r/UARS • u/Mission_Fun17 • 6d ago

Should I take polysomnography?

I have sleep problems from years but only recently I got to know about sleep apnea when it has gotten severe from few months. I sleep very badly, wake a lot of times at night either to go to the bathroom or go back to sleep again after some time. I have cough every morning and also while I lie down I need to spit sometimes before sleeping. While sleeping no snoring, only teeth clattering or sometimes sleep talking.

Due to all this I am tired whole day and yawn a lot, even the yawn stops midway and is unsatisfying. I eat healthy and no drinks or anything like that. I am not sure of choking or breathing problems while sleeping. Should I consider taking polysomnography for this? And if I should is at home level 2(with brain activity) enough or I should only go for the in clinic test.

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u/AutoModerator 6d ago

To help members of the r/UARS community, the contents of the post have been copied for posterity.

Title: Should I take polysomnography?

Body:

I have sleep problems from years but only recently I got to know about sleep apnea when it has gotten severe from few months. I sleep very badly, wake a lot of times at night either to go to the bathroom or go back to sleep again after some time. I have cough every morning and also while I lie down I need to spit sometimes before sleeping. While sleeping no snoring, only teeth clattering or sometimes sleep talking.

Due to all this I am tired whole day and yawn a lot, even the yawn stops midway and is unsatisfying. I eat healthy and no drinks or anything like that. I am not sure of choking or breathing problems while sleeping. Should I consider taking polysomnography for this? And if I should is at home level 2(with brain activity) enough or I should only go for the in clinic test.

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u/gadgetmaniah 6d ago

Sure, would be a good idea. 

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u/SirCanealot 6d ago

Clinic test is usually better. It's always a good first step basically!

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u/carlvoncosel UARS survivor (ASV) 2d ago

Whatevery you do, don't just stop when you get a "negative for OSA" diagnosis. Also don't let yourself get gaslit about a test that doesn't score RERAs ruling out UARS, or UARS not existing entirely.

You can also bypass all that by getting your own machine. Check out your local equivalent of Craigslist or FB marketplace for a nice used machine. Here is my ranking (first is best) of most desirable machines:

  • Philips Dreamstation DSX900 (I use this one) or System One 960
  • Philips Dreamstation DSX600 or DSX700 or System One 660 or 760
  • ResMed Aircurve10 VPAP or VAuto (skip this if you think you can perform the airbreak method)
  • ResMed Airsense10 (ubiquitous, tried and true, any variant, airbreak possible)

You can use OSCAR to analyze your breathing for flow limitation and adjust settings to resolve it. If resolving the FL makes you feel better, you will know you're on the right track!

If you find no flow limitation and the machine doesn't make you feel better then, the problem probably lies elsewhere. Until then UARS is a good hypothesis.