Post Reply 
Obstructive apnea while awake
Author Message
victor hegemony Offline

Members

Posts: 17
Joined: Jan 2014

Machine: unsure
Mask Type: Nasal mask
Mask Make & Model: unsure
Humidifier: unsure
CPAP Pressure: 20
CPAP Software: Not using software

Other Comments:

Sex: Undisclosed
Location:

Post: #1
Obstructive apnea while awake
I have obstructive sleep apnea. I know by definition sleep apnea can't happen when awake. What is the word for when the throat muscles relax while awake? What is the cause?
I know that for many people, they do not realize they are actually asleep. The reports in forums I've seen, those people do not realize they are snoring or whatever. In my situation, I am completely aware of the event.
If I relax - I gag on the tongue and soft tissues. Standing, sitting, laying down, in conversations, with other people or by myself, at any time if I relax - I gag on the tongue and soft tissues.
For example, I will tell someone about this and demonstrate relax/gag and then continue the conversation. I am fully aware of the choking. I voluntarily start relaxing, gag, and stop the process by consciously tensing my throat muscles and the other person confirms that I did not appear to be asleep.
The result is I never relax. I cannot take part in yoga/meditation/relaxation stuff because I start choking in the first few seconds. Again, I am completely aware of it starting and it is a conscious decision to keep relaxing and choking or to give up and tense up.
What I am most looking forward to with my CPAP machine is to use it to just relax; or sit in an easy chair and relax while I watch TV.
01-25-2014 02:40 AM
Find all posts by this user Post Reply Quote this message in a reply

Donate to Apnea Board
SnuffySleeper Offline

Preferred Members-2

Posts: 187
Joined: Jan 2014

Machine: s9 elite
Mask Type: Nasal pillows
Mask Make & Model: Swift FX
Humidifier: H5i
CPAP Pressure: 9
CPAP Software: ResScan SleepyHead

Other Comments:

Sex: Male
Location: Ontario

Post: #2
RE: Obstructive apnea while awake
Yes, I know what you mean. Before I was diagnosed with OSA I thought it was my sinuses or allergies closing the passage right behind my nose. In fact it's how I got to the sleep doctor as I went to an allergist and he said I have no allergies what so ever, not even to poison oak.

When my cpap is on I feel that part or my airway open, and when I take it off I can feel it close and restrict my nose breathing.

What works for me is a nasal spray called "nasonex" when I can really feel it. All the other local steroid sprays do not work except nasonex.

It sucks man, I am not even overweight or in bad health any other way. My doctor just says it's "mechanical" and no surgery would help and get use to cpap for the rest of my life.*sigh*
01-25-2014 06:11 AM
Find all posts by this user Post Reply Quote this message in a reply
Peter_C Offline

Advisory Members

Posts: 1,308
Joined: Sep 2013

Machine: System One DS960HS
Mask Type: Full face mask
Mask Make & Model: Mirage Quattro "MED"
Humidifier: Attached
CPAP Pressure: Auto mode-script is:15/3/3
CPAP Software: EncoreBasic Other Software

Other Comments: Severe obstructive sleep apnea 1999/Just got an ASV machine

Sex: Male
Location: Akron, Ohio USA

Post: #3
RE: Obstructive apnea while awake
In my case, this is why I had my flappy removed, as I was told it was too long when I relaxed...

*I* am not a DOCTOR or any type of Health Care Professional. My thoughts/suggestions/ideas are strictly only my opinions.

"Only two defining forces have ever offered to die for you. Jesus Christ and the American Soldier. One died for your Soul, the other for your Freedom."
01-25-2014 11:51 AM
Find all posts by this user Post Reply Quote this message in a reply

Donate to Apnea Board
trish6hundred Offline

Advisory Members

Posts: 6,449
Joined: May 2012

Machine: Resmed S9 AutoSet for Her
Mask Type: Full face mask
Mask Make & Model: Fisher & Paykel Simplus
Humidifier: H5i Heated Humidifier
CPAP Pressure: 10 - 7-20 Cm H2O
CPAP Software: Not using software

Other Comments: I started CPAP in 2008. Totally blind since birth.

