(10-31-2017, 10:08 PM)confusedcpap Wrote: I have adjusted setting from nasal mask to nasal pillow, I have tried settings 1-3 on EPR, and I am still having a hard time exhaling through nasal pillows. I have even cleaned the "exhale vents" and still the same problem.
That is a bit strange, have you got then to tight?
I use the FX pillows, and they are fine if you keep them just tight enough to stop leaks, however, If I tighten them more than that they restrict the amount of air. Maybe if you have tried the EPR then there is a problem with your nose if you have tried a bigger size.
They should just rest against your nostrils and not go to far in, if they are to small they will tend to do this and restrict the flow.
I don't find it a problem even with one nostril blocked at the pressures I am at which is almost 12 now. It has crept up due to slight leaks and the machine compensates until I move and it seals again. Still getting green smiley face most mornings unless I knock the mask off altogether.
I can't remember what pressure you are at and what nasal pillows you are using?
I can't see why you are having a problem breathing out if:
You are using EPR.
Pillows are the right size.
Pressure is not very high.
Vents are clear.
Pillows are not to tight.
You are on AUTO APAP.
The hose is free and not kinked.
Do you feel the pressure drop when you are using Expiry Relief?
Do you hear the machine drop in speed/noise? (It is quiet anyway, but if you listen closely it should change when you breath out).
If you are using the soft FX pillows, make sure one side has not collapsed or is flattened.
When I look up what you are using I will think half of this does not even apply
Anyway, I am out of ideas
for now.