Central Sleep Apnea Explained!

[@lee9655]

I have recently been diagnosed with both obstructive and central sleep apnea, my readings are regularly between 30-70 times an hour every night, i get severe chest pain when i laugh and have a heart murmur too. My respiratory specialist has never seen a case like mine and said that as a result of my case, he's now going to explain it to the rest of the respiratory department. Its incredibly difficult for me to breath through my nose while im awake.

[@RespShop]

Thank you for sharing! We hope your respirologist and your care team will be able to come up with a diagnosis or help you alleviate your symptoms soon.

[@tennaj1367]

Any update? I've been diagnosed with central sleep apnea after years of my previous sleep doctor saying it had only obstructive.

[@Squeak61]

@@tennaj1367 same

[@Sjj827]

I don’t breathe when I sleep and I got a sleep study done and they said everything was fine and normal despite me gasping for air in the middle of the night during my sleep study. I think those sleep studies are so inaccurate.

[@RespShop]

If you did a home sleep study we suggest asking your doctor for a referral to do an in-lab sleep test. Lab sleep tests are more comprehensive (measures your brain waves, eye movement, heart rate, oxygen levels, breathing effort, snoring, sleeping position) and the technicians will watching you throughout the night so the test won't miss any gasping during sleep.

[@JeffersonSheila]

This happened to me, as well. Nights are horrible for me due to not breathing when trying to sleep. But nothing showed up in the sleep study so they don't know how to help me.

[@benxamin13]

Similar experience here. First doctor concluded thing in my nose had moved out of place (it hadn't) because the pauses were too long. Second test showed biot pattern, but doctor offered no help for that. Third test, I only slept for 2 hours with all those cables and gadgets on me.

[@tiki4677]

I have a Neurologist due to a head injury as a child (I’m an epileptic because of it) who had ordered a sleep study. I got a call from my doctor who was quite concerned as they found that I stop breathing on and off irregularly throughout the night. Thus she is suspecting CSA but she was at odds with it because it is rare for someone my age and with my build to have CSA. I was set at 75% irregular stops in breathing for brief periods throughout the night which she found odd. She then ordered an MRI to see about brainstem activity and to have a heart echo done. She ultimately thinks something is wrong with the communication between my brain and body. My brain for some reason she suspects is not telling my body to continue breathing while asleep. Perhaps you could get an appointment with a Neurologist who would then be the one to order the sleep study and they would be the person to review the results and go over them with you. My periodic episodes of idiopathic double vision is ultimately what made her call me sooner rather than later.

[@stephx9759]

I didnt have OSAS either so they did the more comprehensive test(also at home) and they found central sleep apnea

[@tammybamba]

My AHi is good since elevating my head but my clear airways are always a lot higher and some Cheyne-Stokes. I have HCM (thickening of the heart's left ventricle) My resting heart rate is usually 57-61.

[@jamiedecker7853]

I was recently diagnosed with central sleep apnea from dysautonomia. Also have sinus tachycardia and recently chf. Sucks bc I'm only 47. I've already lost a lot of my vision from chronic optic neuropathy for whatever reason. I was active and healthy 2.5 years ago and now I'm in horrible health. I don't get it and I hate it.

[@RespShop]

I'm so sorry to hear about everything you're going through. That must be incredibly frustrating and scary! 😔

[@earlabalena8462]

I experience this kind of situation 2 months ago for one week that when I'm trying to fall asleep or when I'm about to fall asleep suddenly I experience breath pause then it wakes me up its like your body stop breathing automaticaly I know that our body is capable of breathing on it's own but in my experience I feel breath pause when about to sleep or when I'm about to fall asleep most of the time when I’m seconds away from falling asleep I lose my breath and stop breathing also I experience brain zaps suddenly it wakes me up It's like hypnic jerk in my brain I experience this 2 kinds of problems when I'm trying to go to sleep 2 months ago for 1 week and now I experience it again I don't have any problem when I'm already sleeping my problem is when I'm about to fall asleep or when I'm trying to fall asleep I experience this kind of problem. One day I did try to drink beers and it make me drunked so bad that I fall asleep without experiencing it and maybe it's from caffeine because every morning I drink coffee and now I stop taking coffee and yesterday I sleep without experiencing it but I just need to make sure that this does go away. I only experience this when I'm about to fall asleep not when I'm already asleep. The reason why doc that I ask this question because there is to many of us and we don't know what is happening I hope you find my comment and give us some advice on what is happening to us

