Pickwickian Syndrome

Discover the link between pickwickian syndrome, obesity and sleep apnea

The Pickwickian Syndrome or obesity hypoventilation syndrome is a type of sleep apnea that is associated with extreme obesity.

If you are overweight, have problems in breathing, such as hypoventilation, and you have the symptoms of mild to severe obstructive sleep apnea, then you may have this syndrome.

What is Pickwickian Syndrome?

The Pickwickian is a type of sleep apnea that is associated with extreme obesity.

This syndrome is known for centuries. During the time of Alexander the Great, there was a leader called Dionysius of Heraclea, who had problems with extreme overweight.

He was so fat that he could not eat anymore. In fact, he is reported by historians to have been choked by his own fat.

Another example for antic history is Magas, the king of Cyrene, which was also obese and historians said that he was chocked himself to death.

The symptoms of pickwickian disorder were described by Dickens in The Posthumous Papers of the Pickwick Club, where a fat boy, Joe, was the person who had this disorder. 

In this video you will see a rare and shocking example of this syndrome:

What Causes the Pickwickian Syndrome?

There are several factors that comes together to develop this syndrome, such as:

How obesity can cause Pickwickian?

Some people have a problem with the breathing reflex which allows carbon dioxide to accumulate in their blood. In this way the blood becomes toxic.

Obesity may cause shallow breathing by interfering with the work of the breathing muscle. And if the obese person is lying down or sleeping, this abnormal breathing becomes worse.

Abnormal breathing in sleep leads to frequent awakenings, apnea episodes, excessive daytime sleepiness, weight gain. And the result is obesity-hypoventilation syndrome, or the pickwickian disorder. 

Side Effects of Pickwickian

Here are the most common side effects and complications that results from this breathing disorder:

Treatment for Pickwickian Syndrome

Therapy of pickwickian disorder consists mainly of weight loss combined with CPAP.

There are cases where CPAP is not able to eliminate sleep apnea and low blood oxygen level, so a temporary tracheostomy may be used.

If you want to know more about tracheostomy you can click here.

It is very important to know that weight loss is very effective in reducing the symptoms of this syndrome.

The more weight is lost, the more likely it is that the person's breathing will improve. Sleep apnea can be treated this way, but you should maintain your weight loss program after the treatment, or this disorder can return.

Weight loss surgery, or gastric bypass, is very effective in treating pickwickian syndrome, reducing sleep apnea to the lowest level. However, weight loss surgery is not a simple operation, and should be considered the last alternative in your treatment.

› Pickwickian Syndrome

Affiliate Disclosure
This website is supported only from the commission received from affiliate products.
If you make a purchase through a link on this page,
I may receive a small commission - at no extra cost to you.
Thank you for helping me to keep and improve my site!

Latest Updates

  1. Can I Die If The CPAP Power Goes Out?

    If you're worried that you may suffocate in your sleep if the CPAP shuts off during a power outage, then this page is for you. The following question

    Read More

  2. A Long Journey To A Better Life

    I was in my late teens or so when I discovered I had a severe snoring issue — my friends told me about it — I admit I was living a very unhealthy lifestyle

    Read More

  3. CPAP Gas Problem - Aerophagia?

    I get a tremendous amount of gas every morning from my CPAP machine, so much so that I do not want to continue using it. Neither the company I got the

    Read More

Enter Your E-mail Address
Enter Your First Name (optional)

Don't worry — your e-mail address is totally secure.
I promise to use it only to send you Sleep Apnea Info.
Share This Site

Email; Contact UsContact Us