Is your brain not getting enough oxygen at night?
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- čas přidán 22. 07. 2024
- I wanted to discuss one common reason people have chronic fatigue -- sleep apnea. Here are some ways you can determine if this issue is affecting your daily life.
- Věda a technologie
My 85 year old mother has some form of Dementia ,most likely Vascular, and after 60 years of smoking she has COPD ,which lowers her blood oxygen to about 88-92 %
She leeps soundly through the night for 10 to 12 hrs.
After getting her up in the morning wash and breakfast ,maybe skimming through the paper/watching a bit of TV her head drops to her chest,eyes close and pretty much goes back into a deep sleep.
I put her back to bed about 1pm and she naps to about 4pm.
Even after getting her up then,after walking her about her flat to get some exercise and wake her up and get the blood going, after her afternoon tea she closes her eyes on and off till I help her to bed for the night at 9 to 10pm.
I noticed he started sleeping in back in 2019 before I moved in and started looking after her full time.
I suspect it's a combination of the Dementia and COPD which is to blame for her overwhelming fatigue.
It's distressing to witness as she was very independent and energetic before these problems and now she is completely dependent on me and some visiting carers.
Look after yourself.
Even in a sleep machine we need to still check our own oxygen during the night with a cpap can still drop and cause same issue but most sleep doctors just look at the quick results and not dive in deep.
Dr Young
It’s great to see you again having watched a video of you presenting about chronic fatigue long time ago.
Great video. I started drinking stabilized oxygen before I sleep and breath very deeply. 25% Sodium Chlorite (NaClO2) drops in water. Best oxygen distribution
That is an excellent plan, Jarred! To systematically go through all possible reasons to fatigue that are not caused by ME, so those could be ruled out before arriving at an ME-diagnosis. Thanks for all that you do to help ME-patients. 🙏❤
You covered all options and all levels of economic classes. Insightful.
nice sensitivity for all financial and social situations thank you
Hi I have only just in the last. 3 months started wearing the Cap. I did not understand the connection between my breathing problems and fatigue. And I do now understand after your little program. John , South West Wales UK
Glad I found your channel. I'm not sure how to go about consulting with an ongoing chronic situation after a heart stenting procedure 6 months ago. Here is what what's going on and hopefully you may maybe able to provide some insights. The person's oxygen saturation is fine with the oximeter but blood work showed low level of p02 (v), POC i.e. 25 mmHg (low) in a ref. range normal of 80 - 105 mmHg, and high 58 mmHg (high) in carbon dioxide or pC02 (v) POC in ref. range of 41 - 51 mmHg? The person is experiencing congested/pressurized head under pressure/stress, mild SOB (shortness of breath), and importantly weakness in the body with light activities like walking (resting helped)? Heart Cath lab, echo, nuclear stress tests rulled out the heart issues after stents were implanted 6 months ago (also a full head MRI scan was clear per neurologist). Cardiologists suggested to go get a lung function test. The person is taking Plavix blood thinner, some low dose of statin and aspirin daily. We're not sure if it's the blood thinner Plavix causing respiratory problem or not. Trips to ER with chest x-ray and troponin level were always clear. We were hoping that a doctor or a hospital would have recommneded to have more better tests for the lung, or even an ABG (arterial blood gas) test etc. but no one has recommended anything as of yet but that lung function test. Would we have any better options to check out that low level of Oxygen recorded in recent blood work? Seems like which may be the causes of all the weakness in the body extremities maybe due to lack of oxygen the cell tissues need . Same thing for the congested head or head pressure if not relaxing under intense pressure or stress or even with light activities.
This is a great video I have sleep apnea. I've been using my CPAP for about 6 months now I'm extremely exhausted extremely light-headed terrible memory problems feel like I'm drunk all day long. They did a sleep study and checked my oxygen and said it was normal
Possible dysautonomia? It seems I have POTS and now feel like you do.
@DanielleRadicanin POTS is horrible. I have EDS which comes with POTS usually.
