Good Sleep. Low AHI. Still feeling tired. I'm at my wit's end.

For last couple of months I have been feeling tired an hour or two after getting up. I saw ENT doctor who suggested a sleep study. My AHI was 7.5. He recommend I try using a CPAP machine and it might help. I used it for 15 days and it literally had not effect on me. I was still tired throughout the day and I take 1-2 hrs nap in the afternoon since last 10 years or more.

Next, I was asked to do all kind of blood tests, chest x-ray and ECG. Everything was normal except my liver. My SGPT (ALT) was 75 (Normal range is 10 to 40 U/L)

My doctor said we will do an endoscopy and see what's happening inside. Before that, he was checking my nose using a device in his room and said my turbinates are swollen and he isn't sure if we can do an endoscopy, he suggested we do a Radio Frequency abalation of the nasal turbinates.

I'm confused. I sleep properly for 7 to 7.5 hrs. CPAP isn't helping at all. How is reducing my turbinates going to help?

Whats suggested if CPAP doesn't work for you? I think I've lost the ability to think properly and decide what to do. I would really appreciate any insights or help you can offer.

Are you sure you have sleep apnea? What mask do you use on your cpap? Some times a different mask will help. Also you need to be properly titrated and have the right settings for cpap to work 4 you.

Who prescribed the settings on your CPAP machine? The ENT?

You need to be aware that it often takes a long time to lose that feeling of tiredness, even with adequate treatment. It often takes two, three, even six months to become less symptomatic. You may need to be patient. Arthur B. Luisi, Jr., D.M.D.