cpap & sinusitis
Question:
WhiteKerri (whiteke…@aol.com) wrote:
: It is an interesting question, whether it is better to forego CPAP while : suffering from an infectious illness that causes nasal obstruction. One thing : to consider is that the consequences of ceasing treatment even for a few days : may be more seriouis than merely feeling sleepier for a while. There is : evidence to link apneas with myocardial ischemia; you might check out the : article on my website at : http://www.geocities.com/HotSprings/Spa/4752/page112.html I’ve always kept using my CPAP when ill. If I can’t breath through my nose, the first thing I will do is try to irrigate my nostrils with saline solution to try and get something open. As soon as I can breath somewhat, I put on my CPAP, since the pressure seems to open the nasal passages wider once I can get a little air past them. If that doesn’t work, I use a long-acting decongestant spray like Afrin. But I don’t use the full dose, which is like 2-3 sprays in each nostril. I’ll only squeeze the bottle part way, so I get like half a spray in each nostril. I find that it’s enough, and also I figure that the smaller dosage will lessen any "rebound" I might have when I stop it. Ironically, a stuffy nose may be a sign that the air is too dry; it’s best to have a heated humidifier with the CPAP, or else a separate room humidifier or vaporizer. — Claire Maier bioaw…@emory.edu CLMaier (within AOL only) To be different is not necessarily to be ugly; to have a different idea is not necessarily to be wrong. The worst possible thing is for all of us to begin to look and act and think alike. — Gene Roddenberry
Response:
WhiteKerri (whiteke…@aol.com) wrote:
: It is an interesting question, whether it is better to forego CPAP while : suffering from an infectious illness that causes nasal obstruction. One thing : to consider is that the consequences of ceasing treatment even for a few days : may be more seriouis than merely feeling sleepier for a while. There is : evidence to link apneas with myocardial ischemia; you might check out the : article on my website at A question: obviously there are varying degrees in the severity of obstructive sleep apnea. And there is evidence that CPAP may itself cause nasal inflammation, congestion, etc. in patients who are typically "mouth breathers" and in those who might not use humidifiers. (I’m quite ignorant in the practical application of CPAP.) Notwithstanding the threat of myocardial ischemia, how bad can a temporary discontinuation of CPAP be? Obviously the scenario changes if the nasal infections, etc. are chronic. However, men and women go through lifetimes before they realize they have apnea and are put on CPAP. – __kevin c welch___________________________________________________________ kwe…@sas.upenn.edu
Response:
Kevin C Welch (kwe…@mail1.sas.upenn.edu) wrote: : Notwithstanding the threat of myocardial ischemia, how bad can a : temporary discontinuation of CPAP be? Obviously the scenario changes if : the nasal infections, etc. are chronic. However, men and women go : through lifetimes before they realize they have apnea and are put on CPAP. I can’t sleep at all any more without my CPAP. I got too used to breathing and sleeping at the same time. — Claire Maier bioaw…@emory.edu CLMaier (within AOL only) To be different is not necessarily to be ugly; to have a different idea is not necessarily to be wrong. The worst possible thing is for all of us to begin to look and act and think alike. — Gene Roddenberry
Response:
>Most patients report they are over their colds in 2 to 4 days if >they wore their CPAP’s. Remember, as long as you are not >experiencing pain
with the CPAP, WEAR IT! Thems expandin’ alveolisez done breaks up thems little mucusezez to bitz! Doug <grin> (or, <sneer>?)
Response:
Bill, I have a chronic sinus problem and have found thast if there is no bacterial infection its ok to use CPAP, but it often doesn’t help under those conditions. I had nasal turbinate eduction sevvveral months ago and had great improvement in my breathing. But I still have have congestion problems and when I do I can’t sleep and become a zombie in short order. I have used steroid sprays for years and never really had much help. I recently discovered a real help I have found that twice a day when I use the spray, if I spend 15-30 minutes with my head inverted the spray is much more effective. I lie down with a pillow under my back and neck and hang my head over the edge holding the medication in the upper nasal passage and the pharnyx. This gives the medication time to absorb into the mucosa and I haven’t had a sinus headache in two weeks now. Somebody else out there try this and let me know if it works for you. Gary – Hide quoted text — Show quoted text -BillsCPAP in Seattle wrote: > Au’ contrare’ my friends. As long as you are not experincing pain, you > should wear your CPAP when you have a cold/flu, etc. Virtually every > patient I have worked with, reported CPAP use with a cold/flu cut the > recovery time in half! (I have worked with around 700 patients over the > last several years.) The old saying, "If you treat a cold, it will last > 7 days, if you don’t treat a cold, it will last a week" is no longer > true. Most patients report they are over their colds in 2 to 4 days if > they wore their CPAP’s. Remember, as long as you are not experiencing > pain with the CPAP, WEAR IT! > BillsCPAP in Seattle
Response:
It is an interesting question, whether it is better to forego CPAP while suffering from an infectious illness that causes nasal obstruction. One thing to consider is that the consequences of ceasing treatment even for a few days may be more seriouis than merely feeling sleepier for a while. There is evidence to link apneas with myocardial ischemia; you might check out the article on my website at http://www.geocities.com/HotSprings/Spa/4752/page112.html It seems to me that colds represent something significantly different from sinusitis. There are a lot of new nonsedating antihistamines around now but it isnt clear that antihistamines really do much for colds (versus allergies). Sympathomimetic vasodilators like pseudoephedrine do help, but may interfere with sleep. Steroid nasal sprays like Beclamethasone might be the safest. Sinusitis, of course, requires antibiotics. I have heard concerns that CPAP pressure might push bacteria inwards and spread infection. However, I have never seem any documentation that it really happens. The biggest problem to me seems to be whether you can get your nasal passages clear enough for the CPAP air to get through. Kerrin White Kerrin Leon White, M.D. E-mail: kerri…@ix.netcom.com or WhiteKe…@aol.com URL: http://www.geocities.com/HotSprings/Spa/4752/index.html A Doctor with Sleep Apnea Reviews Recent Research for Fellow Patients
