few key lifestyle changes. </li><li>Here's how to identify the symptoms of sleep apnea and get the proper treatment. </li><li>This article <a href="https://www.insider.com/insider-medical-review-board" target="_blank" rel="noopener">was medically reviewed</a> by <a href="https://www.doctorrajd.com/" target="_blank" rel="noopener">Raj Dasgupta, MD</a>, an associate professor of clinical medicine in the division of pulmonary, critical care, and sleep medicine at Keck School of Medicine of USC. </li></ul><a href="https://www.nhlbi.nih.gov/health-topics/sleep-apnea" target="_blank" rel="noopener">Sleep apnea</a> is a condition where people stop breathing, fully or partially, while they are sleeping. There are two main types of sleep apnea: obstructive sleep apnea and central sleep apnea. Obstructive sleep apnea is the most common type, affecting 26% of American adults ages 30 to 70 and nearly 1 billion people worldwide. If left untreated, it can increase your risk of long-term health problems, such as heart disease and type 2 diabetes. This article will focus on obstructive sleep apnea and teach you how to recognize the warning signs and seek proper treatment.<h2>What is obstructive sleep apnea? </h2><a href="https://www.sleepapnea.org/learn/sleep-apnea/obstructive-sleep-apnea/" target="_blank" rel="noopener">Obstructive sleep apnea</a> (OSA) is the most common type of sleep apnea. It occurs when the tongue falls back onto the soft palate (the area at the back of the mouth and top of the throat). The soft palate pushes to the back of the throat, fully or partially blocking the airway. OSA is associated with poor long-term health outcomes. This includes a higher risk of<a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3096276/#:~:text=Undetected%20obstructive%20sleep%20apnea%20can,appliances,%20and%20several%20surgical%20procedures." target="_blank" rel="noopener"> many health complications</a>, such as high blood pressure, heart attacks, strokes, depression, and early death. And it can also pose short-term health dangers. "The increased sleepiness from OSA can also lead to increased<a href="https://www.sleepapnea.org/learn/sleep-apnea/" target="_blank" rel="noopener"> motor vehicle accidents</a> and work-related injuries," says<a href="https://aeroflowinc.com/about/" target="_blank" rel="noopener"> Kelli Randell</a>, MD, a medical advisor for Aeroflow Healthcare, a medical equipment supplier.<h2>Obstructive sleep apnea symptoms</h2>The main<a href="http://sleepeducation.org/essentials-in-sleep/sleep-apnea/symptoms-risk-factors" target="_blank" rel="noopener"> symptoms of OSA</a> include:<ul><li>Loud snoring</li><li>Choking during the night</li><li>Daytime sleepiness because of sleep interruptions</li><li>Morning headaches</li><li>Trouble sleeping all night</li></ul>You might also notice other medical conditions like high blood pressure getting worse, says<a href="https://wexnermedical.osu.edu/find-a-doctor/steven-holfinger-md-79606" target="_blank" rel="noopener"> Steven Holfinger</a>, MD, a sleep medicine expert at The Ohio State University Wexner Medical Center. For example, your <a href="https://www.insider.com/guides/health/conditions-symptoms/how-to-read-blood-pressure" target="_blank" rel="noopener">blood pressure readings</a> may increase as a result of OSA. If you're experiencing these symptoms, "You should talk with your primary care doctor or see a sleep specialist for further care," Holfinger says. In most cases, physicians will conduct a<a href="https://www.sleepapnea.org/treat/getting-sleep-apnea-diagnosis/" target="_blank" rel="noopener"> sleep study</a> to diagnose sleep apnea. During the sleep study your breathing will be monitored and doctors will measure two main factors:1. Apneas where you do not breath for at least 10 seconds.2. Hypopnea where you have restricted breathing for at least 10 seconds at a time.If you have<a href="https://www.sleepapnea.org/treat/getting-sleep-apnea-diagnosis/"> five or more apneas or hypopneas</a> per hour, you will likely be diagnosed with sleep apnea. If you have 30 or more you'll be considered to have severe sleep apnea. <h2>How to treat sleep apnea </h2>After diagnosis, you should work with your doctor to learn how best to treat your sleep apnea. Treatment commonly includes a mix of lifestyle changes, therapies, appliances, or surgeries, such