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ric7744
Unread post  Post subject: Opinion on what I should do  |  Posted: Sun May 13, 2018 12:15 pm

Joined: Sun May 13, 2018 11:51 am
Posts: 4

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I am a 47 year old Male, pretty healthy except for High Blood pressure since I was in my 20's but under control and Supra Ventricular Tachycardia which is recent and which I am scheduled for a ablation for next month and am on Metoprolol Beta Blocker for. I work out everyday. . I was diagnosed with Mild Sleep Apnea with a AHI of 10.7, most of it was Hypopnea's and I barely snore at all but sometimes make a little sound so it was really odd to me that I even had sleep apnea because my wife said I really don't make noise when I sleep, she did witness me pause breathing once.
I feel the symptoms and tiredness and over the last few years when I have a beer or two I really feel the symptom of Sleep Apnea.. The sleep doctor advised me to get a APAP machine and nasal mask or Oral Appliance. i also grind my teeth and wear a night guard so the oral appliance sounds ok but I figured I would give the machine a try.
They got me a Resmed auto sense 10 with heated tube and a N20 nasal mask and then a Dream wear nasal mask. After 3 weeks I have not been able to get any quality sleep with any of it on. I have tried changing heat and climate settings ramp settings nothing works but the most concerning thing is that after I wear it for a while trying to sleep I end up getting the Supra Ventricular Tachycardia episode almost every time, which I never really get just laying down. At this point I take it off and then end up sleeping. I just can't fall asleep with the air going into my nose and my pressure is only 5-15. I am not sure what to do but I am now thinking Oral Appliance might be my best bet. Have any of you have had a similar experience and if so what oral appliance did you end up liking.


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SleepyHead566
Unread post  Post subject: Re: Opinion on what I should do  |  Posted: Fri May 18, 2018 12:06 pm

Joined: Sat Feb 24, 2018 11:48 pm
Posts: 64
PAP Mask: Airtouch F20
PAP Machine: Res Med S10 Auto
Humidifier: Res Med
Pressure Setting: 11-20

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ric7744 wrote:
I am a 47 year old Male, pretty healthy except for High Blood pressure since I was in my 20's but under control and Supra Ventricular Tachycardia which is recent and which I am scheduled for a ablation for next month and am on Metoprolol Beta Blocker for. I work out everyday. . I was diagnosed with Mild Sleep Apnea with a AHI of 10.7, most of it was Hypopnea's and I barely snore at all but sometimes make a little sound so it was really odd to me that I even had sleep apnea because my wife said I really don't make noise when I sleep, she did witness me pause breathing once.
I feel the symptoms and tiredness and over the last few years when I have a beer or two I really feel the symptom of Sleep Apnea.. The sleep doctor advised me to get a APAP machine and nasal mask or Oral Appliance. i also grind my teeth and wear a night guard so the oral appliance sounds ok but I figured I would give the machine a try.
They got me a Resmed auto sense 10 with heated tube and a N20 nasal mask and then a Dream wear nasal mask. After 3 weeks I have not been able to get any quality sleep with any of it on. I have tried changing heat and climate settings ramp settings nothing works but the most concerning thing is that after I wear it for a while trying to sleep I end up getting the Supra Ventricular Tachycardia episode almost every time, which I never really get just laying down. At this point I take it off and then end up sleeping. I just can't fall asleep with the air going into my nose and my pressure is only 5-15. I am not sure what to do but I am now thinking Oral Appliance might be my best bet. Have any of you have had a similar experience and if so what oral appliance did you end up liking.


Thing with treatment is that it's an individual thing. For most, CPAP works, for others, they require a mouth guard and for some, they require both a mouthugard and a cpap. Here is what I recommend you do. Oral appliances aren't cheap either and I have a mouth piece.Albeit it's custom made as those throwaway mouthguards never worked for me. Mouth guards although great, but they don't prevent sleep apnea or stop it at all because they are only pushing your jaw forward. If you have flesh in the back of your throat, it's going to sag. Regardless if you get an oral appliance or not.

1. Change from a nasal mask, to a full face mask. Ideally you want that covers your entire face, feels comfortable and doesn't feel like it's crushing your skull. Some sleep techs will be going by the template that resmed provides, but they are often wrong. It's whatever is suitable and comfortable for YOU the individual. Often you'll find that most people that have sleep apnea tend to mouth breath or get mouth leakage. I suspect that you are breathing through your nose and mouth and why you are having trouble going to sleep with the nasal mask.
2. If the mask change doesn't work, then you can go see an orthodontist that specializes in sleep apnea patients. There are some that are too stupid to even know what sleep apnea is but if your teeth are f'd up or you have an under bite or over bite, then, you'll need some orthodontic work. That should make breathing easier. Though Adult braces are extremely expensive and well, can take 2 years to fix your teeth sadly.
3. go and see an ENT specialist that can see if you have a deviated septum. That should improve the breathing through your nose if you have a blockage.

Lastly, you can try using the cpap with the mouth guard but those oral appliances should really be a last resort.


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SleepyHead566
Unread post  Post subject: Re: Opinion on what I should do  |  Posted: Fri May 18, 2018 12:37 pm

Joined: Sat Feb 24, 2018 11:48 pm
Posts: 64
PAP Mask: Airtouch F20
PAP Machine: Res Med S10 Auto
Humidifier: Res Med
Pressure Setting: 11-20

Offline
If you buy the wrong sized mask such as the mask being too small. You WILL throw the mask half way across the room. Don't be afraid to try out a large or medium sized cushion if can.


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