sleep test 97 arousels but only 7 ob hypopneon

[kal81]

i have all the symptoms of UARS.
poor nasal breathing.
crowded mouth.
long tongue.

chronic fatigue
mental fog
unrefreshing sleep


i have had 2 sleep tests and also 1 Apneagraph test which has 3 sensors that are placed through a wire in the nose

my sleep test came back

97 arousels in 6 hours
but rdi only 1.6 per hour
in 6 hours 7 obstructive hypapneas
a little snoring also

deep sleep: 31%
rem:25%
oxygen level 96%

actually have had 3 months on cpap which i slept better and all my symptoms disepeared but its not helping anymore. Titrated it 5 times still not helping anymore
Apneagraph graph also came back negative.

is an Apneagraph the best way to test for UARS?

is there a chance the 97 arousels could be miniarousels and i should find a sleep centre that has the right equipment to test for UARS?

the 3 months on cpap that helped were the best months of the last ten years of my life. Never had soo much energy. Now i dont know what else to do.

now they are saying i might have Chronic fatigue syndrome. I never feel refreshed when i sleep and im convinced i have UARS but the tests keep coming back negative.

i just dont want to get CFS treatment and still have an underlying sleep problem.

has anyone ever had similar results and found out later they have UARS?

[avi123]

I also don't want to see Mr Saleem. An initial consultant and assessment with Mr Yousuf Saleem, Consultant Ear, Nose and Throat Surgeon, starts from approximately £475*.

About the Apneagraph

How is Apneagraph different from other tests?

Our service uses the Apneagraph device which, unlike the traditional Sleep Study, not only helps to tell us if customers have sleep apnoea or not but also the location of the obstruction that is causing it. This helps Mr Saleem to plan the type of treatment or surgery required. Apneagraph uses a patented pressure monitoring system to record breathing patterns and oxygen saturation levels as you sleep. In turn this helps us to identify the treatments that will give the greatest chance of successfully treating the causes of snoring.

How is the recording made?

A small tube containing sensors is placed through the nose and into the throat (the oesophagus). The other end of the tube is connected to the Apneagraph recorder that collects the information as you sleep. Additionally a small device is taped to an index finger to measure pulse rate and oxygen saturation levels.

It takes about 30 minutes to set up the Apneagraph. You will need to wear a loose fitting t-shirt for your appointment or something that you can sleep in.

You will leave the hospital with the Apneagraph sensors in place and a small chest belt which houses the data recorder. All equipment will be positioned so that you can continue your life as normal (including eating and drinking that evening).

An appointment will be made for you to come back the following morning to have the Apneagraph recorder and sensors removed. The data will then be downloaded from the recorder to a computer for analysis.

Results of Apneagraph

First of all we will know if your snoring is associated with sleep apnoea or not. If your snoring is associated with severe sleep apnoea, you will require non-surgical treatment like Continuous Positive Airways Pressure (CPAP). If CPAP is required you will be referred back into a local NHS service.

However, if your snoring is not associated with sleep apnoea or only mild to moderate sleep apnoea, you may benefit from surgery. Apneagraph should show exactly where your obstruction is and what the causes of your snoring are and if surgery is recommended, this will help Mr Saleem to plan the most appropriate treatment for you.


http://www.spirehealthcare.com/manchest ... r-snoring/

You had only 7 obstructive hypopneas in 6 hours of sleep which does not indicate OSA. Even if you're shown to have UARs then a CPAP is your first choice of treatment. The others are either surgeries or mouth appliances.

[kal81]

I had this test with Dr saleem..the apneagraph
He said I have no obstruction...

His advice was a neurologist..
He thinks I have CFS..

So an apneagraph would have pulled up any signs of UARS?

[BlackSpinner]

I had this test with Dr saleem..the apneagraph
He said I have no obstruction...

His advice was a neurologist..
He thinks I have CFS..

So an apneagraph would have pulled up any signs of UARS?

Was this "test" done at home or in an official sleep lab?
If at home the next step is to have a proper over night sleep test in a proper accredited sleep lab.

[chunkyfrog]

What the Hell is an apneagraph?
I've been to the Harold Warp Pioneer Village collection of medical quackery, and did not see one.

[library lady]

I have chronic fatigue syndrome, also called fibromyalgia, and as a syndrome it has no treatment. All that can be done is treat the symptoms with either meds or life-style changes, and learning to live with it. Just like sleep apnea, there is no treatment, only therapy with CPAP. It's been said that CPAP use often causes the symptoms of chronic fatigue to disappear.

