(05-15-2014, 09:29 AM)JCB7777 Wrote: I'm 61, male. After years of sleeping lightly, waking often, feeling tired all day, and occasionally experiencing depression (& taking antidepressants), I had a sleep study. I had 5.3 events per hour over about four hours of sleep.
I have also noticed that I appear to have chronic nasal congestion. Using a spray decongestant helps; I feel that I sleep better but still not great (I followed my decongestant routine the night of my sleep study so the 5.3 events per hour was in a state of reduced nasal congestion.)
I'm just curious as to whether I really need, or am likely to benefit from, CPAP. My doctor says my diagnosis is "borderline" but probably worth treating. FWIW, the night of my second sleep study (CPAP titration) I found the mask to be not particularly bothersome and actually felt that I slept pretty well given the inherent "strangeness" of the surroundings, etc. I'm willing to give it a try but wonder if it's really warranted, or if there are other avenues that might be more fruitful. Any thoughts?
According to medical standards and you doctor, you are borderline -- anything 5 or lower is not considered to be OSA or is considered "treated" for those on therapy.
I too am 61, with chronic congestion, and used nasal spray quite a bit to be able to sleep with my mouth closed. (Open mouth dried out and disturbed my sleep almost more than the apnea.)
Flonase has recently gone non-prescription so you might try that -- it doesn't have the 'rebound' effect of straight decongestants -- $12 for about a month, or in my case my sleep doc wrote a presciption so my insurance pays their portion.
I never expected to be able to use a nasal or nasal pillow mask but it turns out with a little help to get my nose INITIALLY clear, the CPAP itself through a nasal pillow mask seems to keep my nose open almost all night long almost every night.
This is a commonly noted effect. It works much like it does in the airway of the throat. This effect will NOT be present in a Full Face Mask (FFM) unless your mouth remains closed -- the nasal passage would have no usefully higher differential pressure.
However, even if you MUST use an FFM, the humidity control of the machine may make breathing through you mouth more comfortable -- although I doubt that alone would make up for all the other nuisances that come with CPAP.
If the cost (with insurance) doesn't disturb you, then you might try it but my suggestion would be to attempt to clear your nose and use a nasal pillow mask like the ResMed Airfit P10.
You are either going to find CPAP a marginal improvement or want to take advantage of the assistance to breathing through your nose.
For me, I would probably wear the Airfit P10 and continue CPAP even if there were NO long term health benefits, etc. I actually ENJOY wearing it since it is so non-intrusive.
Wearing it is more comfortable than not wearing it.
However, in my case, the reduction from AHI 49 to much less than AHI 1 means the long term health benefits are also extremely important.