@@randomname4726 I'm so very sorry that you are also suffering from these life limiting conditions. There seem to be more of us now than ever before. 🥺
@DanielleRadicanin Thanks, I think Doctors have just become better at seeing us and realizing that something is actually wrong.
My sleep test showed I no longer have apnea, but severe periodic limb movement. My blood oxygen gets low, the lowest recorded is 81%, but because all my lows are less than 5 minutes, they are considered normal. Is that accurate? My average blood oxygen was considered 93%.
This is one of the best video's I've seen on fatigue and fibro in a decade of research. So clear, practical and likely to result in significant improvements for some people
Had to push to get tested after 27 years CFS fybromyalgia even though my father and both of his sister's have it to
Thank you for these segments!
Also, the alternative tips are invaluable - our for-profit health care system (i.e. Big Insurance) discourages our doctors from testing and even referring to specialists, and forces us to fight for care while having no energy to even take a shower!
Thank you for letting me know. I'll continue with those suggestions. I'll be doing videos soon on the botanicals we have been testing that can help some individuals with chronic pain and fatigue. - Jarred Younger
My testing and lab work isn't even covered by insurance but my docs seem to be reluctant to test anyway 😆
I watched the whole video to get the list of medical reasons that can cause fatigue, but it never came. Your videos will of course not be less interesting providing this list in every video. So here is a list of the most common medical reasons that can cause fatigue, starting with the most likely:
1. Anemia (iron deficiency anemia or other types)
2. Sleep disorders like insomnia, sleep apnea, or narcolepsy
3. Thyroid disorders (hypothyroidism or hyperthyroidism)
4. Chronic fatigue syndrome
5. Depression or other mental health issues like anxiety
6. Diabetes
7. Infections like flu, mononucleosis, hepatitis, tuberculosis, etc.
8. Autoimmune diseases like lupus, rheumatoid arthritis, fibromyalgia
9. Cancer
10. Heart disease like heart failure
11. Kidney disease
12. Liver disease
13. Lung diseases like COPD, emphysema
14. Addison's disease (adrenal gland disorder)
15. Eating disorders like anorexia
16. Multiple sclerosis (MS)
17. Parkinson's disease
18. Myasthenia gravis (neuromuscular disorder)
19. Sarcoidosis (inflammatory disease)
20. Lyme disease
21. HIV/AIDS
22. Tuberculosis
23. Mononucleosis (Epstein-Barr virus)
24. Hepatitis B or C
25. Sleep apnea
26. Restless leg syndrome
27. Chronic pain conditions like migraines, arthritis
28. Addison's disease (adrenal insufficiency)
29. Hemochromatosis (iron overload)
30. Polymyalgia rheumatica (inflammatory disorder)
31. Sjögren's syndrome (autoimmune disorder)
32. Guillain-Barré syndrome (autoimmune nerve disorder)
33. Amyotrophic lateral sclerosis (ALS)
34. Crohn's disease or ulcerative colitis
35. Chronic obstructive pulmonary disease (COPD
36. Addison's disease (adrenal insufficiency)
37. Chronic inflammatory demyelinating polyneuropathy (CIDP)
38. Lambert-Eaton myasthenic syndrome (neuromuscular disorder)
39. Mitochondrial diseases
40. Porphyria (group of metabolic disorders)
As you can see, fatigue can be a symptom of many different medical conditions affecting various systems in the body, including neurological, autoimmune, infectious, endocrine, muscular, and respiratory disorders. Some rare causes like ALS, Guillain-Barré, hemochromatosis and mitochondrial diseases are also listed.
Good explanation, very thorough. You can see all these possible causes could discourage doctors from investigating th'e problem. I was going to say, when I went to the nursing home to visit, the halls are filled with old folks sleeping in their chairs. It's very sad. Nurses/attendants get them up, feed them and then put them in the chairs where they just sleep until mealtime again.
Clearly and calmly explained at a rather eventful time in my life. My sleep apnea test is only days away now and I feel less frightened. Well done and thank you
May I ask you what results did you get?