Sex: Female
Location: Missouri, USA

Post: #4
RE: Obstructive apnea while awake
Hi victor hegemony,
WELCOME! to the forum.!
Hang in there for more responses to your post and best of luck.

trish6hundred
01-25-2014 12:59 PM
Find all posts by this user Post Reply Quote this message in a reply
jgjones1972 Offline

Preferred Members-2

Posts: 516
Joined: Nov 2012

Machine: ResMed S9 AutoSet
Mask Type: Full face mask
Mask Make & Model: ResMed Quattro FX
Humidifier: ResMed H5i
CPAP Pressure: 18 - 20
CPAP Software: ResScan SleepyHead

Other Comments: CMS50I PulseOx

Sex: Male
Location: Ohio - USA

Post: #5
RE: Obstructive apnea while awake
I did it too before CPAP...really bad.

It stopped after I started using CPAP at night and I can't hardly make it happen now. Now it is like I have to exert effort to make it happen.

I don't know if the problem was being so deprived of sleep before or if it had more to do with all of the soft tissue in my airway being so inflamed from several hours of nightly abuse (snoring, gasping etc.); but, whatever the reason, it is gone now and I'm glad to be rid of it.
01-25-2014 08:08 PM
Find all posts by this user Post Reply Quote this message in a reply

Donate to Apnea Board
eviltim Offline

Advisory Members

Posts: 408
Joined: Aug 2013

Machine: Resmed S9 VPAP
Mask Type: Full face mask
Mask Make & Model: Resmed AirFit F10
Humidifier: H5i heated humidifer
CPAP Pressure: 5 exhale/9 inhale
CPAP Software: SleepyHead

Other Comments:

Sex: Male
Location:

Post: #6
RE: Obstructive apnea while awake
It's the features of your airway anatomy. I thankfully don't have this problem throughout the day, but I have been told by my ENTs and dentists that my tongue is very large and keeping my teeth closed isn't very comfortable for me, because it pushes up against them quite a bit.
01-25-2014 10:53 PM
Find all posts by this user Post Reply Quote this message in a reply
victor hegemony Offline

Members

Posts: 17
Joined: Jan 2014

Machine: unsure
Mask Type: Nasal mask
Mask Make & Model: unsure
Humidifier: unsure
CPAP Pressure: 20
CPAP Software: Not using software

Other Comments:

Sex: Undisclosed
Location:

Post: #7
RE: Obstructive apnea while awake
this is my first forum/board experience so please excuse if I violate any politeness customs of reply or posting protocols.

Thanks to you who have replied. I thought maybe it never happened to anyone else! It is very annoying to read over and over again that apnea only happens when asleep. That is not only falsified by my personal experience - it is an unscientific assertion. It would be proper to say waking apnea has not been documented in a peer review study or "I never heard of that before".

I read "Neuromechanical interaction in human snoring and upper airway obstruction" by Huang and Williams, J. Applied Physiology 1999.
After reading that I think a possible cause of waking apnea might be:
If the cause of the OSA is a failure of the CNS to automatically respond to stimulus, resulting in a failure of the dilator muscles to stiffen, there is no reason the CNS must respond automatically when awake.
If a separate system is at work during conscious breathing, then it may be possible to consciously relax to the point that the one system is no longer is "active" and the autonomic CNS system isn't there to pick up the ball.
just my opinion right now.
01-26-2014 09:17 AM
Find all posts by this user Post Reply Quote this message in a reply

Donate to Apnea Board
Sleepster Offline
Wiki Editor
Moderators

Posts: 4,995
Joined: Feb 2012

Machine: ResMed AirCurve10 VAuto
Mask Type: Full face mask
Mask Make & Model: F&P Simplus
Humidifier: HumidAir and SlimLine Hose
CPAP Pressure: MaxI 13.6 | MinE 5.2 | PS 4.4
CPAP Software: ResScan SleepyHead

Other Comments: Diagnosed Nov 2011. Conquered aerophagia.

