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Medical Forum / Diseases and Disorders / Epilepsy / October 2004

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"Gagging" and Sleep Apnoea?

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MatSav - 19 Sep 2004 17:07 GMT
I've woken up a few times recently after dreaming that I've been
trying to swallow a spoon. On waking, I've been "gagging", with a
terrific feeling of nausea.

If you've ever had a medical examination and the doctor has used a
tongue depressor which has been placed a little too far towards the
back of the mouth, you'll know the sort of feeling I'm writing about.

Just wondering, is this typical of sleep apnoea? Could my tongue be
blocking my throat?

Vomiting while unconscious (during a seizure, or post-ictal "sleep")
is one of my greatest fears. I had a friend who was epileptic, and
this happened to him. He aspirated his own fluids, and unfortunately
died.

--
MatSav
Complex Partial, Phenytoin Monotherapy
David Ruether - 19 Sep 2004 17:45 GMT
"MatSav" <matthew D O T savage A T felthamscouts D O T org D O T uk
> wrote in message news:f2brk0hiu46jfatlvscukmtislohdc7kt5@4ax.com...

> I've woken up a few times recently after dreaming that I've been
> trying to swallow a spoon. On waking, I've been "gagging", with a
[quoted text clipped - 15 lines]
> MatSav
> Complex Partial, Phenytoin Monotherapy

I have severe sleep apnea, and I've heard it is possible
to experience vomiting while asleep with it, though I
suspect that this is rare (I do experience stomach fluids
coming up just to the back of my throat sometimes as I
wake, but I'm not feeling nausea or gagging). More on
this (and you can ask the same questions there) at
alt.support.sleep-disorder, where there are some good
people - but this sounds like it should be looked into
professionally immediately. One suggestion: is it possible
to arrange a head support so you can sleep face-down?
And, I suspect that tongue placement may well be the
source of part of the problem. There are surgical solutions
to this, but surgery is not often recommended for OSA
alone. It may be useful for your combination of difficulties,
though...
--DR
Dave ???? - 20 Sep 2004 06:39 GMT
Howdy!

I have sleep apnea too!

In my case, it doesn't have anything to do with the mouth.
My trachia collapses. I've never had nausia but, before I was put on a CPAP
machine, every morning I would have a sore throat and was very often hoarse
for about an hour.

I snored VERY loudly and the closest thing to nausia that I had was a
terrific case of dry mouth.

I got next to no deep sleep (very bad for epilepsy), my breathing often
stopped and my heartbeat was often interrupted.

Signature

Dave ????

http://www.howdydave.com

> I've woken up a few times recently after dreaming that I've been
> trying to swallow a spoon. On waking, I've been "gagging", with a
[quoted text clipped - 15 lines]
> MatSav
> Complex Partial, Phenytoin Monotherapy
Eric - 03 Oct 2004 23:53 GMT
> I've woken up a few times recently after dreaming that I've been
> trying to swallow a spoon. On waking, I've been "gagging", with a
[quoted text clipped - 11 lines]
> this happened to him. He aspirated his own fluids, and unfortunately
> died.

I had sleep apnea which triggered seizures in my sleep.  I still had
the seizures when using a CPAP machine, no matter what it was
prescribed to be set at.  Whenever my head nodded in my sleep, the
airway would be blocked enough to quit breathing for about a minute
and I would sometimes up-chuck fluid.  I tried pillow gadgets and neck
support braces, but simply just placing a second pillow on my chest
and under my chin only worked.

A head and neck surgeon (otolaryngologist what-u-ma-call-it) took a
look for approx. 1 second in my mouth.  She said those tonsils are
golf balls, and my tongue was too large and my chin small enough to be
a cause.  After a tonsillectomy, my sleep apnea ceased.

Having been to about four sleep studies and reading a book on it, this
definitely sounds like sleep apnea.  Most sleep clinics seem to be
ineffective and ignorant, as I needed more than one simple night or
half-night of monitoring.  Find a good research clinic so maybe it
won't be ALL about the Benjamins.  This also means one person
monitoring one or two patients instead of forty, like one rip-off
clinic I visited did.

E.
 
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