Sleepier with CPAP???
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Sleepier with CPAP???
Last night, Night 2 of my CPAP therapy, I was fortunate to only get up once at 4:30 AM for a bathroom trip and then fell quickly back to sleep to awaken to my alarm, as usual, at 6:30 this morning. However, I am shocked at how unusually exhausted I feel this morning. I feel more tired this morning than I usually did before I started therapy. Is there a reason for this or is something very wrong here? I am a bit upset right now as I expected that when I finally got a decent night's sleep, which hasn't happened in years, literally, and got lucky enough last night to only awaken once. on Night 2 no less, I really thought I'd feel more energetic and awake. So feeling this out of it this morning is a bit of a depressant and is making me doubt this whole ordeal. I need some real words of encouragement at this time. Thanks for any of those that you can offer .
L o R i


Sleep debt
This is not uncommon. You have a lot of sleep debt and your brain and body may have a bit of a hard time adjusting to a good night's sleep. You may be experiencing REM-rebound or deep sleep rebound. It's taken me quite a while to start to feel better. But stick with it, slowly and surely you'll get better. You may check with your doctor to make sure your pressure setting and machine are working properly.
If I had known I would have lived this long, I would have taken better care of myself.
Someone one made a lovely distinction: She said that when she woke up, after those first nights of good sleep she was tired, but not fatigued.
That's an important distincion. "Tired" for me means: oh, sleep was so pleasant, I could use more of it. "Fatigued" is the dreadful feeling that no matter how much I sleep, I'm still....well, you know what I mean.
Sometime you're not necessarily wide awake, energetic, raring to go, but just pleasntly rested when you wake up.
If you're like most of us, you'll have your ups and downs, but when you look back, you'll see the general treand was towards better.
O.
That's an important distincion. "Tired" for me means: oh, sleep was so pleasant, I could use more of it. "Fatigued" is the dreadful feeling that no matter how much I sleep, I'm still....well, you know what I mean.
Sometime you're not necessarily wide awake, energetic, raring to go, but just pleasntly rested when you wake up.
If you're like most of us, you'll have your ups and downs, but when you look back, you'll see the general treand was towards better.
O.
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Forum member Dog Slobber Nov. 2023
Antoine de Saint-Exupery
Good advice is compromised by missing data
Forum member Dog Slobber Nov. 2023
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Reply to O
O,
You know, I think more than anything, when I started CPAP therapy, I expected that when I slept finally, I would wake with this new found exhilaration and energy that I hadn't felt in years. And I even read about some people who claimed to have experienced just that. So when I actually had four and a half hours straight sleep with the mask, I was a bit disappointed to awaken with such exhaustion, more so than without the mask and machine. Less fatigue? Hmm, I'd have to really think about that. I don't know if I'd agree on that. I was exhausted this morning. All I can say is, I won't give up. I didn't expect to sleep this much the second night of therapy, so I won't expect to have results this fast, either. Hey, anything worth having is worth fighting for, and I've got my gloves on.
You know, I think more than anything, when I started CPAP therapy, I expected that when I slept finally, I would wake with this new found exhilaration and energy that I hadn't felt in years. And I even read about some people who claimed to have experienced just that. So when I actually had four and a half hours straight sleep with the mask, I was a bit disappointed to awaken with such exhaustion, more so than without the mask and machine. Less fatigue? Hmm, I'd have to really think about that. I don't know if I'd agree on that. I was exhausted this morning. All I can say is, I won't give up. I didn't expect to sleep this much the second night of therapy, so I won't expect to have results this fast, either. Hey, anything worth having is worth fighting for, and I've got my gloves on.
L o R i


- neversleeps
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Lori, very well said! I also hoped to notice immediate improvement as some others have experienced. A woman at my office said when she woke up the first morning after CPAP, she was shocked to feel so transformed. She said she felt like a new woman and realized she must have never had a good night's sleep in 20 years.
I wish that was my experience!!!!
After reading the information rested gal has supplied regarding alternative treatments seen on some other message boards, I am going to make an appointment to see if the Pillar Procedure might benefit me. Restore Medical is about 10 miles from me. One would hope that means there are some highly experienced docs in the area familiar with the procedure.
I agree with you. I am not ever giving up on this! Thanks to the incredibly knowledgable, helpful and encouraging members of this forum, I've come to realize there just isn't a good excuse for quitting. Yes, its uncomfortable; yes, its difficult to get used to; yes, at first you get even less sleep than b4 you started the therapy. We have to tough it out. I can't imagine what it would be like to end up having a stroke or a heart attack with permanent damage..... or even dying because I was too wimpy to stick with CPAP. (And that's what I keep telling myself when I want to throw the thing across the room!) Plus I have a 10 year old son, which in my mind means I'm obligated to do all I can to be around for him in the future. It isn't an option, it's a requirement. (Another thing I keep telling myself when I get sooooo frustrated!)
