Disappointed with Mayo Clinic Symptom Checker

http://www.mayoclinic.org/symptom-check ... t-20009075

Awaking two or more times in the night to urinate

Fatigue

Check those two and it should return "Sleep Apnea" as a possible cause. It does not.

Getting up and having to pee is a sign of SA? Glad I've had SA for at least 17 years and never had that symptom. I didn't even know it was a possible symptom.

The symptom checker is most likely for recent issues, not long term ones. for long term issues one would be expected to see a doctor.

postitnote wrote: I didn't even know it was a possible symptom.

Apparently MayoClinic dot com doesn't know either.

Time to learn something -

http://www.journalsleep.org/Articles/270119.pdf

Conclusion: In subjects with elevated AHI (>15), nighttime urine production
and ANP excretion are elevated.

Very interesting, I get up every 1 to 1 1/2 hours to pee so once they get me started on the CPAP if it stops that I will be a happy camper!

I was getting up 4 or 5 times a night to urinate before starting CPAP. I can no longer remember the last time I got up in the middle of the night. Things I've read suggest that there are at least a couple of things going on: (1) when you wake up in the middle of the night you generally feel an urge to go to the bathroom (whether your bladder is full or not - note that in this situation, apnea and gastric reflux will both increase the urgent feeling) and (2) apnea increases urine albumin excretion (which increases the feeling of urgency).

I was one of those people whose nocturia totally went away with effective cpap therapy. I have always said that benefit/improvement alone is well worth continuing the therapy.
Pre cpap I was getting up to pee about every 90 minutes with a painfully full bladder and that was after withholding fluids for a few hours before bedtime.

The absence of nocturia was actually the very first indication that my therapy was working. My first "miracle" and for me a substantial one.

Now I drink what I want, when I want it and in amounts I want and I sleep through the night and often don't even have to go pee first thing. Sometimes I go make my coffee first and then to the bathroom.

ChicagoGranny wrote:

postitnote wrote: I didn't even know it was a possible symptom.

Apparently MayoClinic dot com doesn't know either.

Time to learn something -

www.journalsleep.org/Articles/270119.pdf

Conclusion: In subjects with elevated AHI (>15), nighttime urine production
and ANP excretion are elevated.

Interesting read. I'm glad my AHI is low and also my A1c since both when elevated can cause night pees. I prefer to sleep till a cat bites my toes right before my alarm goes off.

ChicagoGranny wrote:

postitnote wrote: I didn't even know it was a possible symptom.

Apparently MayoClinic dot com doesn't know either.

Time to learn something -

http://www.journalsleep.org/Articles/270119.pdf

Conclusion: In subjects with elevated AHI (>15), nighttime urine production
and ANP excretion are elevated.

My AHI when tested was a shade over 10...but I was regularly up multiple times at night to pee. So I have to wonder if 10 was a GOOD night for me, or if my limit is lower to trigger bladder fill? Interesting...

Try this one: http://symptomchecker.isabelhealthcare. ... gnosis.jsp#
Entering "excessive daytime sleepiness" + "nocturia" yields a short list with sleep apnea at the top. Entering only excessive daytime sleepiness yields a bit longer list, again with sleep apnea at the top.

Jay Aitchsee wrote:Try this one: http://symptomchecker.isabelhealthcare. ... gnosis.jsp#
Entering "excessive daytime sleepiness" + "nocturia" yields a short list with sleep apnea at the top. Entering only excessive daytime sleepiness yields a bit longer list, again with sleep apnea at the top.

that one came to my attention the other day, I haven't taken the time to play with it... but it was reported to be pretty good.

Jay Aitchsee wrote:Try this one: http://symptomchecker.isabelhealthcare. ... gnosis.jsp#
Entering "excessive daytime sleepiness" + "nocturia" yields a short list with sleep apnea at the top. Entering only excessive daytime sleepiness yields a bit longer list, again with sleep apnea at the top.

Thanks Jay. Pretty interesting story about the site being founded by the father of a misdiagnosed child. http://symptomchecker.isabelhealthcare. ... ourmission

Of course my concern about the Mayo Clinic site, which is respected and used by many people, remains.