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We're at wit's end from lack of sleep!

(34 Posts)
willa45 Wed 14-Mar-18 07:37:43

Please forgive this long post, but I am in desperate need of advice from health carers out there:

In early January, DH had pneumonia which affected his heart and likely triggered Atrial Fibrillation (we spent New Year's Eve in hospital). He was also having trouble breathing when he lay down flat and could only sleep sitting up.

In hospital, we were told he suffered a very mild heart attack and that there was minimal damage to his heart. He did have a blocked artery that needed a stent.

When they lay him flat in the Cath lab, DH suffered what they referred to as a "flash pulmonary edema" and Cardiologist aborted the procedure altogether. He was in hospital for twelve days after that; first to recover from pneumonia and subsequently to have the stent put in (successfully despite being in A-fib).

During all that time he still couldn't sleep lying down without developing a gurgling/rattling in his chest and trouble breathing. He was sent home (in A-fib) with blood thinners and a prescription for diuretics (water pills) to help dry out the fluid (presumably residual fluid from his bout with pneumonia).

He's since also had two Cardioversions (shock to the heart) and one Ablation (radiofrequency) procedure to get rid of the A-fib. Currently he's out of A-fib, but what is driving us crazy is that he still can't sleep lying down and most nights he can't sleep at all with this chest congestion.

His cardiologist wants him on a water pill even though he doesn't have congestive heart failure...a blood test confirmed it's NOT in chf. X rays confirm his lungs are clear and there's no pneumonia. Our family doctor also reassured us that he doesn't have congestive heart failure.

Issues: Water pill helps but it makes him feel very poorly and could also be affecting his kidneys. A well meaning friend suggested that water pills can affect heart rhythm (dehydration? low potassium?, low blood pressure?) and put him back in A-fib. This new information makes me nervous.

During the day he's fine but he's exhausted from the water pills and lack of sleep (we both don't sleep). The (crackling) congestion in his chest and difficulty breathing seems to happen only at night and only when he lies down. I thought about allergies, but antihistamines like Benadryl don't seem to help.

All I know is that DH manages to sleep only in a chair and very poorly at that. He is miserable to say the least. Most nights, we have lights on and off at all hours. Sleep deprivation is ruining our lives and we need help!

Granny23 Tue 20-Mar-18 23:33:12

Willa45 Wonderful news in your update. Thank you for sharing - it gives hope to all of us who are struggling with intractable illnesses.

willa45 Tue 20-Mar-18 23:28:25

To my 'invisible' friends across the pond, I wanted to tell you how much I appreciate all your kind responses.

I also owe you an update so here goes:

On Friday morning 3/16, DH had another Cardio-version. He was sent home after lunch (out of A-fib) with Rxs adjusted and water pill reduced. Later that afternoon he told me he felt much better than he had in a long time. Friday night however, was the usual with not sleeping much, but we did notice that the crackling in his chest had diminished.

On Saturday evening, I went to bed and he went to his chair, both of us expecting yet another fitful night. Surprised when I woke up on Sunday morning and hubby was sleeping right next to me flat on his pillow!

It seems he wasn't feeling the crackling at all, so he decided to give our bed another try and to sleep the way he used to. Needless to say, I was both astonished and delighted the next morning!

On Monday we had a setback, because he reverted and he's been in and out of A-fib since then and that's still a big worry. The crackling is definitely gone though. Cardiologist wants to see him again next week so a lot remains to be seen.

So, not entirely out of the woods yet, but after weeks and weeks of torture, we're finally able to get a full night's sleep!

Ironic that my outburst of sheer desperation happened just as things were about to improve. It's always "darkest before dawn" they say, so I guess things were going to get better and I just didn't know it.

jura2 Wed 14-Mar-18 21:01:39

This is hard for you, I am so sorry.

Is it possible for you to sleep in separate beds - even if in same room? Also if he has to sleep sitting up slightly- do go and buy a good quality V-shaped pillow to give him side support.

Trixee Wed 14-Mar-18 20:09:09

Could your husband possibly get some relief by postural draining of the lung fluid.
I get a build up of this, due to damage from pneumonia, and was taught to do drainage by a nurse at the clinic. The relief is amazing.

I do hope you soon get it sorted.

dogsmother Wed 14-Mar-18 18:24:39

Okay, you’ve had good advice. Particularly from people who have been in this situation, so this is it.
Speak to a pharmacist.
Get a riser recliner chair.
And speak to doctors again if unsure.
The fluid around the chest will drain down whilst he is more upright and that is why so many people get so much comfort from riser recliner chairs.

EmilyHarburn Wed 14-Mar-18 17:37:28

Get a rise and recline chair with 2 motors. Make sure it goes flat. Possible supplier for example
oaktreemobility.co.uk/rise-recline-chairs/?ref=ADW1&otcampaign=SS/Chairs/DualMotorChair/BMM&gclid=Cj0KCQjwkKPVBRDtARIsAA2CG6F9D_EOAu1bjvMp5f6GZPfoXRxihBnRqmLP2uTJuP9J0KAvaQNo2bcaAjKzEALw_wcB

Your husband can then get just the angle that is right for himself and snooze and sleep. You could have it by the bed so that he can hop on to it if he is uncomfortable.

As others in this thread have suggested he need proper advice on his medication and posture.

If you go onto the internt you will find that Papworth Hospital, Guys Hospital and others have advice on how to cope with the bed after heart surgery.

