Sleep apnea and weight gain
Question:
Pardon my absolute medical ignorance, but… isn’t the thyroid located near the trachea? Could an enlarged thyroid (not sure if that’s characteristic of hypo/hyperthyroidism) restrict the airflow? Just a thought… I don’t really think I have thyroid problems, I’m pretty sure mine are plain old sleep apnea… — Tom Sent via Deja.com http://www.deja.com/ Before you buy.
Response:
Yes the thyroid can swell to the point that it puts pressure on the trachea. I thought that would be an obvious problem even thought the doctors I’ve spoken to so far see the possibility, but none have "seen it happen". The part that no one seems to be aware of or be able to explain is that my upper airway and soft palate is "tighter" since starting medication. I don’t know how else to describe it, but my whole upper airway is less flabby than it was before I started taking levoxyl. The third tie in is that you tend to have rapid weight gain when you have an under active thyroid. I’m 5-10 and went from about 160 to 180 in the last couple of years. That’s still not considered heavy, but it’s another symptom that had been attributed to my apnea. After going on CPAP I continued to gain weight, it was only after I started to treat the thyroid that I began to loose it. I realize that most people with apnea don’t have problems with their thyroid but I found research our of Canada indicating that 1 in 10 do (I don’t have the URL handy or I’d post it) . . .seems like a high enough percentage that more people ought to be aware of it – especially doctors. Regards, Stuart – Hide quoted text — Show quoted text -a_to…@my-deja.com wrote:
Pardon my absolute medical ignorance, but… isn’t the thyroid located near the trachea? Could an enlarged thyroid (not sure if that’s characteristic of hypo/hyperthyroidism) restrict the airflow? Just a thought… I don’t really think I have thyroid problems, I’m pretty sure mine are plain old sleep apnea… — Tom Sent via Deja.com http://www.deja.com/ Before you buy.
Response:
Hi Lee! I live in Grafton ON and have just been informed that I have severe sleep apnea. I find the CPAP mask so claustrophobic that I cannot sleep with it on. I almost panic. I also have an aversion to the idea that I am tied to a machine to maintain my health. You are the first person that I have come across who believes that the weight is due to SA. My current plan is to lose 40 lb. and work hard for greater cardio vascular fitness. If you come across any other treatment options than CPAP I would appreciate a heads up. By the same token, If I find the approach I am taking makes a difference I will let you know. All the best. * Sent from RemarQ http://www.remarq.com The Internet’s Discussion Network * The fastest and easiest way to search and participate in Usenet – Free!
Response:
It almost doesn’t matter which came first (the weight or the apnea). Also, not every single person who loses the weight loses the apnea. However, many do have reduced symptoms and some lose the requirement for the machine altogether. Gary "Hoagie" <mhoganNOmhS…@eagle.ca.invalid
wrote in message
news:151605c0.6ef3a6b2@usw-ex0101-008.remarq.com… – Hide quoted text — Show quoted text -
Hi Lee! I live in Grafton ON and have just been informed that I have severe sleep apnea. I find the CPAP mask so claustrophobic that I cannot sleep with it on. I almost panic. I also have an aversion to the idea that I am tied to a machine to maintain my health. You are the first person that I have come across who believes that the weight is due to SA. My current plan is to lose 40 lb. and work hard for greater cardio vascular fitness. If you come across any other treatment options than CPAP I would appreciate a heads up. By the same token, If I find the approach I am taking makes a difference I will let you know. All the best. * Sent from RemarQ http://www.remarq.com The Internet’s Discussion Network
*
The fastest and easiest way to search and participate in Usenet – Free!
Response:
Hoagie wrote:
Hi Lee! I live in Grafton ON and have just been informed that I have severe sleep apnea. I find the CPAP mask so claustrophobic that I cannot sleep with it on. I almost panic. I also have an aversion to the idea that I am tied to a machine to maintain my health. You are the first person that I have come across who believes that the weight is due to SA. My current plan is to lose 40 lb. and work hard for greater cardio vascular fitness. If you come across any other treatment options than CPAP I would appreciate a heads up. By the same token, If I find the approach I am taking makes a difference I will let you know. All the best.
