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Mild to Moderate Sleep Apnea a Risk for Stroke In Middle Aged Men

Here's a scary statistic:


A new study showed that even mild levels of obstructive sleep apnea significantly increases your chances of stroke, even in middle aged men. In the mild to moderate range, one unit increase in the apnea hypopnea index increased the stroke risk by 6%! In women, the risk for stroke was not significant until severe levels of sleep apnea are reached. 


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Hi Dr. Park:

I was on your website today and plan to go get your book. I am concerned about my current symptoms. I was wondering if you wouldn't mind commenting on my "strange" situation.

4 years ago I was diagnosed with severe sleep apnea with 365 arousals nightly with oxygen deprivation to 81%. I was a 28 year old fairly healthy male with huge tonsils, deviated septum, and a bad soft palate. I had septum, UPPP, and tonsil surgery.

3 years ago follow-up sleep study showed problem completely solved, but I still would wake 1-2 x to use the bathroom. However, this was a dramatic improvement from the past 4-6x. I felt like I was getting better, if not rested sleep.

The next few years were good, but not great. I still got up to use the restroom between 1-2x most nights, 2-4 bad nights. I had in past gone to a urologist and an endocronologist to rule out any other issues (nothing turned up strange except elevated cortisol).

Oct. 2009 injury to nose resulted in another septum/turbinate reduction with follow-up sleep study. Sleep study shows no need for cpap, but I'm still using the bathroom 1-4x a night which is disruptive to say the least. I actually use the restroom more frequently than most during the day. Night rising to use the restroom is a clear indication of sleep issues as most people on here know already. I’m still tired a lot, suffer with concentration and memory issues, and struggle with weight gain. Any ideas on what could be missing, I feel like something is being missed.

One other interesting side note, I used over the counter nose spray one night, which really opened up my sinuses. I slept through the entire night for the first time in 12 years, no exaggeration (it’s too bad that stuff is bad for you). I did not wake to use the restroom at all. I need to get this type of sleep regularly.

I'm really at wits end here, as for most on here I feel like I'm battling for my health. Now I've had a second sleep study with no measurable problems. People don't think it's an issue, but believe me it is. Any help would be very appreciated!

Current health 5' 6" 195lbs, no medications, and no allergies
I'm happy for you that you made so much progress so far. Based on your history, it sounds like you may still have residual obstructions and arousals that don't count as apneas or hypopneas (UARS). Your decongestant spray experiment strongly supports this. It seems that you still have some residual nasal congestion, as well as possible tongue base collapse. Having a stuffy nose can definitely aggravate tongue collapse.

It's difficult to know exactly the source of your nasal problem without examining you. It could be enlarged turbinates, a persistently deviated nasal septum, or flimsy nostrils that are caving in with every breath taken in. You may want to experiment further by trying Breathe Right nasal dilator strips. Ultimately, you'll need a re-evaluation of your nose with definitive treatments. Did you ever get your airway examined with you lying flat on your back? I explain the reason for this (as well as UARS) in my book.
IS THERE A MOUTH PIECE WHICH CAN HELP THE PREVENT SNORING>?
target="_blank">www.nosnorezone.com/somnoguard-ap-stop-snoring-work.htmlIt seems some of the best "boil and bite" are not available here in the USA, but are available from Canada, These particular devices were recommended to me by a forum member. Of course the best course to follow might be to see you dentist, but if this is too expensive, perhaps one of these might help.
Dr. Charmoy, perhaps you could step in here and talk about a device to prevent snoring and the ballpark on costs.
Thanks,
Mary Z.

Myrtice Bennett said:
IS THERE A MOUTH PIECE WHICH CAN HELP THE PREVENT SNORING>?
The best way to stop snoring is to treat the source of the problem. Snoring is a symptom of flow limitation in your airway.

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