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Ahi down to near 0 or 0, but swallowing air + still mouth leaks (with masking tape)
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Visitor Offline

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Posts: 164
Joined: Feb 2014

Machine: Resmed Airsense 10 Autoset
Mask Type: Nasal pillows
Mask Make & Model: Resmed P10 nasal pillows
Humidifier: Resmed Airsense 10 and heated hose
CPAP Pressure: 9
CPAP Software: SleepyHead

Other Comments: Started APAP on May 26, 2014. Benefits kicked in on May 31 thanks to forum help (leakage resolved)

Sex: Male
Location:

Post: #1
Ahi down to near 0 or 0, but swallowing air + still mouth leaks (with masking tape)
Ok, so I reached a kind of ideal state at pressure 8 with near zero ahi's, using a P10 nasal pillows (love it), chin strap + masking tape to prevent mouth breathing.

I swallow air though as I still get air into my mouth at times (cheeks puffing), despite falling asleep fine. I noticed this a few times waking up + I get a dry mouth. The masking tape in the early hours of the morning still gets loose in places, which contributes to the issue and I get dry mouth + recently a few times uncomfortable feeling with teeth.

All in all it is probably during short intervals, but I have no way to be sure (I think).

I love the set up though, so would be very loath to switch to a full face mask. Not sure what to do. The air swallowing is a nuisance. I spent the better of the day getting rid of it and I'm concerned about dental issues in the long run (due to dry mouth). So any advice on what else I could do to make this work out? Swallow my tongue during the night?

Before APAP: [Image: DARTH-VADER_zpsa57946df.png]

After APAP: See avatar: R2D2 for the win!

"Be kind, for everyone you meet is fighting a great battle"
--Ian Maclaren

I don't snore! I just make creepy noises so the aliens know I'm not someone to be messed with.
(This post was last modified: 07-23-2014 04:07 PM by Visitor.)
07-23-2014 03:24 PM
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PaulaO2 Offline
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Posts: 8,067
Joined: Feb 2012

Machine: S9 Autoset
Mask Type: Full face mask
Mask Make & Model: F&P Simplus
Humidifier: H5i
CPAP Pressure: 14-20
CPAP Software: SleepyHead

Other Comments: Ehlers-Danlos Syndrome, Hypermobility Type; chronic sarcasm

Sex: Undisclosed
Location: western NC, USA

Post: #2
RE: Ahi down to near 0 or 0, but swallowing air + still mouth leaks (with masking tape)
You aren't getting the air from mouth breathing. You're getting it from the CPAP. It happens and should decrease with time.

There are a few things to try, though. Try raising the head of your bed. Methods are by putting something under the feet of the headboard, or under the mattress, or using an extra pillow (although this one may create more obstructive events).

If your leaks are low, I'd toss the tape. I really dislike the idea of it and do not advocate the use of it. There are dangers in using it. If you are mouth leaking that bad even with a chin strap, I would recommend another chin strap or to try one of the products called "Chin-Up Strips". It does not tape the lips themselves but rather are applied so the lips are held together better. But, like I said, if your leaks are low and below the threshold for where your machine can handle it, then toss the tape. That's not where your stomach air is coming from.

PaulaO2
Apnea Board Moderator
www.ApneaBoard.com


Breathe deeply and count to zen.

INFORMATION ON APNEA BOARD FORUMS OR ON APNEABOARD.COM SHOULD NOT BE CONSIDERED AS MEDICAL ADVICE. ALWAYS SEEK THE ADVICE OF A PHYSICIAN BEFORE SEEKING TREATMENT FOR MEDICAL CONDITIONS, INCLUDING SLEEP APNEA. INFORMATION POSTED ON THE APNEA BOARD WEB SITE AND FORUMS ARE PERSONAL OPINION ONLY AND NOT NECESSARILY A STATEMENT OF FACT.
07-23-2014 06:01 PM
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retired_guy Offline

Preferred Members-2

Posts: 2,744
Joined: Jan 2014

Machine: ResMed S9 Autoset
Mask Type: Nasal pillows
Mask Make & Model: Resmed Airfit P10
Humidifier: ResMed
CPAP Pressure: 10.6/14, EPR 3
CPAP Software: ResScan SleepyHead

Other Comments: Is it bedtime yet?