[@RespShop]

Hi, thank you for watching. Since none of us at RespShop are sleep doctors, I'm afraid we don't have any answers for you. I think your best bet is to see a sleep doctor and do a polysomnography (PSG)/sleep test. A PSG measures your brain activity while you're sleeping so it can see if you have any sleep disorders. Sorry we couldn't be of much help and I hope you find an answer soon!

[@sarunasgincas3821]

Did you find a solution? I have the same problem

[@earlabalena8462]

@@sarunasgincas3821 I just found out that what is happening to me is called a hypnic jerk it's a normal condition that 70% of people experience it but in my case I exeprience it everyday so what I did is stop my caffeine intake and alcohol intake I still experience it sometimes but it's not fatal like before

[@earlabalena8462]

@@sarunasgincas3821 Most of the people that experience this they take keppra before they go to sleep and most of the person that tries this it works with them so if you experience it try to take keppra because base on my research to those people that goes in hospital most of the doctors advice them to take anti depresant and it's not working those who have hypnic jerk. What I do is balancing my diet like eating more vegies don't take alcohol and caffeine and 80% of it makes me have a good sleep

[@Sk8x4x3v3r]

Try vitamin b1 it may help Look it up

[@JannePaalijarvi]

Finally someone explains this to me. Thanks.

[@Squeak61]

Yes I'm thankful too to them.

[@magnusenamd]

I am diagnosed with complex apnea and use ASV. But does not work satisfactorily at all. But sleep reg has shown that I have over 8 min of breathing pause. My life has been and is a nightmare of extreme proportions. over 30 years had it like this and only had ASV 4 years.

[@RespShop]

It could be that your settings need some fine-tuning. Is your sleep doctor following your therapy and adjusting your settings? If not, it's a good idea to reach out to them and request closer monitoring. Most of the ASV machines come with remote monitoring so doctors can see how you respond to their changes.

[@magnusenamd]

@@RespShop I got a Resmed and the hospital was online and they couldn't set anything up. Totally useless workers. So got a philips that they said they couldn't fix and it's not connected. Had technicians for months help me set it up over the internet. If it is set to breathe at least 15 times a minute, it goes 100% and breathes for me. Have it on 13 times and then I breathe most of the time myself. Preferably exhaustion and muscle weakness and extreme fatigue. Going to bed for a while now. But almost impossible to fall asleep early with a machine. I cover off is the chance to sleep. the water container lasts 7 hours. So I never get to sleep in either. It's too heavy and the machine breathes for me for short breaths. Complained about this for 6 months. Sleep measurement at the hospital didn't work as the mattress was so hard that I couldn't possibly fall asleep. But they measure me awake and then the blood oxygen is down to 91%. But measurement done a long time ago when I slept for 1 hour, it was at 82%. I live in Sweden and one of the worst countries in the western world today from being good.

[@BrandonPotter-r9b]

I have orthostatic intolerance and Chianti 0 . I have a complex sleep apnea.I’m using a resmed 11 cpap machine it helps only so much . I’m going back to my sleep medicine Dr next month or in February

[@RespShop]

Interesting, some machines aren't meant for everyone! Whatever helps you get better quality sleep is much more important to us.

[@bossmanham]

I have no heart issues and have CSA.

[@Jhoffisdead]

Do you have ADHD?