as: <h3>Lifestyle changes</h3>A few key lifestyle changes can help lessen the symptoms of sleep apnea. In most cases, your doctor may recommend these steps on top of other medical treatment: <ul><li>Losing weight. Sleep apnea is closely linked with obesity: about<a href="https://obesitymedicine.org/obesity-and-sleep-apnea/#:~:text=About%2070%25%20of%20adult%20OSA,to%20their%20normal-weight%20peers." target="_blank" rel="noopener"> 70% of people</a> with OSA are obese. In fact, losing 10% of your body weight is linked to a<a href="https://obesitymedicine.org/obesity-and-sleep-apnea/#:~:text=About%2070%25%20of%20adult%20OSA,to%20their%20normal-weight%20peers." target="_blank" rel="noopener"> 20% reduction</a> in OSA symptoms. </li><li>Reducing alcohol intake. Consuming alcohol is associated with an<a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5840512/" target="_blank" rel="noopener"> increased risk</a> for sleep apnea, and avoiding alcohol can help reduce OSA symptoms and prevent it from getting worse. </li><li>Changing <a href="https://www.insider.com/what-is-the-best-sleeping-position" target="_blank" rel="noopener">sleep position</a>. Specifically, you'll want to avoid sleeping horizontally on your back to help keep your airway clear and treat OSA.<a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5700252/" target="_blank" rel="noopener"> Elevating your head and upper body</a> during sleep — or even<a href="https://jcsm.aasm.org/doi/10.5664/jcsm.4458" target="_blank" rel="noopener"> taping a tennis ball</a> to the back of your shirt to avoid sleeping on your back — can lead to significant short-term improvements for sleep apnea. </li></ul><h3>CPAP therapy</h3>A continuous positive airway pressure (CPAP) machine is a mask that fits over your face and lightly blows air into your soft palate as you sleep. This gentle pressure is enough to keep the airway from falling closed in patients with OSA, and sometimes, it's the only treatment you'll need. "It's the most effective, nonsurgical treatment for patients. CPAP is considered first-line treatment," Randell says. "Most patients will experience better sleep and quality of life with use of CPAP by itself."Since CPAPs are currently the best treatment for OSA, people with the condition should ideally use this machine diligently until their sleep troubles resolve.However, many people do not use CPAPs as prescribed because they find the machines bothersome or uncomfortable. A <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4992257/" target="_blank" rel="noopener">scientific review</a> from 2016 found that more than 34% of people with a CPAP machine didn't adhere to the use their doctor had prescribed. <h3>Oral appliances</h3><a href="https://www.sleepapnea.org/treat/sleep-apnea-treatment-options/" target="_blank" rel="noopener">Oral appliances</a> are worn like a mouth guard or a retainer while sleeping. These can push the lower jaw forward and help keep the airway open."A moderate number of patients have successful treatment with these devices," Randell says. "The biggest complaint about oral appliances is discomfort." However, some people may find them more comfortable than CPAP machines.There are more than 100 of these appliances approved by the FDA for sleep apnea treatment. Your doctor will be able to guide you best when selecting and getting fitted for one of these oral appliances. <h3>Surgical treatments</h3><a href="https://www.sleepapnea.org/treat/sleep-apnea-treatment-options/sleep-apnea-surgery/" target="_blank" rel="noopener">Surgical treatments</a> for sleep apnea can be effective, especially for those who have tried a CPAP machine or oral appliances and found that they were too uncomfortable to use consistently. Surgery — which usually includes removing the tonsils — is a common treatment for sleep apnea in children, Holfinger says. "For adults, surgery is much less common but may be necessary when sleep apnea is severe and other treatments have failed," Holfinger says. "The surgical options are meant to either remove or reposition tissue to further open the airway." Here are common surgical options, according to Randell:<ul><li>Nasal surgeries are used for patients who have a nasal obstruction contributing to OSA, but they are not considered effective for patients without that specific contributing factor. </li><li>Upper