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Re: UARS Upper Air Resistance Syndrome, Surgury?


Posted by Sleepy Hollow on July 19, 2002 at 10:50:17:

In Reply to: UARS Upper Air Resistance Syndrome, Surgury? posted by lifelong_sleepproblem on July 14, 2002 at 12:21:15:

I have UARS and have had septoplasty (straightening a deviated septum + cauterizing lining of nose to open the airway) with little or no result. I was on CPAP for about 6 months without any results. Over the period of a couple of years I was also prescribed a number of anti-depressants to help with sleep, but again.. no results.

Eventually, I started taking Remeron which both put me to sleep and kept me sleeping for 10+ hours per night. Based on a suggestion from the CPAP forum, I determined that I was mouth breathing - hence no results from the PAP. So I started taping my mouth shut at night and I'm finally starting to feel better during the day.

Most people would probably recommend that you examine all the possibilities before going under the knife. I know I rushed into surgery based on the ENT's suggestion. But if nothing else, it removed another variable, so I don't regret having it done. If you do get it done, expect to be out of commission for at least a few days to a week. Recovering from this type of surgery is not fun.. and septoplasty is much more pleasant than UPPP and the rest.

If you go with a PAP, an APAP is probably the best solution. Supposedly the Goodnight 418P has the most positive results for UARS. You can search more on the forum for this. A CPAP with a pressure of 8 seems to be working for me.

It took years before I found something that worked for me. Even though your motivation may be low, you have to be really proactive to find a fix.

You've been diagnosed with UARS.. but you didn't say how. If you haven't done so already, a sleep test is a good place to start. I've never personally heard of UARS being diagnosed any other way.. but I'm not an expert by any means. A certified sleep doctor should be able to review your options with you - surgery, CPAP or APAP, dental appliance, etc. You may also want to get checked for allergies as well.

Good Luck!

SH

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