I hope you haven’t misinterpereted my comments. MY weight gain was DUE to the apnea. The apnea was there BEFORE the weight gain and will be there AFTER the weight loss! I think that you need a better doctor, especially a specialist in Sleep Disorders. I use Dr Gawel (pronounced gavel) a neurologist who heads the adult MD clinic at Sunnybrook hospital. He is a sleep specialist and has a private practice on Ellemere Rd in Scarborough next to Centennary Hospital. Maybe it would be worth a trip to Toronto! I think you are looking for a quick fix and there just isn’t one at this time. I got used to CPAP, and so can you, but it will take some doing. Mind you, I’m a pig headed loyalist stock type from Napanee, so when I make up my mind to do something, I do it. You’re on the edge of loyalist country — can’t you ‘catch’ a little of this attitude? <g
Regards, Lee — Lee Babcock Scarborough (Toronto), Ontario, Canada Email —- babco…@idirect.ca
Response:
In article <151605c0.6ef3a…@usw-ex0101-008.remarq.com
, Hoagie
<mhoganNOmhS…@eagle.ca.invalid
wrote: Hi Lee! I live in Grafton ON and have just been informed that I have severe sleep apnea. I find the CPAP mask so claustrophobic that I cannot sleep with it on. I almost panic. I also have an aversion to the idea that I am tied to a machine to maintain my health. You are the first person that I have come across who believes that the weight is due to SA. My current plan is to lose 40 lb. and work hard for greater cardio vascular fitness. If you come across any other treatment options than CPAP I would appreciate a heads up. By the same token, If I find the approach I am taking makes a difference I will let you know. All the best. * Sent from RemarQ http://www.remarq.com The Internet’s
Discussion Network *
The fastest and easiest way to search and participate in
Usenet – Free!
Hi, Sorry you are having problems with claustrophobia with the CPAP mask. I also had problems for about the first year and was not getting better, only worse, because I would wake up 2 dozen times a night with the mask thrown. I really felt like i was going to die. He had no answers for me and said that I just had to get used to it however I could. y mere chance at about the end of that first horrible year with the CPAP, my sleep disorders physician dropped off my HMO and I was forced to make a change to a new SD physician. My new physician realized immediately that I was having an anxiety problem with the mask. She prescribed Xanax 1 mg at bedtime, decreasing the dose to .5 mg after 3 months, and then discontinuing at the end of six months. She gave me a .25 mg refill to be used only as needed, which wasn’t very often. It took about 8 months for me to beat my claustrophobia and relax with the mask on. My sleep because so good. I just could not believe it. A simple medication addition made all the difference in the world. Now I need nothing to sleep and look forward to putting on the mask because I sleep so well. This is just a suggestion. I know not everyone likes to take medicationto help them relax and/or sleep, but it was a very good solution in my case. * Sent from RemarQ http://www.remarq.com The Internet’s Discussion Network * The fastest and easiest way to search and participate in Usenet – Free!
Response:
Are there really any surgeries that work with sleep apnea. ladymoon Sent via Deja.com http://www.deja.com/ Before you buy.
Response:
It depends. Most of the nasal surgeries help people tolerate xPAP better by providing a clearer airway, but they are not a cure for sleep apnea. UPPP or LAUP may help for a short time (6 to 12 months), but most people need xPAP after that amount of time. There are people with very mild sleep apnea that are helped long term by surgery. However, if the site of obstruction is elsewhere such as at the base of the tongue they are of no help. The one surgery that seems to be a definite cure is a tracheotomy. My feeling is that if xPAP works and you can tolerate xPAP it’s worth waiting to for medical science to progress and possibly come up with a new solution. – Hide quoted text — Show quoted text -ladymoondr…@my-deja.com wrote:
Are there really any surgeries that work with sleep apnea. ladymoon Sent via Deja.com http://www.deja.com/ Before you buy.
Response:
On Thu, 27 Apr 2000 06:47:54 GMT, in alt.support.sleep-disorder ladymoondr…@my-deja.com wrote:
Are there really any surgeries that work with sleep apnea.
Tracheostomy has a near 100% success record. And it is 100% reversible. — Tony Polson, North Yorkshire, UK
Response:
On Thu, 27 Apr 2000 06:47:54 GMT, ladymoondr…@my-deja.com wrote:
Are there really any surgeries that work with sleep apnea.
It is pretty much Russian roulette as to whether anything works. Sometimes, fixing up the nose will resolve the problem if it’s in that area. — Your mouse has moved. Windows must be restarted for the change to take effect. Reboot now? [OK]
Response:
There are other surgeries that you may consider. There are ways to advance the tounge by jaw advancement or cutting out a little rectangle below the lower jaw teeth and pull the tounge foward a little. I believe that the jaw advancement is probably the best surgery of all but it’s not to be taken lightly. It’s quite a complex surgery. Mike – Hide quoted text — Show quoted text -On Thu, 27 Apr 2000 06:47:54 GMT, ladymoondr…@my-deja.com wrote:
Are there really any surgeries that work with sleep apnea. ladymoon Sent via Deja.com http://www.deja.com/ Before you buy.
