(04-03-2014, 10:30 AM)roym Wrote: I tend to always get up ~4am even when my mask is on. Sometimes I take it off. And end up going to bathroom (not sure which is the cause and effect. BTW this happened even before I had CPAP. After I come back to bed I can sometimes sleep and sometimes not. Mostly not because of all the silly thoughts racing in my mind. I just toss and turn.
ps: I tend to sleep ~11pm.
You need to find a way of either turning those silly thoughts racing through your mind OFF (so you can get back to sleep) or a way to ENJOY those silly thoughts so you don't start tossing and turning.
Which to do depends on what you mean by "silly thoughts" racing through your mind.
Seriously though: I'd suggest spending a bit more time out of bed before returning to bed. Do something quiet and relaxing for a few minutes (as in maybe even 15-30 minutes) while you are waiting for the mind to get sleepy
enough to go back to sleep.
Or (negative) thoughts start racing through your mind only after you get back to bed, you may need to get back out of bed for a few more minutes and focus your attention to doing something soothing, calming, and relaxing.
Quote:Does anyone have tips for this? It maybe off-topic since I had this issue even before I put on CPAP but my doctor mentioned that sleep apnea may be causing you to wake up at this time (he said that sleep apnea effects are maximum in the wee early hours). Since I am on CPAP I would have thought no issues now but still present.
You've only been on CPAP for 5 days? In that case, it's still very early in your PAP therapy. Give it more time. In a month or so that 4am wake+bathroom break may be a thing of the past.
As for why this is still happening: It could just be that you have a long established habit
of waking up at this time. Pre-CPAP there may have been a real reason to wake up---nocturia is a symptom of untreated OSA. But you also got used to waking up around 4am every night and going to the bathroom. And we are creatures of habit as well as need. So now there may not be a "need" to go, but the mind is still in the habit of waking up at 4am. And your brain is thinking, "if I'm awake anyway, I might as well make a trip to the bathroom." Lots of folks will go to the bathroom when they wake up, even if there is no pressing "need to go".