should i feel better yet?

Dgriffin333 · Post by **Dgriffin333** » Tue Dec 19, 2017 1:15 pm

Hi i have been on apap for about 2 months now i was diagnosed with a AHI of 14 my first month of therapy was very rough only got about 3 hours a night on apap however the last month i have adjusted the pressure and been able to sleep 10 hours plus on apap every night my ahi has been averaging around 4 when i wake up i feel very groggy and take a few hours to wake up i am having dreams again every night where before cpap i had almost 0 dreams but just wondering should i be feeling better after a month of good apap treatment or am i still repaying my sleep dept or am i having to many events to feel better thanks.

Pugsy · Post by **Pugsy** » Tue Dec 19, 2017 1:25 pm

Are you sleeping soundly for the most part or waking often for some reason or other?
I probably have asked this before but I can't remember....take any medications of any kind? If so, what?

Would you do me a favor please and do your screen shots a little differently so that we can get a better idea what is going on?

Just do one image...turn off the pie chart on the left (Preferences/Appearance tab...remove check mark) and hide the calendar so that the AHI and each category will show up on the left side along with the statistics (which we can't see right now).
On the right side do just these graphs. You can resize and move them around if needed.
Just these graphs...
Events
Flow rate
Pressure (or mask pressure) but no need for both.
Leak
Flow limitation (since you are using a ResMed machine)

You can get all of this on one screen shot easily. See image below of mine.

Julie · Post by **Julie** » Tue Dec 19, 2017 1:27 pm

If you're sleeping 10 hrs (too much) and not feeling great, I would think you're not being treated. You shouldn't need to sleep so long and you should feel a lot better. I would imagine bumping your min. pressure by 1-2 cms (or more depending on where it is now) would be needed.

Dgriffin333 · Post by **Dgriffin333** » Tue Dec 19, 2017 1:39 pm

Dgriffin333 · Post by **Dgriffin333** » Tue Dec 19, 2017 1:45 pm

hi thanks for the replys and yes as far as i know i am sleeping soundly i usually dont wake up during the night and if i do it is only one time and usually after 7 hours or so of sleep i also am on medication i have gone through every possible test to get a diagnosis every blood test was normal no thyroid issues cfs ruled out because i have no post exercise malice or painful joints my doctor waited last to do a sleep study because im a 19 year old male that is 6 feet tale weight 150 and well skinny saying there is no chance i have sleep apnea well he was wrong and in the mean while he just assumed i have depression sense everything else was normal so i have been on depression medication the last 2 months

Pugsy · Post by **Pugsy** » Tue Dec 19, 2017 1:46 pm

The bulk of your AHI for this night was Central/Clear Airway.....
how was your sleep quality?
Wake often?
Any other health issues going on like pain or comfort or something?
Take any meds?

Dgriffin333 · Post by **Dgriffin333** » Tue Dec 19, 2017 1:49 pm

i feel like sleep quality is good dont wake up in the middle of the night im not tossing and turning anymore and just depression medication should i request a ASV machine instead of apap

Pugsy · Post by **Pugsy** » Tue Dec 19, 2017 2:07 pm

No, not enough centrals to warrant ASV. I just mentioned them because sometimes when I see them and people say they remember waking often that I can probably discount some of the centrals as Sleep/Wake/Junk.

So you are on medication for depression? SSRIs and SNRIs are notorious for causing not only unwanted daytime symptoms but for messing with the normal sleep architecture and even causing a lot of low level arousals that you may or may not remember but will impact how you feel during the day.

What are your daytime symptoms that you have you wish you didn't have?

Dgriffin333 · Post by **Dgriffin333** » Tue Dec 19, 2017 2:21 pm

yes im on a snri however i had all the symptoms before starting the medication my symptoms for just refreshing sleep, daytime fatigue falling asleep at 6 in the afternoon brain fog concentration problems morning headaches. and the symptoms have not become any worse sense starting the medication if anything the symptoms have slightly improved

Julie · Post by **Julie** » Tue Dec 19, 2017 2:38 pm

Bump your min. pressure for a few days to 6 or 7 and see how you feel. Don't change anything else (yet) so you'll know if that's the problem... which I believe it is regardless of what else might also be problematic.

Pugsy · Post by **Pugsy** » Tue Dec 19, 2017 2:47 pm

I hear you in that the symptoms started before the medication started but the meds can definitely impact those daytime symptoms you don't like.
Just saying that they can play a part. Probably not 100% the part but they can sure mess with how we feel.

It's only been 2 months though...and while I know that may seem like a long time in the grand scheme of things it really isn't.
Some people have found it takes months and months for their unwanted symptoms to very gradually fade away. I know we read about people having the "overnight miracle" but in real life those people are a very lucky and very small minority. Most of us have found it takes quite some time and the improving is so gradual that sometimes we don't even realize it. I know that I didn't have that overnight miracle except for the nocturia going away immediately. The energy thing for me took a lot longer and it wasn't until I actually had to sleep without my cpap one night that I realized just how much it helped when all the ugly symptoms came back in full force.

Also...do talk to your doctor about the meds and the depression. Often one of the symptoms of sleep apnea are the very symptoms that get blamed on the depression so we get the depression diagnosis first and get started on the meds but instead it was the sleep apnea that was causing the symptoms that got blamed on depression.
Just the other day I read where a forum member decided (with his doctor) to get off the meds for depression and he was noticing that his unwanted daytime symptoms were going away and the "depression" wasn't rearing its ugly head.

Dgriffin333 · Post by **Dgriffin333** » Tue Dec 19, 2017 3:42 pm

thanks pugsy and julie for your replys will talk to my doctors and keep with my cpap therapy and hopefully feel better eventually thanks.

TedVPAP · Post by **TedVPAP** » Tue Dec 19, 2017 5:17 pm

Julie wrote:Bump your min. pressure for a few days to 6 or 7 and see how you feel. Don't change anything else (yet) so you'll know if that's the problem... which I believe it is regardless of what else might also be problematic.

I agree with Julie. Those large pressure swings MIGHT be disturbing your sleep even though you don't seem to be noticing them. It is worth a try.

Pugsy · Post by **Pugsy** » Tue Dec 19, 2017 5:31 pm

Minimum pressure is already 6 cm....maximum is 9 cm. Not a huge range there but it might be impacting sleep quality a bit if you are sensitive to the changes.
EPR is set to 2.

It does look like ramp is being used..that's why you see the 4 cm for a little while....that's the ramp part.

Dgriffin333 · Post by **Dgriffin333** » Tue Dec 19, 2017 11:11 pm

Yes I have ramp setting on should I bump min from 6 to 7 for a couple nights?

should i feel better yet?

should i feel better yet?

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