Post Reply 
Can too high pressure cause headache/sinus congestion?
Author Message
jen61 Offline

Preferred Members

Posts: 26
Joined: Jun 2016

Machine: DreamStation Auto CPAP
Mask Type: Nasal pillows
Mask Make & Model: AirFit P10
Humidifier: Built In
CPAP Pressure: 4-20
CPAP Software: SleepyHead

Other Comments:

Sex: Female
Location: Missouri USA

Post: #1
Can too high pressure cause headache/sinus congestion?
I'm a week into using my CPAP and my numbers and stats are still all over the place. Last night my AHI was moderately high (can't remember for sure but I think 8-10ish) and my pressure rate averaged at 15 or so, but was at 19.5 for a very long time. When I woke up this morning I had a headache, and my sinuses have been stuffy all morning. I don't recall waking up breathing through my mouth too much, so the chin strap may have worked better than usual, but I did have a very dry, weird feeling in my mouth, so who knows?? Could this be from pressure that is too high?
06-23-2016 12:01 PM
Find all posts by this user Post Reply Quote this message in a reply

Donate to Apnea Board
eseedhouse Offline

Advisory Members

Posts: 882
Joined: Dec 2014

Machine: ResMed Airsense 10 Autoset
Mask Type: Full face mask
Mask Make & Model: SimPlus
Humidifier: ResMed
CPAP Pressure: 7-10
CPAP Software: SleepyHead

Other Comments: Also on supplemental O2 at 3L/min. while sleeping.

Sex: Male
Location: Victoria, British Columbia

Post: #2
RE: Can too high pressure cause headache/sinus congestion?
(06-23-2016 12:01 PM)jen61 Wrote:  I'm a week into using my CPAP and my numbers and stats are still all over the place. Last night my AHI was moderately high (can't remember for sure but I think 8-10ish) and my pressure rate averaged at 15 or so, but was at 19.5 for a very long time. When I woke up this morning I had a headache, and my sinuses have been stuffy all morning. I don't recall waking up breathing through my mouth too much, so the chin strap may have worked better than usual, but I did have a very dry, weird feeling in my mouth, so who knows?? Could this be from pressure that is too high?

Actually many people who post on this board have found the opposite. Myself, if my nose is somewhat blocked at bed time the pressure helps me breath through my nose. There is no reason why increased air pressure in your nasal passages should, by itself, cause them to block up.

If your machine was sucking in air laden with stuff you are allergic to this could cause problems, but you can get filters to prevent that.

Ed Seedhouse
VA7SDH

I am neither a Doctor, nor any other kind of medical professional.

Actually you know, it is what it isn't.
06-23-2016 05:55 PM
Find all posts by this user Post Reply Quote this message in a reply
becker44a Offline

Advisory Members

Posts: 181
Joined: Jan 2014

Machine: ResMed S9 Autoset
Mask Type: Full face mask
Mask Make & Model: F&P Simplus Lg
Humidifier: ResMed H5i
CPAP Pressure: Rx 10 - 20cm, Usually 10-14cm
CPAP Software: ResScan SleepyHead

Other Comments:

Sex: Male
Location: NE Ohio, USA

Post: #3
RE: Can too high pressure cause headache/sinus congestion?
(06-23-2016 12:01 PM)jen61 Wrote:  I'm a week into using my CPAP and my numbers and stats are still all over the place. Last night my AHI was moderately high (can't remember for sure but I think 8-10ish) and my pressure rate averaged at 15 or so, but was at 19.5 for a very long time. When I woke up this morning I had a headache, and my sinuses have been stuffy all morning. I don't recall waking up breathing through my mouth too much, so the chin strap may have worked better than usual, but I did have a very dry, weird feeling in my mouth, so who knows?? Could this be from pressure that is too high?

Hi jen61,
Welcome to the forum! Welcome

I don't use a nasal pillows mask, so I can't comment directly about that, but I usually find that if my nose or sinuses are a little stuffy when I am ready to go to bed, a few minutes on the machine usually opens them up, not the reverse. The dry mouth sensation may come from mouth-leaking, so it would be important to start monitoring leaks and correct them, whatever the cause.

A few observations . . .

First, your pressure range at 4-20 is wide open, and often people find that the starting pressure is too low for comfortable breathing. Do you have a respiratory tech or someone to help you zero in on your settings, or are you needing to handle that on your own? If the latter, I would recommend looking at your data in Sleepyhead and look at what is happening, first with regard to leaks. If you end up adjusting your own settings, plan to do so gradually, changing only one setting at a time, then waiting a week or more to see the effect.

It would be helpful if you could post an image of your SleepyHead data here: then knowledgeable folks can look it over and make more informed suggestions.

