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Change in Pressure on CPAP
#1
I've been on a higher pressure on my CPAP for the past 2-3 weeks (the doctor upped it from 10.6 to 12) because I was still having 6-7 apnea episodes every hour of my sleep. I am still very tired during the day and notice with the higher pressure I'm getting a lot more gas and belching and I still wake up coughing during the night. Should I contact my doctor about this or is it normal to be experiencing this when the pressure is raised? Also, is this too great a jump in pressure - I understand that normally pressure should be raised about .5 at one time. Please any advice or information anyone can add would be helpful![/size]
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#2
(07-06-2015, 10:02 AM)jennie54 Wrote: I've been on a higher pressure on my CPAP for the past 2-3 weeks (the doctor upped it from 10.6 to 12) because I was still having 6-7 apnea episodes every hour of my sleep. I am still very tired during the day and notice with the higher pressure I'm getting a lot more gas and belching and I still wake up coughing during the night. Should I contact my doctor about this or is it normal to be experiencing this when the pressure is raised? Also, is this too great a jump in pressure - I understand that normally pressure should be raised about .5 at one time. Please any advice or information anyone can add would be helpful![/size]

This is why I've been concerned about the big increase in the pressure on my CPAP: (Copied from the apnea board site)

Adjust your CPAP pressure in small, incremental changes. We recommend that you do not change your pressure more than 0.5 cm/H20 at any one time. Changing pressures too much can decrease the effectiveness of your therapy and may lead to unintended and potentially dangerous health complications.
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#3
Aerophagia happens to some people on CPAP. 10.6 to 12 is not really that big of a pressure change in the grand scheme of things but it may be to you. I don't have this problem but those that do or did say it will go away after awhile. They often suggest to raise your head with an extra pillow or raise the head of the bed. The coughing could be from acid reflux. That I have lots of experience with unfortunately. I take a pill for it before bed regardless if my stomach feels acid or not. If raising your head does not help, I would lower the pressure to 11. If that works, keep that setting for 5 days and then try 11.6 for 5 days. let yourself get used to it.

Also - be all means contact your doctor and let him/her know. It couldn't hurt and they may drop the pressure anyway.


Using FlashAir W-03 SD card in machine. Access through wifi with FlashPAP or Sleep Master utilities.

I wanted to learn Binary so I enrolled in Binary 101. I seemed to have missed the first four courses. Big Grinnie

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#4
physicians routinely prescribe CPAP with straight single pressure of 10, 12, and more, right from the start [day one]. I do not understand the quote you found, it does not seem to be accurate.

large changes in pressure do usually take more time to get used to, cause negative feelings, often disruptions that affect the total real sleep.

QAL

Dedicated to QALity sleep.
You'll note I am listed as an Advisory Member. I am honored to be listed as such. See the fine print - Advisory Members as a group provide advice and suggestions to Apnea Board administrators and staff concerning Apnea Board operation and administrative policies. Membership in the Advisory Member group should not be understood as in any way implying medical expertise or qualification for advising Sleep Apnea patients concerning their treatment.
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#5
An on call doctor, one of my regular doctor's partners, increased my max pressure setting from 10 to 15 a week ago. The second night at 15 was terrible. I was exhausted and so were my lungs. (See another thread). My regular doc is back today. She called the sleep center and had them lower it back to 11. I will have to see how it does tonight. The pressure and/or the resultant mask leaks were waking me up. When I check the auto setting, it was always above 14 when I was awakened.

Jeff
Sleep is worth the effort.
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#6
So a doctor changes the pressure a full 5 cm, or raises it by a full 50%. Yet Jennie, who we have no qualifications listed for, recommends no more than half a cm per change. And we see how the doc's change worked out.

I know nothing about Jennie other than she probably made the better recommendation, in her 4th forum post. All those years in medical school might have been wasted on that other guy.
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