Hi there Jarred. I’m an 18 year old with an ME diagnosis since 13 after a severe viral infection. Your work is the best I’ve found. Particularly on brain Inflammation and I’ve noticed your thought processes on it are similar to mine ( obviously you are an expert I am not). I was wondering if there was a way to contact you directly like on a media platform? No worries if not, thanks so much for all your work and please never stop mate
I Have been using a C • PAP for Over 10 Years. Even with the C • Pap I can wake up not rested the best. C • PAP is one of "The" most "Helpful" Invention created. This machine took a while to get acclimated to. I knew it was very helpful. My sleep apnea was not as severe as first. I had a friend who got his in 1999, about. It was a noisy Machine then. Now days it is so much better & user friendly. One young man was stating in a video the many masks are different, meaning a different comfort level. I snored as a child. I wish it had been like invented 60 years ago. I recall walking by myself up from snoring as a little child. Not often. I strongly suggest to get a test or what this man is talking about, how to get the test so you can find out if you need a C • PAP Machine.
They 💬 nk my Uncle died too early because he needed a C • PAP machine. His son, my cousin nor was my uncle heavy. It's not always all of the reason why a person snores is because they are heavy. I am sure now the studies have come up with more scientific data to help more people.
CPAP*
My sleep study showed 36.4 events per hour with no breath from 28 to 145 seconds with sats dropping to 68%. With cpap machine my sats run in the 80's. Still more tweaking to do.
ME 24 yrs, just started using CPAP. It makes a big difference. Thank you Dr. Younger
Does it help.pain symptoms 27 years me fybromyalgia symptoms finally getting tested
you're so great for doing this, I'll try to convince my GP for a study
You're welcome. Good luck! - Jarred Younger
You can do at home studies now, it won't track as much information but its SO much easier for a CFS patient to do the home study, they can track enough to see if you need an in lab study or in my case, with oxygen dropping so low, they Rx'd the cpap machine from the at home study results. Its really hard to sleep at the sleep lab with wires all over your head (none of that in the home study), being away from home and they wake you at 5:30 to go home, I rarely get to sleep before 1am so that was a miserable night in the lab. If you take drugs to sleep it can affect your breathing and results.
@@marciagrahn982did it help your pain
Thank you. Have been wondering how what % ME-CFS sufferers have their sx disappear after successful tx. of sleep apnea. You answered my question.😊
i snore a lot while sleeping on my side and have has CFS for years
In the UK a sleep test is done at home. One of the big problems with having sleep apnea is the cpap machines are not always sensitive enough to react a person's need. I have been on a cpap for 20 years and only recently I have become aware I regularly have low oxygen levels. Now what?
I have Empty Nose Syndrome and can't breathe, can't sleep, no energy, my life is ruined. How can I improve my symptoms so I can breathe better?
Thank you,
I was lucky to have been tested and a cpap was suggested ,
But I'm not convinced that this will help with my severe central apnea
Hasn't it helped
Can you link overnight pulse ox monitor you like
Do you know what to investigate if oxygen drops to around the 85 area but sleep study shows no apnea?
My breathing is VERY SHALLOW while in bed and the fan must to always be blowing towards my head for me to be able to breath better.
This is the only doctor who explained all about sleep apnea. Please have a video about how naturally resolve sleep apnea. Thank you so much!
Not possible if you do not know the cause of the apnea.
@@allinaday9882highly related to ADHD autism
I resolved my sleep apnea after a year on a machine after learning and practising Buteyko breathing. It is a practice that takes some dedication but it worked. I still practice it every day. I am calmer and healthier than ever before. I am 74.
How long before a cpap will show positive signs?Thanks Doc
Does sleep apnea and asthma correlate to similar low brain oxygen findings?
