/r/SleepApnea

Photograph via snooOG

This is a place to find fellow Redditors who have experience with or suffer from sleep apnea.


About sleep apnea:

Sleep apnea is a sleep disorder characterized by abnormal pauses in breathing or instances of abnormally low breathing, during sleep. Each pause in breathing, called an apnea, can last from at least ten seconds to minutes, and may occur 5 to 30 times or more an hour.

For more information please refer to these external sites:


Rules:

  1. Self posts are preferred over links
  2. External links are permitted so long as they aren't spam, personal blogs, or memes.
  3. Be gracious and up vote posts and comments liberally.
  4. Be polite. It's okay to disagree, but please refrain from being needlessly rude.
  5. Do not recommend someone change or dismiss their doctor's orders.
  6. Do tell people that any diagnosis or change in regimen needs to come from their doctor.

You might have a lot of experience with sleep apnea, you might even be a health professional, but no one is qualified to diagnose the condition of strangers over the internet.


Relevant subreddits:

External Links:

/r/SleepApnea

65,363 Subscribers

1

Septum pain with nasal pillow

Ive been doing mask trials and i really want the nasal pillows to work because i side sleep and less claustrophobic. But after a few hours they start to really hurt my septum at the bottom of my nose. The cradle that doesnt have things that go into your nostrils has been the most comfortable, but even that sometimes hurts. The ones that go into your nostrils stays on better and i can sleep on my stomach even, but they end up hurting now matter what, even the soft silicone ones.

Does this happen to anyone else? am i wearing them wrong or is it just my anatomy

0 Comments
2025/02/02
20:36 UTC

1

SPO2 question

I’m only 6-7 weeks into a BiPAP, felt like I was getting better but the last week or two feel like I’m going backwards again. I have been looking at the data and my AHI is 0.6-1.3 and the OSCAR data looks ok (for what I can tell) but I’m tired again and groggy and can sleep any time and napping again. I checked my Apple Watch and 3-4 nights a week I’m seeing my SPO2 in the 90-95% range in my sleep and it ranges from 18-40% of all readings at night with last night being 45%, but other nights it’s 95%+ (98+ average).

Any thoughts on what might cause ~50% of the time my O2 tanking at night? Can’t post a photo unfortunately of the logs.

0 Comments
2025/02/02
20:33 UTC

1

Fibromyalgia meds

I just found out gabapentin can cause central sleep apnea but it’s been the best for my fibro. Anyone know of better ways to manage fibro without gabapentin? Are there safe pain meds that don’t cause central sleep apnea? It also makes me groggy af. Just started on cpap a week or so ago and I’m still having 11 events an hour.

1 Comment
2025/02/02
19:52 UTC

1

Best mask for claustrophobic person

I was just diagnosed with severe sleep apnea. I suffer from anxiety and a full mask will send me spiraling into panic. Do you have recommendations for non invasive nose cpaps that feel comfortable? I’m really frightened.

6 Comments
2025/02/02
19:44 UTC

4

Has anyone had confirmed sleep apnea caused by a deviated septum and enlarged turbinates only?

I've suffered now for a few years from the symptoms of sleep apnea - waking headaches sometimes, extreme daytime sleepiness and fatigue, depression, impaired cognition, insomnia - and it all seems to stem from my deviated septum, enlarged (hyperetrophied) inferior turbinates, weak nasal valve, and possibly concha bullosa (all confirmed by CT and ENT surgeon). I would have thought though that during sleep I'd compensate for it by mouth breathing (my lips are chronically dry so I'm sure I do breath through my mouth) Can a blocked nose like this cause sleep apnoea on its own even if the other airways are fine?

7 Comments
2025/02/02
19:24 UTC

1

Sleep apnea, hopefully I found cause of my issues - What's next?

Hi! I have been suffering from headaches since April 2024, which progressed into awful fatigue and brain fog, which since August 2024 has been very debilitating.

I did blood tests, hormone tests, vitamins, MRI/CT, autoimmune, and many other tests which were dead ends or turned out to be red herons and all OK upon further testing.

