(05-09-2016 05:33 PM)Sleeprider Wrote: Your EPR is set to 3.0 and you are still getting aerophagia problems. From the data, I see your machine is set to fixed CPAP pressure with EPR 3.0. A fixed pressure of 10.0 seems to give you therapeutically acceptable treatment, but when pressure is dropped to 7.0, your OA index is extremely high. Using EPR your pressures have been effectively 10/7.0 and 7.0/4.0. At the lower pressure you are not treated. The solution then will lie in preventing Aerophagia at a pressure that resolves CA. FWIW, I agree with the "pros" that bilevel would not likely resolve this dilemma.
There are therapeutic exercises for minimizing aerophagia, and the use of a soft cervical collar has been effective for a number of people with this problem. Body position and other factors may help to mitigate air ingestion. Sleep apnea is a serious problem and needs to remain a priority for you to resolve, however you need to find out the root cause for your air ingestion. This may be anything from a lower esophogeal sphincter problem to something called tongue thrusting which leads to improper swallowing that takes in air, rather than a smooth paristaltic swallow reflex. You need some help you're not getting, and I don't know where to send you, but you might want to start researching aerophagia and similar conditions to see what specialists you need on your side.
Wow, I really appreciate your reply. I agree that the apnea is a serious issue. I wish that I had the answers. I have no idea what to do. But I do know that cpap just doesn't work for me. Using the dental appliance helps but obviously not enough. Since I have a bad case of GERD I was thinking the air swallowing is somehow related but I don't know. I recall my EMT training and knowledge of the airway. I can't see how the air gets past the epiglottis. I guess I need to get in to see the Gastroenterologist on that.
I believe that I happen to be one of those people that have combined issues making treatment difficult. I have the GERD. I have very small throat and nasal passages. The shape of my palate is prime for the tongue slipping down where it shouldn't be. All these things set me up for this. The only other resort I have is surgery which we all know is not pleasant and does not offer more than a 50% chance of any success.