airway surgeries, like <a href="https://stanfordhealthcare.org/medical-treatments/p/palate-surgery/types/uppp.html" target="_blank" rel="noopener">uvulopalatopharyngoplasty</a> (UPPP), removes extra tissue from the upper airway, while a <a href="https://my.clevelandclinic.org/health/treatments/15605-tonsillectomy" target="_blank" rel="noopener">tonsillectomy</a> removes the tonsils. The effectiveness of these surgeries depends on the patient, and can range from 30% to 80%, Randell says. </li><li>Lower pharyngeal and laryngeal procedures, such as tongue reduction or advancement, mandibular advancement, or epiglottis replacement change the structure of the mouth and palate to prevent blockage of the airway. These often require more than one procedure and are effective in 35% to 65% of patients, Randell says. </li><li>Tracheostomy allows the lungs to access air from a hole in the throat, bypassing the airway. This is an extreme but very effective surgery, usually reserved for the most severe cases of sleep apnea. </li></ul><h2>The bottom line </h2>Learning to treat and manage your OSA is an important step for protecting your long-term health. If you suspect you have sleep apnea, you should speak with your doctor and find a treatment that works for you to avoid the more serious health complications of sleep apnea, like high blood pressure or heart disease. "Generally, sleep apnea should be considered a treatable condition, as there are multiple approaches available to control it on a nightly basis," says Holfinger. <h2>Related articles from <a href="https://www.insider.com/health-reference" target="_blank" rel="noopener">Health Reference</a>:</h2><ul><li><a href="https://www.insider.com/why-am-i-always-tired" target="_blank" rel="noopener">Why am I always tired? The main causes of sleepiness and fatigue</a></li><li><a href="https://www.insider.com/is-too-much-sleep-bad" target="_blank" rel="noopener">Is too much sleep bad? How oversleeping could signal something is wrong</a></li><li><a href="https://www.insider.com/natural-remedies-for-insomnia" target="_blank" rel="noopener">5 natural home remedies for insomnia that can help you get better sleep</a></li></ul>

How to treat sleep apnea and prevent long-term health complications

<ul class="summary-list"><li>Brazilian President Jair <keyword id="4759201" type="PERSON" weightage="60" keywordseo="bolsonaro">Bolsonaro</keyword> is in the hospital with chronic hiccups and stomach pain. </li><li>The far-right leader has had trouble public speaking in recent days.</li><li>The hiccups could be related to a hernia, medication, surgeries after a stabbing, or something else.</li></ul>Brazilian President Jair Bolsonaro is in the hospital after an unending <a href="https://www.insider.com/how-to-stop-hiccups-doctor-invented-straw-hiccaway-2021-6">bout of hiccups</a> has left him with abdominal pain. Bolsonaro, who's had hiccups for more than 10 days, will be monitored and tested for up to 48 hours, though he may not stay in the hospital that whole time, a representative said, <a href="https://www.cnn.com/2021/07/14/americas/bolsonaro-hospital-hiccups-gbr-intl/index.html">according to CNN</a>. His administration said he's in good spirits, <a href="https://www.theguardian.com/world/2021/jul/14/bolsonaro-brazil-hospital-hiccups">the Guardian reported</a>. The hospitalization is the latest <keyword id="6354750" type="UNKNOWN" weightage="100" keywordseo="health">health</keyword> issue for the far-right leader, who over the past few years has been stabbed, contracted COVID-19, and, most recently, had difficulty speaking in public. <h2>Bolsonaro's shaky health</h2>Bolsonaro's unrelenting hiccups have interrupted recent public appearances. On social media last Thursday, he said he'd had the hiccups for over a week and might not be able to speak properly. On Friday,<a href="https://www.correiobraziliense.com.br/politica/2021/07/4936725-bolsonaro-passa-mal-e-abandona-jantar-com-empresarios-no-rs-afirma-site.html">a local outlet reported</a> he had to leave a dinner due to illness. Then, on Tuesday, he told supporters he was "voiceless" and that if he talks too much, the hiccups return. It's unclear what's causing the hiccups, but CNN said Bolsonaro has tied it to a medication he took after dental implant surgery. The outlet also said the president has an abdominal hernia that