I finally did a Lofta test, and got my results back which showed AHI - 8.3, RDI - 13.5, and O2 Nadir - 88%. Numbers were highest on back (AHI-14.6, RDI - 14) and were significantly higher in REM (AHI - 17, RDI - 30).

This gave me a sleep apnea diagnosis and am hoping this can help solve/help the issues I have been having the past months. Is this similar to anyone else's journey, what's next, should I expect relief?

0 Comments
2025/02/02
19:17 UTC

1

REM flow wave differences?

I recall reading that you can spot rem by changes in the flow waves and they may look like events. Does anyone have an example of what that looks like?

1 Comment
2025/02/02
18:15 UTC

2

AHI

I won’t see the doctor for another month but I’m wondering if my scenario is normal/positive. I had ahi of ~50 and ~62 while supine?… without cpap. Got my cpap and now my ahi is under 3 everynight. What is supine and did I really get this much success immediately with just wearing and using cpap?

2 Comments
2025/02/02
18:00 UTC

1

Dreamstation BiPAP Leaking Issue

I recently started using the Philips Dreamstation Auto BiPAP.

 I've been experiencing an issue with what seems like excessive leakage, The problem is that I can't seem to pinpoint where it's coming from. I don't sense any leakage. It feels like its affecting Therapy. is this a common issue? As you can see below the leak rate is always above the red line.

https://imgur.com/a/RM7qsHd

0 Comments
2025/02/02
17:49 UTC

1

Total noob with questions about reliability of at-home testing and efficacy of OTC oral appliances

I’m a relatively fit (at least in terms of BMI and bloodwork) 43m that recently received an OSA diagnosis after a 3 day at-home sleep test using a device from Wesper. The testing was prescribed by my psychiatrist in an effort to check for physiological causes of some mental health issues (anxiety, depression, plummeting activity level, and of course brain fog) before going on a bunch of meds.

So, does anyone have experience with the Wesper testing devices? Are they thought to be reliable? I guess it seemed a little too easy, and I worry about a copy-and-paste diagnosis because of course they’re trying to get me to buy a CPAP or oral appliance from them.

Also, does anyone have experience with any of the OTC mouth guard solutions I’m getting spammed with now (go to hell Zuck)? Obviously they’re a lot cheaper, but do we think they’re effective at all?

I’m not trying to cheap out on what I know can be a very serious longterm health and quality of life issue. I’m fortunate to have solid insurance (I’m in the US obviously) so that helps, but I’d really hoped to spend my HSA dollars for this year on a vasectomy because I’m single - another reason I’m not psyched about a CPAP - and live in a state that’s straight out of the Handmaid’s Tale.

Thank you for reading and for any guidance you can give me!

3 Comments
2025/02/02
15:48 UTC

1

The perfect storm after many years of undiagnosed OSA, asthma, tooth infection, anxiety, which ultimately led to ER calls and body crash out plus depression in 2024 Feb

0 Comments
2025/02/02
14:42 UTC

4

summary stats for AHI get inflated by "central apneas" detected during my awake time in morning

Using sleephq with my resmed airsense 10, also with Wellvue o2 ring and and Oura ring. I notice that often I will get a bunch of Central Apneas flagged during times when I'm awake (I guess I hold my breath or something sometimes while awake). Anyway I am think that these CA events should not be relevant to fixing my sleep apnea since they're not occurring while I'm sleeping. In that case, they distort the summary stats that I get (for example today's 0.9 CA events per house is too high since it got inflated by a few CA's when I was already awake in the morning). Since I use the numbers listed from the summary stats as a guide (for things like if I wear my mouthguard, does that help with numbers, etc), I want to not count these events from when I'm awake. Is there some way to use the Sleep Stages data from Oura to subselect what time windows I include for counting CA's in SleepHQ (or maybe in Oscar if I switch). That or any other advice would be appreciated, thank you!

https://sleephq.com/public/cb3fa12b-370c-4371-b6c1-67d5ac0a8320

4 Comments
2025/02/02
14:02 UTC

6

Jogging x miles lowers my central sleep apnea AHI by 50%/75%

on days i went jogging (5km for now, will increase slowly) i notice my central sleep apnea events are much much lower (about 75%). Does anyone else have the same?

my AHI for centrals are usually around 8, but on days i went jogging it is around 3. OSA remains the same tho but i mainly have central events.

i'm not complaining tho, but if this really is a neurologic disorder then why does running x miles improve CSA big time? or is this different for each person?

