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Difficulty Falling Asleep though Mask is Comfortable
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holden4th Offline

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Posts: 239
Joined: Dec 2015

Machine: PR System One REMStar 60 Series Auto with Bluetooth
Mask Type: Nasal mask
Mask Make & Model: Respironics Dreamwear
Humidifier: Remstar Heated Humidifier
CPAP Pressure: 11- 15 APAP
CPAP Software: SleepyHead

Other Comments:

Sex: Male
Location: Gold Coast Australia

Post: #1
Difficulty Falling Asleep though Mask is Comfortable
My first post on this forum.

I've just commenced CPAP and have a few questions. I started on my machine with an air fit P10 mask and while it wasn't too bad I have just switched to a Dreamwear. This has allowed me for the first time to wear a mask quite comfortably all night. The hose doesn't get in the way and it doesn't feel like I've got a couple of q tips up my nose. In other words freedom to move around as I am a side sleeper. There are some minor leaks occasionally but they are easily ignored.

However, I have difficulty getting to sleep and given that I'm not in any discomfort this is puzzling. What happens is that just as I am about to nod off I come back awake again. I do sleep eventually but don't get enough during the night.

As someone who likes to analyse their own problems I have noticed that just as I am about to fall asleep, air starts to leak from my mouth as I relax.

So does this mean that I am a mouth breather?
If so why didn't the sleep clinic pick it up?
Can I still use a nasal mask? (even with my mouth open its impossible to snore with the machine on)
Will I eventually train myself to breathe through my nose?

Any thoughts and solutions greatly appreciated.
01-22-2016 02:45 PM
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Possum Online

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Posts: 254
Joined: Oct 2015

Machine: Resmed Airsense Autoset A10
Mask Type: Nasal pillows
Mask Make & Model: Airfit P10
Humidifier: (included in CPAP model)
CPAP Pressure: 8-12
CPAP Software: ResScan SleepyHead

Other Comments: Innovo CMS-50F+ pulse oximeter

Sex: Male
Location: San Diego, California, USA

Post: #2
RE: Difficulty Falling Asleep though Mask is Comfortable
I would say either the mouth leak is waking you up, or you're still just getting used to therapy. As for a solution, I would first try a chin strap, which are available at any of the suppliers listed in our Supplier List above. This will help keep your mouth shut as you sleep. If that doesn't work, then you might eventually have to consider a full-face mask.

Welcome to the forum, and please do keep us updated on your progress!
(This post was last modified: 01-22-2016 02:53 PM by Possum.)
01-22-2016 02:52 PM
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GPSMapNut Offline

Advisory Members

Posts: 175
Joined: Nov 2015

Machine: DreamStation Auto
Mask Type: Nasal pillows
Mask Make & Model: Resmed AirFit P10 and PR DreamWear
Humidifier: DreamStation + heated hose
CPAP Pressure: 9-16
CPAP Software: SleepyHead EncorePro Other Software

Other Comments: Used Respironics REMstar Pro with C-Flex for 11 years and ResMed S9 Elite loaner for 3 months

Sex: Male
Location: Mississauga, ON, Canada

Post: #3
RE: Difficulty Falling Asleep though Mask is Comfortable
I second the chin strap. It may help you train yourself to keep the mouth closed. For starters, you can make a simple one, out of elastic bandage. Don't make it too tight - it's not to "force it" shut but to help you keep it this way. Also, wear it so it overlaps the front of the chin so, it puts a bit of a lift on your lower lip - even with the mouth shut, at 13 cmH2O, you can easily get some lip blowing.

I also suggest that for few days, before sleep, you spent an hour or so reading a book or just listening to the music while wearing your mask and CPAP going. Doing that some years ago, In short order adjusted to the therapy and trained myself to keep my mouth shut without help from the chinstrap. As of a month or so, I need one so, with time, things do change.

Everything I post on this board is nothing more than an opinion expressed by an apneak. Normally, it's based on facts and experience but sometimes, I may get things wrong or not have all the facts.
I reserve the right to change my mind. Why? Because tomorrow I may know better.
01-22-2016 03:44 PM
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PaytonA Offline
Wiki Editor
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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: #4
RE: Difficulty Falling Asleep though Mask is Comfortable
I would try the chin strap. Unless your pressure is pretty low the thing that you need to do is use your tongue against the the roof of your mouth to keep air pressure from coming into your mouth. The chin strap is a reminder to your body to do so and since it helps to keep your mouth closed makes it easier to get the tongue seal. I am afraid that chinstraps are like masks in that some may work for you and some may not.

I found that the ones that cupped my chin did not work for me at all. I ended up with a wide chin strap that supports the whole lower jaw. It pushes up the loose flesh under the jaw and I think helps to make the tongue seal. My problem with the chin straps with the chin cup was that it would hold my mouth closed but I would still get pressure blowing out of my lips.

