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Need help with unclogging my nose
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CPAPcommando Offline

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Location: Ottawa Canada

Post: #1
Surprised Need help with unclogging my nose
Hi all first off, THANK YOU for this board! My question is that when I go to sleep my nose is free and clear but I wake up in the middle of the night and it feels like I'm suffocating. At this point I remove my mask and sleep with out it. I use the heated tube set at 70 and my humidifier is set at 5. I'm averaging 4.5hrs of treatment then I go solo. This has been going on for about a week and prior to that I would fall asleep on my back and wake up in the same position and at 1.0 AHI. Do any other members have a solution? I was averaging 0.8 to 1.4 AHI but the last two nights I'm getting readings of 5.0 to 5.2 AHI.
Any suggestions would be really appreciated.
04-08-2014 09:28 AM
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trish6hundred Offline

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Location: Missouri, USA

Post: #2
RE: Need help with unclogging my nose
Hi CPAPcommando,
WELCOME! to the forum.!
Have you tried the sinus rinces such as the neomed rince before bedtime?
Hang in there for more suggestions and best of luck to you with your CPAP therapy.

trish6hundred
04-08-2014 09:53 AM
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justMongo Offline

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Post: #3
RE: Need help with unclogging my nose
Having one's AHI jump around is not unusual. Just last night I went from under 3 to above 5.

As for nasal stuffiness... That can be from several sources. And, sometimes the humidifier helps; sometimes, not so much.
Lying down, the vascular bed in the nasal lining may become engorged with blood; causing swelling of the nasal lining. i.e. -- it can be a gravitational effect.

Perhaps a decrease in delivered air temperature would help.
Perhaps sleeping with the head slightly elevated (without bending the neck forward.)

There was a time when this was bothering me; and I would swab my nostrils with a Q-tip and Vasoline. (It worked for me.)

INFORMATION ON APNEA BOARD FORUMS OR ON APNEABOARD.COM SHOULD NOT BE CONSIDERED AS MEDICAL ADVICE. ALWAYS SEEK THE ADVICE OF A PHYSICIAN BEFORE SEEKING TREATMENT FOR MEDICAL CONDITIONS, INCLUDING SLEEP APNEA. INFORMATION POSTED ON THE APNEA BOARD WEB SITE AND FORUMS ARE PERSONAL OPINION ONLY AND NOT NECESSARILY A STATEMENT OF FACT.
04-08-2014 10:01 AM
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retired_guy Offline

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Post: #4
RE: Need help with unclogging my nose
It could be seasonal allergies setting in. How about your mouth? Are you keeping it closed all night? What's your leak numbers especially in the hour before you wake up?

Generally, my nose gives me trouble, but if it's open when I start dumping air in it it pretty much stays good all night. But if I'm using a full face mask for instance, where I end up breathing through my mouth, the nose will stuff up.

With a nasal mask, that could only happen with me if my leak numbers were high.
04-08-2014 10:02 AM
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herbm Offline

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Post: #5
RE: Need help with unclogging my nose
First, the simplest "solution" is to get up, clear you nose, put the mask back on and (try to) go back to sleep.

Otherwise you are teaching your mind and body that the mask is not important.

0. See an ENT.

1. Saline irrigation usually gets me free enough to go back to bed although I prefer to irrigate a few hours before bed so that any trapped saline (in my sinuses) has time to run out. NeilMed Sinugator is my favority but just sipping saline from your UPPER LIP into your nose works well.

2. Flonase -- now OTC

3. Claritin, Benedryl etc. for allergies (didn't much work for me YMMV)

4. Sudafed - one of my cardiologists said "No" the other (and the sleep doc) said, "Do what you must but don't exceed package directions."

5. Sinus spray -- rebound effect makes this problematic, but to get a nights sleep AND use the machine, that is *my* preference

6. Sometimes if you can get this going, the mask will keep your nose open, especially a nasal pillow mask which is ironically the toughest mask to use with congestion (actually these two facts are RELATED DIRECTLY.)

7. Don't assume "too much humidity is bad" or "too little is bad" or vice versa - people vary in their reaction to humidity. I have heard numerous reports of taking the humidity to either extreme before getting relief -- and most people are likely better of somewhere in the middle.

Bottom line: FIND A WAY to go 100% compliant -- your mind and body with thank you.

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."
(This post was last modified: 04-08-2014 10:28 AM by herbm.)
04-08-2014 10:26 AM
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retired_guy Offline

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Post: #6
RE: Need help with unclogging my nose
(04-08-2014 10:26 AM)herbm Wrote:  First, the simplest "solution" is to get up, clear you nose, put the mask back on and (try to) go back to sleep.

Otherwise you are teaching your mind and body that the mask is not important.

That's probably the best advice. Don't let any of the boulders in the path stop you from reaching your goal. It's too important.
04-08-2014 10:28 AM
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justMongo Offline

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Post: #7
RE: Need help with unclogging my nose
Herbm -- from your history, stay away from Sudafed. It's a vasoconstictor and a stimulant (that's why it's a primary ingredient in Meth.)

Benadryl is sedative and drying. Not the best for those with sleep apnea.

Best advice: "FIND A WAY to go 100% compliant -- your mind and body with thank you"

INFORMATION ON APNEA BOARD FORUMS OR ON APNEABOARD.COM SHOULD NOT BE CONSIDERED AS MEDICAL ADVICE. ALWAYS SEEK THE ADVICE OF A PHYSICIAN BEFORE SEEKING TREATMENT FOR MEDICAL CONDITIONS, INCLUDING SLEEP APNEA. INFORMATION POSTED ON THE APNEA BOARD WEB SITE AND FORUMS ARE PERSONAL OPINION ONLY AND NOT NECESSARILY A STATEMENT OF FACT.
04-08-2014 11:03 AM
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gjw Online

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Post: #8
RE: Need help with unclogging my nose
Hi CPAPcommando

If you are suffering from hay-fever, try the following, which might help.
Replace the standard filters with the 'S9 Filters Hypoallergenic' ones from ResMed.

;-> gjw
04-08-2014 01:15 PM
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VegasPier Offline

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Post: #9
RE: Need help with unclogging my nose
(04-08-2014 09:28 AM)CPAPcommando Wrote:  Hi all first off, THANK YOU for this board! My question is that when I go to sleep my nose is free and clear but I wake up in the middle of the night and it feels like I'm suffocating. At this point I remove my mask and sleep with out it. I use the heated tube set at 70 and my humidifier is set at 5. I'm averaging 4.5hrs of treatment then I go solo. This has been going on for about a week and prior to that I would fall asleep on my back and wake up in the same position and at 1.0 AHI. Do any other members have a solution? I was averaging 0.8 to 1.4 AHI but the last two nights I'm getting readings of 5.0 to 5.2 AHI.
Any suggestions would be really appreciated.

Your symptoms are remarkably similar to what I experienced last year: Deviated Septum. My doctor recommended a simple operation: Rhinoplasty turbinate modification to correct that problem. Since that operation my sinuses have been remarkably clear all night. The only nose spray that I have used since that operation is NeilMed Sinus Rinse. I doubt that the sinus rinse will clear the cartilage or turbinate, but for normal mucus it’s great.

You should consult with a ENT doctor.

Cheers, VegasPier
04-12-2014 04:44 PM
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