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Mild OSA treatment

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  • Mild OSA treatment

    I've just received a letter from the hospital confirming that I suffer from Mild SOA although not given the score. It states that SOA is therefore not the cause of my daytime fatigue and have been discharged.

    I have 2 questions:
    I understand that diagnosis is based on number of a episodes experienced, however, how about the length of time not breathing during each episode?
    I was alerted to the potential of OAS due to my watch showing sudden dips in O2 levels at night down to 80% for a total of 5 or more minutes. Does this matter or does only the number of episodes considered?

    My symptoms are severe. I wake up exhausted every morning, headachy, lightheaded and at times, even my eyesight is affected. I work FT in a senior position and really struggle to concentrate and show any motivation. I spend the entire day yawning and feeling that I just want to lay down and shut my eyes. Some days, it is overwhelming and I can't fight it and will have a snooze (I work from home) and I then feel very guilty. This is despite sleeping 8 to 9h, with no issues falling asleep and getting back to sleep. I've read that with disabilitating symptoms during the day, a CPAP machine can help even with mild OSA. I am a 52 female, slim, very fit, don't drink any alcohol or caffeine and am very active physically so not much I can change lifestyle wise.

    Should I contact the NHS consultant and ask for a review to still consider trying a CPAP machine it is this a waste of time under the NHS and try private, or do I need to accept that it is what it is and nothing can be done for me to feel less exhausted all the time?

    Thank you.


  • #2
    Good Morning,

    Thank you for your post.

    Sleep Apnoea is scored on your AHI score, which is your sleep apnoea events per hour count. This determines whether you have sleep apnoea, and if so whether it is mild, moderate or severe.

    Can I kindly ask you to email us a copy of your results and your Epworth Sleepiness Score (ESS) to and I can ask our in house sleep technician to have a look at your results and see whether a CPAP machine would be suitable.

    In the meantime you could consider trying a Mandibular advancement device -
    Mandibular advancement devices are specialised mouth guard which gently pulls your lower jaw and tongue forward, creating more space at the back of the throat to reduce and preventing snoring and Apnoeas. Oral sleep appliances are a clinically-proven treatment for snoring and mild and moderate Obstructive Sleep Apnoea



    • #3
      Thank you very much for your prom reply. I didn't even get a copy of the results, so will ask for it.

      I don't doubt that the results are correct but I have read a research that even with mild results, with symptoms that were delibitating, a CPAP machine should be considered.

      I'm also confused about the impact on the length of the episode. I often wake up desperately gasping for air which is quite frightening. Does this not matter in the assessment.

      I will definitely look at the mandibular device, thank you for sharing the link.


      • #4
        Good Morning,

        Thank you for your reply.

        We would need to see a copy of your sleep test results to be able to comment on your particular case. Please email us a copy when you have them.

        In the meantime please consider a mandibular advancement device as your do not need a prescription to purchase one.



        • #5
          I personally found it well worth investing in my own \Pulse Oximeter, which I wear every night and am able to see what is happening to my blood oxygen levels, and wether or not I am having apnoeas during the night. If you google Viatom O2 ring - it is not too expensive and is pretty easy to use. I was only able to pursuade the NHS that I did in fact have OSA by telling them that on some nights I was having as many as 200 sleep events and my oxygen level could dip as low as 72% ! (Other nights - I would hardly have a problem at all...) The NHS test is of course, only done on a single night.