Quote:Okay let me clear this up - and thanks for your response ,
These are not hard core head aches i'm talking about like migraines or pounding head aches - they are ever so slight almost confused with tiredness -they are more of a loss of concentration ( also caused by tiredness)
Chronic headaches are seldom "hard core" "pounding" headaches. But the thing is they are always there
lurking in the background with low level pain that makes it more difficult to concentrate ....
Quote:When I wake up i'm clear headed and then soon afterwards my head starts getting foggy. Some times more than others- some times an advil clears me right up as described in my previous post - others it does nothing and I feel like sh*t for the entire day - its some time hard to tell the difference between this foggy head feeling or headache feeling) or just plain being tired.
This does NOT sound like the classic OSA headache. The classic OSA headache is present when you wake up
and gets better after you get out of bed and start moving around.
The fact that you say that an advil sometimes does nothing to clear the headache up still points to the possibility that you are dealing with rebound headaches. Do you take advil for headache pain three or more days a week on average? If so, then you really need to talk to your PCP about how the headaches are now chronic and that you are taking advil three or more days a week and that it does not always work. When you over treat (mild-to-moderate) headache pain with OTC pain killers like advil, the result, alas, is rebound headaches. It is possible that your morning headache is starting because you have not yet taken the advil and your brain now expects an advil or it develops an headache. And unfortunately, with rebound headaches, the original OTC pain medication does not always prove to be effective in treating the rebound even when the rebound is being triggered by not taking the OTC pain med at the usual time
Quote:Some times Ill take 3 advils through out the day to clear me up - others 1 in the morning and I'm clear headed and awake for the rest of the day - and other they just wont work cause just plain tired.
then there's yesterday where I woke up got a ever so slight foggy feeling but took no advil and the feeling was gone on its own in an hour and I had a fairly good day till about 4 or 5 pm when I started to burn out hardcore.
You are overtreating the headache pain with the Advil and that's likely making your brain fog/mild headache/fatigue worse rather than better.
Quote:Then there's days like today where I woke up and got the foggy feeling pretty strong took an advil by 9 am which did nothing and was soooo damn tired for the whole friggin day.
Now Between today yesterday and the day described before there was no discernible difference in what transpired through out my day - alcohol, staying up late etc... - woke up at the same time had my meals at the same time and went to bed at the same time.
Have you told either the PCP or the sleep doc of the amount of advil you are taking and why
you are taking it and how it no longer is effective
in treating your pain/fogginess 100% of the time like it used to be?
Quote:The graph on sleepy head shows slightly more leaks than previous night but no more leaks than on a good days previous report - pressures hangin out around the same - pie graph showing more than 25% CA, yet I can describe it as one of my worse days.
The pie chart is less important than the actual AHI numbes. What was your AHI for the night? What was the CAI? What was the OAI? What was the HI?
Have you looked at the detailed data graphs? Is there any nasty clustering of events on the nights preceding the bad days? Any idea how long your typical events are lasting? How long are the longest of the events?
Quote:Now for the first year and a half I did not think in the slightest possible way that Cpap might be the cause of this - I was half convinced I had a brain tumor and was going to die and the other half thought it must be TMJ pain or jaw related headaches. I did go and see a neurologist and got an MRI on my head which turned out clean.
I also did go and see an Oral/maxillofacial surgeon who checked me out thoroughly and took a 3D Xrays of my jaw and said that it is not my problem.
A clean MRI and clean 3D Xrays of your jaw do not eliminate chronic headaches caused by a variety of reasons. It probably does eliminate TMJ issues---unless there is evidence that you are clenching or grinding your teeth at night. Grinding or clenching can happen even if when TMJ is structurally normal if the grinding is stress related.
As a chronic headache sufferer, I'd still place my bets on you having at least one non-CPAP/OSA related cause of your headaches. My guess is tension headaches that may be morphing into rebounds. Now it is possible that the source of the tension headaches is the difficult adjustment to the CPAP machine itself and the fact that instead of fixing your sleep and allowing you to feel consistently better, you've spent the last year or two on a roller coaster of feeling well for a brief period of time and then starting to feel crappy all over again.
And CPAPs can be difficult for some people to sleep with and they can seem to cause some of us to have a lot of unnecessary, nonrespiratory related arousals during the night, which can lead to fragmented sleep, which can lead to feeling lousy, and which can trigger chronic headaches with mild levels of pain.
Quote:I'm not a 100% certain but I believe this Cpap machine and these forced pressures of air are whats causing this - as you can I see I did not come to this conclusion easily. I must take into account that these headaches started some time or shortly after I started Cpap.
My AHI is consistently under 5 - leaks are very low yet I'm having way more bad days than good - and most of my good days I'm usually burnt right out by dinner. So its rare that I'm truly having a good day from morning till bed time.
Pressure is usually hanging out at 8 or 9 to 12 with spikes up to 15 or 16 - on one of my best days it hung out between 4-8 .
So a drastic idea for you to consider: Why not lower your upper pressure to 8 cm and leave it there for a month
or two and watch the AHI data. If there's no drastic increase in AHI and there is an improvement in how you feel, then just run with the tight APAP range.
Quote:That is kinda telling me that I need to go to one of these weight loss programs and drop 50 lbs to hopefully lessen the severity of this condition cause clearly this therapy is not working for me the way it should.
Weight loss is always a good thing. But you need to be realistic here: For many people who are both overweight and who have OSA, it turns out that their OSA came first and the weight problem came second. And losing the weight does not fix the OSA problem. So it's prudent to have another sleep study done after you've lost the weight and kept it off for several months. And if you are in the lucky group who can significantly lessen the severity of the OSA by losing the weight, you must keep this mind: You have to keep the weight off permanently. And that's difficult. If you gain the weight back, the OSA will come back
Quote:Or maybe one of these bilevel machines might help out.
Maybe, or maybe not. In my case, switching to a BiPAP made a huge difference in helping me get to where I could sleep with the machine and feel halfway decent to decent in the morning. (I've never had one of those "Glorious this is what it's like to have a FANTASTIC night's sleep" mornings in three years of PAPing.)
But my big issue in the early going was excruciating aerophagia. I would wake up doubled over in pain in the middle of the night on the worst nights when I was using a CPAP/APAP and my stomach was swollen, distended and rock hard. It looked like I'd swallowed a basketball. The switch to BiPAP was justified as a way of making the aerophagia less painful. And it did work. I still have problems now and then, but I don't wake up in pain on a regular basis any more.