Best Regards,

PaytonA
01-22-2016 05:31 PM
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trish6hundred Online

Advisory Members

Posts: 6,452
Joined: May 2012

Machine: Resmed S9 AutoSet for Her
Mask Type: Full face mask
Mask Make & Model: Fisher & Paykel Simplus
Humidifier: H5i Heated Humidifier
CPAP Pressure: 10 - 7-20 Cm H2O
CPAP Software: Not using software

Other Comments: I started CPAP in 2008. Totally blind since birth.

Sex: Female
Location: Missouri, USA

Post: #5
RE: Difficulty Falling Asleep though Mask is Comfortable
Hi holden4th,
WELCOME! to the forum.!
Try using your machine and wearing your mask during the evening as you read or watch tv. This will help you get used to this new way of sleeping.
Much success to you with your CPAP therapy and hang in there for more responses to your post.

trish6hundred
01-22-2016 09:50 PM
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cate1898 Offline

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Posts: 784
Joined: Aug 2015

Machine: PR System One 560BT Auto
Mask Type: Nasal pillows
Mask Make & Model: P10's/backup-DreamWear
Humidifier: PR attached
CPAP Pressure: 8.5 - 13. A-Flex 3
CPAP Software: SleepyHead

Other Comments: Began CPAP Therapy Sept. 11, 2015. Hx Hypertension, Post Graves Disease, chronic migraines.

Sex: Female
Location: Southern Ontario//SW Florida

Post: #6
RE: Difficulty Falling Asleep though Mask is Comfortable
Welcome to the forum holden4th! Hope you can resolve your issue quickly!

APNEABOARD - A great place to be if you're a hosehead!! Rolleyes

-------------------------------------------------------------------------------------------------
EVERY ACCOMPLISHMENT BEGINS WITH THE DECISION TO TRY!
01-23-2016 07:04 AM
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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: Difficulty Falling Asleep though Mask is Comfortable
holden4th,
Yes, it would appear that you are a mouth breather, and there's no doubt that the sound of air rushing from your mouth will wake you up or keep you from falling alsleep.

You can train yourself to breath through your nose only. A chin strap may help, give it a try, but while your are doing that, practice the "tongue seal".

Place your tongue to the roof of mouth with the tip of tongue behind front teeth.
Gently suck your tongue upwards. What happens is your tongue will find it's natural place and then forms a seal at the back of your throat so that no air can escape.

This takes some practice, but can be mastered in a short time.

Once I mastered it, I got rid of the chin strap. Smile

Good luck!

OpalRose
01-23-2016 08:20 AM
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SideSleeper Offline

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Posts: 227
Joined: Oct 2015

Machine: PR DS560HS REMstar Auto-A Flex+ +
Mask Type: Nasal mask
Mask Make & Model: Wisp & Dreamwear
Humidifier: Respironics System One
CPAP Pressure: APAP 11-11
CPAP Software: SleepyHead

Other Comments:

Sex: Female
Location: Western Oregon, USA

Post: #8
RE: Difficulty Falling Asleep though Mask is Comfortable
Some chin straps don't work well with the DreamWear mask. I have an Oracle chin strap and have only worn it a few times. It cradles my chin, and when worn tight enough to help keep my mouth closed it pushes my saggy cheeks up against the Dreamwear cushion and it leaks.
01-23-2016 06:41 PM
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holden4th Offline

Advisory Members

Posts: 239
Joined: Dec 2015

Machine: PR System One REMStar 60 Series Auto with Bluetooth
Mask Type: Nasal mask
Mask Make & Model: Respironics Dreamwear
Humidifier: Remstar Heated Humidifier
CPAP Pressure: 11- 15 APAP
CPAP Software: SleepyHead

Other Comments:

Sex: Male
Location: Gold Coast Australia

Post: #9
RE: Difficulty Falling Asleep though Mask is Comfortable
Thank you for your replies so far. It looks like a chinstrap will be on my shopping list very soon. I've stopped using the CPAP because I feel worse after using it than a night of apnea/hypopnea. The school term is about to start and I need my wits about me to work with the young children who are my charges. I've managed it well so far despite the OSA fatigue. Minimal sleep just won't work.

It's pleasing to know that I can train myself to become a nose breather. I do put my tongue at the roof of my mouth anyway and I'm a nose breather during the day.

The positive for me is that I now know its not the mask that's keeping me awake and that I might be able to finally master this CPAP business. However, the thought of a full face mask fills leaves me feeling uneasy as I am a side sleeper.

Three more questions:

What is a good brand of mask (one that will definitely keep my chin up and my mouth closed)?

Can I wear the strap under my Dreamwear mask? I know it's not recommended but I can't see why not.

Is there a way to tape my mouth closed and is it worth trying?

All questions from a tyro. Thanks in advance for your advice.
01-24-2016 04:46 AM
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DariaVader Offline
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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: #10
RE: Difficulty Falling Asleep though Mask is Comfortable
(01-24-2016 04:46 AM)holden4th Wrote:  All questions from a tyro. Thanks in advance for your advice.


HA! This may be the first time I have someone use the word "tyro" for n00b outside a crossword puzzle Big Grin is it common in your part of the world? (inquiring minds wish to know...)

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
01-24-2016 11:58 AM
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