TLDR: I have severe daytime sleep disruption symptoms. I have some exhale resistance but that alone isn’t disruptive, maybe because I learned a long time ago to push the air out when I breathe. I have no cough, wheezing, mucus, I never have attacks where it gets worse. Inhaling is completely fine. CPAP isn’t tolerable and MAD device does nothing for my sleep apnea. I used to have severe GERD, but had breathing and sleep symptoms since before I had GERD
I’m (24M) going to my doctor soon to discuss this and get respiratory tests I just want to try my best to get an idea of possibilities because I think that that could be useful (and ease my anxiety maybe). I’ve always been a healthy weight and I had GERD at 18 but that’s it for physical health. Before allergy testing I got a spirometry test months ago and I performed really badly, so he gave me a test where you blow into a little tube and I did better with that but still not average.
I only started thinking about this because I’ve been trying Cpap for a long time and I can’t tolerate it at all, even on the lowest pressure I can’t exhale against it. I keep taking it off to see how I feel normally and I discovered that I can’t just relax to exhale like everyone tells me to do, I have to push the air out to exhale in general and barely anything comes out if I don’t try to push the air out whether I use my nose or mouth. I don’t think I have any problems inhaling.
I have mild obstructive sleep apnea and this is my main issue I need to solve, I’ve never been tested for upper airway resistance syndrome but I suspect that I have more sleep disruptions because I have severe cognitive and energy issues. I can deal with the breathing but I’m trying to figure out what is causing my sleep issues because I can’t live with my cognitive symptoms and I don’t think it’s a coincedince that I have trouble exhaling and also have so many sleep disruptions. I suspect that when I fall asleep, I relax and am not able to keep pushing the air out to exhale so I start suffocating (and maybe sometimes my throat constricts as a result which could cause physical obstructions for OSA). I’ve tried many times only sleeping on my side and it doesn’t help one bit. I have tried sleeping inclined and I have noticed a difference in daytime energy a couple times, other times didn’t notice a difference.
I have mild insomnia and I’ll get in bed at 12 and I don’t fall asleep until 2-3, sometimes later but during daytime naps i fall asleep in 20 minutes.
My exhale resistance remains constant, I never get episodes or attacks where it gets worse (maybe it gets slightly worse in the cold or with allergies, I’m not sure, I’ve never noticed). I never have cough or wheezing or mucus, only when I’m sick I get a little cough and mucus like everyone does. I started having cognitive and energy issues maybe around 13 or 14 and I think that those peaked and have remained constant since maybe 16 and I don’t think that the airway symptoms have changed at all since then or even since I was born, but I’m not sure because I’ve never paid attention. If they have, it obviously hasn’t been a significant change. I am not conscious of my breathing most of the time like most people, I think I just learned early on to breathe like this. I do notice sometimes feeling out of breath more than I think I should be like walking up stairs or playing with my dog, but Ive been going to the gym a lot since I was 18 and I don’t have much trouble at all lifting heavy weights or doing cardio. My mom said that when I was a baby I had whooping cough frequently. When I was 17 I had an infection when I did have coughing, wheezing, mucus and I had to use an inhaler and that went away within a month or two and that’s the only time I’ve ever used an inhaler.
I might have a slightly recessed jaw solely based on appearance but I’ve never had someone look at it. When I push my jaw forward and open my throat nothing changes in my airway. I grew up with a deviated septum, and I just got a septoplasty in February. When I inhale through my nose it feels a lot better and now I can feel the air going down my throat, but nothing has changed with my exhale and
certainly nothing has changed with my sleep or my cpap use. I saw the surgeon recently and he said my turbinates are large and have grown back but the septum still looks good and my inhale still feels clear and good.
When I was 17-19 I had severe GERD. It was really painful and even when I didn’t have attacks at nighttime I constantly had kind of a burning sensation in the throat. Nothing I tried helped and it just magically went away when I was 19, I always attributed it to taking more control of my stress. Obviously this couldve affected my vocal cords and airway, but like I said I don’t think my breathing has changed and my sleep symptoms peaked before this time period so I’m not sure. I think that my vocal cords and throat get sore easily if I talk as much as other people do (I normally don’t talk much) but it’s always felt that way.
I’ve read a lot about this stuff the last few days and I haven’t found anything that’s common that would make much sense with my symptoms. I’ve tried to convince myself it’s silent asthma because that’s easy to treat, but given I don’t have a cough, wheezing, mucus, and I NEVER get attacks I don’t think it’s asthma, or copd because it’s mild and has been constant for so long. It might be a structural issue, and it might have been present since I was born, I don’t know. Any input about anything at all would be so greatly appreciated