[@bassmode721]

@@bossmanham could you tell me the symptoms? I have sudden involuntary inhalations mail has I’m drifting off to sleep and during sleep for up to 2 mins at a time according to my partner. I have a cpap.

[@bossmanham]

@@bassmode721 Yes. Before I got my bipap as I was drifting off to sleep I'd actually become aware I had stopped breathing. Sharp inhalation. sometimes as well. I'm having another sleep study soon because I see central events increasing on my bipap. Some nights are fine, but some there are more events.

[@westmidlandlandscaping]

@@bassmode721 I have exactly the same

[@bassmode721]

@@westmidlandlandscaping I’ve stop worrying about it. I noticed my partner a few times in her sleep doing it as well. Since I stoped worrying about it I haven’t noticed it anymore.

[@mykhalable9433]

I have always had a lower heart rate, the lowest I had it medically recorded at was 36bpm after I just had a large coffee. My heart rate was normally 45-55bpm as a child (I was not athletic but skinny). As long as I can remember, I have had moments in the daytime where I audibly gasp for air which is completely out of my control. I never knew this not normal until this morning. I am 38 years old...

[@aaronrocks365]

So, I was diagnosed with CSA at the age of 38 and been on an ASV ever since. Never took opioids or antidepressants that could have caused this. I also know I had the part of CSA that caused me to stop breathing completely and basically "turned off" in my sleep (I had it during the test and they caught it). I'm wondering what would you recommend I do to test and see if there is anything wrong with my nervous system?

[@RespShop]

Hi, thank you for watching. We think the best course of action is to ask for a referral to a neurologist. Maybe speak with your sleep doctor/sleep clinic to see if they have suggestions because there are some sleep doctors who are also neurologists. Those "type" of sleep doctors may have more answers.

[@RobdeKlerk-qg6lc]

Does it work?

[@603adventures9]

I have a asv best thing ever got

[@Sk8x4x3v3r]

Try vitamin b1

[@Omar_Zazzle]

I have obstructive sleep apnea and central sleep apnea too as well as nocturnal hypoxia and I feel like a zombie all the time.

[@RespShop]

Sorry you feel like this all the time :/ If you haven't gotten an in-lab sleep study done yet, we highly encourage you to do so!

[@ChelissaMoon]

Fascinating! I’ve been dealing with not breathing enough when I sleep in response to my first vaccine in 2021. I’m hoping to get a machine asap. Pray for me.

[@RespShop]

Thank you for watching. We hope you get your BiPAP soon. You are in my thoughts and prayers.

[@koyenabasu3249]

Does central sleep apnea initially cause events where, just as you are falling asleep you realize you're not breathing, more like you've 'forgotten' to breathe, then you striggle to get up to breathe, and this can continue throughout the night and you get no sleep at all? I had this around 4.5 yrs back, after getting covid, and even though this stopped after getting covid again, I've never had proper sleep since, which is saying a lot as I've always been a deep sleeper before, now I don't remember what it is like to wake up not tired and with my brain working. I also have epilepsy, had my first episode since 2009 but was only diagnosed this year after a more serious event, all previous events were dismissed as stress, anxiety etc. Post the event this year i had week long high fever (104) and this apneaic event returned, but different. Woke up in the middle of night not breathing, unable to do so despite being aware, in accompaniment with a sleep paralysis event. I started my epilepsy medication after this, but the issue still persists, only im too drowsy to notice anything more than my breathing slowing down as i fall asleep, it awakens me but only a few times before i drift off. But i always feel fatigue during daytime and can't use my brain as i want to, which is frustrating as i always wanted to be a researcher, and now after completing my masters feel I don't have it in me anymore. Can't focus or concentrate... I don't understand whether it's the epilepsy medication or csa, as I've been taking the medication at a lower dose than recommended just so i could work and not feel drowsy all day, and by now i should have become accustomed to it, but instead i just get more tired day by day

[@RespShop]

Hello, we are terribly sorry to hear that. It's not fun and definitely draining. We would love to help get you set up with the best sleep solution we can. If you want to call us at 866-936-3754, we would love to try to help.

