Help! Woke up, gasping for air, vomit through my nose

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Help! Woke up, gasping for air, vomit through my nose

Postby Pechy40 » Sun Jan 06, 2008 1:03 am

This is the second time this has happened to me, only this time 50 times worse. First time about a month ago. I woke up gasping for air.....like I couldn't swallow the air....Only it lasted a few breathes before it came back. But very scary. This morning, after sleeping about 3 hours, I woke up the same way, only this time it wouldn't go away. I'm trying to wake up my husband, I was half on top of him...on my knees...trying to get attention and then vomit burnt my nose and throat and I still couldn't get a breathe. I thought I was going to die. He finally jumped up to help me and we got to the bathroom, where after a minute, I was able to breathe a bit. Took him staring me in the eyes and getting me to calm down. I have no health problems that I know of. Could this be sleep apnea? Is this what happens? Will I die from this? I am one of those americans that are in the class of no insurance due to the high premiums. ACK!!!! Has anyone here ever done that? And if it is Sleep apnea, what do I do to keep this from happening again. Thank you in advance for your help. Lana
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Postby dot » Sun Jan 06, 2008 1:52 am

It sounds like acid reflex. I have had simular attacks and iam now on meds.If you don't have insurance try to not eat 4 hours before going to bed.Put something under your pillow or mattress to raise your head.Stay away from spicey foods.See if that works.If not see about getting checked for sleep apena. Good Luck!!!
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Postby Guest » Sun Jan 06, 2008 1:59 am

It sounds like sleep apnea is a possibility. Acid reflux is associated with sleep apnea. The effort to suck in air cause effects the stomach in a way that causes acid reflux.

There are stereotypes about sleep apnea - that a person must be male, overweight, middle-aged, loud snorer, to have sleep apnea. However, anyone can have sleep apnea. A young, slender, female, who doesn't snore can have sleep-disordered breathing.

It would be good to see a physician (Certified Sleep Specialist) for a consultation. Do you have any other symptoms? How do you feel when you wake up in the morning?
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Postby SleepySparky » Sun Jan 06, 2008 11:11 am

Lana,
I am in that class with you, the NO insurance class. So I know where you are sitting, when my insurance premiums got up above the monthly mortgage payment we just could not do it anymore.
I can tell you I suffered from acid reflux and was on meds. I had horrible heartburn everyday. Once I started cpap, I have heartburn every now and then when I mess up and eat really spicey foods. But now a pepcid ac takes care of it, no more prescription meds. I agree that it really sounds like you need to see a Dr. Do you have one that is good and gives discounts when you do not have insurance? I ask because your primary physician might know a Sleep Dr. that he referrs patients to, that might would help with the cost. A lot of sleep clinics, where you would have the study done, give discounts and do payment plans when you do not have insurance. I know I have shelled out quite a bit of cash over the last month or so to get this issue taken care of, but it was well worth it. I was diagnosed Nov. 30, 07 and I already feel a bigggggggg difference. I have gone from dragging myself out of bed in the AM, no heartburn, no swelling in the legs, anxiety level has dropped drastically, irritability has dropped, I breath better even when I am awake and man has my energy level sky rocketed. There are a whole bunch of symptoms I did not even experience due to sleep apnea that are much more dangerous to your health too. So as you felt the fear, I am sure it was quite intense and probably scared the heck out of your husband too, I would definitely suggest getting to a Dr. and getting checked ASAP. As the person before me said, do not let the Dr. give you this stereotype of "chubby middle age snorer with a large neck" that stereotype went out the window numerous years ago. I am not yet middle aged and I am female and I do not have a large neck, and I have a severe case of it. I think there is a "sticky" here in the forum that has a link in it to help you find a certified sleep clinic in your area. You just type in your zip code and it will come up with the ones in your area. I would get on the phone and make some calls and see what they say. When I did this I found very few in the Dallas/Ft. Worth area here in Texas that did not accept patients without insurance or that would not give discounts and do payment plans, most would. The one I went to would give a 30% discount and wanted between $300. and $500. down and would charge you the rest over 12 months. After you have the appointment and you are waiting on the test results if you wish to come back here and post we can help you with the equipment. Online suppliers, when you have no insurance, are much less expensive, than local brick and mortar DME's. Good Luck.
Tina

Here is the link to find a sleep center: http://www.sleepcenters.org/
Here is the link to FAQ where I got the above link on the Sleep Apnea Help first page: http://www.apneasupport.org/viewtopic.php?t=6416
I hope these help you.
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Postby CrohnieToo » Sun Jan 06, 2008 12:06 pm

Most likely what you are experiencing is Reflux (GERD). Pepcid AC is a good choice for reflux since you have no insurance. The definitive Dx requires an upper endoscopy.