doctors are considering surgically removing. It's also possible the leader's abdominal issues are related to the surgeries he underwent after <a href="https://www.businessinsider.com/far-right-brazilian-politician-jair-bolsonaro-nearly-stabbed-to-death-at-rally-2018-9">being stabbed ahead of the 2018 election</a>. The crime punctured Bolsonaro's organs, leaving him "almost dead," his son reported on social media.Hiccups are often triggered by something like a spicy food, stress, or a drug, which cause a spasm that sends a signal to the nerve that controls the <a href="https://medlineplus.gov/ency/anatomyvideos/000126.htm">epiglottis, </a>Insider's Hilary Brueck <a href="https://www.insider.com/how-to-stop-hiccups-doctor-invented-straw-hiccaway-2021-6">previously reported</a>. This alert forces the epiglottis to seal itself shut, prompt img the<a href="https://www.health.qld.gov.au/news-events/news/what-causes-how-to-cure-hiccups#:~:text=Your%20diaphragm%2C%20the%20band%20of,producing%20that%20infamous%20hiccup%20squeak."> "hic" sound</a>.<h2>Downplaying the pandemic </h2>Bolsonaro has been widely criticized for his lax handling of the coronavirus pandemic, which has killed more than 500,000 Brazilians. "Our lives have to go on. Jobs must be kept ... We must, yes, get back to normal," <a href="https://www.bbc.com/news/world-latin-america-52040205">Bolsonaro said</a> during a speech in March. "With my history as an athlete, if I were infected with the virus, I would have no reason to worry. I would feel nothing, or it would be at most just a little flu."The president did contract the virus <a href="https://www.businessinsider.com/trump-joins-world-leaders-who-got-covid-19-ignoring-guidelines-2020-10">in early July 2020</a>, but downplayed it then too, saying his symptoms were likely attributable to staying indoors, not the coronavirus. "I've caught mold, mold in my lungs. It must be that," he said.<a href="https://www.news-medical.net/news/20200810/Persistent-hiccups-an-unusual-COVID-19-symptom.aspx">Persistent hiccups have been reported</a> as an unusual symptom of severe COVID-19, but it's unclear if they can also crop up after recovery.

Brazilian president Bolsonaro hospitalized by hiccups that started 10 days ago and won't go away

<div class="KonaFilter image-container display-table"><div><div class="image on-image">Associated PressExercise rider Taylor Cambra rides Kentucky Derby entrant Omaha Beach during a workout at Churchill Downs Wednesday, May 1, 2019, in Louisville, Ky. The 145th running of the Kentucky Derby is scheduled for Saturday, May 4. (AP Photo/Charlie Riedel)</div></div></div><ul class="summary-list"><li>Kentucky Derby favorite Omaha Beach has scratched from the race due to injury.</li><li>The scratch puts trainer Bob Baffert, who has three horses in the field, in a commanding position to win his second straight Kentucky Derby.</li><li>Omaha Beach could now play spoiler to whichever horse wins on Saturday as they attempt to win the Triple Crown.</li></ul>Kentucky Derby favorite Omaha Beach has scratched from the race due to injury.Trainer Richard Mandella confirmed to Churchill Downs on Wednesday afternoon that Omaha Beach would be forced to miss the race due to an entrapped epiglottis."After training this morning we noticed him cough a few times," Mandella <a href="http://www.espn.com/horse-racing/story/_/id/26650273/derby-favorite-omaha-beach-scratched-race" target="_blank" rel="noopener">said in a news release</a>. "It caused us to scope him and we found an entrapped epiglottis. We can't fix it this week so we'll have to have a procedure done in a few days and probably be out of training for three weeks. We'll have to figure out a whole new game plan."Jockey Mike Smith, who chose to ride Omaha Beach over Bob Baffert's Roadster in the lead up to the Kentucky Derby, is now left without a horse in the race. Smith won the Kentucky Derby in 2018 atop Justify.Read more: <a href="https://www.businessinsider.com/kentucky-derby-2018-how-to-bet-2018-5" data-analytics-position="1">A beginner's guide to betting the biggest horse race of the year</a>Omaha Beach had opened as the morning line favorite after post positions were drawn on Tuesday, slated at 4/1 odds to win the roses.Omaha Beach's absence has an immediate effect on the rest of the horses in the field. First and foremost, the horses outside of his 12th post position will move in one spot, with Bodexpress entering as the outer-most 20th gate.The scratch also puts trainer Bob Baffert in a commanding position to win his second straight Kentucky Derby, with his trio of horses - Game Winner, Roadster, and Improbable - all amongst the remaining favorites in the field.Omaha Beach's injury will keep him out of the race on Saturday, but if he's healthy in time for the Preakness, there's a good chance he could play spoiler to whichever horse wins this weekend and begins his quest for the Triple Crown.