I did a pulse oximetry test and my oxygen dipped to 83. My insurance will not cover a sleep apnea test (in hospital or at home). I don't think I have sleep apnea however since my husband said I don't stop breathing nor do I gasp for air when I'm sleeping. All of this started happening after severe stress after a car accident so I don't know if stress can cause it. I seem to have other stress related health issues since the accident. My bloodwork is normal and I've never had any problems prior to the car accident. They put me on nighttime oxygen. The machine is fairly big, it's noisy and my neck sometimes gets tangled in the tubing as I toss and turn throughout the night. I think this is the doctor's permanent solution but I would like to find out the root cause so I can hopefully correct it and not have to use nighttime oxygen. I don't smoke, drink or do drugs....I don't even like to take synthetic vitamins and prior to the accident, I would not even take aspirin (generic term) unless it was absolutely necessary (the bottle is still halfway full when it expires), but I have used a lot of pain medication and medication to try to help me sleep better and relax since the accident so I don't know if that could be part of the cause. I am starting to have stomach pain and kidney problems now and for the last week since I went to the doctor, I have stopped all medications and have been trying to figure out a specialized diet for kidney issues since I am a month away from getting an ultrasound. The only thing I can't do is lower my stress so if that is the cause, I am in trouble.
I've had ME for around 10 years. I was diagnosed with mild sleep apnoea in 2013 and 2015, and moderate sleep apnoea in 2019.
I've been using a CPAP machine since mid 2019. My sleep lab results have improved radically, but I don't feel any better.
My sleep physician doesn't seem to believe I don't feel any better. He also doesn't believe in ME...
I'm in the same boat, CFS 42 yrs, FINALLY sleep tested over a year ago, moderate apnea but oyxgen was dropping to 75, below 90 over and hour and 1/2 (for how many years? who knows). Took a LONG time to get the cpap machine,, but that didn't fix it, months later had an in lab sleep test, then got the bipap machine, finally on the best settings but am still dropping oxygen , just not as much, but now below 90 about 10 to 20 mins most nights, when I get into REM sleep it drops. Drs don't believe me either that it hasn't put much of a dent in my fatigue or function. HUGE disappointment as its been such a hard road getting the equipment (tried 8 masks, most at my expense to get one that seals the best). Managing the equipment and using it takes more of my energy. I have the oxygen ring you mention and track it most nights, one physician trusts it, the other does not, but dropping below 90 for 20 mins a night doesn't bother them. My apnea itself is under good control, but oxygen still goes up/down all night. My average oxy for the night is 92 to 94 depending on the night. If I don't get deep stages of sleep my oxygen is average 94. I am thankful I am no longer dropping into the 70's at night, and only briefly into mid 80's every night but so disappointed it did not take away much of the fatigue.
I agree. Each time at night or during the Day after I use a CPAP machine I still feel The Chronic Fatigue all Day
Yes
You really think "the big treatment" is around the corner? I want to believe you so badly!
I love this video and how pragmatic you are, and your goal to help us out right NOW. I'm the last case, no partner, so it's great you covered all of us 😅
Every word you said in this video was pure gold and it clearly shows you are a top fatigue specialist. Also, you speak so clearly! ❤️
Looking forward to more!
I really appreciate you saying that. I'm glad it was helpful, and I will keep them coming! - Jarred Younger
I didn't have something specific in mind when I mentioned a highly effective treatment coming. Just that several potential treatments are in testing pipelines and one of them may turn out to be what everyone is waiting for. - Jarred Younger
@@youngerlab Thank you very much for coming back to answer this part 🙂 I hope there will be a breakthrough soon, so we can go back to having a life!
A friend I used to know was to get her rest for sleep apnea. She cancelled the rest. Her sleep is not great, I suggested she go have it done. I just let her know how important it was for me & the C • PAP saved my life. The rest is not great fun. It is one of the most important tests to do. It will make your waking life much more enjoyable when you get rested well.
I've been using a cpap machine for 18 years and my sleep problems haven't been cured yet.
Ive had fatigue from birth as a baby i slept 23 hrs a day
Wow thats so kind! Thank you for these series! I want to mention that there is a thing called 'upper airways resistance syndrome' and can only be found within the sleep study at the hospital. There is NO oxygen drop because the brain awakes before that. And you can have it along with ME/CFS. (Or you have it because of it? Would be interesting) There you see the brainwaves and can see that the brain is awake. It's combined by the docs with "most likely" lower airflow. But when I look at Dysautonomia it could also be a neurological problem.