Good luck

This will let your husband lie and sit at any angle

newnanny Wed 14-Mar-18 17:05:09

You really need to insists he is given another referral. Do not leave GP surgery without one. I take a daily water tablet for excess fluid around my ankles and it does not make me feel ill. Sleep deprivation is likely cause for your dh feeling so bad.

mollie Wed 14-Mar-18 14:47:49

I can’t comment on the medical issues but wanted to say that my OH hasn’t slept laying down for about 10 years now and it isn’t uncommon. If he can get past the unusual element and find a comfy position he will sleep. If he’s lucky the medical issues will be resolved and he will go back to horizontal sleeping. I wish you both luck.

grandtanteJE65 Wed 14-Mar-18 14:37:55

So sorry to hear what a horrible time you and your DH are having.
Please do follow the advice to talk to your GP and try also to get a hospital appointment soon. Ask both your GP and the consultant to tell you if all the medication your DH is taking is necessary and IF it all works well together. Sometimes problems are caused when a doctor prescribes something without knowing what else the patient is taking.

When you have had some sleep and are up to it, try the charity shops that sell furniture and see if you can get a bed that can be adjusted easily for DH.

Get onto social services or CAB and find out what help you are entitled to - you surely must be entitled to some kind of help as you are your DHs primary carer!

auntbett Wed 14-Mar-18 14:10:14

Ask for a 2nd opinion with a good cardiologist.

amt101 Wed 14-Mar-18 13:54:04

If you aren't happy with your GP and can afford it, you could make a private appointment with the consultant you are under. It isn't cheap but you get undivided attention and it may sort all your worries.

stella1949 Wed 14-Mar-18 13:53:59

I use a foam rubber bed wedge, which lifts up the upper part of your body about 1 foot above the rest of you. It has cured my sleep apnoea . If he can't lie down, one of these wedges is a cost-effective option to relieve breathing problems.

Shazmo24 Wed 14-Mar-18 12:47:19

If DH needs to sleep more upright how about getting one of those beds where you can raise or lower the mattress with a button. You can get them for a double bed but have separate controls...as for the water pills I have no idea sorry

Willow500 Wed 14-Mar-18 12:28:43

I have AF and am on meds and blood thinners but don't have any of these issues. I agree with Gabriella and the others that you need to revisit the medical profession and OT for proper help for your husband - emphasise the impact it's having on both your lives. The rise and fall bed may indeed help - a reclining chair is ok for short term but not very practical or as comfortable as a bed (slept on one for a fortnight once with a bad shoulder). I hope you get some help quickly as you can't go on like this.

coast35 Wed 14-Mar-18 12:16:57

Years ag I had very bad gastric reflux and had to sleep sitting almost upright. My husband and I tried everything. To raise the head of the bed but there was one fundamental problem. If only the head of the bed is raised you slip downwards as you are sleeping and spend the night mountaineering up the head end of the bed.
Our final solution was an electric bed. The difference is that with the head and foot raised up it’s like lying in a cradle. No slippage. There are a number of very expensive electric beds on the market but we went to Archers and bought a cheap one. It’s 10 years old now and still going strong. The strange thing is when you are lying on it raised, it feels like a flat bed! I can’t explain that one. ??

TellNo1Ok Wed 14-Mar-18 12:12:23

I agree with you OldMeg.... get back to GP immediately... today or tomorrow... sit in the waiting room for an appointment if you have to... and talk this through ..
Just a thought ... do you have anyone younger fitter less tired who can go with you for support?

GabriellaG Wed 14-Mar-18 12:08:33

willa45

A very sad situation BUT...I think you should be asking the professionals, not us. There will be many on here who have or have had people they know with some of the symptoms you mention. That does not qualify anyone to give recommendations on such a serious issue, especially if it's at odds with your own GP's and the hospital's advice.
A little knowledge can be a dangerous thing.
The only thing I would say, is to re-visit your doctor and insist on a referral to a chest specialist asap.
I'm sure that your husband's discomfort is impacting on your own health and, to that end, you need this problem sorting out right away and a diagnosis and medication plan that improves his health and your peace of mind. flowers

icanhandthemback Wed 14-Mar-18 11:24:35

You may well have a case for a hospital bed which your DH can borrow. Ask to have an Occupational Therapy assessment so you can ensure your DH can get a good nights sleep. Sleep deprivation is used as a form of torture for very good reason and makes everything feel insurmountable.

Minerva Wed 14-Mar-18 11:16:11

When you say DH sleeps in a chair, is it a recliner? I have two friends who can’t lie down, one of them with lung cancer and the other COPD and they both say they sleep well, almost sitting up, in their recliners. If you have space it could be a cheaper option than changing the bed.

Good luck with the GP. You both need to be listened to.

Sending best wishes. Not being able to sleep is miserable.

pen50 Wed 14-Mar-18 11:14:03

Been through all this sort of thing with my late DH - for eight years sad. Separate bedrooms and a very comfortable electric reclining chair helped us cope.

Jan51 Wed 14-Mar-18 10:59:20

My DH suffers with AF. It's never been suggested to do anything to to fix this although he is on water tablets and blood thinners. He bought himself a reclining chair and sleeps in this in the living room. This suits us as we keep very different hours.

M0nica Wed 14-Mar-18 10:56:11

My experience is that if you do not push and pester your GP, they will do nothing, just fob you off. So you have to gather every strength and just push them

That's not how it ought to be or used to be, but it is how it is now.

icanhandthemback Wed 14-Mar-18 10:47:33

May I suggest you book an appointment with your local pharmacy so they can go through the medication with you and can talk about better solutions. They can be much more knowledgeable than doctors when it comes to the best way to help the symptoms.

allule Wed 14-Mar-18 10:30:43

If you don't want to change the bed, you could have an electric lifter under the mattress to get the best angle.

Molly10 Wed 14-Mar-18 10:27:45

This is a stessful and unpleasant situation you are in to say the least. Definitely speak to your GP or hospital Doctors about this as seeking advice from non medics has already raised your level of concern. Big hugs x