12 Comments
2025/02/02
10:00 UTC

1

Night three

This is my third night. And all three nights I woke up at some point cause the air wistling from the pin holes up top and the mouth. Plus it was seeming sorta hard to exhale. It’s 3:46 am as I’m writing this and the machine says I’ve used it for four hours so far. I would inhale and the air flow sounds like it picks up and my cheeks are flared like dog sticking its head out the window of a moving car. Just seems like it’s pushing to hard at this time. When I first put it on the thing is nice and calm. But by around hour four this thing seems odd and sorta violent. Also during this time when I’d inhale I could feel seepage and I can feel the mask pulling away from my face. Is this normal behavior? Seems like it ramps up as I’m inhaling during this time but it has to be to much atleast I think that’s what’s happening

3 Comments
2025/02/02
08:55 UTC

6

Rented a cpap for 10 days and i am feeling great

As my doctor suggested i rented a cpap to see if it's good enough for me,which i am certain it is now after testing it for few days,i bought a oronasal mask for this test since i sleep mouth open.

i had some trouble and i still have some,the first days i found some difficulties adjusting the straps of the mask, first night it was loose,it fell off 2 times after that i tightened it too much my nose hurted,(i have a hooked nose), and then i found the right adjustment but still i take it off unconsciously while sleeping, i wake up at least 2 time a night to find my self holding the mask with my hand.

I noticed also a bit of air leaking something from the top or the sides.

Am just hoping these interruptions and leakage won't affect the results.?

If there's any good masks model I'd be happy if you can suggest for me.

Overall am sure that the doctor will advise me to buy one , I'll buy airsense 10 since most of you told me that there's almost no difference between 10th and 11th model.

Now am less sleepy during the day, i used to sleep on the way to work, during the lunch break and on my way home which around only 40 minuts ride but still i sleep almost 20 min on the way.

My mood also is changing, I don't feel like my head weighs a ton, headaches aren't that severe now. I don't want to sleep without it now,am a bit far from my doctor i am thinking of buying one before giving him the feedback.

0 Comments
2025/02/02
08:49 UTC

1

Elbow valve is rattling

I have the Resmed AirSense11 with the AirFit F20 mask.

When I inhale there is a rattling or clanging noise coming from the elbow. I just replaced the hose, elbow and mask.

Any ideas how to fix it?

0 Comments
2025/02/02
07:22 UTC

3

Feeling Hopeless

I have no clue what else to do to feel better, I was diagnosed with sleep apnea five years ago, I've tried CPAP twice and it just doesn't work for me. I have mild sleep apnea 5 episodes an hour. I'm tired all the time, I take naps everyday. I sleep for 6 to 7 hours a day but I never get deep sleep maybe 5 mins a night. I've tried stimulants, I've tried caffeine nothing helps. I have brain fog at work, I'm irritable and can't concentrate. All my blood work comes back fine. Yet this affecting my job and everyday life. As long as I can remember I've always been tired. I'm to the point I'm tired of constantly searching for answers this is no way to live. I'm sick of going to Drs with no answers. Sorry not really a question just a rant, seeing if anyone else can relate.

13 Comments
2025/02/02
04:54 UTC

1

Do I have a sleep apnea?

Do I have a sleeping problem? Or sleep apnea?

Okay to start off I love to sleep. Before I got a big girl job I would frequently take naps. If my friends and I are going out I nap before I have to get ready (everyone knows I have to nap).

Anyways I guess my question is I’m not sure if I have a sleeping problem, because I have a few other issues and I’m not sure if they’re linked?

