Seeking Alternatives to CPAP for Low Blood Oxygen During Sleep

Question

I have low blood oxygen when I sleep. I'm seventy five and was born haemolytic and not expected to live. I also have a trauma history and hold my breath in the freeze response when I'm sleeping. I average 91% spO2 over recording for 3 months using an oxometer. 
I am being treated withCPAP but it makes little difference to the spO2 increasing only by 1% and my AHI is consistently below 2. 
However my sleep is fragmented over 60 arousals per night using CPAP. When pressure is increased,Iget more flow rates and mask leaks and AHI increases. 
Sleep doctors dismiss the trauma profile and pattern, insisting it is sleep apnea and needs professional machine titration. I am now concerned becauseIfeel this may be a normal pattern for me. As I'm aging now I probably need more oxygen when I sleep. I was suffering from headaches in the morning, lower energy, joint and muscle pain and weakness.
An investigating neurologist referred me for the initial sleep study.
I find air pumped into my lungs has created bloating and flatulence at night.
Is there something I can do that will increase my blood oxygen without using CPap.
I do not snore,I sleep on my side and breath through my mouth naturally.
I hope you can offer me advice.
Thank you
Barbara

Dr. Snehal Vidhate · Answer

For addressing low blood oxygen levels during sleep through the Ayurvedic perspective, consider these holistic strategies targeted at enhancing respiratory efficiency and promoting better sleep quality.

First, let's focus on breathing techniques. Practicing Pranayama, particularly Anulom Vilom (alternate nostril breathing), Nadi Shodhana, and Bhramari can help enhance lung capacity and oxygenation. Aim for 10-15 minutes daily, preferably in a calm environment. These exercises promote better airflow and may reduce your anxiety and trauma responses.

Next, look into Nasya oil, which is an Ayurvedic practice of lubricating the nasal passage. Using herbal oils like Anu taila can enhance respiratory function. Gently apply a few drops in each nostril before bedtime. It might alleviate nighttime dryness, aiding smoother breathing.

On dietary changes, incorporate warming spices such as ginger, black pepper, and turmeric. They can enhance your Agni (digestive fire), ensuring your body functions optimally. Also, consume more greens and citrus fruits rich in antioxidants and vitamin C, essential for tissue repair and maintaining healthy oxygen levels.

Aromatherapy can also aid in calming your mind and easing breathing. Essential oils like eucalyptus or lavender diffused in your bedroom may assist relaxation and open your airways.

Mobilizing your routine includes light stretching or gentle yoga postures tailored to improve thoracic mobility, like Bhujangasana (Cobra pose). Focus on shoulder expansion and back bends.

Ensure your sleeping environment is tranquil, with ambient lighting and minimal electronic disturbance. Soft music or nature sounds can be beneficial in reducing stress, potentially diminishing the 'freeze response' as you sleep.

If blood oxygen levels remain low, or symptoms worsen, please continue seeking advice from a healthcare professional. Integrative approaches involving Ayurveda should not substitute essential medical treatments when necessary.

Dr. Maitri Bhavesh Kumar Acharya · Answer

To start addressing your sleep and oxygen issues, it's important to acknowledge how your haematological history and ongoing breath-holding may affect your sleep. From a Siddha-Ayurvedic perspective, the key is balancing the Prana Vayu, a sub-dosha of Vata, responsible for the breath and circulation. Consider Pranayam, specifically Anulom Vilom (alternate nostril breathing) before bed, as it can regulate breath and calm the nervous system. Practice gently, without straining, for 5-10 minutes in a comfortable position.

Next, incorporating certain herbs known to support respiratory function could help. Tulsi (Holy Basil) tea is beneficial. Drink a cup 1-2 hours before bed. It may support respiratory health and modulate your stress response.

Your digestive issues could be aggravated by CPAP; addressing bloating and flatulence may help improve comfort during sleep. Try Hing (asafoetida) mixed with warm water after dinner as it aids digestion and reduces gas.

Also, your fragmented sleep suggests considering Nidra (sleep) improvement techniques. Set a consistent sleep schedule and create a calming nightly routine, avoiding stimulating activities or heavy meals before sleep.

Physical exercises tailored to your condition, or maybe gentle yoga postures like Shavasana (Corpse Pose), may also promote a more restful state and address circulation issues indirectly linked with oxygen levels.

Given your medical profile, it’s crucial to closely monitor your condition. Collaborate with healthcare professionals to ensure that any alternative practices complement your current treatments without substituting essential interventions. Be vigilant about symptom changes and don't disregard professional medical advice.

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