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Paediatric ENT
Sleep Apnoea in Children: Signs Parents Shouldn't Ignore
Dr WA Rossouw
5 October 2024
5 min read
Sleep-disordered breathing in children can affect growth, behavior, and learning. Recognize the warning signs.
Many parents are surprised to learn that children can suffer from sleep apnoea. Pediatric obstructive sleep apnoea (OSA) affects 1-5% of children and can have significant consequences if left untreated.
## Warning Signs
Watch for these symptoms:
- Loud snoring or noisy breathing during sleep
- Pauses in breathing
- Restless sleep or unusual sleeping positions
- Bedwetting (after being previously dry)
- Daytime sleepiness or hyperactivity
- Difficulty concentrating at school
- Morning headaches
- Mouth breathing
## Common Causes
In children, enlarged tonsils and adenoids are the most frequent cause. Other factors include obesity, allergies, or craniofacial abnormalities.
## Why Treatment Matters
Untreated sleep apnoea can lead to:
- Growth problems
- Behavioral issues (often misdiagnosed as ADHD)
- Learning difficulties
- Cardiovascular strain
## Treatment Options
After thorough evaluation including sleep studies when indicated, treatment may involve:
- Adenotonsillectomy (removal of tonsils and adenoids)
- Allergy management
- Weight management
- Rarely, CPAP therapy
Adenotonsillectomy for sleep apnoea typically results in dramatic improvement, with children sleeping better, performing better at school, and showing improved behavior.
If your child exhibits these symptoms, don't wait. Early intervention can make a profound difference in their development and quality of life.