Response:
Hi all.. I am battling my latest sinus infection and find that when I use the CPAP at night I wake up with a HUGE headache. My ent told me to go ahead and use my cpap even during my infection… however, he had never heard of my diagnosis… upper airway resistance syndrome…. which made me suspicious. Any advice… I am soooooo tired without the CPAP & with the infection but don’t know what to do!!! Thanks B
Response:
bsmithnova wrote: > Hi all.. I am battling my latest sinus infection and find that when I use > the CPAP at night I wake up with a HUGE headache. > My ent told me to go ahead and use my cpap even during my infection… > however, he had never heard of my diagnosis… upper airway resistance > syndrome…. which made me suspicious. > Any advice… I am soooooo tired without the CPAP & with the infection but > don’t know what to do!!! > Thanks > B
This is not a medical opinion, but personal experience. Before I had a UPPP I used to get such severe headaches from CPAP that I didn’t use it. I have very bad allergies and I still sometimes get a headache when my nose is very congested. My conjecture is that the air is following the path of least resistance and ending up in my sinuses instead of down the throat and into the lungs. The headaches do seem to coincide with the location of the sinus cavities. Vacenase and Flonase didn’t seem to help. Last summer my sleep doc put me on Atrovent 6% and it has kept congestion at a much lower level and the headaches are gone. I also use a saline nasal spray to clean out my nose before the Atrovent so that it reaches the mucous lining where it can be useful. — BigAl address deleted (corporate) db-g…@worldnet.att.net (personal)
Response:
You may want to review information at website http://www.chin-up.com. View the site and if interested check with your doctor. Make sure the doctor is aware of this latest development. Thus far, CPAP appears to be the best treatment available if the patient maintains regular use. The breathe right and chin-up combination may work in conjuction with CPAP to keep people on a treatment program that is important to good health. View the site and talk with your doctor before making any changes in the treatment program prescribed. This is a new development that is undergoing continued testing at Columbia Hospital in Lexington, KY. Dale D. Miller, JD CEO of Dale Miller, Inc. Website: http://www.chin-up.com
Response:
What about treating the sinus congestion with a non-sedating (or perhaps in your case sedating) antihistamine. Over here we have an antidepressant, Surmontil that has a high H1 affinity and seems to leave patients brighter in the morning. Ask your doctor about these suggestions. Hope they can help. "bsmithnova" <bsmithn…@MCI2000.com> wrote: >Hi all.. I am battling my latest sinus infection and find that when I use >the CPAP at night I wake up with a HUGE headache. >My ent told me to go ahead and use my cpap even during my infection… >however, he had never heard of my diagnosis… upper airway resistance >syndrome…. which made me suspicious. >Any advice… I am soooooo tired without the CPAP & with the infection but >don’t know what to do!!! >Thanks >B
_____________________________________________________ Mr Peter Perros, Psychologist Specialising in Neuropsychology & Forensic Psychology 4th floor, Westfield Indooroopilly Shoppingtown PO Box 496 Indooroopilly 4068 Brisbane AUSTRALIA Email: pet…@modemss.brisnet.org.au Ph: 61-7-32718277 _____________________________________________________
Response:
We always advise people not to use their CPAP when they have a cold or sinus infection because of the pain. You may be tired, but a few nights without it while you get over the worst of the cold or infection is worth it, because you don’t have the awful pain. It is just not a good idea to use the CPAP during the acute phase of your infection. Kelly – Hide quoted text — Show quoted text -bsmithnova wrote in message <01bd067d$0cb35580$9c4937a6@smith-computer>… >Hi all.. I am battling my latest sinus infection and find that when I use >the CPAP at night I wake up with a HUGE headache. >My ent told me to go ahead and use my cpap even during my infection…
Response:
"Kelly & David Kydd" <travele…@cgo.wave.ca> wrote: >We always advise people not to use their CPAP when they have a cold or sinus infection because of >the pain. You may be tired, but a few nights without it while you get over the worst of the cold or
Hmrph. Without CPAP, I do not sleep. Period. Without sleep, sinus infections won’t go away. They just hang on forever. I just do whatever it takes to get at least one nostril open and try to get as much sleep as possible. hlh_NOS…@mailexcite.com is a valid, unmunged email address.
Response:
Au’ contrare’ my friends. As long as you are not experincing pain, you should wear your CPAP when you have a cold/flu, etc. Virtually every patient I have worked with, reported CPAP use with a cold/flu cut the recovery time in half! (I have worked with around 700 patients over the last several years.) The old saying, "If you treat a cold, it will last 7 days, if you don’t treat a cold, it will last a week" is no longer true. Most patients report they are over their colds in 2 to 4 days if they wore their CPAP’s. Remember, as long as you are not experiencing pain with the CPAP, WEAR IT! BillsCPAP in Seattle Kelly & David Kydd wrote: – Hide quoted text — Show quoted text -> We always advise people not to use their CPAP when they have a cold or sinus infection because of > the pain. You may be tired, but a few nights without it while you get over the worst of the cold or > infection is worth it, because you don’t have the awful pain. It is just not a good idea to use the > CPAP during the acute phase of your infection. > Kelly > bsmithnova wrote in message <01bd067d$0cb35580$9c4937a6@smith-computer>… > >Hi all.. I am battling my latest sinus infection and find that when I use > >the CPAP at night I wake up with a HUGE headache. > >My ent told me to go ahead and use my cpap even during my infection…
