Low AHI - Lots of Arousals

Jay Aitchsee · Post by **Jay Aitchsee** » Wed Aug 16, 2017 10:34 am

ContenderOfAll wrote:Or it could be some other issue, neurological or something else. Can you suggest next steps?

You should have a good medical workup that tests for abnormalities that could cause fragmented sleep (Google causes of fatigue).
You should review all your medications and supplements for those that might cause fragmented sleep. You can start here: http://www.aarp.org/health/drugs-supple ... omnia.html
You should Google Sleep Hygiene. Make sure you understand it and ensure that you are faithfully practicing all its tenets. Start with Granny's recommendations:

ChicagoGranny wrote: - Practice good sleep hygiene (Google it and read several sources)
- Eat a good diet
- Have a regular, moderate exercise program
- Try to avoid daytime naps
- Practice total abstinence of caffeine including sources like chocolate (sigh)
- Review all medicines, vitamins and supplements you are taking to make sure none are interfering with sleep
- Use the bedroom for sleeping only, and make sure the bedroom and bed are comfortable.
- Learn to appropriately handle emotional stress in your life
- Use CPAP software, such as the free SleepyHead, to make sure your therapy is optimized
- If you still don't feel or sleep well, make sure you have regular medical checkups to confirm there are no other medical problems
CG

https://www.google.com/search?site=&sou ... m5loITw4ZQ

WearyOne · Post by **WearyOne** » Wed Aug 16, 2017 10:41 am

mangos21 wrote: See the article below...

http://www.thestate.com/news/state/sout ... 66780.html

Thanks for this article! . My sleep study showed more RERAs than anything else. Sleep doc said they were UARS.

Sounds exactly like me:

"The president and medical director of 3.0T MRI at Belfair in Bluffton would wake up each morning feeling worse than when he had gone to bed. 'It felt like you got hit by a train when you woke up,' he said. "

Morbius · Post by **Morbius** » Wed Aug 16, 2017 10:47 am

ContenderOfAll wrote:But how do I go about solving this mystery then? Sleep study seems to show little respiratory issues but
forum members indicate me to find UARS specialist.

If the sleep study showed no or few RERAs then you don't have UARS (assuming it was scored correctly, but you might want to hold on that for now).

You should review all other facets of your life, particularly any/all medications (including supplements), diet (especially caffeine intake) and overall health (i.e., thyroid function- hyperthyroidism could generate some of those symptoms, or a dysautonomia such as POTS).

Pugsy · Post by **Pugsy** » Wed Aug 16, 2017 12:29 pm

xxyzx wrote:then an xpap could not fix it coudl it

Treatment for UARS is still CPAP.

If someone had hyponeas...they wouldn't have UARS...they would have OSA.
Hyponeas are part of the obstructive apnea diagnosis. If the flow reduction is enough to earn a hyponea flag then it's OSA not UARS.
If someone had an AHI of 20 and they were all hyponeas the diagnosis would be OSA and not UARS.

Low AHI - Lots of Arousals

Re: Low AHI - Lots of Arousals

Re: Low AHI - Lots of Arousals

Re: Low AHI - Lots of Arousals

Re: Low AHI - Lots of Arousals