Finally an answer to my Problems?

[Billymadison420]

Hey folks that remember me.

I recently has an MRI and it showed Sinusitis. This may or may not be recent but I can say I have had a clogged nose ever since my teens and I would always wake up with the bed sweating. Snoring loudly etc. Even now when I got to bed I use the full face mask because my nose becomes unbreathable. Nasal saline does nothing. Nasacort does nothing. Afrin is the only thing that somewhat helps and I don't use it because of the danger.

Could this be causing or at least exacerbating my apneas and be a major cause of my daytime fatigue?

Sleep Study/MSLT: 16 min sleep latency

PSG: The patient underwent positive airway pressure titration. The patient underwent C A P titration. The patient was monitored with EEG / EOG / EMG / EKG, thoracic as well as abdominal effort, airflow, oxygen saturation, and snoring. The technical aspects are included and can be reviewed on the following pages.
TechnicalData
Sleep efficiency was 85.9%. Sleep architecture was disrupted due to multiple arousals and awakenings following sleep onset, and the low proportion of slow wave sleep.. Sleep latency was 6.3 minutes estimated by patient to be 60 minutes. REM latency was 65.5 minutes. Total sleep time was 466 minutes estimated by patient to be 240-300 minutes. The periodic limb movement index was 0.9 events per hour of sleep and the periodic limb movement arousal index was 0. Baseline awake Sa02 was 98% and nadir was 89%. The proportion of time spent below an Sa02 of 89% was 0.0% of total sleep time. C A P was titrated from a setting of 8 cm H20 to 14 cm H2O to abolish snoring, apneas, hypopneas, and RERA's. At a setting of 12 cm H2O the apnea hypopnea index (AHI) was 3.7 events per hour, the respiratory disturbance index (RDI) was 3.7 events per hour, and S a 0 2 values remained above 94% during sleep. No snoring was noted at this setting. Cardiac arrhythmias were not observed
Impression:
• C A P titration at 12 cm H20 vields an AHI of 3.7
• Adequate sleep time before MSLT
• No SOREM period noted.
• Sleep state misperception appears to be present. Clinical correlation is suggested.


MRI -
Mild To Moderate paranasal sinus mucosal thickening and opacification, most profound on left maxillary sinus. Correlate for Sinusitus.

Night of Sleep: https://sleephq.com/public/1b642a73-0cd ... 53f9d5d938

Symptoms:
1. Severe Daytime Fatigue
2. Severe Daytime Brain Fog
3. Bad Nasal Congestion

[Julie]

Would so have helped if you'd written in old thread so we'd have info to compare to... going to let experts reply otherwise to your Q's.

[Billymadison420]

Would so have helped if you'd written in old thread so we'd have info to compare to... going to let experts reply otherwise to your Q's.

Sorry about that. Let me post some stuff here

(edit: please check thread now)

[ChicagoGranny]

I recently has an MRI and it showed Sinusitis.

Which specialist did the MRI? If it was an ENT, your question should be addressed to her.

This may or may not be recent but I can say I have had a clogged nose ever since my teens ...Could this be causing or at least exacerbating my apneas and be a major cause of my daytime fatigue?

Of course, congested nasal passages can make it difficult for CPAP to be comfortable and effective. Have a discussion with your ENT.

[Billymadison420]

I recently has an MRI and it showed Sinusitis.

Which specialist did the MRI? If it was an ENT, your question should be addressed to her.

This may or may not be recent but I can say I have had a clogged nose ever since my teens ...Could this be causing or at least exacerbating my apneas and be a major cause of my daytime fatigue?

Of course, congested nasal passages can make it difficult for CPAP to be comfortable and effective. Have a discussion with your ENT.

Neuro ordered the MRI. Following up with ENT tomorrow.

[ChicagoGranny]

Following up with ENT tomorrow.

A consultation with an ENT should be standard medical practice for everyone diagnosed with OSA.

On the first visit, the ENT should scope your nose all the way down to the vocal cords. It's a quick procedure done in the office. You will be able to see what the doctor is seeing.

I hope your MRI is already transferred to the ENT.

[chunkyfrog]

Following up with ENT tomorrow.

A consultation with an ENT should be standard medical practice for everyone diagnosed with OSA.

On the first visit, the ENT should scope your nose all the way down to the vocal cords. It's a quick procedure done in the office. You will be able to see what the doctor is seeing.

I hope your MRI is already transferred to the ENT.

I was never sent to an ENT, except to remove a lesion on my tongue.
(Never eat a bug with a stinger.)

[Billymadison420]

Turns out I have Sinusitis and a Deviated Septum.

[stevenal]

(Never eat a bug with a stinger.)

Google says frogs do that all the time.

[Okie bipap]

Turns out I have Sinusitis and a Deviated Septum.

I used to have sinus infections quite often. In 1996, I had my deviated septum repaired, and have had very few sinus infections since then. I strongly recommend you get the deviated septum corrected if you can.

[Billymadison420]

Turns out I have Sinusitis and a Deviated Septum.

I used to have sinus infections quite often. In 1996, I had my deviated septum repaired, and have had very few sinus infections since then. I strongly recommend you get the deviated septum corrected if you can.

My brother-in-law did the same! Got me curious about doing it as well. Did it help with your sleep at all?

[Okie bipap]

It made it easier to breathe which in turn made sleeping better. I had this as well as turbanate reduction and UPPP surgery all at the same time. I no longer snored, and my wife said I no longer quit breathing while sleeping. I did not do another sleep study after my surgery, and my sleep apnea symptoms returned shortly before I retired in 2013. I have been using a bi-level machine since May, 2015.

[babydinosnoreless]

Following up with ENT tomorrow.

A consultation with an ENT should be standard medical practice for everyone diagnosed with OSA.

On the first visit, the ENT should scope your nose all the way down to the vocal cords. It's a quick procedure done in the office. You will be able to see what the doctor is seeing.

I hope your MRI is already transferred to the ENT.

Been on bilevel for years now. Never been to an ENT never even have had a doctor that suggested it. Not sure why I would want someone scanning my nose with a scope when I don't have nasal issues. Fairly certain my sleep apnea is due to recessed jaw and the surgery (butchery) that was done on it when I was a kid.

[ChicagoGranny]

Not sure why I would want someone scanning my nose with a scope when I don't have nasal issues.

A nasal endoscopy also examines the sinuses, vocal cords, and the upper end of the esophagus. It's not done to determine the cause of obstructive sleep apnea. A noninvasive examination of the jaw, teeth, tongue, and soft palate usually reveals the immediate cause of OSA.

[ChicagoGranny]

Following up with ENT tomorrow.

Good move!