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Have sleep apnea, cold in sleep, shivering. What is wrong?

when I lie down to go to sleep I get very cold. I am bundled up in may blankets and wear flannel p.j.s.It gets so bad that it wakes me and I m shivering and can t warm up. I am 50 lbs overweight , suffer from severe sleep apnea . I always sleep with my cpap machine. Mom died in her sleep at 55 from a heart attack . I m afraid to go to sleep. It is also very uncomfortable.
Asked On : Sat, 19 Jan 2013
Answers:  2 Views:  219
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Neurologist 's  Response

Thanks for posting this question in HCM
Let me tell you that a given medical symptom can be due to various causes and the outcome depends upon the cause. For example fever can be due to malaria, typhoid, tubeculosis, cancer and AIDS too.
Now let us see your question. You have sleep apnea, overweight and cold intolerance. I am sorry i don’t know your age.
Sleep apnea too can be due to various causes and the cause also largely depends upon the age of the patient. For example in the young age it can be due to mass in the nasopaharynex, tonsils etc. In middle age, it can be due to obesity, diabetes etc. The constellations of symptoms you have provided could be also be due to coexistent thyroid problem. Further, once the diagnosis of sleep apnea is confirmed, one has to determine the exact pressure of CPAP. For example you need a pressure of 15 and you are on CPAP, you will not benefit rather a BiPAP machine. If you have central apnea also you may not benefit with CPAP machine and other machines are available. You need to lose weight which can be achieved by diet plan, exercise. I strongly advise you to meet a physician who will determine if you have thyroid problem or not and also consult a sleep specialist who will determine the exact pressure and the types of machines to be used.
I hope this clarifies

Answered: Wed, 23 Jan 2013
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Psychiatrist Dr. Jonas Sundarakumar's  Response
Hello and welcome to Healthcare Magic. Thanks for your query.

Your symptoms of feeling cold, chills and shivering may be due to the following possibilities:
1) Fever - there can be certain chronic infections where fever can occur mostly in the evenings and night times
2) Hypothyroidism - cold intolerance and excessive weight gain are often indicators of a thyroid disorder

I would advise you to see a doctor for a proper medical evaluation to find out the likely cause for your symptoms.

Secondly, apart from the sleep apnoea problem, you also seem to be having excessive anxiety and fears about your sleep. If this anxiety is causing you a lot of distress and dysfunction, then it would be worthwhile to consult a psychiatrist for professional help.

Wish you all the best.

Dr. Jonas Sundarakumar
Consultant Psychiatrist
Answered: Tue, 29 Jan 2013
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