Sex: Male
Location: Houston, Texas

Post: #8
RE: Obstructive apnea while awake
Those are all good points. You might want to try to improve the muscle tone in those dilator muscles by playing the didgeridoo.

Sleepster
Apnea Board Moderator
www.ApneaBoard.com


INFORMATION ON APNEA BOARD FORUMS OR ON APNEABOARD.COM SHOULD NOT BE CONSIDERED AS MEDICAL ADVICE. ALWAYS SEEK THE ADVICE OF A PHYSICIAN BEFORE SEEKING TREATMENT FOR MEDICAL CONDITIONS, INCLUDING SLEEP APNEA. INFORMATION POSTED ON THE APNEA BOARD WEB SITE AND FORUMS ARE PERSONAL OPINION ONLY AND NOT NECESSARILY A STATEMENT OF FACT.
01-26-2014 09:28 AM
Find all posts by this user Post Reply Quote this message in a reply
victor hegemony Offline

Members

Posts: 17
Joined: Jan 2014

Machine: unsure
Mask Type: Nasal mask
Mask Make & Model: unsure
Humidifier: unsure
CPAP Pressure: 20
CPAP Software: Not using software

Other Comments:

Sex: Undisclosed
Location:

Post: #9
RE: Obstructive apnea while awake
Which makes me realize I should have given credit to the Singing for Snorers site for mentioning Huang's research.
Exercise does have research to back it up. If muscles aren't toned and that causes the apnea, then toning the muscles would stop the apnea. I wonder if the physical habits of exercise could still work while asleep or directly help CNS failure to respond to stimulus. Physical patterning has a direct neurological effect, maybe the CNS would develop ("kindling" ?) pathways that worked. Like teaching it what to do.
On the other hand, since there are more than one reason for Obstructive Apnea, it is possible that exercise would not help the obstructive apnea caused by failure of the CNS to respond to stimulus.
(This post was last modified: 01-26-2014 11:04 AM by victor hegemony.)
01-26-2014 10:56 AM
Find all posts by this user Post Reply Quote this message in a reply

Donate to Apnea Board
Doc J Offline

Preferred Members-2

Posts: 199
Joined: Dec 2013

Machine: ResMed S9 AutoSet
Mask Type: Nasal pillows
Mask Make & Model: ResMed AirFit P10
Humidifier: resMed H5i Dumped and dry daily
CPAP Pressure: 10-15
CPAP Software: ResScan SleepyHead

Other Comments: Knowledge is King and this is the place to find it! Thanks everyone.

Sex: Male
Location: Central Nebraska

Post: #10
RE: Obstructive apnea while awake
I too would gag when awake before CPAP, but I think my body was so tired it may have been trying to sleep. In my case I don't have to get into deep sleep for OA to occur. As soon as I go out I choke out. Good news is CPAP stops it all and works great for me. Now when relaxing or watching tv I don't start choking because I am more rested I think. Good luck.
01-26-2014 11:08 AM
Find all posts by this user Post Reply Quote this message in a reply
Post Reply 


Possibly Related Threads...
Thread: Author Replies: Views: Last Post
  Am I awake? mcsheltie 4 237 11-14-2016 02:38 PM
Last Post: mcsheltie
  Power Outage: Stay Awake Or Sleep W/O CPAP? player 11 713 10-26-2016 08:29 PM
Last Post: sonicboom
  Why Are AHI High When Wide Awake? Dreams of Green 7 666 10-18-2016 09:35 PM
Last Post: 0rangebear
  Obstructive Sleep Apnea and Narcolepsy (TONES) study icyura10 6 378 08-09-2016 08:52 PM
Last Post: DariaVader
  Obstructive Vs central sleep apnea larrygreg 5 599 06-26-2016 11:46 AM
Last Post: PaytonA
  ANY BENEFIT WHILE AWAKE srlevine1 7 798 06-14-2016 07:30 PM
Last Post: raisedfist
  Obstructive vs Central Apnea rvlasek 1 404 06-13-2016 11:59 AM
Last Post: justMongo

Forum Jump:

Who's Online (Complete List)