Your perseverance helps me to keep persevering! Thank you!
I wish that was my experience!!!!
After reading the information rested gal has supplied regarding alternative treatments seen on some other message boards, I am going to make an appointment to see if the Pillar Procedure might benefit me. Restore Medical is about 10 miles from me. One would hope that means there are some highly experienced docs in the area familiar with the procedure.
I agree with you. I am not ever giving up on this! Thanks to the incredibly knowledgable, helpful and encouraging members of this forum, I've come to realize there just isn't a good excuse for quitting. Yes, its uncomfortable; yes, its difficult to get used to; yes, at first you get even less sleep than b4 you started the therapy. We have to tough it out. I can't imagine what it would be like to end up having a stroke or a heart attack with permanent damage..... or even dying because I was too wimpy to stick with CPAP. (And that's what I keep telling myself when I want to throw the thing across the room!) Plus I have a 10 year old son, which in my mind means I'm obligated to do all I can to be around for him in the future. It isn't an option, it's a requirement. (Another thing I keep telling myself when I get sooooo frustrated!)
Your perseverance helps me to keep persevering! Thank you!
Last edited by neversleeps on Thu Jun 09, 2005 11:07 am, edited 1 time in total.
I'm new to this too so I may be off base here. I think you have to recognize that you have compensated for the Apnea for quite a while. Before therapy I was able to get up and get going in the morning and didn't drag till afternoon. So I kicked in the caffeine and finished out my day. The only reason I went to the doctor about it was my wife was getting worried when I stopped breathing at night.
My point is I "slept" through the night and was able to function. Then the sleep test told me I had OSA which wasn't a suprise. Unfortunately it was going to be three weeks before I could a CPAP. During that period I was very depressed and felt so tired. Like no matter how long I slept it was a waste. The only difference was I finally knew what I only thought I had.
So I start therapy and now I find myself waking up more during the night. It wasn't mask leaks, I think it was I was finally getting good sleep and my body was telling I had enough after a couple hours. This is probably what I got after a full night without the CPAP. So I have been forcing myself to go back to sleep, something I could easily do before becasue I was living fatigued.
Gotten a few full nights now and still wake up yawning. My body must be adapting because I'm not zoning out at 2 every day. I've realized it is just goning to take time for my body to realize what good sleep is. It just hasn't had it for in my case probably 30 years.
My point is I "slept" through the night and was able to function. Then the sleep test told me I had OSA which wasn't a suprise. Unfortunately it was going to be three weeks before I could a CPAP. During that period I was very depressed and felt so tired. Like no matter how long I slept it was a waste. The only difference was I finally knew what I only thought I had.
So I start therapy and now I find myself waking up more during the night. It wasn't mask leaks, I think it was I was finally getting good sleep and my body was telling I had enough after a couple hours. This is probably what I got after a full night without the CPAP. So I have been forcing myself to go back to sleep, something I could easily do before becasue I was living fatigued.
Gotten a few full nights now and still wake up yawning. My body must be adapting because I'm not zoning out at 2 every day. I've realized it is just goning to take time for my body to realize what good sleep is. It just hasn't had it for in my case probably 30 years.
- neversleeps
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Neversleeps, you brought a tear to my eye. Thank you for saying that. I cannot tell you how these message boards have helped me, and I'm sure so many others, and in so many ways. Like you said, they give us the strength to keep us going, and they also provide us with the answers that we couldn't find this easily anywhere else. I think there is a sisterhood/brotherhood amongst those who can relate to the trials and tribulations that come with being afflicted with OSA. Before a couple of months ago, I never would have given these issues a second thought, or even a first thought for that matter. But here you find others that not only have already thought these things through and can provide you some insight, but can help you with the answers to things you haven't even begun to start questioning yet. Invaluable is the main word that comes to mind. I'm so glad to have found this site and people like yourself.Your perseverance helps me to keep persevering! Thank you!
To change topic for a moment, coincidentally, I just read about the Pillar Procedure this morning. I would be very interested in knowing what your consultation reveals. I have mild apnea, with only four point something arousals per hour during my sleep study, and a 10 cm setting on my CPAP machine. I would hope to be a candidate for a successful Pillar procedure. Please keep us posted if you do end up going to the consult.