Response:
Hi everyboody, I was after a sleep study diagnosed with mild sleep apnea and apart from a kind of denture I’m to use I was asked to lower my weight from 94 to 81 kg (BMI 29 to 24) I’m curious to know if my fairly recent weight gain was fully or partly due to sleep apnea or sleep apnea is a result of gaining weight? (it build up parallel over the same period of 6 month) Do other members of this forum also experience; – lack of ‘control’ with hands during the day i.e. handwriting become somewhat troublesome – pain in legs when climbing stairs – having this funny feeling of being ‘disengaged’ i.e. lower concentration, academic performance (slow in understanding) Some words of ‘confirmation’ will be appreciated as it will be nice to know that it (potential) can vanish if I can get my weight down. (a tough one!) Regards pha…@magix.com.sg
Response:
Poul Lorentzen <pha…@magix.com.sg
wrote in message
news:8aqvkg$jvn$1@coco.singnet.com.sg…
Hi everyboody, I was after a sleep study diagnosed with mild sleep apnea and apart from a kind of denture I’m to use I was asked to lower my weight from 94 to 81 kg (BMI 29 to 24) I’m curious to know if my fairly recent weight gain was fully or partly
due
to sleep apnea or sleep apnea is a result of gaining weight? (it build up parallel over the same period of 6 month)
I can’t speak for anyone else, but my weight gain, which has not been enormous, has largely occurred after I noticed apnea symptoms. I don’t think anyone knows the answer to this question at the moment. It will take some studying.
Do other members of this forum also experience; – lack of ‘control’ with hands during the day i.e. handwriting become somewhat troublesome
I have become extremely clumsy with my hands. I had to fix my TV remote the other day because I’d dropped it one too many times.
– pain in legs when climbing stairs
Not especially.
– having this funny feeling of being ‘disengaged’ i.e. lower
concentration,
academic performance (slow in understanding)
Yes.
Some words of ‘confirmation’ will be appreciated as it will be nice to
know
that it (potential) can vanish if I can get my weight down. (a tough one!)
That may happen if it is your weight gain that has caused your apnea. I hope it is. Now, I have a question. I often wake up with a lot of pain in the area of my diaphragm (not that one – the one you breathe with). I have never read anything about that in the many articles & web sites that I’ve read/visited about OSA. Has anyone else had this? I think I can guess why it is so sore. It can bother me all day long.
Response:
In article <38F2B270.120FD…@home.com
,
Stuart Harris <stuarthar…@home.com
wrote:
<SNIP
thyroid checked and went on lovoxyl. You need to know that while a
TSH
reading of 5.5 or less is considered normal by most doctors, you
should
be treated if you have a reading over 2 as long as there are
associated
symptoms. I’m still slowly working my way up on the lovoxyl dosage,
<SNIP
Do you want it to be high or low? I remember that my TSH was 2.7, and the lab said this was "normal". I know I have sleep apnea, hypothyroidism I’m not sure of… — Tom Sent via Deja.com http://www.deja.com/ Before you buy.
Response:
Tom, You want it to be low. Mine was 6.2 and my Doctor said that treatment was optional, but it was the best thing I’ve ever done. From my research most doctors will tell you that any reading lower than 5.5 is ‘normal’. There’s a growing number of doctors that believe the reading should be between .4 and 2 and that if you have any symptoms and the TSH is greater than two then you may have sub-clinical hypothyroidism and you might benefit from treatment. There are few doctors that will be willing to put you on medication with a reading of 2.7 unless you have the other symptoms of hypothyroid (and you wouldn’t want to be on medication unless you have symptoms). So many of my apnea symptoms (and the apnea itself) have been reduced or eliminated since starting levoxyl that I’m trying to get the word out to people here that they should do enough research to see if they should look at their thyroid. My ENT didn’t suggest that I have my thyroid checked and my thyroid doctor has never heard of a link with apnea, but I’ve found two people who were able to go completely off CPAP without surgery after going on thyroid medication. That’s a pretty low percentage but it still greater than zero. There’s a lot of information alt.support.thyroid if you want to know more. Regards, Stuart – Hide quoted text — Show quoted text -a_to…@my-deja.com wrote:
In article <38F2B270.120FD…@home.com, Stuart Harris <stuarthar…@home.com wrote: <SNIP thyroid checked and went on lovoxyl. You need to know that while a TSH reading of 5.5 or less is considered normal by most doctors, you should be treated if you have a reading over 2 as long as there are associated symptoms. I’m still slowly working my way up on the lovoxyl dosage, <SNIP Do you want it to be high or low? I remember that my TSH was 2.7, and the lab said this was "normal". I know I have sleep apnea, hypothyroidism I’m not sure of… — Tom Sent via Deja.com http://www.deja.com/ Before you buy.
Response:
Stan wrote:
I’ve been told by every doctor I’ve ever seen about my sleep problems that apnea can be caused/aggrivated by excessive weight. I can’t imagine the apnea causing weight gain. I would certainly give weight loss a try.
