I took Iyyar for his followup sleep study last night. Sleep study #1, as you may recall, was something of a horror show, with upwards of 80 episodes of apnea per night, in addition to his refusal to go to sleep, keep the wires on, etc. I wasn't there for that one--Abba took him, since Avtalyon was still nursing too much for me to leave him overnight.
We fully expected study #2 to be a formality. I took him, and he was out like a light in less than fifteen minutes. The tech put almost all the leads on him without waking him up, but the nasal cannula did him in, and once he was woken he was restless from that. I'm not sure how much of an impact the wires etc. had on the results, but when I asked the tech how things looked as we were about to leave, he said, "Oh, he still has it." Still has what? "He still has obstructive sleep apnea." His O2 desaturated down to 88, which is better than 72 but still not what you want to see. And while the tech was sure he wasn't rousing 80 times an hour, he also was sure it was "a lot more than 5" which is the cutoff. I asked for a ballpark and he said he hadn't counted yet.
I'm not sure what is next. Iyyar has an appointment with the ENT in a couple of weeks, for both a checkup and a hearing test. I know his hearing isn't quite normal--he does fine mostly but I've noticed him not hearing things and other people have mentioned it to me too. And we also have a followup with the GI doctor the week after that.
I know he's better and doing the T & A was worth it. He visibly sleeps better, doesn't snore anymore, and did have that huge growth spurt right after surgery. But he's still tired, still cranky, still climbing into bed in the afternoon and falling asleep during time-outs. And he's still flying off the walls the rest of the time. But he's a three-year-old boy! Surely they all bounce around sometimes, and get tired sometimes, and nap sometimes. It's so hard to know what's normal and what's not. What I know is not normal is the digestive stuff. It's not normal that he only poops when on Miralax. Which is, so far as I'm concerned, like Tylenol--it makes him feel better but isn't actually addressing the underlying issue.
Anyway. Time for me to leave my lair. Anybody know of any connections between OSA and, um, IBS?
3 comments:
I never thought to google this before, but... yes:
http://www.chestjournal.org/content/122/3/1107.full
http://www3.interscience.wiley.com/journal/119288871/abstract?CRETRY=1&SRETRY=0
http://christiangoodman.com/?p=258
Yeah, ok, the last one is more of a marketing pitch, but the studies mentioned sound intriguing. Too bad he didn't actually provide citations.
Wouldn't surprise me if there was a link. Just... observationally: sleeping badly gives me bowel problems. And I've noticed that my one-year-old doesn't poop when she doesn't get enough sleep.
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