A member asked:

Prev dr said i may have narcolepsy but i don't have vivid dreams or sleep paralysis but i have daytime sleepiness & moderate sleep apnea. thoughts?

5 doctors weighed in across 2 answers

Need to treat: Sleep apnea results in stroke risk, and needs direct treatment, like c-pap or dental splint. The daytime sleepiness may be secondary. Narcolepsy can be assessed by hla studies, and maybe eeg, but really, you need sleep study and confirmation of diagnosis, not guess-work.

Answered 3/22/2013

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Treatment: Anything that causes sleep fragmentation (apnea, pain, leg kicking, etc) leads to sleepiness. So even before testing for narcolespy in sleep lab setting you would have to confirm that the apnea is well controlled and not contributing to waking. Sometimes sleepiness is persistent because of years of apnea and there is med for that ... See someone specialized in these disorders and do your homewk.

Answered 11/27/2017

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