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Re: Apnea, RLS, sleep architecture, cortisol-Whew!

Posted by Minnie-Haha on February 24, 2005, at 10:32:43

In reply to Re: Why Do They PDocs Want Sleep Studies?, posted by Minnie-Haha on February 24, 2005, at 10:20:41

> I don't know about other things, but in addition to apnea, they might want to rule out Restless Leg Syndrome or Periodic Limb Movement Disorder...

Oh! And the study should give some idea of your sleep architecture. There are certain patterns that "normal" sleepers go through (depending mostly on your age) and a sleep study can indicate which stages of sleep you're hitting and when. This might influence treatment choices.

Someone else mentioned cortisol. When I went through my 15 months of agonizing insomnia, I went to sleep OK, but would awaken every night between 1 and 3 a.m. Some nights I would practically be having a panic attack, and other nights I would have almost racing thoughts or plain old anxiety. I told the doctor it almost felt like someone had come in and given me a shot or something... like a drug was in my bloodstream. Well, I was ordered to do a 24-hour urine test and lo! my urinary cortisol was twice the normal amount, which might have indicated Cushing's Syndrome.

Shortly after this -- I was "managing" with a mood stabilizer (I'm BP2) and benzos alone -- I couldn't stand my daytime depression anymore, so my pdoc RXd Cymbalta. Once my anxiety and depression were under control (took 3-4 weeks), I started sleepin WAY better. Long story short: I think I may have had what's called pseudo-Cushing's, which results from un- or under-treated depression.


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poster:Minnie-Haha thread:462438
URL: http://www.dr-bob.org/babble/20050222/msgs/462656.html