Raise the head of your bed 4" (6" is often recommended but my husband and I ended up scrunched down to the foot of the bed every morning at that height). The easiest, cheapest way we found was to nail two blocks of 2"x4", each 2"-3" long, together, one on top of the other for each side rail at the head of the bed. Then another 2"x2"-3" long single block of 2"x4" on the side rail further down near the mid section of the bed on each side so the spring and mattress rest securely.

Sleeping propped up w/pillows tends to have you bend at the waist which is exactly what you do NOT want to do whilst sleeping. Sleeping in a recliner is better because you are then bending at the hips/butt area rather than at the waist. With pillows you might start out that way but you end up sliding down so that you are bent at the waist. And that puts pressure on the hiatal area between stomach, diaphragm and bottom of the esophagus pushing contents upward. Which is exactly what you DON'T want!

If you still have concerns about possible sleep apnea then the cheapest way to at least get an idea of your risk since you don't have insurance is to make an appointment w/your PCP and ask, insist if necessary, that he script an overnight oximetry for you. It should be free to no more than $75 to do an overnight oximetry.

If the overnight oximetry indicates you are most likely at risk for sleep apnea THEN you can start investigating sleep labs, etc. and your best option for a formal sleep evaluation.

Even then, if evidence from the overnight oximetry is indicative of OSA, you should be able to convince your doctor to script a one month loaner of a fully data capable auto PAP (be forewarned, the majority of us have a real problem w/o a CPAP humidifier - and finding a mask that remains relatively comfortable for an entire month is no easy feat either). The download of that one month's data should pretty much clinch the deal for you. And a word of warning: my doctor scripted a two week home autotitration but my local (sheister) DME supplier got away w/charging my insurance a full one month rental.

What starts out as reflux can eventually damage not only the esophagus and even cause asthma and lung damage over the long term it can then cause breathing problems that can result in sleep apnea, COPD, etc. as well as esophogeal cancer.
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Postby lynn321 » Mon Jan 07, 2008 6:14 am

with GERD it helps to avoid eating for several hours before bed and absolutely no midnight refrigerator raids :-(
respironics comfort gell mask,resmed S6 lightweight CPAP, pressure 10 no humidifier
NO DOCTOR EVER ASKED ME IF I SNORED
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Thank you

Postby Pechy40 » Mon Jan 07, 2008 9:57 am

Thank ya'wl so much for answering. I started doing some research on line and found a couple things that led me to acid reflux. I just know that I never want to go through that experience again. Thought death was just around the corner, let me tell ya. So sad that the Insurance Premiums are so expensive. It had got to the point that you either pay your house note or buy insurance. Our's is offered at over $700.00 a month. Who can afford that? I'll do what ya'wl recommended. Wish me luck as I do you. Thank you[/b]
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Sleep Apnea with vomit through nose

Postby slusher » Sat Mar 29, 2008 10:39 pm

Internesting, I had the same experience with vomit through nose at night. First time it happened it really freaked me out. I have sleep apnea and am 35 and slender and in good shape so the stereotype doesn't fit me either. I don't want to wear the CPAP mask is there anything else for home remedy maybe?
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Postby Vicki » Sun Mar 30, 2008 12:50 am

Slucher,

That stereotype is incorrect and unfortunately responsible for trashing the lives and health of thousands of people who are being/have been misdiagnosed because of it. The reality is that the majority of people with apnea are not overweight. It is just that being overweight increases the severity of it. Patients are very young and old, male and female, in great shape and not so (I do triathlons).

It is all in your attitude. A CPAP is the most efficient and proven therapy for sleep apnea, unless you want a tracheotomy. There isn't any reason why it should alter your life much. Sleep apnea will kill you. You may not feel that bad right now, but here are some effects you have to look forward to if you don't get treated:

The effects of untreated sleep apnea are severe and systemic. Some of them are; increased risk of heart attack and stroke, increased blood pressure, heart arrhythmias, nocturia (because the increased pressure in the right heart ventricle makes the body think there is too much blood volume so urine is produced), headaches, fatigue (duh), memory and concentration problems, weight gain (sleep deprivation causes weight gain for several physiological reasons, one being the alteration of the hormones leptin a ghrelin), apnea induced seizures, there is a link to diabetes, there is a link to GERD, night sweats, depression, anxiety (each apneic event is a true suffocation and elicits the "Fright or Flight" adrenalin response), Fibromyalgia-like symptoms, impotence, relationship and job issues, car accidents, etc.