Last, since your pressure went up to near the maximum, this suggests that you are having a good number of obstructive events. In my own case, I found that sleeping on my back was very bad - my untreated apnea rate is about twenty times worse when I am on my back. If you had a sleep study, check the results to see if there was mention of sleeping position (usually supine vs other). If so, search the forum for suggestions as to how to avoid back-sleeping. Once I did that, my AHI numbers stopped hovering in the 10-15 range, and now are usually below 1. The pressures also dropped dramatically, from up near 20, down to the 12 - 14 range. This had a huge effect on the leaks and comfort for me. At any rate, this is a simple matter to experiment with, and doesn't require any interaction with Sleep professionals (if you have such).

The means to avoid back-sleeping can range from wearing a snug T-shirt with some pockets on the back containing tennis balls, wedging large-firm pillows behind you, to wearing a backpack to sleep, containing a collection of lumpy objects. The point is to make it uncomfortable to roll onto your back.

Get us more information, and good luck on your journey!!!

A.Becker
PAPing in NE Ohio, with a pack of Cairn terriers
06-23-2016 06:14 PM
Find all posts by this user Post Reply Quote this message in a reply

Donate to Apnea Board
big_dave Online

Advisory Members

Posts: 411
Joined: Apr 2012

Machine: PR System One DS560
Mask Type: Nasal pillows
Mask Make & Model: F&P Pilairo Q or ResMed Mirage Activa
Humidifier: PR System One
CPAP Pressure: 14 - 20
CPAP Software: SleepyHead

Other Comments: Former ResMed S8 Autoset II user

Sex: Male
Location: Eugene, Oregon

Post: #4
RE: Can too high pressure cause headache/sinus congestion?
I've found that some pillows masks close up my sinuses. Both the Optilife and the Mirage Swift irritated my sinuses by shooting jets of air directly into my nose. I was only able to use them for two nights before they closed up my sinuses, forcing me to mouth-breathe. I had the same problem with a nasal cannula once when I was i the hospital years ago.

On the other hand, I've been using the Pilairo Q pillows mask as my main mask lately. The air from the Pilairo Q feels calm and does not jet into my nose. It actually opens up my sinuses. I've had very little congestion since I started wearing it 3 months ago, far less than before I started CPAP when I had a chronic problem with nasal congestion. I haven't had to rinse my sinuses with a neti pot as often since I switched masks.
06-23-2016 10:36 PM
Find all posts by this user Post Reply Quote this message in a reply
jen61 Offline

Preferred Members

Posts: 26
Joined: Jun 2016

Machine: DreamStation Auto CPAP
Mask Type: Nasal pillows
Mask Make & Model: AirFit P10
Humidifier: Built In
CPAP Pressure: 4-20
CPAP Software: SleepyHead

Other Comments:

Sex: Female
Location: Missouri USA

Post: #5
RE: Can too high pressure cause headache/sinus congestion?
I don't think I've been sleeping on my back. I'm mostly a side sleeper anyway. As I look at my stats again, it looks like the pressure did go to the max of 20. I believe my behind the scenes tech must have adjusted the starting point a bit, because now when I turn it on at night it automatically starts at 10 instead of 4, and I have to hit the ramp button to get used to it. I'm attaching a couple of screenshots from last night to see if anything looks out of the ordinary.
[Image: J1IJcNJl.png]
Here's another view.
[Image: Ko5ns5rl.png]
(This post was last modified: 06-23-2016 10:51 PM by jen61.)
06-23-2016 10:49 PM
Find all posts by this user Post Reply Quote this message in a reply

Donate to Apnea Board
PoolQ Offline

Advisory Members

Posts: 986
Joined: Jul 2015

Machine: AirCurve 10 VAUTO
Mask Type: Full face mask
Mask Make & Model: Amara View
Humidifier: Integrated
CPAP Pressure: 6.2, 15, PS4.0
CPAP Software: SleepyHead

Other Comments:

Sex: Male
Location: Sillicon Valley

Post: #6
RE: Can too high pressure cause headache/sinus congestion?
I had headaches for a while, doctor said it was caused by retained CO2. I decreased the exhale pressure (flex settings for your machine) and they went away.

Lots of congestion, both real and pressure miss-understood. Before CPAP pressure has always meant congestion, so I 'felt" congested and was not.

I use breathe right strips and Flonase every night, because some of the congestion was real. Temperature, humidity can cause it. Sometimes I put ice in the water chamber and sometimes I fill it with water, just depends. Don't assume CPAP is like anything before. I used to think I like humidity, then I didn't and now I like some.
06-23-2016 11:21 PM
Find all posts by this user Post Reply Quote this message in a reply
OpalRose Offline

Monitors

Posts: 3,181
Joined: Nov 2014

Machine: PR System One REMstar Auto 560 with A Flex
Mask Type: Nasal pillows
Mask Make & Model: AirFit P10 For Her
Humidifier: REMStar heated humidifier with heated hose
CPAP Pressure: Auto Cpap 10-13 AFLEX 1
CPAP Software: SleepyHead EncoreBasic

Other Comments: Started CPAP Therapy October 23, 2014

Sex: Female
Location: Northeast Ohio, USA

Post: #7
RE: Can too high pressure cause headache/sinus congestion?
jen61,
From your SleepyHead stats, it looks like your machine is set what we call wide open at 4 minimum and 20 max. You aren't starting at 10, but the Apap is ramping up to that number right away, which indicates you need a higher pressure. Your medium pressure is around 17. Your minimum pressure should not be left at 4.