[avi123]

"Chronic fatigue syndrome is a complicated disorder characterized by extreme fatigue that can't be explained by any underlying medical condition. The fatigue may worsen with physical or mental activity, but doesn't improve with rest.

The cause of chronic fatigue syndrome is unknown, although there are many theories — ranging from viral infections to psychological stress. Some experts believe chronic fatigue syndrome might be triggered by a combination of factors.

There's no single test to confirm a diagnosis of chronic fatigue syndrome. You may have to undergo a variety of medical tests to rule out other health problems that have similar symptoms.


Treatment for chronic fatigue syndrome focuses on symptom relief.

Medications

•Antidepressants. Many people who have chronic fatigue syndrome are also depressed. Treating your depression can make it easier for you to cope with the problems associated with chronic fatigue syndrome. And low doses of some antidepressants also can help improve sleep and relieve pain.{take Xanax .5 mg and Gabapentin 300 mg}

•Sleeping pills. If home measures, such as avoiding caffeine, don't help you get better rest at night, your doctor might suggest trying prescription sleep aids. {take Zolpidem 5 mg for sleep}

Therapy

The most effective treatment for chronic fatigue syndrome appears to be a two-pronged approach that combines psychological counseling with a gentle exercise program.

•Graded exercise. A physical therapist can help determine what types of exercise are best for you. Inactive people often begin with range-of-motion and stretching exercises for just a few minutes a day. If you're exhausted the next day, you're doing too much. Your strength and endurance will improve as you gradually increase the intensity of your exercise over time.
•Psychological counseling. Talking with a counselor can help you figure out options to work around some of the limitations that chronic fatigue syndrome imposes on you. Feeling more in control of your life can improve your outlook dramatically."

Source

http://www.mayoclinic.org/diseases-cond ... n-20022009

Do you have a CPAP? If yes use it.

[Julie]

I'd like to know what mask you use - if you mouth breathe while asleep and lose a lot of therapy air meant to keep your airway open, you'll feel bad of course, so it's important to consider whether or not you might need a full face mask vs a nasal one.

[kal81]

I actually have a full face mask.

I've tried 3 different masks...and all different types of pressure..

The apneagraph test was done at home. The insurance will not pay for a sleep test in the lab now as now they have written me off as a Cfs sufferer.

I was going to try a dental device called somnoguard Ap
Anyone ever heard of it and know if it's any good.

When a person has 97 arousels a night without a drop in oxygen from only 96-94 percent is that concidered normal?

[Julie]

What position do you sleep in?

[Country4ever]

It sounds like you have Alpha wave intrusion. Are you aware of each time you wake up?

[kal81]

No im Not aware of when I wake up.

I just wake up feeling really unrefreshed..
Fatigued...brain fog..

[Rustsmith]

I had 28 respiratory distress microarousals/hr during my initial sleep test that diagnosed very mild OSA (i.e. UARS), so your 97 in six hours is not out of line. My O2 desat levels also never dropped below 92 and my doctor was surprised to see that they dropped that far, so your O2 levels are not out of line for UARS.

As for the apneagraph being the

best

way to test for UARS, the gold standard is Pes, which is a pressure measurement via a small catheter placed into the esophagus. Most sleep labs are not set up to conduct this method of testing. It is labor intensive and is also not very comfortable when it comes to trying to get to sleep. I know this because I had it done during both nights of my testing. There has been instrumentation developed that appears to correlate well with the Pes and the apneagraph may well utilize this newer type of technology.

I am not familiar with the apneagraph beyond what I have read. But after looking at some of the information that is available, it appears to me that it does not use EEG to measure brain activity but instead is using a correlation of breathing patterns and heart rate to imply arousals. If it is using a correlation, then there is a chance that it could either be over or underestimating arousals since whether you are awake or asleep can only be positively determined by EEG.

Another difference between the apneagraph and what you would get during a laboratory sleep test is the absence of any monitoring of activity in your legs for PLMS (Periodic Leg Movement during Sleep). PLMS can cause short arousals that you are not aware of and are completely separate from UARS or OSA. xPAP therapy also does nothing for PLMS, which is frequently related to Restless Leg Syndrome.

[sickwithapnea17]

does gabapentin work for anyone else? it seems to increase slow wave sleep

[Todzo]

you need a second openion and a second and differant test