I grind my teeth, sweat a lot in my sleep (with ac, different clothing even tried naked) but I’ve always sweat even since I’ve been a kid but it’ll be on and off I guess? I also snore and I’m always tired. I don’t drink coffee or anything like that but I’m so tired of being tired. My sister believes I have adenoid face, and I must agree. It’s not severe but some traits oh and I’m a 24 yr old female and weigh 100-105lbs ! Not sure if anyone can give any info just wondering :)

Edit: I’m also a mouth breather, I sleep with my mouth fully open.

2 Comments
2025/02/02
04:49 UTC

3

People on BiPap, can you answer a few questions?

  • What is your inhale pressure?
  • What is your exhale pressure?
  • How did you know you needed BiPap?
  • If you used CPAP, what were your experiences - good or bad?
  • Selfish question: Did you experience aerophagia with CPAP?
  • Selfish question: Do you experience aerophagia with BiPap?
1 Comment
2025/02/02
03:57 UTC

28

Brain fog is still very very strong. What could it be? Narcolepsy/Adhd?

Hi, I (M28) was diagnosed with AHI 63 last summer. Been using regularly my cpap for 5 months now, with AHI down to 0. Unfortunately, my symptoms, in particular my brain fog (which impacts on my cognitive function, massively) are still very strong. I feel like “numb”, with my brain being under water. A recent sleepstudy has found that I go very soon into REM phase. Doctor was surprised and asked me to repeat the test, as it could be a sign I have narcolepsy. Would this explain my symptoms? My other working hypothesis would be ADHD (I exhibit some symptoms of that too, although I am currently doing a PhD so I can deal with intellectual work fine). Do you have any thoughts or suggestion? I feel I am losing my mind.

Ps: I have thought about RERAS/Flow limitation and leaks too, but I would not be able to say based on my sleep study nor the doctor is willing to listen to me on this

22 Comments
2025/02/02
02:19 UTC

1

22m what do you guys think of this?

https://imgur.com/a/JzxroA6

Not from a sleep study but from a pulse ox that records over night. Not really sure how this measures up, should I see a doc?

3 Comments
2025/02/01
23:21 UTC

2

Some nights my CPAP gives me clarity, rest, relief. Others (like today) I feel my brain fogged old self. Why is it such a binary with the same treatment?

8 Comments
2025/02/01
21:48 UTC

1

Is this normal or possibly mild sleep apnea?

I've been dealing with low quality sleep for a few years now. Nothing extreme, but has led to some mild daytime fatigue at times. My blood pressure is always really good. I had a sleep study done 2 years ago, I was only able to sleep for 3-4 hours due to the discomfort of the webbing on my head, but the doctor was confident that nothing was wrong.

I recently got a Galaxy Watch and I've been using it to check my blood oxygen while I sleep, and I'm seeing some worrying results. I've seen it go as low as 80%, but I think that might be due to wearing it too loose. Last night I wore it tight and the results are here: https://imgur.com/gallery/eBVCGPm

Is it normal for it to fluctuate this much? I've heard mixed things about the galaxy watch pulse oxymeter accuracy so I'm considering getting a dedicated pulse oxymeter but I don't really feel like spending $150 if I likely don't even have sleep apnea.

Thoughts? Is it worth looking into this more, or is the fact that I already had a sleep study evidence that I should look elsewhere for the cause of my poor sleep?

1 Comment
2025/02/01
20:00 UTC

1

Alternative to PAP device?

Hello, I’ve been diagnosed with moderate obstructive sleep apnea and am to go for a CPAP study at the end of March.

Other than just waiting for that appointment, what can I do to try and mitigate some of my symptoms I’m having.

I’m going to try to call and have the appointment moved up if I can.

4 Comments
2025/02/01
19:42 UTC

13

Sleep test indicates MILD OSA, why do I feel so bad?

Test results:

https://drive.google.com/file/d/1_wFuyUpLW-SxcKCsnmgULrAbDDcDJO-O/view?usp=share_link

For the last ten months I have been experiencing symptoms that make life less than enjoyable: Woozy head that sometimes aches, tremors in my hands when using them, anxiety, hypertension, high morning cortisol. I wake up gasping, and have little success in falling back to sleep.