I have to wonder when looking at your 95% numbers going up to 20 that you should be using a bipap machine. I would check with your doctor and ask about this.

Another thing is your leak rate is a little high. You are probably mouth breathing, especially when you say you have dry mouth. You may not realize you are doing this.

Above anything else right now, you need to focus on leaks, and as was advised in another thread, your minimum pressure at 4 is not optimal. Change it to at least 6 and inch it up slowly. If you don't feel comfortable with this, talk to your doctor.

OpalRose
06-24-2016 07:55 AM
Find all posts by this user Post Reply Quote this message in a reply

Donate to Apnea Board
DariaVader Offline
Apnea Board Facebook Editor
Monitors

Posts: 1,827
Joined: Nov 2014

Machine: Resmed S9 AutoSet
Mask Type: Nasal pillows
Mask Make & Model: Airfit P10 for Her
Humidifier: H5i humidifier with ClimateLine heated hose
CPAP Pressure: 8-15
CPAP Software: SleepyHead

Other Comments: diabetes II, Thyroidectomized, Primary Immune Deficiency, and the list goes on :P

Sex: Female
Location: Oregon

Post: #8
RE: Can too high pressure cause headache/sinus congestion?
I have issues with sinuses in response to pressure, however I have been able to completely mitigate the issues by snorting up some Xlear nasal spray long enough before turn-in to have a nice dry nose. I said Xlear... but actually I got the special spray bottle and now make my own Wink Xlear contains Xylitol along with the saline and makes my sinuses very happy.

هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه
Tongue Suck Technique for prevention of mouth breathing:
  • Place your tongue behind your front teeth on the roof of your mouth
  • let your tongue fill the space between the upper molars
  • gently suck to form a light vacuum
Practising during the day can help you to keep it at night

هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه
06-24-2016 10:05 AM
Find all posts by this user Post Reply Quote this message in a reply
chill Online

Advisory Members

Posts: 864
Joined: Mar 2016

Machine: DreamStation X500
Mask Type: Full face mask
Mask Make & Model: Walk-in Mask Closet
Humidifier: DreamStation
CPAP Pressure: 13-16
CPAP Software: SleepyHead

Other Comments: CPAP True Believer

Sex: Male
Location: Vancouver, Canada

Post: #9
RE: Can too high pressure cause headache/sinus congestion?
Based on Daria's recommendations, I have also started doing a twice daily Xylitol/salt/baking soda nasal rinse and it has helped a lot. Thanks Daria!
06-24-2016 10:42 AM
Find all posts by this user Post Reply Quote this message in a reply

Donate to Apnea Board
PaytonA Offline
Wiki Editor
Monitors

Posts: 3,016
Joined: Dec 2013

Machine: ResMed S9 VPAP Auto
Mask Type: Full face mask
Mask Make & Model: Resmed Mirage Quattro
Humidifier: H5i(distilled-top up)
CPAP Pressure: VAuto MinE14.0 MaxI 20.6 PS4.0
CPAP Software: ResScan SleepyHead

Other Comments:

Sex: Male
Location: Orange County,California

Post: #10
RE: Can too high pressure cause headache/sinus congestion?
Daria,

If you are not careful, you are liable to start an Xlear cult. That would be the second cult on this board (besides the P10 cult) only I would be a member of this one. Oh-jeez Dont-know Thumbs-up-2

Best Regards,

PaytonA
06-24-2016 03:31 PM
Find all posts by this user Post Reply Quote this message in a reply
Post Reply 


Possibly Related Threads...
Thread: Author Replies: Views: Last Post
  Events way too high! sfrasher 22 1,214 11-22-2016 06:35 PM
Last Post: sfrasher
  High AHI (7.5) and don't know why fotomatt1 15 684 11-20-2016 05:38 PM
Last Post: Sleeprider
  Which disturbs sleep most? High Pressure or Changing Pressure Rcgop 7 1,281 11-10-2016 07:37 PM
Last Post: Sleep2Snore
  [Pressure] Hypoxic- No Apneas- Pressure Too High? beardog 13 641 11-08-2016 06:19 PM
Last Post: PsychoMike
  Leaks (Too high?) sleepytimegal 9 444 11-06-2016 09:58 PM
Last Post: sleepytimegal
  Symptoms of pressure being too high?? MrEGuy 4 582 10-19-2016 06:32 PM
Last Post: EnigmaGrey
  Why Are AHI High When Wide Awake? Dreams of Green 7 666 10-18-2016 09:35 PM
Last Post: 0rangebear

Forum Jump:

Who's Online (Complete List)