Sex: Male
Location: Beautiful, albeit very wet Oregon Coast

Post: #3
RE: Ahi down to near 0 or 0, but swallowing air + still mouth leaks (with masking tape)
What Paula said. I just think taping your mouth shut is trouble waiting to happen. Use the chinstrap, and if you happen to have a little higher leak number then that's ok too. It just needs to be under 24 or some such as much as possible without going crazy-go-nutz.

But you are doing fantastic! Just think: it was just a very short time ago that you were just trying to master this stuff, and now you're a pro!
07-23-2014 06:53 PM
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Visitor Offline

Advisory Members

Posts: 164
Joined: Feb 2014

Machine: Resmed Airsense 10 Autoset
Mask Type: Nasal pillows
Mask Make & Model: Resmed P10 nasal pillows
Humidifier: Resmed Airsense 10 and heated hose
CPAP Pressure: 9
CPAP Software: SleepyHead

Other Comments: Started APAP on May 26, 2014. Benefits kicked in on May 31 thanks to forum help (leakage resolved)

Sex: Male
Location:

Post: #4
RE: Ahi down to near 0 or 0, but swallowing air + still mouth leaks (with masking tape)
Ok. I have a better chin strap and will try that first. Thanks both Wink

Before APAP: [Image: DARTH-VADER_zpsa57946df.png]

After APAP: See avatar: R2D2 for the win!

"Be kind, for everyone you meet is fighting a great battle"
--Ian Maclaren

I don't snore! I just make creepy noises so the aliens know I'm not someone to be messed with.
07-24-2014 02:20 PM
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JimZZZ Offline

Advisory Members

Posts: 370
Joined: Dec 2013

Machine: ResMed S9 AutoSet
Mask Type: Full face mask
Mask Make & Model: Fisher & Paykel Simplus
Humidifier: ResMed H5i (not using)
CPAP Pressure: 9 - 14
CPAP Software: ResScan SleepyHead

Other Comments: CareFusion PureSom Ultra Chinstrap

Sex: Male
Location: Western North Carolina

Post: #5
RE: Ahi down to near 0 or 0, but swallowing air + still mouth leaks (with masking tape)
(07-23-2014 03:24 PM)Visitor Wrote:  ...so would be very loath to switch to a full face mask.
Having been down the same path as you are treading, i.e. air gushing out the mouth, aerophagia, taped lips, etc., I would caution against disregarding the possibility that a full face mask could help. After several attempts at using the nasal masks, I finally settled for a ffm and chinstrap. Although it felt a little bulky at first, I found that the absence of all the mouth issues made it worth the effort of adapting to the ffm.
07-25-2014 06:19 AM
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Canadian_Jesus Offline

Members

Posts: 18
Joined: May 2014

Machine: ResMed S9
Mask Type: Full face mask
Mask Make & Model: ResMed Mirage Quattro
Humidifier: ResMed H5i
CPAP Pressure: 9
CPAP Software: ResScan SleepyHead

Other Comments:

Sex: Male
Location: Wasaga Beach, Ontario, Canada

Post: #6
RE: Ahi down to near 0 or 0, but swallowing air + still mouth leaks (with masking tape)
I use a full face mask with no problems at all. My AHI is usually below 5. What I do is I wash it after every use to get the facial oils off of it, and I shower before bed so that my face is clean also. The absence (or relative absence) of oils means that I have minimal issues with leaks with my Mirage Quattro. I have never been able to adapt to a nasal mask, so I would not be able to tell you whether or not my sleep quality is better or worse with my ffm compared to a nasal one.
07-25-2014 06:48 PM
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Visitor Offline

Advisory Members

Posts: 164
Joined: Feb 2014

Machine: Resmed Airsense 10 Autoset
Mask Type: Nasal pillows
Mask Make & Model: Resmed P10 nasal pillows
Humidifier: Resmed Airsense 10 and heated hose
CPAP Pressure: 9
CPAP Software: SleepyHead

Other Comments: Started APAP on May 26, 2014. Benefits kicked in on May 31 thanks to forum help (leakage resolved)

Sex: Male
Location:

Post: #7
RE: Ahi down to near 0 or 0, but swallowing air + still mouth leaks (with masking tape)
Thanks both, I will keep ffm in mind. But so far the new chin strap seems to be doing the trick (early days of course)

Before APAP: [Image: DARTH-VADER_zpsa57946df.png]

After APAP: See avatar: R2D2 for the win!

