George is in his late 40s and never had tonsils removed He also overweight reports that though he thinks sleeps through the night always tired What sleep disorder should George?

Obstructive sleep apnea (OSA)

OSA is a common sleep disorder that causes frequent pauses in breathing during sleep. These pauses can last from a few seconds to several minutes and can occur hundreds of times per night. OSA is caused by a blockage of the airway, which can be caused by a number of factors, including:

* Obesity: Obesity is a major risk factor for OSA. The excess weight around the neck can put pressure on the airway and cause it to collapse during sleep.

* Large tonsils and adenoids: Enlarged tonsils and adenoids can also block the airway and cause OSA.

* A deviated septum: A deviated septum is a condition in which the nasal septum (the bone and cartilage that separates the nostrils) is off-center. This can also block the airway and cause OSA.

* A narrow airway: Some people have a naturally narrow airway, which can make them more likely to develop OSA.

Symptoms of OSA include:

* Loud snoring

* Gasping or choking during sleep

* Daytime sleepiness

* Fatigue

* Irritability

* Difficulty concentrating

OSA can also lead to a number of serious health problems, including:

* Heart disease

* Stroke

* Diabetes

* High blood pressure

If you think you may have OSA, it's important to see a doctor to get diagnosed and treated. Treatment options for OSA include:

* Weight loss

* Surgery to remove enlarged tonsils and adenoids

* Continuous positive airway pressure (CPAP) therapy: CPAP therapy is a treatment that uses a machine to deliver pressurized air to the airway through a mask. This air pressure helps to keep the airway open during sleep.