Hello there need some help and advice about my sleep report

Hi there i am new to this fourm i need some help and advice regarding my mother's home sleep test report . My dr advised over night oxygen after checking the report . I just have noticed that the heartbeat of my mother gets raised while sleeping (in between 70 to 80) along with some deep breaths while the oxygen saturation fluctuates as well . The lowest spo2 levels while deep sleep as far as i have noticed are 90 but usually they fluctuate in between 93 to 97 with supplimentry oxygen at night . Shes suffring from Plueral Effusion as well from last couple of months she's over weight and also facing hypothyroidism as well . I will be thankfull for your valueable advices and comments



Thanks !!!!!!

In her situation, why hasn't the doctor prescribed the Cpap before going to supplemental oxygen. As far as I can tell, she has plain vanilla sleep apnea. She can be treated effectively and inexpensively with a Cpap machine. The supplemental O2 may be more expensive in the long run and if apnea worsens (it typically does with age), she may end up needing it later anyways.

I suggest you talk to your doctor about this. If you are in the USA., your insurance will probably cover it. If not, you can get a good machine brand new for $500 or so.

The central index worries me...6 per hour may or may not be a problem but I would want to talk to the doctor about the centrals. If they were like 1 or 2 per hour for sure no big deal but when we start getting over 5 per hour I think a good discussion with the doctor is in order. They aren't caused by pressure during the diagnostic sleep study so where do they come from.

Thankyou for you reply no i am not in USA and secondly my doctor is out of town am a bit worried about the situation . I just dont have any idea what are the doctors saying some says that hypothyroidism plays an important role plus obesity along with plueral effusions are the causes in low saturations i am confused about the doctors statements . In this situation i think i have to move here to another city to get an appointment from some good doctors to clear the situation

Is she on oxygen now and the levels are at least improving with the added oxygen?
I think that is what I understood from what you were saying but while you English is very good I couldn't quite understand the context 100%.
Don't feel bad...it happens all the time here and with people who have English as their first language and lived in the the US all their lives.

The plural effusion is troublesome and would be a good reason to be on added O2 now...with or without the cpap need. It won't fix the sleep apnea stuff but it will help reduce the drops in O2 no matter what the reason.

I don't think the hypothyrodism is making any huge impact on the sleep apnea part unless the thyroid is rather enlarged and blocking the airway somewhat. From purely a function standpoint it normally doesn't cause sleep apnea. Now if the thyroid is enlarged then of course it can be a factor in airway obstructions.
I know one guy who had his sleep apnea go away once he had his thyroid removed but it was HUGE and obvious just by looking at him.

The number of centrals concern me and for that reason I can't tell you to just go get a cpap machine and that will fix the sleep apnea. Ordinary cpap machines can't fix central apneas but they could fix the other apneas. Problem is that would still leave too many centrals until we know what might be the cause of the centrals ...and the pleural effusion could mean cardiac issues and that means that maybe the machine used to treat centrals might be a problem. There's a whole lot more to think about when we see centrals until it is proven that the centrals aren't happening because of a physical problem (like cardiac).
Now a doctor might decide that the centrals shown aren't that big of a problem...the usual cut off is 5 per hour...so it's borderline but I am not comfortable telling you "it's okay, they aren't a problem" because I don't know any of the history except the pleural effusion and that alone scares the hell out of me.
I don't want to tell you something that might harm your mom.

Your mom's case is more complicated and that makes it not a good idea to go doing stuff without a doctor's guidance. It's possible that she has complex sleep apnea (that's where people have both kinds of apnea events) and she may need a special machine but her pleural effusion could mean cardiac issues and in some cases cardiac issues make using that special machine contraindicated. Now, not all pleural effusion is cardiac related and if cardiac related unless significant heart failure is going on ...it's not always contraindicated.

She really needs to see the specialists that deal with this stuff...both sleep apnea and whatever is causing the lung issues.
In the meantime sleeping more upright will help the obstructive sleep apnea stuff to some extent...adding the oxygen will help to some extent and she likely may need it more than just at night until the pleural effusion gets taken care of.