Thanks for mentioning that. Right, you need electroencephalography to know if the brain sleep waves are being disrupted, which could be due to reasons other than oxygen deprivation. And that pretty much requires an overnight visit. Most home sleep studies unfortunately do not include EEG, unless a tech comes to the house to hook it all up. I've heard of a couple self-test home sleep studies that involve a couple of EEG leads, but I don't know if that is acceptable for the sleep med doc. Sleep studies typically use quite a few more leads than that. - Jarred Younger
@@youngerlab wow! Well that's good to know! Thank you!
Is that part of dysautonomia
@@Truerealism747 could be right? I want to know the answer too 🤓
i use a hyperbaric chamber to add oxygen and get body flooded with oxygen also use a cpap thought about adding oxygen concentrator to cpap
Tell me about your hyperbaric chamber. I would love to have access to one. When my pain is the worst it gets( usually last 25-40 days, (from extreme physical output for me) several MD.s have responded “ What your body is going through is very similar to the “ bends”. I don’t understand anything about this except “ Why can’t I use a hyperbaric chamber to aid me through the crippling pain I suffer for the next 3- 4 weeks?” Appreciate your help.
Being diagnosed with sleep apnea and then using a cpap machine did ZERO for my ME/CFS.
Thanks for sharing that. Good point. True cases of ME/CFS should not involve sleep apnea (though people can certainly have both conditions simultaneously). The majority of ME/CFS sufferers will not get a significant benefit from using a CPAP. But because sleep apnea (independent of ME/CFS) increases the risk of so many medical conditions, I hope individuals can have it checked out and treated even if it doesn't resolve their chronic fatigue condition). - Jarred Younger
I wake up numb every morning. Head neck and arms. Sometimes it goes away sometimes no. Had and 02 test at night. I was 85.
I do too. I think it may be because of not moving in the night, in my case. My arthritis causes the joints to stiffen up if I don't exercise them enough. Just my theory.
Hi Jared. I'd be interested in your thoughts about an issue that up to 1/3 of ppl with treated OSA have: Excessive Daytime Sleepiness. It is a major contributor to fatigue, brain fog, memory issues and more. Strangely, I found out about this by accident when reading my sleep doctor's clinical notes after a video appt. She referred to my "EDS" and off I went to look up what it was. Yikes. More ppl should know this source of crushing fatigue is a THING... and for your purposes, something else to rule out as sources of fatigue that are not directly related to ME/CFS.
This paper's conclusions are sobering: "Experimental risk factors include chronic intermittent hypoxia and sleep fragmentation, which lead to oxidative injury and changes in neurons and brain circuit connectedness involving noradrenergic and dopaminergic neurotransmission in wake-promoting regions of the brain. In addition, neuroimaging studies have shown alterations in the brain’s white matter and gray matter in patients with OSA and EDS." "Excessive Daytime Sleepiness in Obstructive Sleep Apnea" PubMed PMC8086534
I have ME/CFS for 5 years, been treated for OSA via CPAP for 7 years. My OSA scores are low now but I have never felt rested, and sag early on in the day. I think both maladies are why I have unrelenting fog brain, fatigue and an overall puny state. So far stimulants are the only treatment for this. (Which, even at low doses, can backfire when the need to sleep is calling.)
It would seem EDS is yet another factor in diagnosing causes of fatigue. And for sure affects far more ppl with treated OSA than most patients know. Would appreciate any thoughts from you on this. Thank you!
I wear my CPAP every night, my AHI is low, and I still have oxygen drops every night. The CPAP doesn't work.
Then what you do please help
@@preetimittal2123 I have no idea. The sleep clinic is useless. They don't answer phone calls and it takes months to get an appointment
I have a mandibular advancement splint for sleep apnoea. It stops me snoring but has no effect on my ME/CFS.
