Symptoms next day problems

[Brian Schulz]

I have had CPAP machine for 14 months, 3 different machines now ResMed S9 Elite. I am torturing myself every night for no gain. The longer I use the machine during the night the bigger the headache. The worst problem is the hangover - lousy head the next day sometimes lasts all day and cannot function together with the lack of concentration it is miserable. Does anyone else have this hangover like head in a vice the next day. Headaches you can take panadeine but this unclear head leads to problems - very difficult driving can't play golf making life pretty miserable. Am in process of getting a SomnoDent sleep apnoea dental device.

Brian

[chunkyfrog]

This sounds exactly like what I felt;--before I started using cpap.
It sounds like you need to see your doctor, and stop blaming it on the machine.

[Pugsy]

Have you ever used the software available to make sure that the therapy you are getting is even optimal?

[Julie]

What equipment (mask & machine) are you using? If you have the wrong mask, you could have been losing therapy air all along out of your mouth once asleep.

[Janknitz]

Brian said he has a ResMed Elite, so Pugsy could fix him up with software and tell him how to access it. But Brian, you need to let us know your settings (what's the pressure setting, any ramp feature, any EPR?) and what mask you are using as well.

Are you waking up with a very dry mouth?
Can you hear any leaking?

[Todzo]

A recent study[1] found that beyond the obstruction that CPAP is able to treat there may be nonanatomic features that play an important role in 56% of patients with OSA.

The features that they looked at were:

A. hi respiratory control loop gain (a tendency to loose good control of breathing)
B. low arousal threshold
C. minimal genioglossus (tongue) muscle responsiveness

CPAP tends to exacerbate “A” as the pressure tend to be a plus factor for respiratory control loop gain.

CPAP has, in my opinion, high levels of noise, vibration, fast pressure changes, and initial back pressures upon the start of exhale which all tend to result in excessive arousals due to “B”.

The tongue is heavy and tends to swell due to allergic response and for many other reasons. While I do believe that the pressure of CPAP helps shrink the tongue I also think that there comes a point where it is not enough. I have found my own tongue to apparently change in size in terms of how much room it takes up with my mouth closed. I would guess this is common.

“A” seems to be helped by getting vitamin D3 levels above 50 (see The Vitamin D Counsel for information regarding the proper assay). I have found that it is directly related to the stress levels in my life. I have found it helpful to pursue good metabolic health (eat well move well) and that long term exercise is helpful if it contains a bit of good aerobics appropriate for my fitness level.

“B” seems to be most helped by long term exercise. Not high level just “keep it moving” until good and tired by the end of the day. But not too much.

“C” seems to be helped by the pursuit of good metabolic health and anti-inflammatory foods.

The others guide you well to rig for data and use it.

[1] Danny J. Eckert, David P. White, Amy S. Jordan, Atul Malhotra, and Andrew Wellman "Defining Phenotypic Causes of Obstructive Sleep Apnea. Identification of Novel Therapeutic Targets", American Journal of Respiratory and Critical Care Medicine, Vol. 188, No. 8 (2013), pp. 996-1004. doi: 10.1164/rccm.201303-0448OC

[Brian Schulz]

I have had CPAP machine for 14 months, 3 different machines now ResMed S9 Elite. I am torturing myself every night for no gain. The longer I use the machine during the night the bigger the headache. The worst problem is the hangover - lousy head the next day sometimes lasts all day and cannot function together with the lack of concentration it is miserable. Does anyone else have this hangover like head in a vice the next day. Headaches you can take panadeine but this unclear head leads to problems - very difficult driving can't play golf making life pretty miserable. Am in process of getting a SomnoDent sleep apnoea dental device.

Brian

The pressure is 11, ramp 15 minutes and mask Resmed Airfit P10 nasal pillow
Brian

[Pugsy]

Get the software...SleepyHead will work just fine with your machine...maybe your therapy isn't optimal...maybe something on the reports will scream out "fix me"...gotta start somewhere and evaluating therapy is the first thing that needs to be done.

When I was first giving my machine and pressure to use...I felt like total crap and that included massive headaches...come to find out my pressure wasn't optimal.
Back then it took a couple of weeks to get the software and equipment to use it.

There might be other things going on but you have to rule out therapy effectiveness first.

SleepyHead information is all available in my signature line...from where to download to how to install and use.

[zoocrewphoto]

I also wonder if the mask is too tight or has straps that are causing a pinched nerve or pressure. It may be the mask is causing the headaches and a different mask will eliminate the problem.

[Brian Schulz]

Have you ever used the software available to make sure that the therapy you are getting is even optimal?

I take my SD Card to my specialist every month who prints out the reports, the reason I have changed to ResMed S9 is because my Specialist said it gave better reports. My Specialist then sends a report to my Doctor (who also had sleep Apnoea) and I see both my Specialist and Doctor every month. I am doing all that I am told to do and expected of me so it is not for the want of trying. Brian

[Bill44133]

If you decide you need to have some one different take a second look at your data.. Second opinion of sorts then download the SleepyHead software it is free, and the people here
can give you good advice. Without looking at your sleep data it is hard to advise you what you need to do. I hope you are letting your Doctor know your next day symptoms.


I wish you Good Luck!

[avi123]

The Somodent may help those with low level of OSA. It moves the mandible forward to carry the tongue with it and open up the upper airway. What recommendations did you get from your sleep study?

The springs push the lower mandible forward:

[Wulfman...]

Have you ever used the software available to make sure that the therapy you are getting is even optimal?

I take my SD Card to my specialist every month who prints out the reports, the reason I have changed to ResMed S9 is because my Specialist said it gave better reports. My Specialist then sends a report to my Doctor (who also had sleep Apnoea) and I see both my Specialist and Doctor every month. I am doing all that I am told to do and expected of me so it is not for the want of trying. Brian

My interpretation is: "I don't want to put ANY effort into MY OWN therapy, so......if there are problems, I want to be able to blame someone else."


Den

.

[stage0]

You may still have a oxygenation problem. If you have friends in the medical/nursing, home health field- borrow a pulse-ox sensor to monitor your oxygen in your finger through the night...or go to a local pharmacy and purchase one for about 50 bucks....or get an order from your doctor for an overnight oxymetry test while on cpap.

[Pugsy]

My interpretation is: "I don't want to put ANY effort into MY OWN therapy, so......if there are problems, I want to be able to blame someone else."


Den

That's a bit nicer way of putting what I was thinking.
But some people think doctors walk on water and if that is what they want to believe...I just have to sit back and smile because I have worked with doctors and specialists and they sink just like everyone else does.