[@Junker_1]

Hi very interesting video. My dad seems to have this pattern in his sleep and has an artificial heartvalve and he has more problems with his heart recently (stenosis). My question is that he often yawns too throughout the day and he feels bad during those moments. Is that yawning also related to that delayed brain signal if you know? And why would he feel bad when having these bouts? Thanks for the possible answer.

[@RespShop]

That's really interesting. Thank you for sharing. Unfortunately, those questions might be slightly above our pay grade at the moment... I would reach out to a healthcare professional for that information. We will definitely look more into yawning now, though!

[@chevyseductive]

Very informative. Looking for explanation as to why it sounds like a kazoo when my son sleeps. I’m about 6 hours deep into my dive and I know a lot about central sleep apnea - but does it sound like a kazoo? And will it cause seizure untreated? How treatable is it? Invasive??

[@RespShop]

Those are very interesting questions, and I am sorry to hear your son is going through them. I suggest calling a healthcare professional to get the best answer possible.

[@chevyseductive]

@ already got an appointment made. Thanks! It’s true what they say, a mothers job is never done.

[@RespShop]

Very true! Hope you can find a solution soon.

[@Ksl9393]

Got diagnosed with csa, zoloft is helping me a lot. Should i opt for PAP machine?

[@sigmamalegrindset132]

Damn thanks, I have zoloft but havent used it yet, might give it a try now

[@RobdeKlerk-qg6lc]

I forget breating all the time...can barely sleep...horrible and scary..

[@RespShop]

Hi, yes definitely give PAP therapy a try unless the doctor that interpreted your sleep test suggested otherwise. If you had the sleep test done at a sleep lab, please make sure to follow up with the sleep doctor on treatment. If you did a home sleep test, we'd suggest getting an in-lab sleep test done to confirm the CSA diagnosis.

[@RobdeKlerk-qg6lc]

@RespShop I forget to breath even awake...thanks for your advice...

[@Tantemify]

u mentioned that using the cpap machine puts one at risk of developing central sleep apnea. what is the point of using cpap then ? wouldnt that be worse ?

[@RespShop]

Some people develop central sleep apnea after starting CPAP therapy but in most cases, the CSA goes away after a few weeks as the body adjusts. It's not very common, but it does happen. The benefits of CPAP therapy outweigh the potential risk of developing CSA. Plus, there are ways to get rid of the treatment emergent CSA by adjust CPAP settings - and your doctor will monitor your response to therapy and make changes accordingly.

[@youngwang5546]

@@RespShop I’m in the first week of apap treatment. My ahi has increased from a baseline of 5 to 20+ and it’s nearly all central now. I can’t even fall asleep, I keep forgetting to breathe and then suddenly I jolt awake.

[@bigz8658]

I have centraI/mixed apnea with a AHI of 104 deadly? i am just on oxygen now but was on the CPAP,BIPAP with failure but have not got the ASV unit yet.. I wake up choking alot of times. Thank you

[@RespShop]

We hope you get your ASV soon. That should help treat your central and mixed apneas!

[@tammybamba]

I have this. How can I help myself? Do you have a video for a remedy?

[@RespShop]

If you're on CPAP and find that you have a lot of central apneas and/Cheyne-Stokes, it's a good idea to talk to your sleep doctor about this. They can refer you for an in-lab sleep test (polysomnography) that is a more accurate diagnosis of CSR and central apneas than just from the info collected on your CPAP. And then they can decided if you'll do better on a BiPAP instead.

[@Gravesfam]

I had a sleep study done.. got put on a cpap resmed air sense 11… I have almost zero obstruction episodes.. all of mine are central apnea related. Should I be on another machine? Or is the air sense 11 okay?

