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I think I have UARS, what should I do?
#1
I think I have UARS, what should I do?
I've been on APAP (8.0 - 16.0, EPR 3) for mild sleep apnea for a few months now and while I feel better and have a very low RDI, I still feel pretty awful. I use a nasal pillow mask with mouth tape. I took a look at my data from the machine as well as a pulse oximeter and I think I have UARS, as there seems to be a strong correlation between flow limitations and elevated heart rate. For further evidence I have noticed myself waking up congested and having difficulty breathing until I shift my head around.

If my assessment is true, what can I do? Since I believe it's most likely sinus congestion (I have strong allergies and have gotten a questionable turbinate reduction when I was young), would using a full face mask to allow mouth breathing help? Would increasing / decreasing the pressure improve things?

   
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#2
RE: I think I have UARS, what should I do?
Please repost including the left side bar in its entirety.

To take a SCREENSHOT:

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#3
RE: I think I have UARS, what should I do?
   
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#4
RE: I think I have UARS, what should I do?
Yes better on OSCAR.

How used to CPAP are you? I think you'll need some practice sessions while awake and trying to get used to CPAP to maintain using it longer at night. This recent chart has 3 sessions for just short of 7 hours.

What sleep duration do you feel best getting? 6, 7, 8 or so hours? Best if it were in one session if possible.
INFORMATION ON APNEA BOARD FORUMS OR ON APNEABOARD.COM SHOULD NOT BE CONSIDERED MEDICAL ADVICE. ALWAYS SEEK THE ADVICE OF A PHYSICIAN BEFORE SEEKING TREATMENT FOR MEDICAL CONDITIONS, INCLUDING SLEEP APNEA. INFORMATION POSTED ON THE APNEA BOARD WEBSITE AND FORUMS ARE PERSONAL OPINION ONLY AND NOT NECESSARILY A STATEMENT OF FACT.
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#5
RE: I think I have UARS, what should I do?
At this point I'm very used to cpap, however I struggle to stay asleep and sometimes falling asleep. I never get more than 6 hours of sleep continuously, despite my best efforts to build good sleep habits. I suspect I am still having difficulty breathing at night despite using CPAP.

(The shorter sessions are a result of getting out of bed after failig to fall asleep)
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#6
RE: I think I have UARS, what should I do?
Currently on OSCAR, it appears events are low, with some occasional flow limits and leaks, both of which maybe are a source of disruption.

Anything else medical going on that hinders sleep?

By the way, clarify difficulty breathing. Besides Apnea, what else is there?
INFORMATION ON APNEA BOARD FORUMS OR ON APNEABOARD.COM SHOULD NOT BE CONSIDERED MEDICAL ADVICE. ALWAYS SEEK THE ADVICE OF A PHYSICIAN BEFORE SEEKING TREATMENT FOR MEDICAL CONDITIONS, INCLUDING SLEEP APNEA. INFORMATION POSTED ON THE APNEA BOARD WEBSITE AND FORUMS ARE PERSONAL OPINION ONLY AND NOT NECESSARILY A STATEMENT OF FACT.
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#7
RE: I think I have UARS, what should I do?
I may have underlying insomnia on top of sleep apnea (my dad has insomnia although only much later in life). No other health related things impacting my sleep.

By "difficulty breathing" I mean that it requires more effort to breath enough as a result of my sinuses becoming congested during the night, however it's not an apnea because I don't entirely stop breathing.

This is why I find the find the flow limits and elevated heart rates suspicious, since I've woken up during these periods of congestion and it is rather difficult to breath until I shift around. It's the only explanation I can think of to explain why I am still getting sleep apnea symptoms despite a stellar RHI score.
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