Dark Circles, Silent Clues: Could a Breathing Disorder Be the Culprit?

It is commonly known that if a person has dark circles under their eyes they are most likely tired. Could there be more to it? We are going to explore the link between bags/dark circles under the eyes and the connection to airway issues and allergies.

allergy shiners, dark circles under eyes, sleep disordered breathing, allergies, sleep issues

Venous pooling, or periorbital dark circles, refers to the dark discoloration that appears under the eyes. This condition is often caused by an underlying issue with the blood vessels and can be exacerbated by problems with breathing or the airway.

Here is how airway issues can lead to venous pooling under the eyes. Venous pooling happens when blood collects or stagnates in the veins, causing the area under the eyes to appear dark or bluish. This is due to the thin skin under the eyes, which makes the underlying blood vessels more visible. Proper blood flow is essential for delivering oxygen and nutrients to tissues and removing waste products. When blood flow is restricted or slowed down, it can accumulate in certain areas, leading to discoloration.

Airway issues, particularly those affecting breathing during sleep, can significantly impact venous blood flow.

Chronic nasal congestion or obstructions force individuals to breathe through their mouth. This can alter the normal airflow dynamics and increase the pressure in the veins around the nose and eye, leading to pooling. Obstructive sleep apnea (OSA) is a condition where the airway is repeatedly blocked during sleep, causing brief cessations (stops) of breathing. These episodes cause fluctuations in blood oxygen levels and pressure, affecting blood vessels, including those under the eyes. Chronic sinusitis or allergies can lead to swelling of the nasal passages, increasing venous pressure in the facial area. This can result in the appearance of dark circles due to venous pooling.

  • Airway obstructions can lead to increased intrathoracic pressure during breathing, especially when the individual struggles to inhale air. This pressure is transmitted to the facial veins, leading to engorgement and pooling.

  • Airway issues can also affect the lymphatic system, which is responsible for draining excess fluid buildup and venous pooling under the eyes.

  • Episodes of hypoxia (low oxygen levels) due to airway obstructions can cause the blood vessels to dilate to increase blood flow and oxygen delivery. This vasodilation can make the blood vessels under the eyes more prominent.

So how can we prevent this?

  1. Addressing nasal obstructions, allergies or sinus issues.

  2. By involving a myofunctional therapist in your treatment plan to help with nasal breathing and tongue posture that will then aid in sleep and breathing.

  3. Incorporating a nasal hygiene routine in your day to help manage symptoms.

Addressing the root cause of airway issues can lead to improved overall health and a reduction in the appearance of dark circles under the eyes.

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