[@RespShop]

Sometimes cpap therapy can cause central apneas but this can go away in a few weeks as your body gets used to it. A suggestion is to turn off EPR as that can also contribute to central apneas. Keep an eye on your centrals and definitely let you doctor know if you continue to have centrals with EPR off for a week or two. But if your sleep study shows that you have a significant amount of centrals, it's best to speak to your doctor ASAP since that would indicate the central apneas were a problem before CPAP.

[@Gravesfam]

@@RespShop thank you for the information. I appreciate you! I will definitely monitor this and speak to my doctor 🙏🏻

[@RespShop]

@@Gravesfam You're welcome! We hope it clears up without issue!

[@OutcastSoldier]

hey, i was chronically abused alcohool for many years at one point when i was sleeping i was livid at the face and snoring very loud, after a while i started to wake up every hour, someone told me that when im drinking my color face is changing its livid or very dark-brown like im suffocating, i have no heart issues i was recently at the doc. What could be? the liver? something else? could be central sleep apnea?

[@RespShop]

Unfortunately we're not doctors here at RespShop so we're not qualified to give you medical advice. We don't want to lead you astray so we suggest getting medical advice from a doctor.

[@iowa_don]

AND it affects people that live at higher altitudes. The longer they are at high altitude, the more likely they are to have CSA.

[@dbfuture4881]

Hello sir im 26 and when i start nodding off my brain also forgets to tell my lungs to breath its not always maybe but could it be anxiety or sleep apnea when it happens its scary

[@RespShop]

Hi, if your brain isn't sending the proper signals to the muscles that control breathing, it can be central sleep apnea. We strongly recommend talking to a doctor about this and get an overnight sleep test done in a lab.

[@dbfuture4881]

@@RespShop I most likely will do you think it could maybe be anxiety also or something else

[@RespShop]

@@dbfuture4881 That could be it too. It's worth talking to a sleep specialist for some expert advice since some sleep doctors also train in psychiatry. They'll have a more comprehensive understanding.

[@Rudisbashar]

im doing hypercapnia training and i have sleep apneau and use the machine while sleep. is it wise to train hypercapnia training. my central score is very low.

[@RespShop]

That's a good question! Everyone is different, it would be best to give your healthcare provider a call and confirm with them.

[@Rudisbashar]

@ must be something with co2 intolerance. my breath rate is 18 per min. thats to high.. but anyhow thanks i will.

[@Boogieplex]

I’ve been on suboxone (an opioid derived medication) for 20 yrs. I developed CSA because of this. As soon as i start to nod off, my brain forgets to tell my lungs to breathe. It’s a horrible feeling …to never be able to take a nap, or sleep over anywhere without my cpap machine. It’s a nightmare. I wonder if i stop taking the medication if i will ever be able to sleep normally again?

[@RespShop]

Thank you for watching! There is a chance that CSA can be reversed once opioids are removed from the equation but this is really a question to ask your doctor.

[@RobdeKlerk-qg6lc]

Does the machine workd with csa ??

[@kmw992617]

@@Boogieplex did it help? Anything work for you?

[@GamingForTheRecentlyDeceased]

Do the treatments differ between the two

[@RespShop]

Treatments vary from patient to patient; it is best to consult a medical professional to find the proper treatment!

[@lhbarragan1]

Look up Dr berg on KZbin, he has some more info on CSA, basically CSA can be heavily related to glucose problems in the body, because of it struggling in sleep well cause this cycle that feeds off eachother, this will lead to a vitamin B1 deficiency, vitamin B1 when depleted your nervous system has nerves controlling your diaphragm area then become compressed and cut off, vitamin B1 natural “Allithiamine” will help a lot with this, but this condition is probably developed and rooted from something else causing it. They say we are what we eat, this year is the highest amount of Americans with chronic disease most likely due to all the processed foods and chemicals in Americans diets.

