Ok so my sleep is horrible, tired all the time. I’ve tried a million things so post any suggestions you have, I’ll try pretty much anything at this point.
I have bruxism, I grind my teeth at night (only at night). I use a nightguard to protect my teeth but that makes my sleep even worse because it makes breathing harder (less space in mouth).
I have silent reflux/laryngopharyngeal reflux. Tl;dr explanation is pepsin (not stomach acid) goes up my throat and burns stuff. This is not GERD although it is similar, I never get heartburn. I think this has messed up my throat and larynx and stuff from the burning. My throat is often sore and inflamed feeling with a hoarse voice.
I have sleep apnea, UARS specifically. Tl;dr is UARS is like sleep apnea but instead of lots of apneas (stop breathing entirely), I get lots of arousals (mini-wake ups in sleep that disturb sleep) so my sleep is terrible. Tried every type of CPAP machine but they never really help that much.
I have a narrow palate and maybe a mildly recessed jaw (maybe, narrow palate is far worse and more obvious than any recession. Nobody has said anything about recession after looking at me, normal people or medical people).
I think these are all very interrelated.
Things I’ve tried for UARS
CPAP, BiPAP, ASV
EERS with CPAP (Enhanced expiratory rebreathing space, increases co2 rebreathing when using machine)
Antihistamines
Nasal decongestants like dymista
Nasal rinsing
Nasal strips
Positional therapy
Things I’ve tried for silent reflux
PPIs (works but don’t want to use long term)
Low acid diet
Gaviscon (works very well but doesn’t last long)
Things I’ve tried for bruxism
Destressing before bed
Massetter/jaw massage
Things I want to try for UARS
Progesterone [1]
Didgeridoo [2]
More positional therapy (on stomach)
CPAP with EERS again
I REALLY want to get MSE (palate expansion) to increase oral and nasal volume but it’s expensive and there aren’t many who do it
Things I want to try for silent reflux
Neck stretches, back stretches, silent reflux may be related to T5 and T6 nerve fibres [3]
Things I want to try for bruxism
More relaxation, more massages
[1] OBGYN ( Progesterone could exert its beneficial effects by reducing upper airway collapsibility (8), by increasing genioglossus muscle tone (9), and by its central action on CO2 receptors that stimulates respiration during wakefulness (10). Oral progesterone has been associated with slight but significant improvement in ventilatory indices during sleep in both male and female sleep apnea patients (11,12).)
[2] Didgeridoo playing as alternative treatment for obstructive sleep apnoea syndrome: randomised controlled trial - PubMed
[3] Sympathetic Nerve Entrapment Point Injection as an Antireflux Procedure for Refractory Laryngopharyngeal Reflux: A First Case Report of Innovative Autonomic Regulation
I have bruxism, I grind my teeth at night (only at night). I use a nightguard to protect my teeth but that makes my sleep even worse because it makes breathing harder (less space in mouth).
I have silent reflux/laryngopharyngeal reflux. Tl;dr explanation is pepsin (not stomach acid) goes up my throat and burns stuff. This is not GERD although it is similar, I never get heartburn. I think this has messed up my throat and larynx and stuff from the burning. My throat is often sore and inflamed feeling with a hoarse voice.
I have sleep apnea, UARS specifically. Tl;dr is UARS is like sleep apnea but instead of lots of apneas (stop breathing entirely), I get lots of arousals (mini-wake ups in sleep that disturb sleep) so my sleep is terrible. Tried every type of CPAP machine but they never really help that much.
I have a narrow palate and maybe a mildly recessed jaw (maybe, narrow palate is far worse and more obvious than any recession. Nobody has said anything about recession after looking at me, normal people or medical people).
I think these are all very interrelated.
Things I’ve tried for UARS
CPAP, BiPAP, ASV
EERS with CPAP (Enhanced expiratory rebreathing space, increases co2 rebreathing when using machine)
Antihistamines
Nasal decongestants like dymista
Nasal rinsing
Nasal strips
Positional therapy
Things I’ve tried for silent reflux
PPIs (works but don’t want to use long term)
Low acid diet
Gaviscon (works very well but doesn’t last long)
Things I’ve tried for bruxism
Destressing before bed
Massetter/jaw massage
Things I want to try for UARS
Progesterone [1]
Didgeridoo [2]
More positional therapy (on stomach)
CPAP with EERS again
I REALLY want to get MSE (palate expansion) to increase oral and nasal volume but it’s expensive and there aren’t many who do it
Things I want to try for silent reflux
Neck stretches, back stretches, silent reflux may be related to T5 and T6 nerve fibres [3]
Things I want to try for bruxism
More relaxation, more massages
[1] OBGYN ( Progesterone could exert its beneficial effects by reducing upper airway collapsibility (8), by increasing genioglossus muscle tone (9), and by its central action on CO2 receptors that stimulates respiration during wakefulness (10). Oral progesterone has been associated with slight but significant improvement in ventilatory indices during sleep in both male and female sleep apnea patients (11,12).)
[2] Didgeridoo playing as alternative treatment for obstructive sleep apnoea syndrome: randomised controlled trial - PubMed
[3] Sympathetic Nerve Entrapment Point Injection as an Antireflux Procedure for Refractory Laryngopharyngeal Reflux: A First Case Report of Innovative Autonomic Regulation