<ul class="read-more-links"><li>Read more Kentucky Derby 2019:</li></ul><a href="https://www.businessinsider.com/kentucky-derby-horses-2019-2019-4">Kentucky Derby 2019: Everything you need to know about the 20 horses racing in the 'Run for the Roses'</a><a href="https://www.businessinsider.com/kentucky-derby-track-bets-hats-unique-2019-4">14 traditions that make the Kentucky Derby unlike any other event in sports</a><a href="https://www.businessinsider.com/when-is-the-kentucky-derby-time-channel-odds-2019-4">Kentucky Derby 2019: Start time, odds, and where to watch</a><a href="https://www.businessinsider.com/kentucky-derby-2018-how-to-bet-2018-5" data-analytics-position="1">A beginner's guide to betting the biggest horse race of the year</a> <div class="margin-top"> <h3>NOW WATCH: <a href="https://www.businessinsider.com/pro-golfer-intense-standoff-tiger-woods-us-open-2017-7">What it's like to go into sudden death with Tiger Woods</a></h3> <div> </div> </div>

The favorite to win the Kentucky Derby was forced to scratch due to injury, completely reshaping the biggest race of the year

<ul class="summary-list"><li><keyword id="55632" type="PERSON" weightage="60" keywordseo="Sleep-Apnea">Sleep apnea</keyword> is a common <keyword id="6372996" type="UNKNOWN" weightage="60" keywordseo="sleep">sleep</keyword> disorder that can lead to serious <keyword id="6354750" type="UNKNOWN" weightage="100" keywordseo="health">health</keyword> complications if left untreated. </li><li>To treat sleep apnea, you may need to use a CPAP machine, a special oral appliance, or make a few key lifestyle changes. </li><li>Here's how to identify the symptoms of sleep apnea and get the proper treatment. </li><li>This article <a href="https://www.insider.com/insider-medical-review-board" target="_blank" rel="noopener">was medically reviewed</a> by <a href="https://www.doctorrajd.com/" target="_blank" rel="noopener">Raj Dasgupta, MD</a>, an associate professor of clinical medicine in the division of pulmonary, critical care, and sleep medicine at Keck School of Medicine of USC. </li></ul><a href="https://www.nhlbi.nih.gov/health-topics/sleep-apnea" target="_blank" rel="noopener">Sleep apnea</a> is a condition where people stop breathing, fully or partially, while they are sleeping. There are two main types of sleep apnea: obstructive sleep apnea and central sleep apnea. Obstructive sleep apnea is the most common type, affecting 26% of American adults ages 30 to 70 and nearly 1 billion people worldwide. If left untreated, it can increase your risk of long-term health problems, such as heart disease and type 2 diabetes. This article will focus on obstructive sleep apnea and teach you how to recognize the warning signs and seek proper treatment.<h2>What is obstructive sleep apnea? </h2><a href="https://www.sleepapnea.org/learn/sleep-apnea/obstructive-sleep-apnea/" target="_blank" rel="noopener">Obstructive sleep apnea</a> (OSA) is the most common type of sleep apnea. It occurs when the tongue falls back onto the soft palate (the area at the back of the mouth and top of the throat). The soft palate pushes to the back of the throat, fully or partially blocking the airway. OSA is associated with poor long-term health outcomes. This includes a higher risk of<a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3096276/#:~:text=Undetected%20obstructive%20sleep%20apnea%20can,appliances,%20and%20several%20surgical%20procedures." target="_blank" rel="noopener"> many health complications</a>, such as high blood pressure, heart attacks, strokes, depression, and early death. And it can also pose short-term health dangers. "The increased sleepiness from OSA can also lead to increased<a href="https://www.sleepapnea.org/learn/sleep-apnea/" target="_blank" rel="noopener"> motor vehicle accidents</a> and work-related injuries," says<a href="https://aeroflowinc.com/about/" target="_blank" rel="noopener"> Kelli Randell</a>, MD, a medical advisor for Aeroflow Healthcare, a medical equipment manufacturer.