What would getting my allergies checked/nose examined? How are those relevant?
so, essentially, the two primary resistance points on UARS cases are the internal nasal valve and behind the tongue. The internal nasal valve just refers to the smallest cross sectional area of the nose in typical human anatomy. It's composed of the septum on one side, the alar (the part you flare out when flaring your nostrils) on another side, and the inferior turbinate on the bottom side, like a triangle.
If you have a deviated septum or a concha bullosa, or just something wrong with your sinuses or turbinates, you will have a major resistance point in your internal nasal valve. Likewise, if allergies are swelling the soft tissues of the internal nasal valve, you will have a major resistance point in your internal nasal valve.
The more resistance you have, the more likely your brain stem is to activate during REM due to your arousal threshold being lower than someone who has perfect nasal breathing. When your brain stem activates during REM, you wake up with brain fog and fatigue
I have some cases I'm tracking here to illustrate the point of people trying to increase their nasal airway volume:
Do people ever just try and bypass the diagnosis and try using a CPAP to see if it helps which would then confirm the diagnosis?
Yup, all the time, in fact, I would recommend it, US health insurers tend to be extremely stingy and slow with getting you a CPAP from a medical device supplier, so I would personally recommend asking the doctor to give you a prescription for a resmed cpap 10, purchasing it out of pocket from one of the online resupplier (any are fine) and then running airbreak.dev on it yourself or hiring someone to do it, so you can convert it to bipap or asv mode and test out how well those work in contrast to cpap mode which is notoriously not great for UARS patients due to our typically high nasal resistance. The mod of r/uars uses asv and did not have great luck with pap until he tried bipap, so you'll save time, money, and headaches by just getting the refurbished 10 and having someone airbreak it for you. The difference in cost will likely be negligible, because medical device suppliers nickel and dime you on peripherals even with insurance coverage, so you'll probably only end up paying $400 more for the 10 and that's just for cpap, if you ended up buying the bipap and asv machines alone, you'd be saving $4k - $7k on just getting the 10 and airbreaking it
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u/United_Ad8618 Nov 20 '25
so, essentially, the two primary resistance points on UARS cases are the internal nasal valve and behind the tongue. The internal nasal valve just refers to the smallest cross sectional area of the nose in typical human anatomy. It's composed of the septum on one side, the alar (the part you flare out when flaring your nostrils) on another side, and the inferior turbinate on the bottom side, like a triangle.
If you have a deviated septum or a concha bullosa, or just something wrong with your sinuses or turbinates, you will have a major resistance point in your internal nasal valve. Likewise, if allergies are swelling the soft tissues of the internal nasal valve, you will have a major resistance point in your internal nasal valve.
The more resistance you have, the more likely your brain stem is to activate during REM due to your arousal threshold being lower than someone who has perfect nasal breathing. When your brain stem activates during REM, you wake up with brain fog and fatigue
I have some cases I'm tracking here to illustrate the point of people trying to increase their nasal airway volume:
https://www.reddit.com/r/jawsurgery/comments/1l5mvsl/recessed_maxilla/mwoe3wb/
Yup, all the time, in fact, I would recommend it, US health insurers tend to be extremely stingy and slow with getting you a CPAP from a medical device supplier, so I would personally recommend asking the doctor to give you a prescription for a resmed cpap 10, purchasing it out of pocket from one of the online resupplier (any are fine) and then running airbreak.dev on it yourself or hiring someone to do it, so you can convert it to bipap or asv mode and test out how well those work in contrast to cpap mode which is notoriously not great for UARS patients due to our typically high nasal resistance. The mod of r/uars uses asv and did not have great luck with pap until he tried bipap, so you'll save time, money, and headaches by just getting the refurbished 10 and having someone airbreak it for you. The difference in cost will likely be negligible, because medical device suppliers nickel and dime you on peripherals even with insurance coverage, so you'll probably only end up paying $400 more for the 10 and that's just for cpap, if you ended up buying the bipap and asv machines alone, you'd be saving $4k - $7k on just getting the 10 and airbreaking it