cpap vs uppp

Hello, I'm 27 years old and have been diagnosed with mild to moderate sleep apnea. I am not overweight and I cannot stand the CPAP. My ENT said I'm a good candidate for UPPP, but from all the horror stories I read online, I opted to just have a tonsillectomy. After a couple weeks after the surgery, my sleep apnea symptoms returned. My symptoms are that I wake up gasping for air in the middle of the night. I am now seriously considering UPPP.

I too gave up and quit cpap for a few months, but when I tried again it was with the support of a forum of cpap users. Now I am totally adjusted and forget I even have the thing on. When you read online all the negative things about any surgery it is good to take heed. However, do consider that only those who had a problem make their way to an internet forum to state their case.

http://www.medhelp.org/user_journals/show/38129?personal_page_id=866545 jledford, If you go to Amazon and put in Andrew Weil CD on breathing, you'll see the 2-CD set. There's a good reason why your UPPP didn't work. Check out this article: http://www.medhelp.org/user_journals/show/42497?personal_page_id=866545 My book, Sleep, Interrupted has a lot more information about all these issues.

I really wish I had gotten surgery several years ago like UPPP because of what terrible things this disease has done to my life

Been on the CPAP for the last year. three months ago I had a septoplasty...All went well. Two weeks ago I had UPPP surgery and ever since the first night as soon as I fall asleep I start choking. Seems like even when I'm awake i can take a deep breath through my nose and feel my tonge/throat closing off. I"ve video taped myself sleeping the last few nights and it's happening about every 5 to 10 minutes. I'm choking on the inhale...

I think not getting enough oxygen in my body is what is causing me the most problems right down to digestion. I use a cpap and also have the mouth appliance. CPAP works best for me but simply not enough. Any responses would be appreciated. Thanks!

ENT docs, Otolaryngologists, Internal Medicine/Respirologist, Dentist, and Sleep Disorder doctor. I have tried the CPAP for 2 years (hate it) and I am currently using the mouth-guard (where my jaw is moved forward). My most recent ENT doctor suggested removing my tonsisl and uvula (under the table, overnight in the hospital, anesthesia)...I was told that this post-op, the pain is 10x worse than strep throat...any comments? Should I do this procedure?

I was diagnosed with moderate (13) sleep apnea several years ago but never could get used to the CPAP. I have Disk Degenerative Disease with two vertebra abnormalities. In addition I am being treated for hi blood pressure, hi cholesterol, fibromyalgia with Gabapentin, zoloft. etc. Could it be all of these drugs? I also had a blood test and am now taking 1000 mg of Vit. D, and Vit B. But I still sleep 15 hours and always feel tired.

Dear Doctor, I have asthma and mixed sleep apnea and I've been crippled by the central apnea/osa, leg twitching/PLMD. It was so bad I couldn't remember or read a sentence or work. I started taking klonopin and I could sleep better but I'm still exhausted and foggy even on cpap and wheeze on exhale after I got the flu. I tried exercising, theophylline, prednisone, dulera, singulair, zyfil and saw 15 doctors. Is there a cure or medicine for my sleep breathing disorder?

Did not help at all, but made CPAP a little more tolerable. (First few tries with CPAP gave me very bad sinus headaches.) RDI went up a little. CPAP is not working well as I still have a lot of nasal blockage when I lay down. Wake up after about 3-4 hours with a very sore throat. Tried oral appliance. Wake up after a few hours with a stuffed nose. Dentist noticed nasal blockage due to nose injury (football) and referred me to an ENT. Have done 2 RF turbinate reductions.

from what I've read CPAP machines are unpleasant and help little

I normally dont feel well rested everyday I awaken, however during the day i dont fall asleep. I was supposed to be on a CPAP for the past 4 years, but I cant stand it consequently not using it. I have noticed that I feel increasingly forgetful and not ALERT most of the time. I also have a problem with my heart rate become bradycardic 56-48BPM upon resting. My cardiologist gave me several cardiac test which I passed with flying colors..(Cardiolite Stress test, Echo).

is cpap the only treatment for sleep apnea? are there meds like diamox that help?

They can also do a procedure called UPPP. I am no professional but surgery is worth a shot if you want to try it.

I have been having chronic fatigue for a couple of years. Past year got so bad I almost had several MVA's. Finally went in and was tested. Severe sleep apnea and PLM's (alot of them). Cpap at 10cm helped daytime fatigue and I am sleeping better but still aytime fatigue. Provagil helps but not with driving. Ritalin, adderal not helping with that yet. Still testing for Hypersomnia vs Narcolepsy. Repeat sleep study showed very little Apnea but still some PLM's.

I have been dealing with insomnia for about six months. Initially, I was prescribed a combination of Remeron and Ativan to help me sleep. The side effects were fairly severe. I was going through my day very dizzy, and felt like I was in a dream state the whole day. I'm now taking only 30mg. of remeron and have been doing so for about two months. I'm getting some sleep, but my sleep is interrupted and I wake frequently during the night.

previous to Oct 22, 2012, my BP has historically been 110-120/80 and I never had headaches. I was diagnosed with UARS in 2005 but was given a CPAP with a nasal-aire vs a full face mask and any time I was stuffy I would discard the use of my CPAP. I haven't used it for several years now. The doctors are baffled, my sleep study did not reveal OSA (but when I mentioned UARS they looked like they were unaware of what that was).

However, the 2 titration studies I had seemed to have been focused on apnea; the CPAP pressure used only reduced my RERAS to 12/hr hour, and the sleep fragmentation was worse than my diagnostic study. I have used CPAP faithfully for 3 months, trying every setting from 5 to 9 cm. None of these pressures restore my sleep - I am waking every hour or so and feeling as tired as ever.

) Well on top of that, I contacted my insurance about the surgery for soft palate etc because my RDI index without a cpap is 40 and with a cpap is 23. The mouth appliance did not work and the cpap only helps slightly. My insurance considers UARS and anything to do with it experimental and doesn't even classify it as having anything to do with sleep apnea. They won't even count RERA's, only Apneas and Hypopneas.

36 weeks first time mom cant wait to meet my little man 26 more days:)!

• With use of a CPAP or bilevel, they show a pattern of central apneas and hypopneas that meets the Centers for Medicare Services (CMS) definition of CSA Patients with CompSA may be seen as those who cannot tolerate conventional CPAP or bilevel therapy both during lab titration and at home. Neither CPAP nor bilevel therapy seems to alleviate their sleep disorders.

I suffered from the same symptoms and didn't find relief until I had a UPPP, which included removing the tonsils and adenoids (sp?), and having the back of my throat and roof of my mouth shaved and scored in order for the skin to grow back together more taut. It was a miserable, horrible surgery and recovery, but I no longer snore and am able to sleep through the night. I would not recommend this procedure for a mild case of sleep apnea and/or snoring, but it has improved my life.

What about the CPAP do you not tolerate? Could you try a different mask/machine? Sometimes adjusting humidity levels, mask types, temperatures, etc. can really make a big difference... Did your ENT recommend the surgery, or was it something that you suggested? I wouldn't undergo surgery unless it was a last resort. Best of luck!

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