<h2>Obstructive sleep apnea symptoms</h2>The main<a href="http://sleepeducation.org/essentials-in-sleep/sleep-apnea/symptoms-risk-factors" target="_blank" rel="noopener"> symptoms of OSA</a> include:<ul><li>Loud snoring</li><li>Choking during the night</li><li>Daytime sleepiness because of sleep interruptions</li><li>Morning headaches</li><li>Trouble sleeping all night</li></ul>You might also notice other medical conditions like high blood pressure getting worse, says<a href="https://wexnermedical.osu.edu/find-a-doctor/steven-holfinger-md-79606" target="_blank" rel="noopener"> Steven Holfinger</a>, MD, a sleep medicine expert at The Ohio State University Wexner Medical Center. For example, your <a href="https://www.insider.com/how-to-read-blood-pressure" target="_blank" rel="noopener">blood pressure readings</a> may increase as a result of OSA. If you're experiencing these symptoms, "You should talk with your primary care doctor or see a sleep specialist for further care," Holfinger says. In most cases, physicians will conduct a<a href="https://www.sleepapnea.org/treat/getting-sleep-apnea-diagnosis/" target="_blank" rel="noopener"> sleep study</a> to diagnose sleep apnea. During the sleep study your breathing will be monitored and doctors will measure two main factors:1. Apneas where you do not breath for at least 10 seconds.2. Hypopnea where you have restricted breathing for at least 10 seconds at a time.If you have<a href="https://www.sleepapnea.org/treat/getting-sleep-apnea-diagnosis/"> five or more apneas or hypopneas</a> per hour, you will likely be diagnosed with sleep apnea. If you have 30 or more you'll be considered to have severe sleep apnea. <h2>How to treat sleep apnea </h2>After diagnosis, you should work with your doctor to learn how best to treat your sleep apnea. Treatment commonly includes a mix of lifestyle changes, therapies, appliances, or surgeries, such as: <h3>Lifestyle changes</h3>A few key lifestyle changes can help lessen the symptoms of sleep apnea. In most cases, your doctor may recommend these steps on top of other medical treatment: <ul><li>Losing weight. Sleep apnea is closely linked with obesity: about<a href="https://obesitymedicine.org/obesity-and-sleep-apnea/#:~:text=About%2070%25%20of%20adult%20OSA,to%20their%20normal-weight%20peers." target="_blank" rel="noopener"> 70% of people</a> with OSA are obese. In fact, losing 10% of your body weight is linked to a<a href="https://obesitymedicine.org/obesity-and-sleep-apnea/#:~:text=About%2070%25%20of%20adult%20OSA,to%20their%20normal-weight%20peers." target="_blank" rel="noopener"> 20% reduction</a> in OSA symptoms. </li><li>Reducing alcohol intake. Consuming alcohol is associated with an<a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5840512/" target="_blank" rel="noopener"> increased risk</a> for sleep apnea, and avoiding alcohol can help reduce OSA symptoms and prevent it from getting worse. </li><li>Changing <a href="https://www.insider.com/what-is-the-best-sleeping-position" target="_blank" rel="noopener">sleep position</a>. Specifically, you'll want to avoid sleeping horizontally on your back to help keep your airway clear and treat OSA.<a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5700252/" target="_blank" rel="noopener"> Elevating your head and upper body</a> during sleep — or even<a href="https://jcsm.aasm.org/doi/10.5664/jcsm.4458" target="_blank" rel="noopener"> taping a tennis ball</a> to the back of your shirt to avoid sleeping on your back — can lead to significant short-term improvements for sleep apnea. </li></ul><h3>CPAP therapy</h3>A continuous positive airway pressure (CPAP) machine is a mask that fits over your face and lightly blows air into your soft palate as you sleep. This gentle pressure is enough to keep the airway from falling closed in patients with OSA, and sometimes, it's the only treatment you'll need. "It's the most effective, nonsurgical treatment for patients. CPAP is considered first-line treatment," Randell says. "Most patients will experience better sleep and quality of life with use of CPAP by itself."Since CPAPs are currently the best treatment