"Be kind, for everyone you meet is fighting a great battle"
--Ian Maclaren

I don't snore! I just make creepy noises so the aliens know I'm not someone to be messed with.
07-26-2014 10:22 AM
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Sleepster Offline
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Posts: 4,995
Joined: Feb 2012

Machine: ResMed AirCurve10 VAuto
Mask Type: Full face mask
Mask Make & Model: F&P Simplus
Humidifier: HumidAir and SlimLine Hose
CPAP Pressure: MaxI 13.6 | MinE 5.2 | PS 4.4
CPAP Software: ResScan SleepyHead

Other Comments: Diagnosed Nov 2011. Conquered aerophagia.

Sex: Male
Location: Houston, Texas

Post: #8
RE: Ahi down to near 0 or 0, but swallowing air + still mouth leaks (with masking tape)
(07-26-2014 10:22 AM)Visitor Wrote:  Thanks both, I will keep ffm in mind. But so far the new chin strap seems to be doing the trick (early days of course)

If you continue to swallow air mention this to your doctor. I had to switch to a bi-level machine (Respironics BiPAP or ResMed VPAP are examples) to address this issue. It's the typical way to deal with aerophagia.

Sleepster
Apnea Board Moderator
www.ApneaBoard.com


INFORMATION ON APNEA BOARD FORUMS OR ON APNEABOARD.COM SHOULD NOT BE CONSIDERED AS MEDICAL ADVICE. ALWAYS SEEK THE ADVICE OF A PHYSICIAN BEFORE SEEKING TREATMENT FOR MEDICAL CONDITIONS, INCLUDING SLEEP APNEA. INFORMATION POSTED ON THE APNEA BOARD WEB SITE AND FORUMS ARE PERSONAL OPINION ONLY AND NOT NECESSARILY A STATEMENT OF FACT.
07-29-2014 09:53 AM
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Visitor Offline

Advisory Members

Posts: 164
Joined: Feb 2014

Machine: Resmed Airsense 10 Autoset
Mask Type: Nasal pillows
Mask Make & Model: Resmed P10 nasal pillows
Humidifier: Resmed Airsense 10 and heated hose
CPAP Pressure: 9
CPAP Software: SleepyHead

Other Comments: Started APAP on May 26, 2014. Benefits kicked in on May 31 thanks to forum help (leakage resolved)

Sex: Male
Location:

Post: #9
RE: Ahi down to near 0 or 0, but swallowing air + still mouth leaks (with masking tape)
(07-29-2014 09:53 AM)Sleepster Wrote:  
(07-26-2014 10:22 AM)Visitor Wrote:  Thanks both, I will keep ffm in mind. But so far the new chin strap seems to be doing the trick (early days of course)

If you continue to swallow air mention this to your doctor. I had to switch to a bi-level machine (Respironics BiPAP or ResMed VPAP are examples) to address this issue. It's the typical way to deal with aerophagia.

Thanks Sleepster, that's good advice.

Before APAP: [Image: DARTH-VADER_zpsa57946df.png]

After APAP: See avatar: R2D2 for the win!

"Be kind, for everyone you meet is fighting a great battle"
--Ian Maclaren

I don't snore! I just make creepy noises so the aliens know I'm not someone to be messed with.
07-31-2014 04:38 PM
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twdc33 Offline

Members

Posts: 14
Joined: Aug 2014

Machine: respironics remstar pro
Mask Type: Full face mask
Mask Make & Model: red med air
Humidifier: unsure
CPAP Pressure: 12.5
CPAP Software: Not using software

Other Comments:

Sex: Male
Location:

Post: #10
RE: Ahi down to near 0 or 0, but swallowing air + still mouth leaks (with masking tape)
I agree that a full face mask may be the solution to your problem. It will equalize the pressure in your mouth and nose. I had to go to a full face for the same reason and it solved the problem. However I need to tape my mouth shut ( I use the orange surgical tape) because my mouth opens and drool breaks the seal on the mask. Chin straps were no help. The full face part eliminates the effect of any air leaks in the tape.
08-20-2014 08:55 PM
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