Problems of snoring and obstructive sleep apnoea occur in
children as well as adults. More severe problems in childhood may not only lead
to daytime fatigue and drowsiness, but also, low body weight, difficulty
swallowing and more serious problems including heart failure.
The most common cause for snoring and apnoea in childhood is
enlargement of the tonsils and the adenoid tissue. Removal
of the tonsils and adenoids will often cure this problem. Other causes can
include a small jaw, Down's syndrome and other abnormalities of the facial
development. Rarely nasal cysts or tumors may cause problems. Deviation of the
nasal cartilege and blockage of the nose may also contribute to a
problem.
Signs of your child having a problem include
snoring during sleep and in particular a pause in the snoring of up to ten
seconds before breathing is resumed. These are the apnoeic or 'breath-holding'
episodes. Your child may be a restless sleeper, moving around the bed through
the night and often waking. Bedwetting may be a problem and irritability on
waking or daytime drowsiness may be noted. Other findings may include
difficulties with swallowing food and slow eating, a lack of ability to smell
and a tendency to 'mouth breathe'. It is possible that the sleep impairment in
these cases can lead to a growth hormone deficiency and small build.