(12-29-2015 10:50 AM)elmerF Wrote: One thing I am still wondering about is people (like myself) with GERDS and whether we are more susceptible to bloating at high APAP pressures. The APAP high/low range along with the EPR setting seems to help considerably with the bloating problems, but it appears I can't tolerate much more than an APAP high of 13 cmH2O (about where I am now). I suspect as I age, the AHI will continue to creep up to unacceptable levels past this comfortable pressure setting, and I not sure what I can do as a counter.
I have GERD and seems like I pop ranitidine like skittles. So far I have not had aerophagia from PAP. I don't think having GERD increases susceptibility to aerophagia. My reasoning is the esophagus has sphincter muscles at both ends. GERD is usually a result of a problem with the lower sphincter muscle in the esophagus.
You seem like you have problems at both ends? Swallowing air and GERD. Are you being treated for GERD? Some people have posted that elevating the head of the bed 4 to 6 inches, not just your head helps with aerophagia and GERD. I can't imagine that being very comfortable though. Other ways to try to reduce GERD:
Avoiding alcohol, chocolate and caffeine
Eating or drinking nothing two to three hours before bed
Avoiding greasy, fatty foods
Antacids to neutralize excess stomach acid
None of those are appealing to me so I live with GERD. Also none of those will necessarily prevent aerophagia if the upper sphincter muscle in the esophagus has an issue.
This is definitely something you should discuss with your GP and possibly get a referral to a gastroenterologist for your lower esophagus to treat your GERD and an otolaryngologists or ENT for upper aero-digestive tract issues.