Sleep Apnea CAN cause weight due to the disruption of the metabolic rate. I put on 90 pounds over a ten year period with no apparent cause. After diagosis of SA last year, it was apparent in retrospect, that I had been suffering worsening complications of SA. Now, after a few months of CPAP, 30 pounds have just slipped away, with nothing done on my part other than treating the SA. Regards, Lee — Lee Babcock Scarborough (Toronto), Ontario, Canada Email —- babco…@idirect.ca
Response:
Poul, Many people cite weight gain as a result of apnea, but mine turned out to be from hypothyroid . . . the trembling in the hands is also a thyroid symptom, and the lower concentration is a clasic symptom of both apnea and thyroid problems. On the thyroid support group they refer to it as brain fog . . . As a results of posts on this board I had my thyroid checked and went on lovoxyl. You need to know that while a TSH reading of 5.5 or less is considered normal by most doctors, you should be treated if you have a reading over 2 as long as there are associated symptoms. I’m still slowly working my way up on the lovoxyl dosage, but each time I increase the dose my apnea goes away for a few days . . . YMMV Regards, Stuart – Hide quoted text — Show quoted text -Poul Lorentzen wrote:
Hi everyboody, I was after a sleep study diagnosed with mild sleep apnea and apart from a kind of denture I’m to use I was asked to lower my weight from 94 to 81 kg (BMI 29 to 24) I’m curious to know if my fairly recent weight gain was fully or partly due to sleep apnea or sleep apnea is a result of gaining weight? (it build up parallel over the same period of 6 month) Do other members of this forum also experience; – lack of ‘control’ with hands during the day i.e. handwriting become somewhat troublesome – pain in legs when climbing stairs – having this funny feeling of being ‘disengaged’ i.e. lower concentration, academic performance (slow in understanding) Some words of ‘confirmation’ will be appreciated as it will be nice to know that it (potential) can vanish if I can get my weight down. (a tough one!) Regards pha…@magix.com.sg
Response:
Stan wrote:
<<snipped I’ve been told by every doctor I’ve ever seen about my sleep problems that apnea can be caused/aggrivated by excessive weight. I can’t imagine the apnea causing weight gain. I would certainly give weight loss a try.
Actually, one of the symptoms of OSA is weight gain with no change in diet. The weight gain is because the OSA causes you to be tired all the time and you become much less active. therefore you don’t burn as many calories and you gain weight while eating the same food. Big Al db-guru at bigfoot dot com
Response:
Well,gee… Imagine you have apnea. Imagine you feel like s**t. What are the chance you will take a long walk/jog/swim/bike ride after work. What are the chances you might have a sugary snack in the PM at work in a futile hope to boost your energy level enough to survive the PM. Now imagine that instea you feel pretty good after work. You walk/jog for perhaps 30 mins. Perhaps 200-300 calories worth. Perhaps 6000-9000 calories per month. Perhaps 2-4 pounds not gained. Oh. Don’t forget about 20 days per month of sugar snacks a month. Perhaps another pound or two. So relative to not having apnea, you have an *easy* opportunity to add maybe 3-6 pounds a month. Do this for a few years, and you get large. Which makes apnea worse. Repeat until dead. regards, eric pearson db2e…@nospammindspring.com – Hide quoted text — Show quoted text -On Fri, 17 Mar 2000 03:17:04 GMT, 29…@mailX.com (Stan) wrote:
On Thu, 16 Mar 2000 23:31:45 +0800, "Poul Lorentzen" <pha…@magix.com.sg wrote: I’ve been told by every doctor I’ve ever seen about my sleep problems that apnea can be caused/aggrivated by excessive weight. I can’t imagine the apnea causing weight gain. I would certainly give weight loss a try.
Response:
Poul Lorentzen wrote:
I’m curious to know if my fairly recent weight gain was fully or partly due to sleep apnea or sleep apnea is a result of gaining weight? (it build up parallel over the same period of 6 month)
It’s possible. Some people experience a weight when their apnea gets worse. The connection between weigh gain and/or the ability to lose weight while having untreated apneas is unknown at this point, No one has done a specific research study on it, all we have are anecdotal reports.
Do other members of this forum also experience; – lack of ‘control’ with hands during the day i.e. handwriting become somewhat troublesome – pain in legs when climbing stairs – having this funny feeling of being ‘disengaged’ i.e. lower concentration, academic performance (slow in understanding)
Lower concentration is a definite symptom with apnea, will it improve if you lose weight and are treated for apnea, maybe, a lot depends on how long you have had the problem, the longer you have had the problem the more likely the damage can become permanent due to oxygen starvation in brain tissue. I don’t rule out the other problems as being cause by apnea because we all react to it in our own way. I will point out that there are a lot of problems that get masked behind the symptoms of apnea. The problem with your hands and legs could be apnea or could be the beginning of arthritis or Parkinson’s, or could be due to the oxygen starvation caused by the apnea.
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