OSA,COPD,hypogammaglobulanemia

[aquariusaudrey]

How does Obstructive Sleep Apnea,COPD and Hypogammaglobulanemia relate? I have my COPD under good control,however despite many different masks ,etc. and 3 sinus surgeries,(2 with MRSA)I cannot tolerate the C-PAP,even after 3yrs of trying.Is there any other way to control OSA ?And would it "help" with the seriousness of the hypogammaglobulanemia?

[aquariusaudrey]

Thankyou for your response,I have talked to my Sleep Dr.and my ENT,I've tried about everything they can offer,besides surgery.I was surprised about the stomach juices going into the lungs,and that they could carry bacteria.I now understand the need for the Aciphex that was prescribed.Thanks also for the support organization link.Knowledge is power,and I will triumph over these medical issues.(Hopefully BEFORE I have a stroke)
                                                                             Sincerely,
                                                                                           aquariusaudrey

[Steven Y Park, MD]

As far as I know, I'm not aware of any studies linking all three. But one thing that obstructive sleep apnea can do is to aggravate almost every other condition. Sleep apnea causes a chronic low-grade stress response, which can definitely affect your immune system. It's also been shown that if you have sleep apnea, the vacuum forces that are created can suck up normal stomach juices into your throat, which can in small amounts go into your lungs and sinuses, causing inflammation. There are numerous reports of stomach enzymes and bacteria in lung and sinus infection fluid.

I don't know exactly what you've tried already with your CPAP, but one great resource is a forum at the American Sleep Apnea Association. Go to www.apneasupport.org. There are lots of experienced CPAP users that have some great advice for people who are having trouble using CPAP. If you can't use CPAP period, talk to your sleep doctor about two other option which include dental devices or surgery. Not everyone is a candidate for these two other options, so see someone that's experienced, and do your research.