I'm inclinded to agree with retired_guy:
Except for usage, your numbers look good---the leak numbers are excellent and if you were doing significant amounts of mouth breathing during the time you have the mask on, there's be some evidence of leaks in the form of higher leak numbers.
So as far as the mask is concerned, I'd start by asking this question: Do you find your current mask comfortable
You may be overtightening it, and that might be part of what's going on.
Or it might just not be the mask for you.
Now some other stuff in response to things you've said:
(06-02-2014 01:44 AM)eBoof Wrote: The problem is I can only keep the mask on for a short time. The first night it was 3hours 56 min. But since then it's been closer to the 2 hour mark. I try very hard to keep it on but it either forces my mouth open or makes me feel so uncomfortable I have to take it off.
I want to tease apart what you mean when you say the mask makes you feel uncomfortable. It's important to figure out what kind of discomfort
you are dealing with because different causes of discomfort have different fixes. And the fixes for some causes make other discomforts even worse.
So try to answer the following questions:
1) When you say the machine "forces" you to open your mouth, is it the pressure that is forcing your mouth open or is it more of a feeling of suffocation? In other words, is the problem that there's too much air getting inside your mouth? Or is the problem that there's not enough air coming into the mask for you to breath comfortably so you open your mouth to breath in more air? [The "fixes" for these two distinctively different problems are very different from each other. And the "fix" for one of them is likely to make the other problem feel worse.]
2) Do you have more problems with exhaling against the pressure or with inhaling comfortably? Or are they about the same?
3) If you keep your mouth closed when this feeling starts, do you get chipmunk cheeks?
4) Is there any discomfort from the straps of the mask? Is the mask pressing awkwardly on your nose?
5) Do you have any problems with air getting into your stomach? Do you have any problems with air getting into your eyes?
Quote:Last night I took it off waited for an hour to relax and put it back on again but this time I lasted only about an hour.
Is mask anxiety becoming an issue? (You won't be the first if it is.)
Did you fall back asleep after you put the mask back on and then wake up after only an hour? Or did you lie in bed fighting to get to sleep with the mask on for an hour and then you gave up, took the mask off, and went to sleep without the machine?
Quote:Each morning when I wake I feel like I've done 3 rounds with a drunken possum. So far I haven't had a feeling of having a good night's sleep.
Well, lets see, you've only gotten between 2 and 4 hours of mask time each night, but you've been trying each night. So at best, your sleep is highly fragmented right now because of the fact that you are struggling with learning how to sleep with this alien on your face.
In other words, given your difficulties, it's quite understandable why you havent had a feeling of having a good night's sleep since you started.
Time for a morale talk: It takes time to adjust to CPAP. And it takes some of a lot of time to adjust. It helps to remember that very few people experience a miracle of suddenly waking up one morning feeling fantastic with boatloads of energy and emotional bliss that lasts the entire day. A few people start to feel noticeably better in a few days or a week or so. But for many of us, it takes several weeks to a few months just to work out the logisitics of sleeping comfortably with this alien on our face. And then it takes several more weeks to a few more months of sleeping well with the mask all night long, every single night before we start feeling better---the damage the untreated apnea has caused your body takes time to heal.
So right now you need to understand that figuring out what it is about the CPAP and/or the mask that's causing all the discomfort is your number one priority. Fix the comfort problems you are currently enduring and you'll increase the probability that you'll be able to keep the mask on all night with only a minimal amount of waking. And that's the start of getting good, restorative sleep. But if you have sleep issues OTHER than apnea, be aware that you'll have to address those issues (eventually) before you'll really be getting the high quality sleep you want.
Quote:I like putting the mask on and going to sleep with it but wake in distress.
My body feels OK but my head feels really heavy.
Back to questions for you to answer so that we can figure out what's causing your discomfort.
1) When you put the mask on at the beginning of the night, do you have trouble falling asleep? Or is the discomfort only an issue after you wake up after 2 or 3 hours of sleep with the mask on?
2) When you wake in distress, what are the first things you notice that are wrong
? Do you have too much air in your mouth? Too much air in the stomach? Or are you waking in a panic because it seems like there's no air coming through the mask?
3) When you wake in distress, is the distress worse when you are inhaling or when you are exhaling? Which is more painful---inhalation or exhalation?
4) When you wake in distress, are you noticing physical discomfort somewhere? Is the mask making your head hurt? (If so, where does your head hurt?)
5) When you wake up in distress, do you feel like you are waking up from a disturbing dream?
Quote:I suffer from chronic asthma and sinus problems.
1) Is the asthma well controlled?
2) Are the sinus problems allergy-related? If so, do you treat the sinus problems in any way? Taking any sinus-related medication in addition to your asthma drugs? If so, what?
3) Do you often breathe through your mouth in the daytime?
4) Does wind bother your asthma or your sinuses? Does sleeping under a fan bother you?
Quote:The sleep test revealed atrial fibrillation during sleep.
1) Is it possible that the afib is causing some of the waking with distress?
2) Any evidence of afib during the daytime?
3) Anything been said to you by the sleep doc about whether the night time afib might need to be treated with drug therapy? Or is the hope that CPAP will control the apnea and that the afib will diminish once the obstructive sleep apnea is under control?
Again, I'm sorry about the long list of questions, but until we understand what exactly is making you so uncomfortable, we're all just shooting in the dark and telling you what worked for us, but our problems may not be the ones that you are facing.