[@GamingForTheRecentlyDeceased]

@lhbarragan1 Yeah, I don't trust a chiropractor. Majority of stuff that guy says is rubbish

[@lhbarragan1]

@ lol cool man hope your sleep apnea gets better, doesn’t hurt to find free info to look into 👍

[@MeganRead-k7m]

Can stress cause similar symptoms of breath holding before falling asleep

[@RespShop]

While stress can cause breath holding, if this is happening when you're trying to fall asleep, it's best to consult a doctor. Or, at the very least, try some relaxing breathing exercises and other relaxation techniques before bed.

[@GaryNichols50]

Nowhere can I find the Sleep Study Home Test Kit on your site.

[@RespShop]

Hi, here's the link to our sleep study home testing kit: www.respshop.com/respshop-prescription-assistance-a-817.html#rx-service-content Thank you for watching!

[@GaryNichols50]

@@RespShop That just goes to the prescription assistance page.

[@RespShop]

@@GaryNichols50 If you scroll down a bit, you'll see the NightOwl Home Sleep Test Device and at the bottom there's a button to schedule a telemedicine appointment with a sleep doctor. After the initial appointment, the sleep test device will be mailed to you.

[@GaryNichols50]

@@RespShop Nowhere on that page is there any mention of the NightOwl Home Sleep Test Device or a button to schedule a telemedicine appointment.

[@RespShop]

@@GaryNichols50 Sorry, I missed a step. Please click on the yellow "I need a new Rx" button and that will expand the rest of the website which shows the NightOwl

[@samuelborthwick4867]

Is cpap the best treatment for central sleep apnea?

[@RespShop]

CPAP can be the first line of treatment for central sleep apnea and if that doesn't fix the issue then doctors usually prescribed BiPAP therapy instead. There are many different reasons why central apneas may occur and depending on the cause of the central apneas, different types of BiPAP therapies will be prescribed.

[@MG-oh1ew]

I am terrified. I just had my appendix removed 22 hours ago and am exausted and I think I now have central sleep apnea from it. I cannot sleep for a second. The second I drift away I gasp hard for air. 😢. All this while I am trying To recover from surgery

[@famljw3095]

@@MG-oh1ew Temporary effects of anesthesia? Ask a doctor.

[@RespShop]

Sorry to hear this is happening. This definitely is something to bring up with your doctor. Could be due to pain medications you're on.

[@MG-oh1ew]

@@RespShop I am not on any pain meds anymore other than regular Tylenol. The doctor just ignored it all when I brought it up. But my mom watched over me last night and shook me a bit every time I stopped breathing. Eventually I was sleeping on my own. And I did this yoga nidra thing Andrew huberman talks about. Ended up sleeping 7-8 hours since last night ! Thanks the reply! Although she said my breathing was Shallow. Also I did not dream at all 🤔. Suppose that will come back eventually. But I will keep on top Of this.

[@MG-oh1ew]

@@famljw3095 doctor said it was a figment of my imagination. Dumb doctor. I asked another and they said likely from the anesthesia, morphine, and fentanyl I have taken since I was admitted to the hospital on sat. Anyway I answers again above this. It is looking like it is getting better. Thanks for asking

[@RespShop]

@@MG-oh1ew Glad to hear yoga nidra helped and that you have your mom watching over you. If it continues to happen, definitely keep bringing it up with your doctor...you have to be your own advocate sometimes!

[@TimBrown-e9l]

i think CSA is fundamentally caused by a repressed emotion. I notice that mine went away when I had good comraderie and good relations with my coworkers, but then came back when the comraderie went away.

[@RespShop]

That's an interesting observation-emotions certainly play a big role in sleep quality. Thank you for sharing this! Please don't forget to like and subscribe if you find our video helpful 😊

[@douchy4027]

I think that cancer is caused by fatherless home.

[@vicaccino]

@@douchy4027 XD

[@MikeBroderick33]

Maybe for you, but not for everyone. As I have medical conditions that have likely caused it.