Month: February 2020

It’s Baaaaaack

Was diagnosed with SA back about 15 years ago. I used a machine for a few years, but then resorted to a laser-assisted uvulopalatoplasty (LAUP), which I thought took care of it. There went my yodelling career. So, recently the wife tells me my snoring is worse and she can hear me stop breathing. I think it’s coming from my nose, broken many times from sports. I also need to hit the gym ;). I was also tossing and turning a lot and making several trips to pee. Blood pressure is okay.. I was a conditioned athlete and I’m an active farmer.

So, I recommissioned the CPAP. THANK GOD! I’m finally sleeping again and hardly move all night and only one trip to pee- if that. I can even sleep on my back which is awesome. My machine is a Respironics Remaster Pro with a humidifier and I’m using an Opus 360 nasal pillow mask. Everything still works A-okay.

My question are: Do I need to go see a sleep doc to recalibrate if it works and I’m sleeping good? (I absolutely, positively, HATE sleep studies, strange beds, and try to avoid doctors at all costs). Any improvements to machines and masks I should check out?

Any other thoughts and suggestions are most appreciated.

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It’s official

Just got the call 3 weeks after doing sleep study that I do have sleep apnea and they are sending my info over for a CPAP machine. They said whoever they’re sending me over to would call me. Not sure how long that will take

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Taking the plunge after about a decade.

I’m 32 years old, and was just diagnosed with “moderate sleep apnea”. This is the third diagnosis I have received. The first was when I was 19 or 20, and i had an AHI of 85. My doctor wanted to remove my tonsils before doing anything else, as they were HUGE, blocking 80 percent of my airway. I had that awful surgery, and got a little bit of relief.

I’ll never forget how angry, and rude to me the sleep clinic got when I told them I was not interested in CPAP at this time. It really damaged my faith in these places, and I felt like they didnt care about treating patients – only selling CPAPs.

Snoring and fatigue continues to be a problem, but I was biased now. I eventually went in again, but the cost of a CPAP, and my life situation at the time led me to not even pursue it at all.

A decade of feeling like crap, and wanting to sleep all the time, a decade of girlfriends that couldn’t sleep in the same room as me, a decade of “YOU STOP BREATHING WHEN YOU SLEEP GET CHECKED OUT”, and a decade of waking up gasping for air (often accompanied by dreams of drowning) still didnt do it for me.

I am an amateur(aka wannabe lmao) bodybuilder, and a squad leader of a tactical riot team. I’m a fairly large guy. Maybe I’m just compensating for my 5’7 height, but I decided I would grow a bit further this year in an attempt to enter a competition towards the end of the year. I usually am around 220lbs, and I reached 245. I became bed ridden. I dragged myself to work, and I dragged myself back to bed. My snoring became unbearable. I would get home from work, sigh, look over at my bag sitting in the front seat, and decide it was too much effort to bring up the stairs. My snore lab scores were 210 and higher.

After a couple weeks of not even having the energy to cook my meals, I was back down to 225. I was back to feeling “normal” again, but I decided that this normal isn’t good enough. My snore scores were still around 150. I went and got another sleep study, and got an AHI of 25. I skewed the results slightly I think, because I do this weird thing in my sleep where I get in almost a plank position, and use my fists as a pillow for my face. It seems to help my breathing. Its uncomfortable as hell, and I could never fall asleep like that, but I seem to manage to get into that position in my sleep once in a while.

I have chronic rhinitis, which also doesnt help my sleep quality, but I keep it at bay with a ridiculous protocol (double dose of nasal steroids, double dose of allergy D 3x a day, and 2x daily nasal rinse). As well as a little anxiety/insomnia – I fully wake up every hour unless I take an ativan or something before bed, but I dont like that so I rarely take it.

I’m 5’7, 225 lbs, with a 20 inch neck.

I get my trial machine on Tuesday… I sure hope I can get some relief soon.

