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Nasal pillows and partial blockage
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Sn00zeAlarm Offline

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Posts: 72
Joined: May 2015

Machine: Resmed A10 autoset
Mask Type: Nasal pillows
Mask Make & Model: Resmed P10
Humidifier: Builtin
CPAP Pressure: 5-7
CPAP Software: SleepyHead

Other Comments: Heated hose

Sex: Male
Location: Florida US

Post: #1
Nasal pillows and partial blockage
Some years ago (8-10) I had the type-1 sleep study but unfortunately it was inconclusive because, as long as I lie on my side, there were not many apnea events. According to the tech, the protocol says that if there are not enough events they can not recommend a CPAP. But he also said that toward the end of the night I rolled onto my back and then there were plenty of events. (This matches my wife's report that I snore when lying on my back.) But by then the night was almost gone and there was not enough time to bother waking me up and moving to the titration part of the test.

So the doctor says, do the tennis-ball under your shirt, or use those big U-shaped sleeping pillows. Neither worked. I could sleep just fine with the ball in my back (soft mattress) and the big pillow is too big for our bed.

Now years later, age 65, I am tired of still being tired all the time, or waking up in the middle of the night gasping for air. So I am doing lots of research so when I go in for another test I will know what to do, and can explain to the Dr what I need so he writes the prescription the right way, to get me the machine I think will work best for me (automatic, with heated humidity).

An ENT told me I have a 30% deviated septum. I can breathe through my nose but it is slightly blocked - worse if there is swelling from a cold, etc. But I found that if I push on the end of my nose, the nostrils open up and I can breathe much better. So I tried BreatheRite strips (the extra strong ones) and they help.

So I am thinking that a nasal pillow mask is the best choice for me, because the slight inward and upward pressure from the straps will accomplish about the same purpose as the BreatheRite. Does this sound reasonable?

I really do not want to use a full-face mask, or have surgery.
05-06-2015 11:11 PM
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Moriarty Offline

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Posts: 270
Joined: Jul 2012

Machine: Respironics REMStar 50 Series Auto
Mask Type: Nasal pillows
Mask Make & Model: Fisher & Pakel Pilairo Q
Humidifier: Respironics System One
CPAP Pressure: 8.5-20 (average 9.4)
CPAP Software: SleepyHead

Other Comments: Image above is my CPAP machine...

Sex: Male
Location: Toowoomba - Qld - Australia

Post: #2
RE: Nasal pillows and partial blockage
Hi Sn00zeAlarm and welcome.

I don't know what the implications of the 30% would be. My septum is slightly bent but I use a Pilaro Q with out any problems.
I found that after a fairly short time I found that the CPAP therapy has opened up my nasal passages and made breathing easier.

But let's not put that cart before the horse. Have your sleep test and see where that takes you.

Good luck with it.

Cheers

David

Disclaimer: The 'Advisory Member' title is a Forum thing that I cannot change. I am not a doctor and my comments are purely my opinion or quote my personal experience. Regardless of my experience other readers mileage may vary.
(This post was last modified: 05-07-2015 04:53 AM by Moriarty.)
05-07-2015 04:52 AM
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OpalRose Offline

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Posts: 3,181
Joined: Nov 2014

Machine: PR System One REMstar Auto 560 with A Flex
Mask Type: Nasal pillows
Mask Make & Model: AirFit P10 For Her
Humidifier: REMStar heated humidifier with heated hose
CPAP Pressure: Auto Cpap 10-13 AFLEX 1
CPAP Software: SleepyHead EncoreBasic

Other Comments: Started CPAP Therapy October 23, 2014

Sex: Female
Location: Northeast Ohio, USA

Post: #3
RE: Nasal pillows and partial blockage
Welcome SnOOzeAlarm,
Before I got my PAP machine, I used the BreathRite Strips and they worked well, so I came to the same conclusion as you and went with the nasal pillow mask.

At first I used the strips along with the pillow mask, but soon found out I really didn't need the strips. Believe me, the nasal pillows mask will keep your nasal passages open and clear out congestion too. I've had a cold for two weeks now, and can breath better at night than in the day time.

Keep us posted on the results of your next sleep test. It's good your are doing your research ahead of time. I didn't find this forum until after I started therapy, and had no idea as to what I was doing.
Smile

OpalRose
05-07-2015 06:05 AM
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Terry Offline

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Posts: 553
Joined: May 2014

Machine: Philips Respironics RemStar Auto with A-Flex (560P)
Mask Type: Nasal pillows
Mask Make & Model: P/R Nuance & Pap Cap
Humidifier: Integrated
CPAP Pressure: Auto
CPAP Software: SleepyHead

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Sex: Male
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Post: #4
RE: Nasal pillows and partial blockage
(05-06-2015 11:11 PM)Sn00zeAlarm Wrote:  Now years later, age 65, I am tired of still being tired all the time, or waking up in the middle of the night gasping for air. So I am doing lots of research so when I go in for another test I will know what to do, and can explain to the Dr what I need so he writes the prescription the right way, to get me the machine I think will work best for me (automatic, with heated humidity).

I have a deviated septum and allergies so depending on what's in the air and what side I sleep on, without the machine airflow ranges from "not enough" to "none".

However with a humidified auto CPAP machine and a nasal pillow mask, I breathe beautifully at night and sleep like a rock.

I think you're right on the money and wouldn't waste anymore time being tired.

