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Sleep study inconclusive. Help with what to do next?

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Helpmesleep +0 points · over 2 years ago Original Poster

Hi, I recently had a sleep study done and the study did not find I suffered from sleep apnea. My AHI was 4.4 (below the 5 AHI threshhold for slight apnea) and my oxygen levels were alright. With that being said, it's a bit iffy because they did not record any REM sleep and apparently that is where most apneas occur. I am also having issues with insomnia (specifically trying to stay asleep) and have been recommended to see a psychologist/psychiatrist to deal with my depression/anxiety that could be interfering with my sleep. I still have a part of me that believes there to be a physical issue in my sleep troubles, but it seems consultations and a sleep study make sleep apnea an unlikely diagnosis. Should I try and resolve my depression/anxiety issues before attempting to consult with another sleep physician or should I get a 2nd opinion from another sleep physician? I was thinking perhaps I should consult with an actual ENT to see if there are any physical abnormalities that could affect my breathing when I sleep.

Please, I am having disastrous health effects because of poor sleep and would really appreciate any advice!

Thank you.

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sleeptech +0 points · over 2 years ago Sleep Enthusiast

It can't hurt to have another study. And it also can't hurt to try CPAP just to see if you feel better. Just because you have an AHI of 4.4 doesn't mean that you don't have OSA sufficient to affect your sleep quality. AHI is only part of the picture. And the fact that you did not get any REM sleep also means that it may well be an underestimate.

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Helpmesleep +0 points · over 2 years ago Original Poster

Thank you for the reply. Is there a way to try CPAP without going through another sleep study? I don't think my insurance will cover another study.

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wiredgeorge +0 points · over 2 years ago Sleep Enthusiast

Sounds to me like your sleep difficulties are more related to anxiety and depression. Perhaps move forward in that direction to see if you can get some relief and if you are then still not sure about sleep apnea, look for another study; your doctor can order one if he feels it appropriate but no REM sleep will leave you a wreck... the cart and horse analogy comes into play; which comes first, anxiety or no REM sleep?

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Geo +0 points · over 2 years ago

Definitely work on the depression and anxiety as well. Both can seriously interrupt sleep.

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