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Just started CPAP this week

  • After years of insomnia I finally went for a lab sleep study back in 2017.
  • Report said my AHI was 7.3. Doctor determined I had mild sleep apnea, prescribed oral appliance or CPAP as treatment options.
  • In 2018 I had an at home sleep study while using oral appliance. Report said my AHI was now 3.9.
  • Doctor determined that apnea was under control with oral appliance but my other issue was RLS and prescribed Gabapentin.
  • Used oral appliance off and on with medication but experienced no perceived improvements in sleep and finally gave up.
  • Finally went and bought a Resmed Airsense 10 with F30 AirFit full face mask this week per doctor’s prescription.
  • I am getting used to wearing the mask but I am still waking up several times a night and feel worse in the morning than before I started.
  • My report says my mask isn’t leaking and my AHI is down to 1.6 but I feel so unrested and dumb.

I know it takes time and to keep at it but I’m wondering if there might be something else going on, like UARS. In going over the results of my previous sleep studies again I am noticing that I wasn’t really having apneas but lots of hypopnea.

I just haven’t felt confident in my doctor’s advice. Any suggestions, questions, or experience would be appreciated.

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Can Vaping Make Sleep Apnea Worse?

In an effort to curtail the damaging effects of smoking traditional cigarettes, smokers and non-smokers alike are taking up e-cigarettes, popularly known as vapes. With 8 million Americans regularly vaping, and traditional cigarette use reaching a record low in 2018, a CDC (Centers for Disease Control and Prevention) study indicates that vaping numbers are on the rise. While many folks turn to e-cigarettes as an alternative to burning tobacco, the number of first-time tobacco users is also increasing and largely consists of young adults

Contrary to the prevalent belief that vaping offers a healthy alternative to smoking, the recent e-cig epidemic introduces a slew of new toxins to inhale, followed by various health problems for consumers. Individuals who use vapes face serious health risks, including lung damage, asthma, cardiovascular disease, and heart attack, due to the contents of the vapor in e-cigarettes. The vapor contains nicotine, as well as toxic chemicals and metals, some of which are too recently introduced to discern the true long-term consequences of inhalation. In addition, vaping inhalation, much like traditional cigarette smoking, impacts your sleep cycle by creating inflammation in the nose and upper airway. 

What is Vaping?

Electronic cigarettes, or vapes, heat a liquid solution made up of nicotine, chemicals, and other additives to produce an aerosol for inhalation. Vaping imitates the behavioral elements of smoking a traditional cigarette which appeals to cigarette smokers seeking a healthier alternative. It also broadly appeals to young adults who crave both the flavoring and nicotine buzz provided by vapes, without the harsh sensation caused by inhaling traditional burning tobacco. 

The liquid present in e-cigarettes, which comes in refillable cartridges or disposable pods, contains nicotine, chemicals, and metals, some of which produce toxic compounds like formaldehyde. Consumers of the e-liquid inhale ultrafine particles, volatile organic compounds, heavy metals and toxic flavorings like diacetyl disguised as a convenient, healthy alternative to smoking. While the number of chemicals present in e-cigarette vapor does not rival the 7,000+ chemicals in traditional burning tobacco, research links the toxins present in vape aerosol to lung disease, heart disease, and cancer of the throat and nasal passageways.

Inhaling e-cigarette nicotine, equivalent to that found in traditional cigarettes, can result in all of the same consequences, including addiction and withdrawal. As a highly toxic stimulant, nicotine also causes increased blood pressure and spiked adrenaline levels, headaches, nausea, persistent cough, nasal blockage, heartburn, and diarrhea. While the number of chemicals in e-liquid may not amount to that of traditional cigarettes, they still put consumer health in jeopardy. 

Vaping Effects on Sleep Quality

The presence of nicotine in both e-cigarettes and traditional cigarettes negatively impacts the sleep cycle by acting as a stimulant during prime sleeping hours. Despite the common misconception that smoking before bed helps promote sleep, research shows that nicotine use actually heightens mental alertness. Upon exposure to nicotine, the body begins to produce adrenaline, causing increased heart rate, breathing rate, and blood pressure. This physical stimulant creates an environment not conducive to a proper night’s sleep. For these reasons, regular use of nicotine can increase the severity of sleep difficulties. 

