Awake apnea?

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Awake apnea?

Postby Guest » Thu Jul 28, 2005 10:25 am

I find myself not breathing during the awake hours. Is there such a thing? I know I have sleep apnea, and it's pretty serious. At least the test results showed that. And whoops...looks like I need to reduce that image size!
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Postby Janie » Thu Jul 28, 2005 10:27 am

The above was from me...Janie. I forgot to log in.
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Postby roseinpa57 » Fri Jul 29, 2005 10:05 pm

Janie,
I've been kinda wondering the same thing. I'm not sure my daytime breathing is the greatest either. I have an appt with a sleep doc for a consultation on Aug 15 and am going to ask that question. I"ll let you know what I find out!
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Postby Janie » Fri Jul 29, 2005 10:40 pm

Thanks Linda. I go in September 8th, so maybe we can tag team on getting information. Couldn't hurt.
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Awake Apnea

Postby sleepydave » Sat Jul 30, 2005 6:54 am

Hi guys!
I think I should just say no and leave it at that. You have to be very careful about taking a disease and trying to make your symptoms fit it, which don't work. The work up of medical problems is the other way around. You tell your doctor about your symptoms (i.e., shortness of breath climbing stairs), he will take your history, do a physical, perhaps order some tests, and then come up with a diagnosis. And difficulty in breathing is a symptom of a million things. Many of them are the most dangerous things we deal with. For instance, we're tossing around oxygen saturation levels during sleep here of 80%, 70%, even 60%, and saying, wow, that's bad, you have to see a sleep specialist, write back soon, oxoxox. In these cases, the body has had months and years to slowly adjust to that and make corrections so it can tolerate it somewhat (like giving you high blood pressure or an enlarged heart. Or a stroke.) If you have that happen to you while you're awake, that's a 911 call. If you have shortness of breath, maybe coupled with some chest tightness, arm or jaw pain (OK, this one you know) call 911. If you've been smoking for 20 years. Swollen ankles. Leg pain. Chronic cough. Excessive sputum production. Wheezing. Pain on deep inspiration.
See your doctor. See your doctor. See your doctor. See your doctor.
Once we move out of our little world of sleep into the cold, hard world of wake, it's a whole new set of rules.
OK, I'll give you one. If you briefly hyperventilate, as seen in a yawn or a sigh, there is a brief period where you don't breathe, a compensatory pause, if you will, which I suppose you could call a central apnea, but is harmless. Maybe one more, to make a point. Closure of the airway during wake, which we can see in the severe Down's kids, is called obstructed airway, and that's the ultimate of emergencies.
But the moral of the story is-- the internet is at once a wonderful and a terrible thing. You guys got it right, doing your follow-ups with your physicians. All you others, take note-- he who treats serious medical problems with internet advice is a....well, just do what you need to do to keep yourself safe and healthy.
sleepydave..although i've had 3 cups of coffee this AM already so i'm now perkydave
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awake apnea

Postby guest » Sat Jul 30, 2005 12:16 pm

Finally I've found a bit of info for what I've been calling my "awake apnea"! And yes, Sleepydave, I agree that I need to see a dr, but I don't know what kind to see! I have never been tested for sleep apnea, altho I think I snore a bit, but don't have the totally fatigued wake-up stuff. My apnea usually occurs during periods of intense concentration, particularly in concerts or watching movies, when it seems like I've "forgotten" to breathe. Suddenly I will inhale, sort of a gasp, thru my nose, which is loud enough that my seat mates notice it too. I then try to "control" my breathing, concentrating on that instead of the event taking place. But gradually my attention returns to the music or whatever, and in a little while, another little nasal breathe-in. I know the Internet is NOT the replacement for a physician's diagnosis, but it's strange that NONE of the medical sites offering info on apnea address this particular phenomenon. I would be interested to know what other "sufferers" of this awake apnea are doing. Thanks for listening!
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Postby Janie » Sat Jul 30, 2005 1:50 pm

SleepyDave,
I don't know what gave you the impression that I am not seeing myriads of other doctors. It is my life now. If Linda asks her doctor, and what he says brings up more questions for me to ask my doctor, this sort of information sharing is helpful. We are not talking about Cardiac or other symptoms, but symptoms just like we have with sleep Apnea. If what she finds out does not fit my symptoms, it may be helpful to someone else when they see a doctor.
It is good to be cautious. No doubt, especially on the internet. But we are here to share, are we not?
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Cause it's not Awake Apnea

Postby sleepydave » Sat Jul 30, 2005 2:14 pm

Hi Guest!
You won't find "awake apnea" in too many places because apnea is probably the wrong term to describe what is happening. Apnea is used to describe events in sleep lasting 10 seconds or more or in waking states when there is prolonged cessation of breathing. As in big trouble. Those events you mention would be more appropriately termed "pauses" and may be related to hyperventilation events. OK, probably in your case it's gonna be:

OK, I'll give you one. If you briefly hyperventilate, as seen in a yawn or a sigh, there is a brief period where you don't breathe, a compensatory pause, if you will, which I suppose you could call a central apnea, but is harmless.