If you have more questions, you can start your own thread in this section where it will get more visibility.

Vicki
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That which does not kill you makes you stronger-Friedrich Nietzsche
Friedrich must of had apnea.
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Postby Ramboaus » Sun Mar 30, 2008 1:09 am

Vicki wrote:Slucher,

That stereotype is incorrect and unfortunately responsible for trashing the lives and health of thousands of people who are being/have been misdiagnosed because of it. The reality is that the majority of people with apnea are not overweight. It is just that being overweight increases the severity of it. Patients are very young and old, male and female, in great shape and not so (I do triathlons).

It is all in your attitude. A CPAP is the most efficient and proven therapy for sleep apnea, unless you want a tracheotomy. There isn't any reason why it should alter your life much. Sleep apnea will kill you. You may not feel that bad right now, but here are some effects you have to look forward to if you don't get treated:

The effects of untreated sleep apnea are severe and systemic. Some of them are; increased risk of heart attack and stroke, increased blood pressure, heart arrhythmias, nocturia (because the increased pressure in the right heart ventricle makes the body think there is too much blood volume so urine is produced), headaches, fatigue (duh), memory and concentration problems, weight gain (sleep deprivation causes weight gain for several physiological reasons, one being the alteration of the hormones leptin a ghrelin), apnea induced seizures, there is a link to diabetes, there is a link to GERD, night sweats, depression, anxiety (each apneic event is a true suffocation and elicits the "Fright or Flight" adrenalin response), Fibromyalgia-like symptoms, impotence, relationship and job issues, car accidents, etc.

If you have more questions, you can start your own thread in this section where it will get more visibility.

Vicki


Vicky I agree with you that but for CPAP treatment that I started in 1989 I may be dead and gone by now. Yes the sleep apnea masks are not nice to look at and not pleasurable devices. Yet the minute we are out of bed we feel normal ( except for days when the masks leak badly and you sleep through it). Without the Cpap so many of us will be falling asleep all over the place all day long and could cause major accidents driving and at work. Imagine a neuro surgeon with sleep apnea dozing of while he is operating.

We must salute Dr Sullivan for Pioneering this technology for sleep apnea.

Kidney patients have no choice but to go on dialysis machines. comparatively cpap machines are just blowers that push more air and hence oxygen into our lungs.
Cheers
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Postby Ramboaus » Sun Mar 30, 2008 1:12 am

Vomit coming through the nose can be dangerous as it could also find its way into the lungs.
Please seek medical help asap and do not go to bed for at least four hours after the last meal. eat good breakfasts and light dinners. Try raise the bed head with a couple of bricks.
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Postby melhajj » Sun Mar 30, 2008 8:22 am

Hi Pechy40; to vomit food contents back to the mouth or nose is called regurgitation and the most probable cause could be GERD or a hiatus hernia; of course the best method to corroborate these diagnosis is by making an endoscopy to check that there are not other problems involve that could be causing such a sign; other problems might be some tumours pressing the stomach or esophagus, etc, so it is good and worthy to be checked out by a gastroenterologist; if it is a case of GERD nexium would be your best bet to control the gastric acid production; another thing that helps is the use of metoclopramide which is a medicine that helps to stimulate the movements of the stomach and intestines, therefore making the food to pass faster through the digestive system; also might help not to eat spicy food, to raise your head with two pillows, not to eat at least 4 hours before going to bed, to exercise would be helpful to help your stomach and intestines to move faster; some people are under a lot of stress which can cause also GERD then, i would advice less stress or ways to relax, exercise can help also in this way. Well, what you have is pretty dangerous and it must be checked out by a gastroenterologist, first to find the cause and make a definitive diagnosis, to be treated and also to avoid this to happen again; if the food contents go to your lungs (bronchoaspiration) that is a dangerous things that could cause asphyxia, in other words, a shocking sensation and real blocking of the airways; you can just not breath and also this contents might cause secondary infections; I would not recommend you just that you treat yourself, definitely not and i explained the reasons above mentioned. Also, go to the GI doctor as soon as possible, because unless you get treatment right away, your symptoms will stop, otherwise they will become more frequent and dangerous; best luck and remember, there is nothing more worthy than the money we spend in our health; do not put your life in danger. take care. ;-)
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