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Mouth breather?
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Sandra_ON Offline

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Posts: 39
Joined: Feb 2014

Machine: ResMed S9 with 5i humidifier
Mask Type: Nasal pillows
Mask Make & Model: Airfit P10
Humidifier: ResMed 5i
CPAP Pressure: 5/11
CPAP Software: Not using software

Other Comments:

Sex: Female
Location: Eastern Ontario, Canada

Post: #1
Mouth breather?
I'm just over three weeks into using my CPAP and it's going pretty well except for mouth breathing. I'm presently using the nose pillows and I really like them except for waking up with a really cold nose and cotton mouth and my whole body is freezing. My Resmed S9 does have a humidifier. I've been using a chin strap and it's been hit and miss whether it works or not so last night I decided to tape my mouth but I still woke up with cotton mouth and freezing. I was very surprised since I can't breathe through my mouth with tape over it. Any ideas?
02-11-2014 08:50 AM
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PollCat Offline
Apnea Board Polling Administrator
Monitors

Posts: 1,576
Joined: Feb 2012

Machine: ResMed S9 Autoset
Mask Type: Nasal pillows
Mask Make & Model: ResMed AirFit P10
Humidifier: H5i Cleanable with ClimateLine
CPAP Pressure: 10 - 18
CPAP Software: SleepyHead

Other Comments: CPAP-ing since 1995; Type 2 Diabetes; Chronic Asthma; Gout

Sex: Male
Location: Westfield, IN

Post: #2
RE: Mouth breather?
Taping one's mouth closed never seemed like a good idea to me. During the day, do you find yourself breathing through your mouth? If so, have you seen an ENT doc to determine why you can't breathe through the nose?

Is your pressure really 3.5? It could be your pressure is not high enough to provide the oxygen necessary for your body and your mouth is opening to compensate for the loss of air.


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02-11-2014 09:09 AM
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Sandra_ON Offline

Preferred Members

Posts: 39
Joined: Feb 2014

Machine: ResMed S9 with 5i humidifier
Mask Type: Nasal pillows
Mask Make & Model: Airfit P10
Humidifier: ResMed 5i
CPAP Pressure: 5/11
CPAP Software: Not using software

Other Comments:

Sex: Female
Location: Eastern Ontario, Canada

Post: #3
RE: Mouth breather?
Yes, 3.5, started at 3. I'll try increasing. I do have a deviated septum on the left side and I do breathe through my mouth occasionally during the day but not often. I did cut a small slit in the tape before covering my mouth.
02-11-2014 09:35 AM
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me50 Offline

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Posts: 2,559
Joined: Aug 2013

Machine: resmed S9 VPAP Auto
Mask Type: Nasal mask
Mask Make & Model: Wisp and Silicone Head gear
Humidifier: resmed H5i
CPAP Pressure: 18/8
CPAP Software: SleepyHead

Other Comments:

Sex: Undisclosed
Location: USA

Post: #4
RE: Mouth breather?
(02-11-2014 09:35 AM)Sandra_ON Wrote:  Yes, 3.5, started at 3. I'll try increasing. I do have a deviated septum on the left side and I do breathe through my mouth occasionally during the day but not often. I did cut a small slit in the tape before covering my mouth.

The minimum pressure on your machine is 4. Do you know how to look at what settings are on your machine? The max for EPR is 3.

If you had a sleep study, do you have the results of that sleep study?
02-11-2014 09:38 AM
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trish6hundred Offline

Advisory Members

Posts: 6,430
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: Mouth breather?
Hi Sandra_ON,
You might try a chinstrap to help you keep your mouth closed while you sleep.

trish6hundred
02-11-2014 09:52 AM
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herbm Offline

Preferred Members-2

Posts: 852
Joined: Jan 2014

Machine: ResMed AutoSet S9
Mask Type: Oral
Mask Make & Model: ResMed Airfit P10 Nasal Pillow
Humidifier: ResMed H5i
CPAP Pressure: 11-16
CPAP Software: ResScan SleepyHead

Other Comments: Backup Mask: Innomed Hybrid FFM -- Oral+Nasal Pillows

Sex: Male
Location: Austin, TX

Post: #6
RE: Mouth breather?
Confirm what me50 wrote: Minimum pressure (inluding ramp) on a Resmed S9 Autoset is 4.

