Urine volume way down with CPAP

General Discussion on any topic relating to CPAP and/or Sleep Apnea.
Napnea
Posts: 57
Joined: Fri Jun 27, 2014 11:04 am

Urine volume way down with CPAP

Post by Napnea » Mon Sep 15, 2014 9:19 am

This may be weird, but my urine output is way way WAY down with the CPAP running.
If I disconnect early the flow and urge returns to normal.


_________________
Mask: Mirage™ FX Nasal CPAP Mask with Headgear
Additional Comments: CPAP is A-Flex and not C-Flex. Not using humidifier. Pressure 11 cm
(Male, 74 yrs old, 6', 250 lbs down from 354 a few years back
but plateaued against further loss anything short of starving.
Starting pressure 8.0 cm ramps up to 11 during night.
Not using humidifier.

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Julie
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Re: Urine volume way down with CPAP

Post by Julie » Mon Sep 15, 2014 9:46 am

Most people are very happy not having to get up for bathroom breaks overnight once on Cpap... but if you feel you're going too far in the other direction maybe drink more water during the day (though not right before bed).

Napnea
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Re: Urine volume way down with CPAP

Post by Napnea » Mon Sep 15, 2014 10:05 am

I do that. VOLUMES of water. Almost all day long.

USUALLY it came out at night.

Now only after disconnecting the CPAP

_________________
Mask: Mirage™ FX Nasal CPAP Mask with Headgear
Additional Comments: CPAP is A-Flex and not C-Flex. Not using humidifier. Pressure 11 cm
(Male, 74 yrs old, 6', 250 lbs down from 354 a few years back
but plateaued against further loss anything short of starving.
Starting pressure 8.0 cm ramps up to 11 during night.
Not using humidifier.

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Pugsy
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Location: Missouri, USA

Re: Urine volume way down with CPAP

Post by Pugsy » Mon Sep 15, 2014 10:16 am

When we have apnea events and the body gets stressed out the heart produces the ANP stress hormone
http://en.wikipedia.org/wiki/Atrial_natriuretic_peptide
When it gets dumped into the blood stream and finds its way to the kidneys the kidneys respond by kicking into overdrive and when kidneys work hard guess what they produce?...yep, urine.

Eliminate the sleep apnea events with optimal therapy and the heart no longer produces the stress hormone and the kidneys no longer work in overdrive and thus we no longer have our bladders get full so much during the night....and we can sleep without having to get up to pee so often.

My nocturia was probably the first symptom of sleep apnea to leave once my therapy was optimal. That alone makes the therapy a blessing for me. Even if it did nothing else...

Now of course if the nocturia is caused from something else (and there are lots of other potential causes) besides sleep apnea then effective therapy isn't going to offer much release in any nocturia symptoms. So effective therapy can't fix all nocturia problems but it can fix the part of the nocturia that is related to sleep apnea and that stress hormone production.

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Julie
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Re: Urine volume way down with CPAP

Post by Julie » Mon Sep 15, 2014 10:22 am

Are you otherwise feeling the lack of water - e.g. thirsty, wrung-out, etc.? Because they could be signs of other problems (e.g. diabetes) you don't want. But you said you drink 'volumes' of water... why, especially if you 'go' so often? And you should know the old business of 8 ozs a day has been thrown out as NOT being required for most people...

Napnea
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Re: Urine volume way down with CPAP

Post by Napnea » Mon Sep 15, 2014 12:20 pm

Very thirsty most nights.
The CPAP really dries me out, but even without it I drink all night long.
No diabetes. Had it. No longer.
A1C is 6.2 and has been for years now.
No diabetes meds.

But I do feel thirsty at NIGHT.
8 oz PER DAY would be a serious lack of fluid.


Doctor (?) took me off all BP meds and one was maxzide which although keeping me from bloating gave me horrible leg cramps from dehydration.

I'm dealing with some other issues now too, but the fluid intake and retention has been a problem for years.

The CPAP has just altered the PATTERN very much.

As soon as the mask comes off, I let out all that used to come out during the night.

_________________
Mask: Mirage™ FX Nasal CPAP Mask with Headgear
Additional Comments: CPAP is A-Flex and not C-Flex. Not using humidifier. Pressure 11 cm
(Male, 74 yrs old, 6', 250 lbs down from 354 a few years back
but plateaued against further loss anything short of starving.
Starting pressure 8.0 cm ramps up to 11 during night.
Not using humidifier.

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Julie
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Joined: Tue Feb 28, 2006 12:58 pm

Re: Urine volume way down with CPAP

Post by Julie » Mon Sep 15, 2014 12:24 pm

You absolutely MUST see a doctor right away. Whether or not you think your diabetes went away, whatever is going on needs to be seen to (there are other things besides diabetes of course). The longer you leave it, the harder it'll be to deal with, let alone fix, so get going.

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Wulfman...
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Re: Urine volume way down with CPAP

Post by Wulfman... » Mon Sep 15, 2014 12:24 pm

Consult with your doctor. Maybe have them order a microalbumin test.
Mouth breather or nose breather during the night?

