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Re: when to rule out sleep apnea as a cause for nocturia?
Posted: Wed Nov 05, 2014 2:33 pm
by zoocrewphoto
tan wrote:<Removed by Admin> wrote:THe main reason i sought treatment for sleep apnea was for my nocturia.
i am starting to think my nocturia is not OSA related. It's been about a month of consistent treatment, with an average nightly AHI of about .4
Last night, I went to sleep at like 12 am and woke up at 4 am to void. My AHI in that period was like .2.
Is it still possible sleep apnea is causing noctura?
Do you feel rested in the morning? Low AHI is not an indicator of good CPAP treatment. In other words, if AHI is high, then treatment is not good for sure. If it is low and you still have symptoms, you may have something else, like UARS, which may cause nocturia.
Also, it is possible to lower the ahi, but still have longer events and clusters of events that cause problems. My mom had a treated ahi of 3.4 with a pressure of 10, but she had a cluster of events over 30 seconds long, and one of them over a minute long. Fractured sleep can also give a false sense of a low ahi as we tend to be worse when in REM sleep which is difficult with fractured sleep. And if you are frequently awake, then you aren't asleep anyway. Both of those can produce low ahis while resulting in feeling like crap. Fractured sleep can be caused by a variety of things such as annoying leaks, changes in pressure, medications, pain, other health conditions, bad mattress, noises, etc. Could be apnea related, cpap related, or completely UNrelated.
Definitely more to successful treatment than a simple ahi number. It could be that sleep apnea is still not treated successfully, or it could be unrealated. All options need to be considered.
Re: when to rule out sleep apnea as a cause for nocturia?
Posted: Wed Nov 05, 2014 3:19 pm
by Therapist
<Removed by Admin> wrote:
Last night, I went to sleep at like 12 am and woke up at 4 am to void.
Is it still possible sleep apnea is causing noctura?
One pee per night does not nocturia make.
It's considered within normal limits.
Re: when to rule out sleep apnea as a cause for nocturia?
Posted: Wed Nov 05, 2014 5:57 pm
by anonfan1432
[removed personal info]
Re: when to rule out sleep apnea as a cause for nocturia?
Posted: Wed Nov 05, 2014 7:32 pm
by Greenkat
Alex
I am about 6 months into pretty consistent treatment. The first 4 months I continued with a minimum of at least 2 bathroom trips nightly despite limiting my fluid intake as suggested before bed.
Then suddenly I was sleeping through the night with no need to pee!
Anxiety and/or depression always magnify things as other members have already mentioned. CHILL and give your body time to heal.
I am still waiting to see my blood pressure to drop as well as my weight given I have heard this happens a lot! Not really, though! I am just grateful to be able to sleep through the night now and be pretty alert most of the day.
Kathy
Re: when to rule out sleep apnea as a cause for nocturia?
Posted: Wed Nov 05, 2014 7:42 pm
by TyroneShoes
What he said.
If you do the math, and you assume that a young, healthy person pees before bedtime, sleeps 8 hours, and then normally pees at wake-up time (well, holds it at least long enough to get to the bathroom) that would mean that a severe-enough AHI score could make someone with otherwise the same physiology have to pee as often as every 2 1/2 hours or so, all night long.
Re: when to rule out sleep apnea as a cause for nocturia?
Posted: Wed Nov 05, 2014 8:15 pm
by anonfan1432
[removed personal info]
Re: when to rule out sleep apnea as a cause for nocturia?
Posted: Wed Nov 05, 2014 10:33 pm
by zoocrewphoto
<Removed by Admin> wrote:Therapist wrote:<Removed by Admin> wrote:
Last night, I went to sleep at like 12 am and woke up at 4 am to void.
Is it still possible sleep apnea is causing noctura?
One pee per night does not nocturia make.
It's considered within normal limits.
i should say that is not a typical case for me.
Normally it's 2-3. Occasionally more than that. Going only once is a rarity for me.
So why are you concerned? You are obviously going LESS than you were before treatment, and once a night is normal for people, even without sleep apnea. You are doing WELL. Why be so worried about doing WELL?
Re: when to rule out sleep apnea as a cause for nocturia?
Posted: Wed Nov 05, 2014 11:52 pm
by mgaggie
zoocrewphoto wrote:
So why are you concerned? You are obviously going LESS than you were before treatment, and once a night is normal for people, even without sleep apnea. You are doing WELL. Why be so worried about doing WELL?
I think the OP needs to be worried about something. Lets get anxious about checking the data everyday, then time to stress out because heavens to mergatroid they do something that is perfectly natural.
An aussie saying springs to mind.... "You need ya head read, mate"
Re: when to rule out sleep apnea as a cause for nocturia?
Posted: Thu Nov 06, 2014 12:15 am
by anonfan1432
[removed personal info]
Re: when to rule out sleep apnea as a cause for nocturia?
Posted: Thu Nov 06, 2014 12:52 am
by zoocrewphoto
<Removed by Admin> wrote:zoocrewphoto wrote:
So why are you concerned? You are obviously going LESS than you were before treatment, and once a night is normal for people, even without sleep apnea. You are doing WELL. Why be so worried about doing WELL?
it's slightly more complex, since the timeline is messy. Anyways, I used to NEVER have nocturia, and then it suddenly started, and it was even several months after that when i actually got a sleep study, of which then it was even more months until i got my CPAP, until which then it was even MORE MONTHS until i decided to actually use it, which is this month
Sorry, but it still seems pretty normal to go to the bathroom once a night. Sounds like it has been a long time since you went a night without a bathroom trip, so maybe you are just a little older. The fact is, your data is good, you are going to the bathroom less than before, and you are worrying about things that are NOT important. That worry alone could be the problem. You are stressing yourself out, and stress hormones can make you go more often.
Re: when to rule out sleep apnea as a cause for nocturia?
Posted: Thu Nov 06, 2014 9:25 am
by palerider
mgaggie wrote:zoocrewphoto wrote:
So why are you concerned? You are obviously going LESS than you were before treatment, and once a night is normal for people, even without sleep apnea. You are doing WELL. Why be so worried about doing WELL?
I think the OP needs to be worried about something. Lets get anxious about checking the data everyday, then time to stress out because heavens to mergatroid they do something that is perfectly natural.
An aussie saying springs to mind.... "You need ya head read, mate"
+1
Re: when to rule out sleep apnea as a cause for nocturia?
Posted: Thu Nov 06, 2014 9:40 am
by Denial Dave
getting back to the original OP question
How about when the medical test results tell you that sleep apnea is not your cause for nocturia ?
Re: when to rule out sleep apnea as a cause for nocturia?
Posted: Thu Nov 06, 2014 10:27 am
by palerider
Denial Dave wrote:getting back to the original OP question
How about when the medical test results tell you that sleep apnea is not your cause for nocturia ?
+1
Re: when to rule out sleep apnea as a cause for nocturia?
Posted: Thu Nov 06, 2014 11:43 am
by Uncle Sigh
Denial Dave wrote:getting back to the original OP question
How about when the medical test results tell you that sleep apnea is not your cause for nocturia ?
What test shows that?
Re: when to rule out sleep apnea as a cause for nocturia?
Posted: Thu Nov 06, 2014 12:08 pm
by Denial Dave
I'm not a medical professional nor did I recently stay at a Holiday Inn.. So I can't attempt to be an expert on what tests might be needed