Hyderabad's Sleep Disorder Clinic: Every Condition, Every Specialist, Under One Roof
One team. ENT, pulmonologist, and sleep physician. Diagnosis stops bouncing between clinics.
Medical disclaimer: This content is reviewed by Dr. Pradyut Waghray, MBBS MD FRCP FCCP. It is for informational purposes only and does not replace a medical consultation.
Last reviewed: 2026-05-11 by Dr. Pradyut Waghray
Reviewed by Dr. Pradyut Waghray, MBBS MD FRCP (London) FCCP FAMS, Founder of Respire Airway Clinics. Over 35 years treating sleep and airway conditions in Hyderabad.
On most Tuesday mornings, the first patient through our door says some version of the same thing. They are tired. They have been tired for months, maybe a year. The sleep apps did not help. The melatonin worked for a week and then stopped. The GP said it was stress. And at 3 in the morning, lying next to a partner who is now exhausted from their snoring, they decided enough.
Respire is a sleep disorder clinic in Hyderabad where you see an ENT, a pulmonologist, and a sleep physician in the same visit, on the same team, working off the same notes. We set it up this way because sleep problems almost never arrive alone, and because patients in this city have spent years being passed between specialties that do not talk to each other.
Sleep Disorders We Treat
If your problem fits any of the descriptions below, we treat it here. The wording sticks to what a patient would actually notice at home, because that is usually how the conversation starts in our consultation room.
Obstructive Sleep Apnea (OSA)
The loud-snoring spouse. Mornings that feel hung over without alcohol, an afternoon slump no coffee touches, and a partner who has counted the seconds between your snores and your gasps. Untreated OSA pushes up daytime blood pressure, strains the right side of the heart, and roughly triples the long-term risk of a serious cardiovascular event, which is the reason we treat it aggressively even at moderate severity.
Insomnia
Two patterns. Either you cannot get to sleep, lying there for an hour or two with your mind running, or you fall asleep easily and then wake at 2 or 3 in the morning and cannot get back. Once it has been going on for three months on most nights of the week, the textbook calls it chronic insomnia. A surprising fraction of those patients, in our experience perhaps a third, also have apnea that nobody has ever tested for.
Snoring (with or without apnea)
Snoring sits on a spectrum. At one end it is a noisy nuisance and nothing more. At the other end it is the loudest signal the body has of OSA. We cannot tell the two apart from a phone recording or a snoring app; it takes a clinical exam and, in most cases, an overnight study.
Restless Legs Syndrome (RLS)
A creeping, crawling, almost electric urge to move your legs once you lie down at night. Movement helps. Lying still makes it worse. We see RLS hiding behind a complaint of insomnia all the time, and we also see it overlapping with apnea more often than most patients or their previous doctors had any reason to suspect.
Narcolepsy and Hypersomnia
Falling asleep during meetings, during conversations, behind the wheel. In some patients, a sudden loss of muscle tone triggered by laughter or anger, called cataplexy. This is a distinct neurological category. It is not the daytime sleepiness of untreated OSA, and the testing is different.
Parasomnias
Sleep walking. Night terrors in children. In older adults, a condition called REM behaviour disorder, in which the muscle paralysis of dream sleep fails and people physically act out their dreams, sometimes injuring themselves or their bed partner. The last of these is worth catching early, because in a meaningful proportion of patients it precedes a neurological diagnosis years later.
Why Sleep Disorders Rarely Come Alone
This is the part most patients have never been told. The majority of the patients we see have more than one sleep condition, and treating the first one will keep failing until we identify the second.
The clearest version of this is insomnia plus obstructive sleep apnea, now well-described in the literature as COMISA. Work published through the American Academy of Sleep Medicine reports prevalence ranges in clinical populations of roughly 40 to 60% of OSA patients carrying insomnia symptoms, and 30 to 65% of insomnia patients turning out to have OSA on testing, which is the kind of overlap that explains a lot of treatment-resistant cases sitting in GP files. The pathophysiology is bidirectional: the micro-arousals of apnea fragment sleep and prime the brain for maintenance insomnia, while the cortical hyperarousal of insomnia in turn destabilises the upper airway during the night. Treating only the apnea leaves the insomnia. Treating only the insomnia leaves the apnea fragmenting your nights.
There are other overlaps worth naming. RLS sits on top of apnea more often than coincidence would suggest. In women in their 40s and 50s, apnea hides behind a diagnosis of anxiety or perimenopausal insomnia, and the apnea is the thing that never gets tested.
If a previous doctor told you it was “just stress,” that may have been part of the picture. It is unlikely to have been the whole picture.
Who You See, and Why One Team Matters
Sleep medicine sits at the intersection of three specialties: ENT, pulmonology, and sleep medicine proper. Most clinics in Hyderabad have one of them on staff and refer out for the other two, which is how patients end up spending six months bouncing between consults. We have all three on one team.
When the answer is ENT
A structurally narrow upper airway. A nose blocked from a deviated septum or chronic rhinitis. Snoring that is mostly anatomical and worst when you lie on your back. In these cases, the airway exam matters more than anything else, and Dr. Jyotika Waghray, our ENT specialist, runs the structural assessment. This is the most common entry point for snoring-led complaints.