But, a diagnosis of mild sleep apnea doesn't seem to capture my suffering. I ordered a ResMed AirSense 11 and have a small amount of hope that it will help.

[Edit: Thanks for all your responses!]

32 Comments
2025/02/01
18:59 UTC

2

Any reviews on the Somnipax Belt? (or other positional therapy belts)

I have sleep apnea, supposedly because of jaw issues. Most (around 80-90%) of my apneas are when I'm sleeping on my back. I tried the tennis ball, but it's not working for me, I'm planning of buying the Somnipax Belt. Any reviews?

0 Comments
2025/02/01
18:51 UTC

2

How long brain fog took to go away after starting CPAP?

6 Comments
2025/02/01
17:52 UTC

1

Is the top part of my mouth guard necessary?

Hi! I’m 24(F) with mild sleep apnea. I was diagnosed after a sleep study two years ago. I am thin and relatively healthy, it was quite a surprise. I tried a mouth guard because as a 22 year old college student I really did not want a cpap. The mouth guard was massive, caused pain, and didn’t seem to work, at least not enough to warrant the pain. I angrily stopped using it after a couple months and decided I’d leave my apnea untreated for now. I had them shave it down in spots a couple times but it was still painful, just too large for the mouth.

Now, over two years later and in a full time job I’m realizing I need to prioritize good sleep. I’m exhausted, my memory is terrible, and I nearly constantly experience brain fog.

I got my mouth guard out again today for the first time in two years. It still hurts. However taking the tops piece out seemed to solve it and with the bottom piece in only it’s not so bad. The bottom is the piece that pushes the jaw forward, the top doesn’t really seem to do anything besides just hurt me??? This may be a silly question but is the top piece really necessary? My bottom jaw is still pushed forwards without it and it is 75% more bearable to wear. I can’t wear that top piece I just can’t. It can’t be adjusted, those damned things are just too freaking monstrous. I can even still wear my orthodontic retainer with only the bottom piece in. Please someone answer this 😩😩😩 I want to sleep well but without PAIN. Is there any reason why I can’t just wear the bottom piece only???

6 Comments
2025/02/01
17:52 UTC

4

People who use sleep aids with their PAP device. How does it impact your AHI?

I'm struggling to get used to my machine and using various sleep aids in rotation (not great, I know...). I wonder what impact it can have on my AHI, which is wildly different on a nightly basis.

I read sedatives are supposed to make apneas more frequents but what are your observations with different aids?

25 Comments
2025/02/01
16:01 UTC

1

WatchPat Results Back - not seeing doctor for a few weeks - need advice :)

The post title says it all, interpretation and opinions would be appreciated

Sleep:
Total sleep time (TST): 7 hrs, 29 min
Technically valid sleep time: 7 hrs, 18 min
Supine sleep time: 292.0 minutes
REM sleep time (%): 34.8

Breathing:
Apnea/Hypopnea Index (pAHI 4%): 18.3/hour
Apnea/Hypopnea Index (pAHI 3%): 28.9/hour
Supine pAHI 3%: 20.7/hour
Non supine pAHI 3%: 43.6/hour
REM pAHI 3%: 47.5/hour
NREM pAHI 3%: 18.7/hour

Respiratory Disturbance Index (pRDI): 30.7/hour
Supine pRDI:21.9/hour
Non‑supine pRDI: 46.3/hour
REM pRDI: 50.5/hour
NREM pRDI: 19.7/hour

Central Apnea/Hypopnea Index (pAHIc): 0.7/hour
Cheyne‑Stokes Respiration (CSR): 0.0%

Snoring was present for 331.9 minutes (73.8% of TST)

Oxygenation:
Time ≤ SpO2 90%: 19.6 min (4.4% of TST)
Time ≤ SpO2 88%: 13.2 min (2.9% of TST)
Oxygen Desaturation Index (ODI4%): 17.7/hour
Mean SpO2: 92%

6 Comments
2025/02/01
15:42 UTC

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