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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Extreme Exhaustion Despite A Normal Sleep Apnea Report?

I have been extremely exhausted, sleepy during the day. When I sit down in the evenings I fall asleep while using my laptop. I have sleep apnea and received several emails last month that my mask had an ill fit and 1 telling me the requirements about using the machine, which I use every night. I left messages several with my Sleep apnea doc. but haven t heard back. My dreammapper report looks okay to me. My norm was about 5 hours sleep. I would head to bed about 10:30 - 11:00pm and asleep by midnight and up at 5:30am. For the past month I ve been taking up to 2 vivarin a day. I went to the doctor last month and she did blood work to check b12 and thyroid. The nurse called and told me the only thing that showed up was I had had mono recently. That way a big surprise. I am diabetic but my sugar has been okay when I ve checked. I work full time and take care of my 81 year old Dad, I need my energy back. I can t get thru church without a vivarin. I get sleepy at work and twice almost went to sleep with a customer in front of me.
Mon, 30 Jul 2018
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Psychiatrist 's  Response
Hello and Welcome to ‘Ask A Doctor’ service.
I have reviewed your query and here is my advice.

From the available description there is possibility mononucleosis is the cause for increased sleep and fatigue as reported by your nurse.

This is a form of bacterial infection which can have variety of manifestations including hypersomnia and fatigue.

In my opinion you need to get yourself treated for mononucleosis in consultation with your doctor.

Hope I have answered your query.
Let me know if I can assist you further.
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What Causes Extreme Exhaustion Despite A Normal Sleep Apnea Report?

Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. From the available description there is possibility mononucleosis is the cause for increased sleep and fatigue as reported by your nurse. This is a form of bacterial infection which can have variety of manifestations including hypersomnia and fatigue. In my opinion you need to get yourself treated for mononucleosis in consultation with your doctor. Hope I have answered your query. Let me know if I can assist you further.