The air pressure through the nasal pillow mask actually inflates your nose a little and the air usually blows by the obstruction. (at least mine does)

Also once you get your pressure set right, you won't need the strips. They're as useful as a lucky rabbits foot at a gunfight, once the machine is keeping your airway open. It's an entirely different class of airflow. The best thing I can compare it to is "Better than Afrin with no rebound"
(This post was last modified: 05-07-2015 09:05 AM by Terry.)
05-07-2015 09:02 AM
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macbob Offline

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Posts: 25
Joined: Mar 2015

Machine: AirSense™ 10 AutoSet For Her
Mask Type: Nasal pillows
Mask Make & Model: Nuance Pro Nasal Pillow Mask with Gel Nasal Pillow
Humidifier: HumidAir™ Heated Humidifier
CPAP Pressure: 7-15
CPAP Software: SleepyHead

Other Comments:

Sex: Male
Location: Hampton Roads, VA

Post: #5
RE: Nasal pillows and partial blockage
SA-

I agree with the above posters, nasal pillows are the way to go.

If you have trouble with other pillows at least give the Nuance a try.

I've got a very deviated septum, with one nostril close to blocked. I have had some difficulty getting nasal pillows to seal properly, or if I get them sealed properly they can hurt the side that's nearly blocked.

The best pillows I've found so far are the Nuance pillows, with a gel ring around the outside of the nostril that does the sealing, with very little of the pillows actually entering the nostril.

I use the large pillows because it seals better (and I get better air flow through the pillows) rather than the Med that I would use with other pillows.
05-07-2015 01:22 PM
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AlanE Online

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Posts: 1,499
Joined: Mar 2015

Machine: ResMed AirSense 10 Autoset
Mask Type: Nasal pillows
Mask Make & Model: P10 & Mirage Liberty backup
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CPAP Pressure: 10-14
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Sex: Male
Location: Southwest Florida

Post: #6
RE: Nasal pillows and partial blockage
Whatever side I am on, that side of my nose gets jammed up. When I roll over to the other side, the blockage moves to the other side. I have learned to time it when I lay on the opposite side and I hit that small window when both sides of my nose are passing air, I lay on my back. That lasts for awhile. My mask allows me to breath through my mouth but I find that one nostril breathing through the large pillows does work for awhile. That is until the machine ramps up the pressure and knocks the blocked side pillow out. Air leak = wake up. I think I will eventually have to go to a full face mask.



Using FlashAir W-03 SD card in machine. Access through wifi with FlashPAP or Sleep Master utilities.

I wanted to learn Binary so I enrolled in Binary 101. I seemed to have missed the first four courses. Big Grinnie
05-07-2015 06:52 PM
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PaulaO2 Offline
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Posts: 8,068
Joined: Feb 2012

Machine: S9 Autoset
Mask Type: Full face mask
Mask Make & Model: F&P Simplus
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Other Comments: Ehlers-Danlos Syndrome, Hypermobility Type; chronic sarcasm

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Location: western NC, USA

Post: #7
RE: Nasal pillows and partial blockage
Blocked nose on whatever side you are laying on is common, even to those not using CPAP. Have you tried using a nasal rinse prior to going to bed, Alan? I use the Ayr bottle with a pre-packaged solution. Now that the brambles are blooming, I'm gonna need to do that each night for a while!

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05-08-2015 08:03 PM
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AlanE Online

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Posts: 1,499
Joined: Mar 2015

Machine: ResMed AirSense 10 Autoset
Mask Type: Nasal pillows
Mask Make & Model: P10 & Mirage Liberty backup
Humidifier: Built-in
CPAP Pressure: 10-14
CPAP Software: ResScan SleepyHead

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Location: Southwest Florida

Post: #8
RE: Nasal pillows and partial blockage
(05-08-2015 08:03 PM)PaulaO2 Wrote:  Blocked nose on whatever side you are laying on is common, even to those not using CPAP. Have you tried using a nasal rinse prior to going to bed, Alan? I use the Ayr bottle with a pre-packaged solution. Now that the brambles are blooming, I'm gonna need to do that each night for a while!

I have not. Sounds messy?



Using FlashAir W-03 SD card in machine. Access through wifi with FlashPAP or Sleep Master utilities.

I wanted to learn Binary so I enrolled in Binary 101. I seemed to have missed the first four courses. Big Grinnie
05-09-2015 09:31 AM
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Sn00zeAlarm Offline

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Posts: 72
Joined: May 2015

Machine: Resmed A10 autoset
Mask Type: Nasal pillows
Mask Make & Model: Resmed P10
Humidifier: Builtin
CPAP Pressure: 5-7
CPAP Software: SleepyHead

Other Comments: Heated hose

Sex: Male
Location: Florida US

Post: #9
RE: Nasal pillows and partial blockage
Well, you do it over a sink. Smile

I used a nasal rinse a few years ago when I had a bad reaction to some nearby forest fires. The first couple times you do it, it feels like you are going to drown. The trick is in keeping your thoat closed but your nose and mouth open so that the water you are squirting up your nose has a place to come out. And it is not just a spray - I am talking half a cup of water at a time.
05-09-2015 12:58 PM
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AlanE Online

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Posts: 1,499
Joined: Mar 2015

Machine: ResMed AirSense 10 Autoset
Mask Type: Nasal pillows
Mask Make & Model: P10 & Mirage Liberty backup
Humidifier: Built-in
CPAP Pressure: 10-14
CPAP Software: ResScan SleepyHead

Other Comments: ʕ•ᴥ•ʔ So Long, and Thanks for All the Fish

Sex: Male
Location: Southwest Florida

Post: #10
RE: Nasal pillows and partial blockage
ick.. sounds like fun



Using FlashAir W-03 SD card in machine. Access through wifi with FlashPAP or Sleep Master utilities.

I wanted to learn Binary so I enrolled in Binary 101. I seemed to have missed the first four courses. Big Grinnie
05-09-2015 01:43 PM
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