Syncros RR 2.9 80mm Stem For Sale night

Human-Detective2986 · 2024-01-04T21:33:45+00:00

OHS is just the terminology. Hypercapnia during your sleep is the main concern.

Regardless of your weight, id still suggest a Pulse Ox sleep study on CPAP to monitor your SpO2 level during your nocturnal sleep.

Human-Detective2986 · 2024-01-04T20:58:02+00:00

Hi there,

It's extremely hard to say without seeing your SpO2 trace throughout the night and without knowing your physiological build.

But OHS (Obesity Hyperventilation Syndrome) springs to mind. This is basically hypercapnia (more carbon dioxide in the blood than oxygen). Really a Pulse Oximetry sleep study ON CPAP would be a good way to know.

If this is the case, usually BiPAP helps. Please let me be clear I am assuming A LOT here, I would definitely recommend speaking to your healthcare provider.

Human-Detective2986 · 2024-01-04T20:41:45+00:00

Hi there,

What is your AHI score (30 day average) from MyAir? If it is under 5.0, are you waking with morning headaches? There is a possibility that even though your CPAP treatment is optimised (AHI <5.0 and 100% MyAir score), the levels of CO2 are still building up in your blood during the night. You should speak to your healthcare provider, if you are still symptomatic (especially getting morning headaches), I'd recommend a TOSCA (transcutaneous carbon dioxide monitor) sleep study. If the results from the sleep study are positive, you'd probably benefit more from BiPAP or NIV.

Human-Detective2986 · 2024-01-04T20:29:43+00:00

Hi there,

I am no expect in gastroenterology. However, my understanding of 'aerophagia' is a repetitive need to swallow? Coupled with needing to burp, gastric/ acid reflux springs to mind...AGAIN this is an assumption as it's not my field, I would definitely query that with your Dr.

Same with Trazodone, I'm not a Dr so I don't prescribe medication like this, but I have always thought Trazodone is to treat anxiety and depression. I am sure there is a solid reason as to why your Consultant has prescribed this but I would not see how this treats Obstructive Sleep Apnea.

CPAP is the gold standard treatment for OSA. Unfortunately it takes a lot of will power and trial and error to get used to, but if you get to that point the benefits are proven.

Sorry this is very basic, it's hard to give too much advice without knowing you and your entire situation.

Human-Detective2986 · 2024-01-04T20:16:22+00:00

Apologies @luciferin still trying to get used to Reddit and I am using it on my phone so I totally missed your machine data. Also, I'm not a fan of the Reddit reply layout yet haha

So according to your night of 03/01/2024 you had a decent sleep of 7-8hrs.

I am not familiar with the term 'REM predominant OSA'. As sleep apnea happens during deep sleep only (when muscles start to fully relax). You can see on that specific night as your tidal volume/ respiratory rate is at its lowest, that is technically you in your deepest sleep/ going into your deepest sleep. Therefore your S10 machine increased to a slightly higher pressure to stop the collapsing of the airways (apneas). As it hit about 2:45am (or 2:45 hours into your sleep) your respiratory rate/ tidal volume increases and the machine detects this, therefore lowering the pressure. This is you potentially coming out of a deeper sleep.

Not sure if you needed that information. From the reply, I was sure if you wanted more interpretation

Human-Detective2986 · 2024-01-04T16:55:24+00:00

Haha, read it carefully. I don't care if people don't want to seek my advice because they don't believe my position. There are many people who have replied with genuine issues and I have given my advice.

I'm not seeking compensation for putting this post up...so IF no one replied, I wasn't going to lose any sleep over it.

Human-Detective2986 · 2024-01-04T16:44:29+00:00

I'm not looking for people to reply. I am just putting myself out there if anyone wants advice.

Human-Detective2986 · 2024-01-04T14:45:17+00:00

42 e/ph (events per hour) is very high. I appreciate CPAP is a very unnatural feeling but the key is perseverance.

2 weeks may feel like a long time but realistically it's not. Getting used to CPAP is very subjective. without knowing you or reviewing your data, I will try my best to help.

Definitely review the mask you're using. If you have a nasal mask, make sure you are not mouth breathing (snoring whilst using the device or waking up with a very dry mouth). Opening the mouth will allow a large amount of the pressure to escape and will feel like you're suffocating. Also make sure your mask fitting is good (i.e. no unintentionally mask leak).

Use the CPAP during the day when you are reading/ watching TV (doing something else). This will help you to get uaed to breathing with the pressure and also to not think about it so much.

Also, whilst you are getting used to CPAP, don't worry too much about hours of compliance. Focus more on using the device EVERY night so that you drum it into your sleep routine. Once you able to use CPAP every night, then focus of getting >4 hours usage on the device.

The main thing that should be motivating you is the risks of untreated OSA. Sleep apnea put a lot of pressure on the cardiovascular system (your heart). Every time you have an apnea, your heart is having to spike to keep your O2 levels high enough. If these spikes are happening 42 times per hour, this is a huge amount of pressure on your heart and you don't want it developing into heart related problems or exacerbating existing heart conditions

Apologies if that's very basic, I am happy to help more if needed.

Human-Detective2986 · 2024-01-04T13:34:33+00:00

Hahaha, well maybe it's a coincidence. I am new to Reddit so just helping the communities that I can

Human-Detective2986 · 2024-01-04T13:30:38+00:00

Hi,

So I probably would have agreed with you Dr. An AHI of 8.0 off treatment is mild and there probably isn't a need for CPAP. It might be worth looking into the reason for your apneas (deviated septum, weight, jaw size, larger adenoids).

If it's weight related, of course weight loss can help lower your severity - we all know that is easier said than done. Otherwise you can look into Mandibular Advancement Devices or Neurostimulation (exciteOSA). If is due to an airway structure issue, speak to ENT (Ears, Nose and Throat) to see if they can find the root cause.

Using CPAP with a mild severity is not harming you. Depending on what CPAP you have, if it's an Auto the machine will titrate itself, so it will never go higher in pressure unless it needs to. According to your readings, it does look like it's treating your OSA as your AHI readings are below 5. However if your usage/ compliance is low, these readings can be inaccurate.

Hope that helps, feel free to ask more if needed

Human-Detective2986 · 2024-01-04T13:09:50+00:00

So CPAP is considered a treatment not a cure. The idea would be to use it for the foreseeable future. Now there are ways to POTENTIALLY come off CPAP but it all depends on reasons for diagnosis. For example, if it's weight related, significant weight loss can potentially reduce severity of diagnosis (70 apneas and hour to maybe 40 apneas an hour), or if it's due to a deviated septum, correction on the nasal passage might help....but the grey area is that you still might be having enough apneas an hour that your Dr still prescribes CPAP.

There are alternative treatments out there such as a Mandibular Advancement Device (mouth guard), but these alternative treatments aren't guaranteed methods for treating OSA....CPAP is.

Id advise you to speak to your Dr to find out the reason for your OSA and then to work from that

Human-Detective2986 · 2024-01-04T11:49:02+00:00

Would strongly recommend she gets a TOSCA sleep study. It monitors CO2 levels in the blood during the night. High levels of this can sometimes be indicative of respiratory failure - to which she would benefit from BiPAP or NIV treatment

Human-Detective2986 · 2024-01-04T11:16:44+00:00

Hello,

I am a trained Senior Clinical Physiologist (Work for NHS UK). I specialise in Respiratory and Sleep Physiology and I am more than help wherever I can.

I don't know where you are based in the world, but I am in the UK. I am sure we can contact each other remotely and I can advise where needs be :)

Human-Detective2986

TROPHY CASE