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Re: when to rule out sleep apnea as a cause for nocturia?

Posted: Fri Nov 07, 2014 4:05 pm
by palerider
alex, listen to Julie, she's good at this kind of thing!

and what was happening to you in 2011 doesn't matter for shit, unless you manage to perfect a time machine and turn back the clock.

you're far to obsessed about the past.

Re: when to rule out sleep apnea as a cause for nocturia?

Posted: Fri Nov 07, 2014 4:27 pm
by Greenkat
Palerider....just following up on how you continue to amuse while sharing your knowledge.

Alex reports major depression & anxiety. No doubt his mental health issues have an impact on how he thinks & feels. It is a vicious circle he may not be able to get out of with just 'advice' shared here on the boards despite his best efforts.

I truly believe his expectations of therapy this early on are too high & then he feels it's not working which then feeds his anxiety. This is true of most of us as we arrive here newly diagnosed & pretty damn frustrated. We hope the treatment is the magic bullet, and having to wait for it to kick in just makes us more frustrated.

For a person with major depression & anxiety this has to be twice as tough to handle...

Great point - cannot compare 2011 to now as there are so many variables to consider.

All I can keep repeating is CHILL...RELAX...CHILL...RELAX...and hopefully the nocturia will lessen over time....

Re: when to rule out sleep apnea as a cause for nocturia?

Posted: Fri Nov 07, 2014 4:45 pm
by palerider
<Removed by Admin> wrote:
palerider wrote:I suppose you'd prefer to not wake up to pee? (enuresis).
I would prefer to not wake up to pee. And honestly, i don't think that's unreasonable. I lived the overwhelming majority of my life never having to wake up to pee.
I'll leave out the bit you seem to have missed there... and instead suggest you go read this:
http://aeon.co/magazine/psychology/why- ... reativity/

Re: when to rule out sleep apnea as a cause for nocturia?

Posted: Fri Nov 07, 2014 4:46 pm
by palerider
Greenkat wrote:Palerider....just following up on how you continue to amuse while sharing your knowledge.

Alex reports major depression & anxiety. No doubt his mental health issues have an impact on how he thinks & feels. It is a vicious circle he may not be able to get out of with just 'advice' shared here on the boards despite his best efforts.

All I can keep repeating is CHILL...RELAX...CHILL...RELAX...and hopefully the nocturia will lessen over time....
yup yup... I think most of us are on the same page here wrt alex.

Re: when to rule out sleep apnea as a cause for nocturia?

Posted: Fri Nov 07, 2014 7:38 pm
by zoocrewphoto
Sounds like this sleep maintenance insomnia, Not nocturia. He said it takes him more than an hour to get back to sleep. Even with 4-5 trips a night I was back to sleep in less than 10 minutes. This is more of an jnsomnia thing that starts with the bathroom trip.

Re: when to rule out sleep apnea as a cause for nocturia?

Posted: Fri Nov 07, 2014 7:50 pm
by anonfan1432
[removed personal info]

Re: when to rule out sleep apnea as a cause for nocturia?

Posted: Fri Nov 07, 2014 7:57 pm
by zoocrewphoto
Is your data showing any events right before you wake up?

Re: when to rule out sleep apnea as a cause for nocturia?

Posted: Fri Nov 07, 2014 8:10 pm
by anonfan1432
[removed personal info]

Re: when to rule out sleep apnea as a cause for nocturia?

Posted: Fri Nov 07, 2014 8:49 pm
by Julie
Alex if your theory of adrenaline/cortisol was valid, the rest of us would have been up all night prior to Cpap, rather than having events that barely aroused us that we were consciously unaware of. Even those with 'very severe' results. But it didn't happen and it's unlikely that your physiology is that different to ours. Yes the chemicals get stimulated by not breathing, but rather than keeping us awake, they practically kill us because our 02 drops as a result of our airways closing off, so the effect is just the opposite.

What might be keeping you up is probably related far more to your anxiety, even if it originates from some neurological blip, rather than the above.

Re: when to rule out sleep apnea as a cause for nocturia?

Posted: Sat Nov 08, 2014 3:19 am
by zoocrewphoto
Julie wrote:Alex if your theory of adrenaline/cortisol was valid, the rest of us would have been up all night prior to Cpap, rather than having events that barely aroused us that we were consciously unaware of. Even those with 'very severe' results. But it didn't happen and it's unlikely that your physiology is that different to ours. Yes the chemicals get stimulated by not breathing, but rather than keeping us awake, they practically kill us because our 02 drops as a result of our airways closing off, so the effect is just the opposite.

What might be keeping you up is probably related far more to your anxiety, even if it originates from some neurological blip, rather than the above.

So true. Without cpap, I have an untreated ahi of 79. I was aware of 3-5 wakeups per night, and that was a simple trip to the bathroom and back to bed, Usually asleep within minutes. I was having tons of events, but no insomnia. Not everything is sleep apnea related.

Re: when to rule out sleep apnea as a cause for nocturia?

Posted: Sat Nov 08, 2014 4:02 am
by 49er
Alex,

As I previously mentioned, a zero AHI is totally irrelevant regarding how you slept. If you recall, I mentioned having a near 4 AHI with 4 hours of sleep last week. I felt the best I had in months and accomplished many tasks.

Last night, I had a zero AHI and slept 5.5 hours and still feel quite listless. Not complaining because in light of my previous struggles, these are great statistics, But obviously, one good night isn't going to restore me to awesome health.

Anyway, my point is because the issue of sleep is quite complex, you can't just focus on the AHI. It will drive you nuts if you do.

49er
<Removed by Admin> wrote:
zoocrewphoto wrote:Is your data showing any events right before you wake up?
well that is the wierd part. Usually it's very low, like < .5. In fact, recently i had several awakenings following an AHI of 0.0

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Re: when to rule out sleep apnea as a cause for nocturia?

Posted: Sat Nov 08, 2014 12:30 pm
by avi123
"some people who have poor sleep and awaken frequently will go to the bathroom whenever they awaken. Typically in these cases, it is not the need to void that awakens them."

Nocturia may result from several different causes:

*You produce a great deal of urine (more than 2 liters) a day (polyuria)
*Your body produces a large volume of urine while you sleep (nocturnal polyuria)
*You produce more urine at night than your bladder is able to hold (low nocturnal bladder capacity). This causes you to wake up at night because you need to empty your bladder.

Bladder problems can cause nightly urinations at every hour. A bedside commode can help in such cases.