But if you wanna talk about the causes of hyperventilation in general, then the floodgates open:

http://www.emedicine.com/emerg/topic270.htm

See, the thing is, if you're 25, in excellent shape, no history of any illnesses or other symptoms, we may go in one direction. If you're 65, chronically ill or have symptoms that point to heart or lung disease, it's a different ballgame.

An internal medicine guy is a good place to start if you want to get worked up. Bring this up during your annual physical. (And if you say, "I haven't been to a doctor in 50 years" don't think that's a good thing.)

OK, SOAPBOX TIME AGAIN. Your descriptions are very good, and we can kinda guess in your case (but you still left out a lot of potentially very important information). However, some people may read "funny breathing feeling" and go, "yeah, I got that" when then really mean "shortness of breath" or "tightness in the chest". In one description, it's easy to say, ahh, you're a hypochondriac, but in the other the person may need to call the ambulance and go to the ER NOW. A lot is lost in trying to describe things in text. I think people who post have to be aware of the effect they can have, and the readers have to consider everything very carefully.

OK, one MORE thing. I think if you somehow made it down this far, you have a thirst for knowledge and information that is admirable-- and "I'll fly with you anytime, Maverick."
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Hey Janie, I'm with You!

Postby sleepydave » Sat Jul 30, 2005 2:29 pm

I said,

You guys got it right, doing your follow-ups with your physicians. All you others, take note--


I know you are, and couldn't agree with you more.
s.d.
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Postby Janie » Sun Jul 31, 2005 12:58 am

Thanks, SD.
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Awake Apnea

Postby Walleye » Tue Mar 06, 2007 11:47 am

Does any of you also suffer from gastroesophageal reflux or other stomach related problems?
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maybe micro-sleep?

Postby Aurora » Wed Mar 07, 2007 5:20 pm

Hi. Was thinking about "awake apnea" last night while not sleeping. I pictured my father. He would regularly doze off during the day (family get-togethers, watching TV, at boring lectures, in church, etc). Sometimes he'd be all the way asleep, mouth open snoring. More often, he'd just relax, then stop breathing. His head would start to nod, and he'd jerk awake with a gasp. He was absolutely adamant that he was not asleep. And yet, he was and he was having apnea.

My brother-in-law, who also has SA, does the exact same thing. I watched him do it again a couple weeks ago. He fell asleep in the living room. He was snoring. His breath paused a couple times. Then our kids and dogs ran through. His eyes flew open with a gasp, and he stated firmly, "I was not asleep!"

They both were unaware of the fact that they were asleep because it was so short a time. They stayed aware of the general events of the room and only missed a few seconds, but that was enough for a breathing pause.

Definitely discuss it with your doctors because it could be a sign that you're not quite getting enough quality sleep.

And of course those micro-second snoozes cause fatal accidents way too often. Mom did almost all their driving. Brother-in-law has has 4 accidents in 3 years. Hmm. Take care!

Aurora
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Awake apnea response

Postby Micheal » Tue Jun 05, 2007 1:27 pm

Well, it sounds like everyone here has breathing pauses when they are awake, but doesn't anyone have breathing obstructions when you're awake? I mean, I always feel like I'm just not getting enough air out of each breath. I've seen doctors and they constantly mis-diagnose me. All I get out of the Dr.'s office is $700 in debt from EKGs and X-RAYS.
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Postby RoxyHolmes » Mon Dec 14, 2009 7:19 am

Well, all of this is very interesting. But the most advise i've encountered here concerning this situation has been from sleepydave, and this person basically called what we are all suffering from as hyperventilation. Hyperventiliation is breathing at an abnormally rapid rate, and is the polar opposite of what we have. Also "awake apnea" can be dangerous because it's reduces the amount of oxygen to the blood, which can cause clotting etc, and to the brain, which, in my case, can and does cause fainting spells, constant dizzyness, migraines, headaches, nausea, a weird motion/sea sickness feeling, random memory loss and lack of concentration. I've been to see my gp(doctor) a few times and all he says is get a better diet, i am a very healthy vegetarian(since i was born so my body is completely used to not eating meat, this is not a cause), i have an abnormally balanced and healthy diet. I also suffer from insomnia, i regularly lose at least one nights sleep a week. But the doctors don't help me. Some of us are on our own here, and coming onto the internet for ideas to at least try isn't a bad thing. If there were any ideas. All i know to do is just try to concentrate on your breathing. Hatha Yoga might help, and staying in a stress-free, calm, controlled mood most of the time, which is impossible for me and most people.
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Postby RAM_Sleep » Mon Dec 14, 2009 10:03 am

You could also have obesity related hypoventilation...whereas your CO2 levels (even during wake) are elevated.

http://en.wikipedia.org/wiki/Obesity_hy ... n_syndrome
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