Thanks. That is consistent with the experiences I have heard. It is unlikely correcting breathing issues at night will benefit proper ME/CFS. - Jarred Younger
You might wanna try a CPAP. That has more effect. No snoring doesn't automatically mean no apnea. I had a mandibular advancement device but it didn't help with the apnea. The CPAP did. I got a lot better.
I have one too. It helps my apneas. I track my oxygen and have noted that when I dont use my device and I snore, my oxygen level stays higher. The less I snore, the more my oxygen drops. Regardless, the difference of using the device or not, i am nonfunctional without and moderately functional with it. It takes away my grogginess for sure when i do use it. But not my fatigue.
I suspect i have a connective tissue syndrome but no diagnosis. Not severe enough for a doctor to look into it. But I also cant work a full time job or be a good enough mother because of it. 😢
I have been tested for sleep apnea and but I don't believe them because my fatigue is so bad and I was not tested for other possibilities. I'm trying to use the CPAP and the dental thing but with great difficulty. I wonder what else it could be.
Yup I am in the same boat. Tried oral appliance and CPAP. Neither helped. Doctors simply run basic blood tests and tell me I’m perfectly fine. I can barely function most days.
what if we wake and stick the oxygen thingy on our finger before we even get up
Ideally it would be helpful if there was another person around who could put the oximeter on your finger while you are asleep. I find that the action of moving around and putting the thing on my finger raises the 02 level. I have the same concern as you. I suspect my 02 level drops a lot when I'm sleeping. I've told the doctors about it many times. But they don't seem to be interested. I'm already on a cpap.
What about severe hyperactivity due to adhd or anxiety?
Linked to sleep apnea
I choke and snore terribly all night plus my wife says i stop breathing all the time. My smartwatch says i have huge dips in my oxygen going down into the low 70's. My doctor says im probably fine and that he doesnt trust finger/wrist oximetry and im probably just cutting off blood to my arm while moving. I disagree. What do you think?
I told doctor my oxy. levels seem to drop a lot and he said "don't worry about it". He doesn't like my home finger oximeter either. I checked it with the one the doctor's assistant uses and it reads the same.
Holy sht you're in trouble
You need to find another doctor soon.
For anyone interested in a sleep study. I did the lofta at home sleep study for $189 using the Watch Pat One device.
My Dr. Wanted to charge $600 for an at home study. lol. What a joke.
I’m a mouth breather and when I awake in the morning my mouth is really dry.
Gee I have the Dry Mouth problems all night and I can't sleep.
That's not good... it will cause dental problems. I tape my mouth and wear a cpap mask. The tape helps tremendously
This sounds crazy but I put a piece in chewing gum in my mouth and chew for a few secs. Then I shape the gum to go between my gums and my teeth…😊 push it down real good so it stays there. Works great.
Should go above your front teeth
I feel like sleeping all day and all night. No one has addressed it and it has gone on for years.
Had it from.birth.now 44 diagnosed CFS fybromyalgia heds autism ADHD now awaiting sleep apnea my father has CFS sleep apnea and both his sister's
@@Truerealism747 - I don't think the medical community knows much about it.
@@grandmajane2593 that's for sure mainstream anyway has it cured your pain or are you still waiting test
But can apnea cause PEM?
That's an important question. I haven't seen any evidence that apnea directly causes post-exertional malaise. I also haven't seen anything to suggest resolving apnea can help PEM. But most people with a chronic fatigue syndrome diagnosis (R53.82 in the new ICD-10-CM) are not properly assessed for PEM. I think exploring apnea is most helpful for those who might have been diagnosed with CFS too quickly, before all the other possibilities were ruled out. But that is less likely to have happened for those with access to one of the few clinicians truly knowledgeable about CFS and ME. - Jarred Younger
I need you. Where are you.
He is not a patient doctor. He is a researcher doctor. He works for everyone with ME- CFS. We are so fortunate to have a mind like his working for us!
3 months...ha try years
That sleep apnea description is simplicity, misleading and wrong.
In what way