Once again, thanks for the words of encouragement. They mean so much.
L o R i


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Those considering the Pillar procedure. Remember it treats only one aspect of OSA, the soft palate laxity. It does not do a thing for enlarged tonsils or uvula, enlarged adenoids or deviated septums, all of which are also factors in OSA. Not to mention the tongue relaxing and falling back, too.
FACT: Treatment with CPAP (according to my ENT who is trying to talk me into surgery) will allow the soft palate to regain much if not all of its normal firmness since what caused the laxity in the first place was the vibration of snoring. With CPAP you are no longer snoring so you soft palate is given a chance to "heal". now, if you normally have a rather small oral cavity, that soft palate is going to be low no matter what you do short of surgery to remove tissue. IF you really want to go through all that pain, etc.
My ENT is re-evaluating me and my soft-palate this coming week at my verification with her that the CPAP could resolve that aspect. I think it is quite a bit firmer myself. So, if I HAD gotten the Pillar procedure what would it have proven?
And just toughing up the soft palate does not mean you still don't need CPAP. It may just lessen or do away with snoring, which may or may not mean a darn thing.
FACT: Treatment with CPAP (according to my ENT who is trying to talk me into surgery) will allow the soft palate to regain much if not all of its normal firmness since what caused the laxity in the first place was the vibration of snoring. With CPAP you are no longer snoring so you soft palate is given a chance to "heal". now, if you normally have a rather small oral cavity, that soft palate is going to be low no matter what you do short of surgery to remove tissue. IF you really want to go through all that pain, etc.
My ENT is re-evaluating me and my soft-palate this coming week at my verification with her that the CPAP could resolve that aspect. I think it is quite a bit firmer myself. So, if I HAD gotten the Pillar procedure what would it have proven?
And just toughing up the soft palate does not mean you still don't need CPAP. It may just lessen or do away with snoring, which may or may not mean a darn thing.
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- neversleeps
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Thanks, Janelle. I've been researching this for a couple months now. I realize it is not a CURE, but a treatment for just one form (retropalatal) of obstruction. If my big problem is tongue obstruction, then it sounds like the Pillar Procedure won't do any good.
What I keep coming back to from a Talk About Sleep message board is that with a combination of surgery and use of a dental device , people have been able to stop CPAP therapy. If it were possible, I would much prefer to wear a dental device to bed every night than my CPAP equipment!
Anyway, it is very minor surgery, wide awake, sitting in a dentist's chair, over in a matter of minutes. It is also reversible. So if I'm a candidate for the surgery, I don't see how I can go wrong!
What I keep coming back to from a Talk About Sleep message board is that with a combination of surgery and use of a dental device , people have been able to stop CPAP therapy. If it were possible, I would much prefer to wear a dental device to bed every night than my CPAP equipment!
Anyway, it is very minor surgery, wide awake, sitting in a dentist's chair, over in a matter of minutes. It is also reversible. So if I'm a candidate for the surgery, I don't see how I can go wrong!
- sleeplesssue
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Hi all!
I am new to all of this as well, and I am still trudging through all the messages posted. I had my second sleep study last night with CPAP and I too felt somewhat discouraged when I was awakened this morning. I expected to feel great and rested and full of energy. I was not...or so I thought things we still the same. After reading many of your messages on this, I thought back to this morning. Although I still felt tired, I did wake up faster and more willingly than is usual, and I didn't feel that I was in a fog. As the day has gone on I have not had but maybe one moment of nodding off and I was able to get up (was willing to get up), move around, and clear my head. With a drink of water and a cracker I was able to continue doing what I had been doing. So I guess what I am trying to say is there was in fact a change, even after only one night.
This forum is great! Thanks
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CPAPopedia Keywords Contained In This Post (Click For Definition): CPAP
I am new to all of this as well, and I am still trudging through all the messages posted. I had my second sleep study last night with CPAP and I too felt somewhat discouraged when I was awakened this morning. I expected to feel great and rested and full of energy. I was not...or so I thought things we still the same. After reading many of your messages on this, I thought back to this morning. Although I still felt tired, I did wake up faster and more willingly than is usual, and I didn't feel that I was in a fog. As the day has gone on I have not had but maybe one moment of nodding off and I was able to get up (was willing to get up), move around, and clear my head. With a drink of water and a cracker I was able to continue doing what I had been doing. So I guess what I am trying to say is there was in fact a change, even after only one night.
This forum is great! Thanks
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CPAPopedia Keywords Contained In This Post (Click For Definition): CPAP