In addition to an adrenaline rush, research indicates that nicotine also hinders the deepest stage of sleep — the REM cycle — due to withdrawal symptoms that disrupt our body’s natural circadian rhythm. Those who vape experience more apneic events – pauses or cessations in breathing during sleep – than their counterparts. The strong association between smoking and sleep cycle disturbances directly links nicotine use with the development of obstructive sleep apnea

Although nicotine reduces the number of apneic events an individual with OSA experiences in the first hour of sleep, once this period passes the body experiences nicotine withdrawal which increases bouts of sleep apnea. Furthermore, nicotine causes inflammation of the nose, throat, and lungs, inducing nighttime breathing issues and ultimately worsening existing trouble with sleep apnea.

Ditching Nicotine

While e-cigarettes may contain a smaller number of chemicals than traditional cigarettes, the nicotine, compounds, toxins and metals in the e-liquid are by no means healthy and can result in many life-altering health and sleep problems. If you believe that your sleeping habits have been compromised by smoking or vaping, you may be suffering from a sleep disorder that requires treatment.

Dr. Kent Smith has helped thousands of patients get to the bottom of their sleep issues and find relief and renewed health. Contact our office today to schedule your free consultation.  

The post Can Vaping Make Sleep Apnea Worse? appeared first on Sleep Dallas Blog.

After years and years of snoring loudly friends and family saying I sound like two bears fighting worried about me not breathing. I am finally getting my cpap machine tomorrow.

Mostly it was a pride thing, like I don’t need no damn cpap machine you guys are tripping it’s normal for people to snore. Then I heard a recording of me and I was like holly hell thats what I sound like. Brushed it off and brushed it off. It’s got to the point of no matter how long I sleep I wake up tired no energy. My friend got one and said it changed his life. I go on the 2nd of March to learn how to use the machine with a technician. How has a cpap changed your day to day life? I’m not to worried about being uncomfortable sleeping with it. I’m not really a picky type of person more like a roll with the punches kinda guy. This waking up with brain fog and taking me hours to get out of bed and start my day has gotta stop. Not having the energy to go to the gym and wanting to go straight home to bed has got to stop. I want to go to the gym I really do but this lack of energy is beating my ass and winning every day. Would love to hear your guy’s input of this. Also I have a huge beard 7/8 inches long, I did just the nasal mask for the sleep study. People with beards how do you do full face mask?

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Sleep Apnea, Congestion, and How To Move Foward?

Does anyone else experience a full remission from their poor sleep symptoms when they use Afrin? A couple months ago I used Afrin to cure congestion due to a sinus infection and experienced the best sleep I’ve had in years. I kept using Afrin every night and continued to feel much better. I know, you’re not supposed to, but being able to actually function during the day was worth it. After a while my tolerance grew a ton, to the point where I could no longer get myself fully decongested. I went cold turkey a couple of weeks ago, and after only like a day of pretty bad congestion I was back to normal. After stopping Afrin I tried using Allegra-D at night to keep my nose open, but I haven’t had the same luck. Does anyone have a similar experience? Or know what I might do moving foward?

A little more background: I’ve undergone a tonsillectomy, adenoidectomy, multiple turbinate reductions, and balloon sinoplasty (I think). I’ve also had MMA surgery, which helped for a bit before my symptoms returned. During the healing process after my MMA surgery, my jaw surgeon lost the splint that was keeping the width of my upper bite. I noticed that my upper bite narrowed and my congestion returned, as did my poor sleep symptoms. I’ve used a CPAP in the past but I’ve only ever experienced relief using my CPAP when I’ve also been using Afrin. Otherwise, my CPAP doesn’t really help. I also use mouth tape and breathe right strips at night, as well as taking claritin and pepcid.

I don’t want to be stuck using Afrin again but literally nothing else helps and I’m struggling hella hard right now. If anyone has any advice I’m all ears!!

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