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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How Can Excessive Sleepiness During The Day Be Treated?

I am being seen for a sleep disorder. I use a CPAP Machine and have gone through sleep study. I am only sighted in my right eye from birth. My Left optic nerve did not fully develop. I am still experiencing severe sleepiness during the day. I am worried that there is something else that has been missed. It was suggested that I try a mild stimulant during the day and take a 30 min. nap. YYYY@YYYY
Mon, 2 Jul 2018
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Pulmonologist,  's  Response
Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice.

Since you are using CPAP machine, you must have severe OSA (obstructive sleep apnea).
Excessive day time sleepiness is suggestive of poor control of OSA.
And the most common cause for this is inappropriate pressure settings of CPAP machine.
So in my opinion, you should consult sleep specialist and get done repeat sleep study with titration. Titration study will help in deciding appropriate pressures to relieve OSA.
Once you achieve optimal control in OSA, you will get good night time sleep. And this will reflect as improved day time awakening and reduced day time sleep.

Hope I have answered your query. Let me know if I can assist you further.
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How Can Excessive Sleepiness During The Day Be Treated?

Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Since you are using CPAP machine, you must have severe OSA (obstructive sleep apnea). Excessive day time sleepiness is suggestive of poor control of OSA. And the most common cause for this is inappropriate pressure settings of CPAP machine. So in my opinion, you should consult sleep specialist and get done repeat sleep study with titration. Titration study will help in deciding appropriate pressures to relieve OSA. Once you achieve optimal control in OSA, you will get good night time sleep. And this will reflect as improved day time awakening and reduced day time sleep. Hope I have answered your query. Let me know if I can assist you further.