Doctor insights on:
Narcolepsy And Sleep Apnea
I have narcolepsy, cataplexy, sleep apnea, and depression and i weigh right at 300 pounds i can not seem to lose any weight any advice would be great?
FATIGUE WITH OSA: Provigil is cheaper and better tolerated than Nuvigil .Also adderal/Ritalin/Starttera can help. Start a gluten free diet Wholeapproach.com gut bliss.com. If CPAP/BIPAP is poorly tolerated seek ENT CONSULT for UPP/ vs Hyoid suspension. ALSO FOCUS ON WEIGHT LOSS. TOPAMAX (topiramate) IS effective FOR. RLS AND WEIGHT LOSS. ...Read more
Sleep apnea has two causes. It may be 'central' or 'obstructive'. Central apnea occurs as a disorder in the way the brain controls breathing. Obstructive sleep apnea is much more common and involves an anatomical blockage of the airway. Usually, the tongue blocks the airway, preventing the passage of air between the a sleep study is needed to diagnose particular ...Read more
Is there any significant difference in effectiveness and side effects between armodafinil/ Nuvigil and modafinil/ Provigil for narcolepsy/sleep apnea?
Nuvigil is the right: side of the Provigil molecule. Efficacy & side effects are the same. See http://www.diffen.com/difference/Nuvigil_vs_Provigil. Provigil now comes in a generic form. Nuvigil may last a little longer, causing more risk of insomnia. Both are FDA-approved for narcolepsy, Obstructive Sleep Apnea for the 30% of CPAP or BiPAP users who don't respond optimally to their use alone & shift worker disorder. ...Read more
I am wondering how do doctors treat people with diseases like narcolepsy, sleep apnea or chronic fatigue?
It varies.: For sleep apnea, the most common treatment is a pap device - it splints the airway open to prevent the repetitive airway blockage that fragments sleep. For narcolepsy, typically we utilize stimulant therapy and sometimes a medication called xyrem. It would be important to determine the correct diagnosis and then develop a treatment plan with your physician. ...Read moreSee 1 more doctor answer
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?
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. ...Read moreSee 2 more doctor answers
Is sleep apnea and narcolespy the same and if not what's the difference, a dot doctor told me he thinks I have sleep apnea!
Sure: In narcolepsy, you just skip all the early phases of sleep, and just go to sleep immediately and at inappropriate times and places. Once alseep, you are not immune to the potential of blockage of the airway and apneas that everyone else has. So you can be narcoleptic, and experience apnea once you are asleep. ...Read moreSee 2 more doctor answers
33/m, constant tiredness, difficulty waking, using fire alarm to wake me.75 min+ of fire alarm and wife shaking me.Sleep intertia.No narcolepsy/apnea.
No cure: There is high failure rate of surgical procedures for sleep apnea. Best treatment is the CPAP mask adjusted to the right pressure. There are some that automatically adjust themselves for the best pressure. Need to get the most comfortable mask & less noisy machine .Complications of surgery include airway obstruction, bleeding, hematoma, infection, pain, death, dysphagia, velopharyngeal etc... ...Read moreSee 8 more doctor answers
Yes: It has been published that it affects 4% of men and 2% of women, but personally, i think it is much higher. Unfortunately, it has been given lower priority than other medical conditions. That is now changing as we are discovering that is is associated with considerable medical and psychiatric morbidity and even mortality. ...Read moreSee 3 more doctor answers
Sleep apnea: Fatigue, snoring, daytime sleepiness, stop breathing for a few seconds while sleeping- are a few symptoms of sleep apnea. Sleep apnea, is frequently associated with increase level of hemoglobin and htn. Sleep study is indicated. CPAP will be the treatment of sleep apnea. ...Read moreSee 4 more doctor answers
Just another term: For sleep apnea. There are several types: obstructive, where the air is blocked from getting to your lungs by collapse of your upper airways during sleep, and central sleep apnea where your brain does not send the signals to your lungs to breathe, and the third type which is a mixture of the two. I cannot think of a sleep apnea that would not be organic, because there is no psychogenic sleep apnea. ...Read moreSee 1 more doctor answer
R/O OSA: OSA can be suggested by history and physical. Excess snoring/daytime sleepiness/apneic episodes/ aM headaches. And the Exam obesity/small oral airway/collar size>18. The definitive test is a PSG with split night/CPAP titration. I would request copy of sleep study and get a second opinion if you are not satisfied with the options. You are young CPAP can be difficult to tolerate. ENT FOR UPP EVAL. ...Read moreSee 2 more doctor answers
Some treatments: The first necessity is make sure you have a sleep study. The treatments will depend upon the severity of the osa. It can be mild, moderate or severe. Treatments vary from change of life style (loss of weight, nutrition, exercise;) surgery to remove some tissue in the back of the throat; oral mouthpieces and CPAP machines. Rely upon your medical professional to discuss which option may be best. ...Read moreSee 3 more doctor answers
Several: Being over weight is probably the biggest risk factor. A loss of muscle tone in neck muscles as we get older. Heredity undoubtedly plays a role. Having a large tongue. Other contributing factors are an underdeveloped lower jaw, a narrow upper jaw and a high palate. These all tend to block the airway and lead to obstructive sleep apnea. In central sleep apnea the brain doesn't say to breath. ...Read moreSee 1 more doctor answer
Snoring: The symptoms are daytime fatigue, snoring, frequent waking, frequency of night time urination, but tiredness during the day very hard to deal with. Get diagnosed by sleep study and treated. Apnea carries risk of heart attack, stroke and other nasty things. Your family doctor can arrange the study and most insurances cover it. You will feel so much better after a good nights sleep. ...Read moreSee 3 more doctor answers
Not just weight: Anatomy is king. Obstructive sleep apnea happens in a small airway "box". The airway can be small if what's in it takes up space or if the box is smaller. Weight gain increases tongue size and the thickness of the side walls of the throat. Tonsils may be large. Small jaw size, often inherited , will increase the risk of osa . Low muscle tone is also a factor. ...Read moreSee 2 more doctor answers
R/O OSA: YES IT IS: OSA DX by history and physical. Excess snoring/daytime sleepiness/apneic episodes/ aM headaches. And the Exam obesity/small oral airway/collar size>18. The definitive test is a PSG with split night/CPAP titration. I would request copy of sleep study and get a second opinion if you are not satisfied with the options. You are young CPAP can be difficult to use.ENT CONSULT FOR UPP EVAL. ...Read moreSee 2 more doctor answers
This is the cessation of breathing for 10 seconds or more. Most apnea is obstructive being caused by collapse or obstruction of the airway leading to lack of air flow. However, it can be a central process, where the respiratory center of the brain fails to signal the respiratory respiratory system to initiate a breath. Lastly, some apnea is mixed central ...Read more