Den

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(5) REMstar Autos w/C-Flex & (6) REMstar Pro 2 CPAPs w/C-Flex - Pressure Setting = 14 cm.
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Napnea
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Re: Urine volume way down with CPAP

Post by Napnea » Mon Sep 15, 2014 2:21 pm

One of the "problems" I'm having is with my primary care guy who does not give any advice on the sleep stuff and the sleep lab (Kaiser for both) is so busy that they are hard to reach.
I have almost PERFECT labs only a week old but I had a septic liver and no one seems to want to address my extremely elevated ALT and AST enzyme levels.
A bad liver can cause bloating (I guess I forgot to mention that the pee is accompanied by bloating UNTIL it comes out after the mask comes off) and my doc is back from wherever he goes this week. I intend to rake him over the coals to get some damn ANSWERS!



Why nobody (except me) is concerned over these enzyme levels is a mystery.

My doctor (?) has taken me off all but 2 meds each day. Allopurinol and relafen. gout and arthritis.

TONIGHT I think I'll pop half a xanax when I hit the sack. If this is anxiety, that should deal with it.

Very discouraged about the medical care in general.

The sleep clinic is busy today but promised to call me by tomorrow.


I'm ready to see a veterinarian who would either cure me or put me down.

_________________
Mask: Mirage™ FX Nasal CPAP Mask with Headgear
Additional Comments: CPAP is A-Flex and not C-Flex. Not using humidifier. Pressure 11 cm
(Male, 74 yrs old, 6', 250 lbs down from 354 a few years back
but plateaued against further loss anything short of starving.
Starting pressure 8.0 cm ramps up to 11 during night.
Not using humidifier.

User avatar
Wulfman...
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Joined: Mon Sep 01, 2014 6:41 pm
Location: Nearest fishing spot

Re: Urine volume way down with CPAP

Post by Wulfman... » Mon Sep 15, 2014 2:31 pm

Napnea wrote:One of the "problems" I'm having is with my primary care guy who does not give any advice on the sleep stuff and the sleep lab (Kaiser for both) is so busy that they are hard to reach.
I have almost PERFECT labs only a week old but I had a septic liver and no one seems to want to address my extremely elevated ALT and AST enzyme levels.
A bad liver can cause bloating (I guess I forgot to mention that the pee is accompanied by bloating UNTIL it comes out after the mask comes off) and my doc is back from wherever he goes this week. I intend to rake him over the coals to get some damn ANSWERS!



Why nobody (except me) is concerned over these enzyme levels is a mystery.

My doctor (?) has taken me off all but 2 meds each day. Allopurinol and relafen. gout and arthritis.

TONIGHT I think I'll pop half a xanax when I hit the sack. If this is anxiety, that should deal with it.

Very discouraged about the medical care in general.

The sleep clinic is busy today but promised to call me by tomorrow.


I'm ready to see a veterinarian who would either cure me or put me down.
Any chance your "condition" could be from being taken off of those meds and not the CPAP therapy?
Do some checking in Drugs.com on those and see if anything jumps out at ya.


Den

.
(5) REMstar Autos w/C-Flex & (6) REMstar Pro 2 CPAPs w/C-Flex - Pressure Setting = 14 cm.
"Passover" Humidification - ResMed Ultra Mirage FF - Encore Pro w/Card Reader & MyEncore software - Chiroflow pillow
User since 05/14/05

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Julie
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Re: Urine volume way down with CPAP

Post by Julie » Mon Sep 15, 2014 2:32 pm

What about your raised enzyme levels concerns you right now?

Napnea
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Re: Urine volume way down with CPAP

Post by Napnea » Mon Sep 15, 2014 2:54 pm

answering last 2 replies.

the meds have been off for quite a while. My septic liver was preceded by low blood pressure which the ...doctors.... looked on as GOOD news. Apparently low BP is a sign of infection.

..............................

and what worries me about liver is

http://www.uihealthcare.org/content.aspx?id=16041
The most common symptoms are very non-specific and they include fatigue or excessive tiredness, lack of drive, occasionally itching. Signs of liver disease that are more prominent are jaundice or yellowing of the eyes and skin, dark urine, very pale or light colored stool or bowel movements, bleeding from the GI tract, mental confusion, and retention of fluids in the abdomen or belly.

_________________
Mask: Mirage™ FX Nasal CPAP Mask with Headgear
Additional Comments: CPAP is A-Flex and not C-Flex. Not using humidifier. Pressure 11 cm
(Male, 74 yrs old, 6', 250 lbs down from 354 a few years back
but plateaued against further loss anything short of starving.
Starting pressure 8.0 cm ramps up to 11 during night.
Not using humidifier.

User avatar
Julie
Posts: 19898
Joined: Tue Feb 28, 2006 12:58 pm

Re: Urine volume way down with CPAP

Post by Julie » Mon Sep 15, 2014 3:03 pm

I would wait and talk to your doctor, maybe ask for a referral to an endocrinologist or hepatologist (liver spec.) but unless you have 'way out there' symptoms otherwise or are a long time, hard drinker, relax a bit until you do. It's unlikely a lot serious is going on and elevated enzymes alone, possibly short term, can be related to many things.