When the answer is a pulmonologist
Breathing-led sleep apnea, particularly in patients who have overlapping COPD, asthma, or obesity hypoventilation. CPAP intolerance that needs careful re-titration. Patients with desaturations the standard machine cannot control. Dr. Kunal Waghray, our interventional pulmonologist, runs the complex CPAP and respiratory side of the practice.
When the answer is a sleep physician
Insomnia. Narcolepsy. Parasomnias. Anything where the diagnosis itself is the puzzle, where two or three conditions are layered on top of each other, where prior treatment has not worked. Dr. Pradyut Waghray takes these cases.
At Respire you do not have to guess which of us you should see. The team picks together, often in the same room.
What Happens at Your First Visit
Plan on about 45 minutes. The visit moves in four parts.
Sleep history and questionnaires
Detailed sleep history plus two standard validated questionnaires: the Epworth Sleepiness Scale and STOP-BANG. We ask about your nights, your mornings, your daytime energy, and what your partner has noticed. If your partner can come, please bring them.
Airway examination
Nose, palate, tongue base, tonsils, and, if relevant, a flexible nasal endoscopy. Ten to fifteen minutes, almost always tolerated easily.
Deciding what to test
For most suspected OSA cases, the next step is a home sleep study, worn for one night in your own bed. For suspected narcolepsy, REM behaviour disorder, or layered presentations, in-lab polysomnography instead. A small number leave without a sleep study because what they need is a treatment trial first.
Walk-through
What we think is going on. What testing will confirm or rule out. What each treatment path would look like if the test comes back the way we suspect.
Diagnostic Services We Offer
Diagnosis decides everything else, and we will tell you which test fits before we run anything.
In-Lab Polysomnography
A full overnight study with the complete sensor set: EEG for brain waves, EOG for eye movement, airflow and chest belts for breathing, pulse oximetry for blood oxygen, ECG for heart rhythm, and surface EMG on the legs for limb movement. The right study for narcolepsy, REM behaviour disorder, complex parasomnia, central sleep apnea, or when a previous home test has come back inconclusive.
Home Sleep Apnea Test
A compact device you wear for one night in your own bed. It picks up breathing, oxygen saturation, heart rate, and snoring intensity. The right test for most suspected OSA cases. The full process is on the home sleep study page.
Locations
Two clinics. Same team. You will see the same doctors at either one.
Basheer Bagh
The primary clinic, in central Hyderabad, with full diagnostic facilities and CPAP setup on site. Most first consultations happen here. Address, hours, and directions are on the Basheer Bagh location page.
Jubilee Hills
The second clinic, serving west Hyderabad and convenient for patients from Madhapur and Gachibowli. Address and hours on the Jubilee Hills location page.
Book a Sleep Evaluation
If your sleep has been off for weeks or months, a 45-minute evaluation is the fastest way to know what is actually going on, and what the realistic next step is.
Book a sleep evaluation at Basheer Bagh or Jubilee Hills, Hyderabad.
Frequently Asked Questions
What doctor treats sleep disorders?
A sleep physician, sometimes called a somnologist, is the formal answer. In practice in India, structural snoring and airway problems are handled by ENTs, breathing-led sleep apnea by pulmonologists, and the rest, including insomnia and narcolepsy, by sleep medicine specialists. The reason patients get confused is that all three are right answers, depending on what is actually causing the problem. Our clinic puts all three in one room so the choice does not fall on the patient.
Is a sleep specialist the same as a pulmonologist?
Not quite. A pulmonologist is a lung and breathing specialist, and many of them subspecialise into sleep apnea because the underlying physiology overlaps. A sleep specialist is trained across the full sleep medicine syllabus, which includes insomnia, narcolepsy, parasomnia, and circadian rhythm disorders that have very little to do with the lungs. Some doctors hold both qualifications, and that overlap is useful, but the two titles are not interchangeable.
Do I need a referral to see a sleep specialist in India?
You do not. Unlike the UK or parts of Europe, the Indian private healthcare system lets you book a sleep consultation directly. At Respire, we do not ask for a GP referral letter for any consultation, at either Basheer Bagh or Jubilee Hills, and we will write to your GP afterwards if you want us to.
What happens at a sleep specialist appointment?
Plan on 30 to 60 minutes. The doctor takes a detailed sleep history, runs a couple of standard questionnaires, examines your nose and throat, and decides whether you need a sleep study and which type. You leave with a working diagnosis and a written next step, not just a referral somewhere else.
What tests does a sleep specialist do?
Mostly two. A home sleep apnea test, which is a portable device you wear for a single night at home, and full in-lab polysomnography, which records brain activity, breathing, oxygen, heart rhythm, and limb movement overnight in a sleep lab. Which one fits depends on what the doctor suspects after talking to you. Most suspected OSA goes home; most narcolepsy and complex cases go to the lab.
What is the best sleep disorder clinic in Hyderabad?
The right clinic is the one that can actually treat whatever you turn out to have. A practice with an ENT, a pulmonologist, and a sleep physician working from the same notes has a structural advantage over a single-specialty setup that has to refer half its patients elsewhere. Respire is the only clinic in Hyderabad we are aware of with all three on one team.