u/BlackberryJealous728

Hello all!

I am 24, M, have run multiple half marathons and a marathon, and am now training for a marathon this December.

Some background, I have bumped up my activity level even more this year in hopes to improve my Marathon time. About a month ago, a bunch of strange things I started observing:

On and off very mild fever symptoms like some aches, night sweats (never drenching, just damp), and fatigue. I chalked the first time as a one-time viral illness, but it came back for about a day or two this past week. I was seen by a doctor, and all my blood samples are normal, ANA normal, etc.

This past 2 days, I have been having what seemed like heart pain and some fatigue and joint pains, which I went to the ER to see. Originally, when my HR got elevated, my chest started hurting while I was on my bike. I chalked it off as it went away with rest, and yesterday it persisted on and off, even at rest and at deep breaths, specifically, I felt pain. EKG, Ultrasound, X-ray, and Troponin blood tests all came back normal. They recommended to again see a follow-up with my PCP, but I am afraid I am going to just get the "You are 24, and you are running, so it should be ok". I have rested since my ER visit, which was yesterday, and planning to rest until I guess I have this follow-up, but I am quite confused about what this pain could be. I was hoping if anyone who is also quite active is going through or has been through a similar process? Appreciate any insight, as I am losing my mind just resting and not knowing if I can keep exercising.

Hello! I thought I would post just for advice / if anyone had a similar experience. Some basic background, I am 24 M, and I am an endurance athlete, or at least run half marathons regularly, and have been training for marathons over the past 2 years. Not sure if that is of needed context but thought I would just post the extent of my activity level. What motivated me to take a sleep exam:

1. For the longest I can remember, I have always woken up at least once to go urinate almost like clockwork 3-4 hours into my sleep.
2. As a child, I snored a lot and still do. One of my ex-partners mentioned I potentially just stop breathing at times, the other ex not recounting such behavior.
3. Once I wake up early in the morning, like 6 am, I struggle to get back to sleep and stay asleep.

Regarding fatigue, I do have some bad ones when I truly get a little amount of sleep, but I've never had crazy fatigue in general but perhaps that's just what I am used to.

I mostly wanted to take it because I wanted to stop waking up at night to urinate, and I've tried cutting fluids off 2-3 hours before bedtime with no luck.

After sleep study:

I was diagnosed with Mild Apnea via Lofta, which I guess can already be taken with a grain of salt. However, my AHI was under 5 (3.9 per hour), but my RDI, was 11.6 and 75 total events. I assume this was elevated because I woke up to go urinate and took some time to go back to sleep with all the gears on me.

My O2 saturation min was 87, while the mean was 96 and Max being 99.

Minimum BPM HR 40, Avg 55, max 96.

Mostly a back sleeper 82% but RDI and AHI were relatively the same between when I slept on my side versus my back. RDI was 11.5 vs 102, AHI being 1.7 vs 1.1

I have tried CPAP with Resmed Airsense 11 for the past two days and I understand that most therapies should take a while to get used to but just my observations:

1. My AHI according to OSCAR and the myAir app says 0.1 events and 0.2 events the past two nights, so I assume it's working with no noticeable leak rate.
2. I still woke up to urinate both nights. When I woke up, the mask was still sealed and on me. This past night, I woke up again due to a mask leak, so I took it off and just went back to bed for the remainder of the night without it.
3. If anything, because of the machine on me, I feel myself microanalyzing any minor headache I have or brain fog.

Two just general questions that I have:

1. Did I even need the CPAP? (I am fortunate enough to just get it, and my parents needed to spend their balance on HSA)
2. With someone potentially having a similar statistic as me, did you see improvement in sticking with CPAP for a longer term?

I appreciate any observation or advice! Thank you all!