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Allergies contributing to apnea?

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Question:

A friend asked me about this, after I told him what I had going on, including the sleep tests.  I’ll throw it out to y’all: I have pretty severe allergies, with almost constant drainage from my sinuses.  I tend to stay congested, and suffer sinus infections with some regularity.  He wondered if the drainage, combined with possibly some blockage somewhere in my sinuses, might be causing, or contributing to, the symptoms that are showing up as apnea.  Ie, is it the soft tissues in my throat closing, or is my throat being closed off by the drainage while I sleep?  He wondered if maybe I should have this checked into before I got further down the CPAP route, because while he isn’t a medical professional, or an apnea sufferer, he wondered if the allergy-triggered symptoms would at the least interfere with the CPAP, and possibly even make it seem worse than it is. Any comments? Thanks, Harry — Harry Boswell                 hbosw…@netdoor.com   USDA Zone 8 (Mississippi USA) Home Page:  http://www2.netdoor.com/~hboswell

Response:

Harry Boswell wondered: > I have pretty severe allergies, with almost constant drainage > from my sinuses.  I tend to stay congested, and suffer sinus > infections with some regularity.  He wondered if the drainage, > combined with possibly some blockage somewhere in my > sinuses, might be causing, or contributing to, the symptoms > that are showing up as apnea.

Switch it around, and I might agree.  Simply based on my own personal experience (I am not a medical professional … so, that’s all I can provide), I found that when I snored heavily, it caused my sinuses to congest.  I suspect the snoring/apnea tended to block the normal flow of mucous for my nasal passages.  This resulted in frequent and fairly severe sinus infections.  With CPAP, I have very few sinus infections (2 in eight years, instead of 6-8 per year).  Allergies will just make the drainage worse, increasing the chance of sinus infection should the flow be interrupted. Just my thought / experience.  Certainly ask your sleep specialist about this. Regards, =jbf= John B. Fisher

Response:

- Hide quoted text — Show quoted text ->I have pretty severe allergies, with almost constant drainage >from my sinuses.  I tend to stay congested, and suffer sinus >infections with some regularity.  He wondered if the drainage, >combined with possibly some blockage somewhere in my sinuses, >might be causing, or contributing to, the symptoms that are >showing up as apnea.  Ie, is it the soft tissues in my throat >closing, or is my throat being closed off by the drainage >while I sleep?  He wondered if maybe I should have this checked >into before I got further down the CPAP route, because while >he isn’t a medical professional, or an apnea sufferer, he >wondered if the allergy-triggered symptoms would at the >least interfere with the CPAP, and possibly even make it >seem worse than it is. >Any comments?

I seriously doubt your allergies are the cause of your apnea. I have very bad drainage and all of the congestion & allergy stuff that you descibe. However, this makes a bad situation worse without being the primary cause. If you wake up gurgling and choking, then you may have a point. If you wake up gasping I would presume you have obstructive and/or central apnea. I read the response from someone who’s doc agreed this would be a cause for apnea. Again, I cannot see that being true. What I will agree with is sinus and congestion problems making CPAP benefits less than they might otherwise be. John, I believe, got it right. Apnea side effects (snoring) will add to congestion etc. You said you had apnea symptoms. Did you get a sleep test yet ?  Are you assuming CPAP will be the route or are diagnosed and waiting delivery, having been prescribed ? Trevor

Response:

> he wondered if the allergy-triggered symptoms would at the > least interfere with the CPAP, and possibly even make it > seem worse than it is.

Personally, considering that allergies generally cause inflamation, i would think it COULD be possible that your allergies are contributing in some way to your apnea.  Perhaps it might be worthwhile speaking to your sleep specialist about this and the possibilty of trying some anti-inflamitories.

Response:

I have asthma and seasonal hayfever. When I don’t control them sufficiently at night, I have very, very sleepy days at work. I’ve started taking an additional asthma pill at night and I always take sudafed at night. My daytime sleepiness is way, way down.  Good luck, talk with a doctor!!! – Hide quoted text — Show quoted text -Tal wrote: > > he wondered if the allergy-triggered symptoms would at the > > least interfere with the CPAP, and possibly even make it > > seem worse than it is. > Personally, considering that allergies generally cause inflamation, i would > think it COULD be possible that your allergies are contributing in some way > to your apnea.  Perhaps it might be worthwhile speaking to your sleep > specialist about this and the possibilty of trying some anti-inflamitories.

Response:

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