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[Equipment] Very Difficult to be compliant my nasal pillow hurts the inside of my nose soo much
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WakemeupBeforeYouGoGo Offline

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Posts: 2
Joined: Apr 2015

Machine: ResMed S10 Auto
Mask Type: Nasal mask
Mask Make & Model: ResMed airfit P10
Humidifier: S10 humidifier
CPAP Pressure: 7-10
CPAP Software: SleepyHead

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Sex: Male
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Post: #1
Very Difficult to be compliant my nasal pillow hurts the inside of my nose soo much
I just got the ResMed S10 with AirFit P10 nasal pillow last Wed (5 days ago).
I have been wearing the mask but can't keep it on all night, I wake up early in the morning and take it off, but only because it hurts the inside of my nose soo much. There is now a red "zit/cut" growth at the inner edge of my nasal bridge (the soft tissue not the cartridge).
I have tried all 3 pillow sizes (S, M, L) ...(was fitted with Medium initially). I have tried adjusting the straps, I have tried the Linolin lotion on the inside of my nose and outlining the nasal pillow.
Nothing seems to work.
Is this normal? What else should I try?
04-19-2015 06:22 PM
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DocWils Offline

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Posts: 1,271
Joined: Jul 2012

Machine: Philips Remstar series 60
Mask Type: Nasal pillows
Mask Make & Model: ResMed P10
Humidifier: same as machine
CPAP Pressure: 5-15
CPAP Software: SleepyHead

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Sex: Male
Location: Switzerland

Post: #2
RE: Very Difficult to be compliant my nasal pillow hurts the inside of my nose soo much
While all nasal pillows are designed to cause a minimum of abrasion to nose, it can happen for a variety of reasons, and each manufacturer can't always make the specs of their sizing right for each patient. While your best bet is to consider another manufacturer, another type of nasal pillow or move to a nasal mask, taking the current model in to your dermatologist might also be a solution if you are adamant about staying with the P10 - he can examine the material, the abrasion and the fit and determine the cause.
04-19-2015 07:08 PM
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worn_out_in_lebanon Online

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Posts: 271
Joined: Jan 2015

Machine: Resmed A10 Autoset
Mask Type: Full face mask
Mask Make & Model: F20 (newest Resmed ffm)
Humidifier: Included, ClimateLine tubing
CPAP Pressure: 13-15, EPR:0
CPAP Software: SleepyHead

Other Comments: I.T. Project Manager. Started CPAP therapy March 16, 2015. Untreated AHI 39.

Sex: Male
Location: TN

Post: #3
RE: Very Difficult to be compliant my nasal pillow hurts the inside of my nose soo much
I had a worse skin reaction from using the lanolin than without.
04-19-2015 07:17 PM
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trish6hundred Offline

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Posts: 6,450
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: #4
RE: Very Difficult to be compliant my nasal pillow hurts the inside of my nose soo much
Hi WakemeupBeforeYouGoGo,
WELCOME! to the forum.!
You might ask to try a different type of nasal mask or another pillows mask than the one you ar using now, to see if that will help you.
Hang in there for more suggestions.
Much success to you with your CPAP therapy and fine tuning it.

trish6hundred
04-19-2015 07:47 PM
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retired_guy Offline

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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: #5
RE: Very Difficult to be compliant my nasal pillow hurts the inside of my nose soo much
I'm wondering if the mask is too tight. Using the pillows, especially the large pillows, shouldn't be able to impact the "inside" of the nostril all that much. If it feels nice and tight when you put it on, it probably is too tight. Adjust the bands, or stretch them a bit to get a looser, but still acceptable fit. Better a little higher leak result than a hurt nosie.
04-19-2015 08:12 PM
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player Offline

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Posts: 412
Joined: Feb 2015

Machine: Resmed A10 Autoset For Her
Mask Type: Nasal pillows
Mask Make & Model: Resmed A10
Humidifier: Resmed A10 Autosset
CPAP Pressure: 11-16
CPAP Software: SleepyHead

Other Comments: It's a... mad world...

Sex: Male
Location: Canada

Post: #6
RE: Very Difficult to be compliant my nasal pillow hurts the inside of my nose soo much
I found with the Fisher Pillario it would almost peal off the skin on the inside of my nose in the morning when I took it off. I got some of that Lanolin titty cream and put the very tiniest amount on the entrance and around the start of the inside of my nose. Problem solved.
04-19-2015 09:06 PM
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WakemeupBeforeYouGoGo Offline

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Joined: Apr 2015

Machine: ResMed S10 Auto
Mask Type: Nasal mask
Mask Make & Model: ResMed airfit P10
Humidifier: S10 humidifier
CPAP Pressure: 7-10
CPAP Software: SleepyHead

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Sex: Male
Location:

Post: #7
RE: Very Difficult to be compliant my nasal pillow hurts the inside of my nose soo much
Yeap I thought so too, I thought that it might be the fit...but damn I've tried all 3 of them (S, M, L). I've tried moving the headband close together, then one on top of my head and the other nearly at my neck...no go.Dont-know

Here is the picture where it occurs but in my left nostril, however the area is the same. The circumferance around the nostril is indeed sore but that is nothing and was fixed with Linolin cream but the inner area is what bugs me...it has turned into a sore/cut/dimple.

I feel like I got nasally pleasured by the sleep fairy when I wake up.

Here is the picture where it hurts (had to modify the URL since I am not up to 8 posts yet so can't post direct links).
h ttps://i.imgur.com/yU9TxAT.jpg
04-19-2015 09:11 PM
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eseedhouse Online

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Machine: ResMed Airsense 10 Autoset
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CPAP Pressure: 7-10
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Other Comments: Also on supplemental O2 at 3L/min. while sleeping.

Sex: Male
Location: Victoria, British Columbia

Post: #8
RE: Very Difficult to be compliant my nasal pillow hurts the inside of my nose soo much
(04-19-2015 09:11 PM)WakemeupBeforeYouGoGo Wrote:  Yeap I thought so too, I thought that it might be the fit...but damn I've tried all 3 of them (S, M, L).

I bet you there are more than three sizes of noses and nostrils! Each manufacturer probably sizes slightly differently so trying another make might do the trick. Or it might not.

Ed Seedhouse
VA7SDH

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

Actually you know, it is what it isn't.
04-19-2015 09:23 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

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Location: western NC, USA

Post: #9
RE: Very Difficult to be compliant my nasal pillow hurts the inside of my nose soo much
Try a different nasal pillow mask. That's why there are so many different ones out there. Some pillows sit further in, some sit barely in at all. Some individual pivot, some are locked in place.

Check out the Nuance next. It sits mostly on the outside of the nostril with minimal going inside. After that, there's the Pilaro which is popular.

PaulaO2
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www.ApneaBoard.com


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04-19-2015 09:32 PM
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worn_out_in_lebanon Online

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Posts: 271
Joined: Jan 2015

Machine: Resmed A10 Autoset
Mask Type: Full face mask
Mask Make & Model: F20 (newest Resmed ffm)
Humidifier: Included, ClimateLine tubing
CPAP Pressure: 13-15, EPR:0
CPAP Software: SleepyHead

Other Comments: I.T. Project Manager. Started CPAP therapy March 16, 2015. Untreated AHI 39.

Sex: Male
Location: TN

Post: #10
RE: Very Difficult to be compliant my nasal pillow hurts the inside of my nose soo much
I have to make sure mine is aligned right. The angle from top to bottom. If the strap is sitting too low on the back of my head, the nasal pillow tries to rotate in at the top. If I keep the strap up kind of high on the back of my head, the pillow stays out, all the way around.
04-19-2015 10:02 PM
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