for OSA, people with the condition should ideally use this machine diligently until their sleep troubles resolve.However, many people do not use CPAPs as prescribed because they find the machines bothersome or uncomfortable. A <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4992257/" target="_blank" rel="noopener">scientific review</a> from 2016 found that more than 34% of people with a CPAP machine didn't adhere to the use their doctor had prescribed. <h3>Oral appliances</h3><a href="https://www.sleepapnea.org/treat/sleep-apnea-treatment-options/" target="_blank" rel="noopener">Oral appliances</a> are worn like a mouth guard or a retainer while sleeping. These can push the lower jaw forward and help keep the airway open."A moderate number of patients have successful treatment with these devices," Randell says. "The biggest complaint about oral appliances is discomfort." However, some people may find them more comfortable than CPAP machines.There are more than 100 of these appliances approved by the FDA for sleep apnea treatment. Your doctor will be able to guide you best when selecting and getting fitted for one of these oral appliances. <h3>Surgical treatments</h3><a href="https://www.sleepapnea.org/treat/sleep-apnea-treatment-options/sleep-apnea-surgery/" target="_blank" rel="noopener">Surgical treatments</a> for sleep apnea can be effective, especially for those who have tried a CPAP machine or oral appliances and found that they were too uncomfortable to use consistently. Surgery — which usually includes removing the tonsils — is a common treatment for sleep apnea in children, Holfinger says. "For adults, surgery is much less common but may be necessary when sleep apnea is severe and other treatments have failed," Holfinger says. "The surgical options are meant to either remove or reposition tissue to further open the airway." Here are common surgical options, according to Randell:<ul><li>Nasal surgeries are used for patients who have a nasal obstruction contributing to OSA, but they are not considered effective for patients without that specific contributing factor. </li><li>Upper airway surgeries, like <a href="https://stanfordhealthcare.org/medical-treatments/p/palate-surgery/types/uppp.html" target="_blank" rel="noopener">uvulopalatopharyngoplasty</a> (UPPP), removes extra tissue from the upper airway, while a <a href="https://my.clevelandclinic.org/health/treatments/15605-tonsillectomy" target="_blank" rel="noopener">tonsillectomy</a> removes the tonsils. The effectiveness of these surgeries depends on the patient, and can range from 30% to 80%, Randell says. </li><li>Lower pharyngeal and laryngeal procedures, such as tongue reduction or advancement, mandibular advancement, or epiglottis replacement change the structure of the mouth and palate to prevent blockage of the airway. These often require more than one procedure and are effective in 35% to 65% of patients, Randell says. </li><li>Tracheostomy allows the lungs to access air from a hole in the throat, bypassing the airway. This is an extreme but very effective surgery, usually reserved for the most severe cases of sleep apnea. </li></ul><h2>The bottom line </h2>Learning to treat and manage your OSA is an important step for protecting your long-term health. If you suspect you have sleep apnea, you should speak with your doctor and find a treatment that works for you to avoid the more serious health complications of sleep apnea, like high blood pressure or heart disease. "Generally, sleep apnea should be considered a treatable condition, as there are multiple approaches available to control it on a nightly basis," says Holfinger. <h2>Related articles from <a href="https://www.insider.com/health-reference" target="_blank" rel="noopener">Health Reference</a>:</h2><ul><li><a href="https://www.insider.com/why-am-i-always-tired" target="_blank" rel="noopener">Why am I always tired? The main causes of sleepiness and fatigue</a></li><li><a href="https://www.insider.com/is-too-much-sleep-bad" target="_blank" rel="noopener">Is too much sleep bad? How oversleeping could signal something is wrong</a></li><li><a href="https://www.insider.com/natural-remedies-for-insomnia" target="_blank" rel="noopener">5 natural home remedies for insomnia that can help you get better sleep</a></li></ul>

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