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Frequently running nose
I am getting frequent cold n wheezing I use inhaler also I have increased 5 kgs weight in the past few months after which my hba1c is 6.1 I exercise but due to my running nose n bronchitis I am not able to do much I eat healthy small portions but I am feeling v sleepy all the time and I sleep deeply n suddenly wake up with a noise in my throat is this sleep apnea? Plz suggest
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You do have? allergic rhinitis copd with obstructive sleep apnea. Please consult a physician physically for clinical evaluation.
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You are 44 years old with:
• Frequent cold and wheezing (using inhaler)
• Weight gain (~5 kg recently)
• HbA1c 6.1 (prediabetes range)
• Excessive daytime sleepiness
• Deep sleep followed by sudden awakening with throat noise
This combination raises strong suspicion of Obstructive Sleep Apnea (OSA).
Why?
• Recent weight gain → increases airway narrowing
• Prediabetes → strongly linked to sleep apnea
• Waking with choking / throat noise → classic OSA symptom
• Excessive sleepiness despite sleeping → non-restorative sleep
• Recurrent bronchitis / nasal blockage → worsens airway obstruction
Frequent cold + wheezing may be:
• Allergic rhinitis + asthma
• Post-nasal drip contributing to airway narrowing
OSA and asthma often coexist.
HbA1c 6.1 + weight gain + sleepiness is a metabolic warning sign.
This is not emergency, but it needs evaluation.
Next Steps
✔ 1. Sleep Apnea Screening
Check if you have:
• Loud snoring
• Observed breathing pauses
• Morning headaches
• Dry mouth on waking
• Daytime fatigue
If yes → do a Sleep Study (Polysomnography).
⸻
✔ 2. Evaluate Asthma Control
• Spirometry test
• Check inhaler technique
• Consider allergy testing
• Manage sinus congestion
Poor asthma control can worsen night symptoms.
⸻
✔ 3. Address Prediabetes
• Reduce 5–7% body weight
• Strength training 3x/week
• Avoid late-night meals
• Check fasting insulin if needed
OSA worsens insulin resistance.
Health Tips
✔ Elevate head while sleeping
✔ Avoid sleeping on your back
✔ Reduce refined carbs
✔ Nasal saline wash at night
✔ Control allergies aggressively
✔ Avoid late heavy dinner
✔ Aim for gradual weight loss (0.5 kg/week)
The combination of symptoms suggests early metabolic-sleep airway overlap syndrome.
Because sleep apnea, asthma, and prediabetes interact with each other, a structured evaluation is important before it progresses.
I recommend booking an online consultation so we can assess your risk score properly and decide whether you need a sleep study and metabolic intervention immediately.
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Consult in ENT.
Investigation-
RPL- scopy
Till take vitarespFx120 once a day
Regular exercise and healthy diet cut sugar
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Do the following,
1. Spirometry test with reversibility
2. CXR
3. Blood test: CBP, TSH and immunoglobulins
4. Get your inhaler type be checked. Likely needs changing to a different one as your symptoms are more
5. Overnight oximetry test (or use your smart watch as a lot can read oxygen levels)
6. Arterial blood gas test early morning 7am
7. Take Omeprazole 20mg daily for four weeks as sounds like you are also having Reflux of acid into your throat
All the best.
www.jgsr-health-education.in
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Get your thyroid levels checked for the weight gain part.
Since how long youve been using the inhaler and what respule do you use?
Also what other comorbidities do you have?
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Dr. Gaurav Jaiswal
General Physician
6 yrs exp
Jhansi
Avoid cold and sour food
Steam inhalation and gargles
Kindly do connect and consult
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Dr. Vetsa Sri Krishna Chaitanya
General Physician
7 yrs exp
Rajahmundry
Need a few more details please consult for further evaluation and treatment
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Dr. Kamal Kumar
General Physician
7 yrs exp
Rewari
Your symptoms suggest a combination of allergic airway disease (cold, wheezing, bronchitis) along with possible sleep-related breathing disturbance.
What you should do:
• Sleep on side instead of back
• Elevate head end of bed slightly
• Continue inhaler regularly as prescribed
• Steam inhalation for nasal blockage
• Weight reduction will significantly help symptoms
• Avoid late heavy meals before sleep
Tests :
• Sleep study (Polysomnography) — confirm sleep apnea
• Fasting sugar and HbA1c monitoring
• Thyroid profile (TSH)
• Vitamin D and B12 (fatigue causes)
If sleep apnea is confirmed, treatment may include CPAP therapy or weight management depending on severity.
text me on Practo for proper evaluation, medicine adjustment, and treatment plan.
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Dr. Anuj Mothsra
General Physician
6 yrs exp
Jhunjhunu
Can help you, kindly consult and provide detailed history for proper diagnosis and further management
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