Check your machine, 3.5 is incorrect. And 4 as a single treatment pressure is likely unusually low even. (4 to 20 is common until the correct pressure is determined.)

I don't even like 8 as it seems like there isn't a good air flow -- was talking to my new ENT (who is also a sleep doc) today, and he said that the CPAP pressure can inflate (or splint) you nasal passages similar to the way it splints the rest of your airway so that can help if you have a restricted nasal passage.

It seems to help me, but only at pressures that are a bit higher.

Sweet Dreams,

HerbM
Sleep study AHI: 49 RDI: 60 -- APAP 10-11 w/AHI: 1.5 avg for 7-days (up due likely to hip replacement recovery)

"We can all breathe together or we will all suffocate alone."
02-11-2014 10:57 AM
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zonk Offline

Advisory Members

Posts: 7,908
Joined: Feb 2012

Machine: A10 AutoSet
Mask Type: Nasal mask
Mask Make & Model: Activa LT
Humidifier: Integrated /ClimateLineAir
CPAP Pressure: 9/13
CPAP Software: ResScan

Other Comments: CPAP since Nov 2010

Sex: Male
Location: Australia

Post: #7
RE: Mouth breather?
(02-11-2014 09:35 AM)Sandra_ON Wrote:  Yes, 3.5, started at 3. I'll try increasing.
I assume you mean humidity level setting is 3.5 (not pressure setting)

You might find the answer of your problem right here .. The Mouth Leak Cycle
Read more http://www.resmed.com/us/patients_and_fa...cycle.html

[Image: mouth-leak-cycle-english.jpg]
02-11-2014 02:15 PM
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Sandra_ON Offline

Preferred Members

Posts: 39
Joined: Feb 2014

Machine: ResMed S9 with 5i humidifier
Mask Type: Nasal pillows
Mask Make & Model: Airfit P10
Humidifier: ResMed 5i
CPAP Pressure: 5/11
CPAP Software: Not using software

Other Comments:

Sex: Female
Location: Eastern Ontario, Canada

Post: #8
RE: Mouth breather?
Like I said, I"m new to this so 3.5 I guess is the humidity level. My sleep test suggested a pressure of 8 but I think the respiratory therapist raised it to 10 or 11 at my last appointment. Does that make more sense?
02-11-2014 02:31 PM
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SnuffySleeper Offline

Preferred Members-2

Posts: 187
Joined: Jan 2014

Machine: s9 elite
Mask Type: Nasal pillows
Mask Make & Model: Swift FX
Humidifier: H5i
CPAP Pressure: 9
CPAP Software: ResScan SleepyHead

Other Comments:

Sex: Male
Location: Ontario

Post: #9
RE: Mouth breather?
It would be whatever was/is on the prescription for your cpap machine. It's also right below the big humidity setting number on my s9 elite when you push the dial button.
02-11-2014 02:35 PM
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Tez62 Offline

Monitors

Posts: 837
Joined: Feb 2013

Machine: Resmed S9 Autoset
Mask Type: Full face mask
Mask Make & Model: Resmed Mirage Quattro
Humidifier: Resmed
CPAP Pressure: 5-15
CPAP Software: SleepyHead

Other Comments:

Sex: Male
Location: Melbourne, Australia

Post: #10
RE: Mouth breather?
(02-11-2014 02:31 PM)Sandra_ON Wrote:  Like I said, I"m new to this so 3.5 I guess is the humidity level. My sleep test suggested a pressure of 8 but I think the respiratory therapist raised it to 10 or 11 at my last appointment. Does that make more sense?

Sandra, that makes sense, it takes time but you will get used to the settings, pressures etc.
I never suggest taping your mouth, I would try to get back to our DME or where ever you got the mask from and get them to investigate more. It is more than likely you are breathing through your mouth and may need a full face mask.
02-11-2014 06:10 PM
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