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[Pressure] Another newbie problem
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Johnd80 Offline

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Post: #1
Another newbie problem
I have been using the cpap for a week following a diagnosis of severe apnea. I am a mouth breather for some of the time. I tried a nasal mask for the week but mouth breathed a lot of the time.
I now have a full face mask and have tried it out. The technician has set the cpap at fixed 10cm pressure.. Now my cheeks become inflated and after a while air escapes with a loud noise.
Any advice folks?
03-12-2014 04:41 AM
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me50 Offline

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Post: #2
RE: Another newbie problem
check and make sure that you have a good seal with your mask. if all else fails, use a chin strap; if you decide to use a chin strap, try your pillows and/or a nasal mask again (of course, not at the same time!)
03-12-2014 04:46 AM
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justMongo Offline

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Post: #3
RE: Another newbie problem
Takes some getting accustomed to. I'm a (knuckle dragging) mouth breather. I use a FFM.
Position the tongue against the roof of the mouth and slightly forward against the teeth.
That should seal your mouth from building positive pressure. 10 cm-H2O pressure isn't that high a pressure.
Many folks, like me, run higher pressures.

Unless you have some sort of anatomical defect, you should be able to do this.

BTW -- where is that air escaping from?

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.
03-12-2014 04:50 AM
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Johnd80 Offline

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Posts: 11
Joined: Mar 2014

Machine: Resmed series9 auto
Mask Type: Full face mask
Mask Make & Model: F&P Simplus
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Other Comments: Bought CPAP 11/4/14 AHI down from 45 to 3 or less

Sex: Male
Location: West australia perth

Post: #4
RE: Another newbie problem
(03-12-2014 04:46 AM)me50 Wrote:  check and make sure that you have a good seal with your mask. if all else fails, use a chin strap; if you decide to use a chin strap, try your pillows and/or a nasal mask again (of course, not at the same time!)

Thank you for your messages, I will try the tongue trick and report back. The leaks occur when my cheeks inflate and the leaks are from each side of the mask. I wondered if it was the fixed non auto pressure causing the problem. Cheers John
03-12-2014 05:58 AM
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Gabby Offline

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Post: #5
RE: Another newbie problem
Welcome to the forum Johnd80, I hope you find the answers to your problems and adjust to your new way of life soon.

Sleep Tight...
Gabby
03-12-2014 07:26 AM
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herbm Offline

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Post: #6
RE: Another newbie problem
(03-12-2014 05:58 AM)Johnd80 Wrote:  
(03-12-2014 04:46 AM)me50 Wrote:  check and make sure that you have a good seal with your mask. if all else fails, use a chin strap; if you decide to use a chin strap, try your pillows and/or a nasal mask again (of course, not at the same time!)

Thank you for your messages, I will try the tongue trick and report back. The leaks occur when my cheeks inflate and the leaks are from each side of the mask. I wondered if it was the fixed non auto pressure causing the problem. Cheers John

No, it's just the pressure in general, or to be more specific, the pressure differential from the pressure INSIDE your mouth to OUTSIDE your mouth -- just like it is difficult to blow up a 'tight' birthday balloon without puffing your cheeks.

You can try the chin (or other) strap to 'hold your cheeks in' but the best fix is to find a way to use a nasal only mask (nasal, pillows, etc.) by keeping your mouth closed.

I though myself an inveterate mouth breather and I am definitely a "knuckle dragger" as justMongo offered.

My nose was suffering from CHRONIC congestion IN ADDITION.

Turns out that with a bit of help from Flonase and (at first) saline irrigation, my hose was clear enough to use the Airfit P10 nasal pillow mask.

Once my nose was clear and the mask started working it has KEPT may nose open so that my congestion has all but disappeared.

Unfortunately for others, it also seems with the knuckle dragging, I have the capability to "Just keep my mouth shut all night" (as long as I can breath through my nose.)

IF you can do that, or develop that skill, this will be a tremendous boon to your therapy.

My method is to sort of drop my tongue back and up to the roof of my mouth and completely fill the area of my mouth by closing my mouth fully with tongue pressed against the roof.

There is no "volume of space" in my mouth so the cheeks don't inflate.

If I purposely open the back of my mouth and create a little space, my checks immediately inflate just like yours.

I also saw this with the F&P Oracle HC452 oral mask and the Innomed Hybrid 'FFM' (which is really an oral mask with nasal pillows.)

The Innomed Hybrid 'FFM' might be a good compromise for many mouth breathers as it offers just nasal pillows for the nose, and covers the mouth.

With this you get some of the benefits of a nasal pillow mask (doesn't cover the top of your nose, doesn't leak into the eyes) with the fall back of using the oral part to mouth breath.

You MIGHT be able to use such a mask to train yourself to breath through your nose over time.

I did the opposite: Since the Hybrid was to be my 'backup mask' for nights when the congestion might sometime prevent nose breathing, I purposely AVOIDING breathing through my nose while wearing it for a few nights to proof the oral part was effective for me.

Wearing a strapped and bound mask of ANY TYPE is a world of difference from wearing on of the lightly bound nasal pillows so IF you can find a way you will likely LOVE the difference.

Most people have several masks, so at some point even the most committed mouth breather should try the alternative.

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."
03-12-2014 08:03 AM
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justMongo Offline

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Machine: ResMed VPAP Auto (S9)
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CPAP Pressure: 18 IPAPmax - 11 EPAPmin, PS=5
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Post: #7
RE: Another newbie problem
(03-12-2014 05:58 AM)Johnd80 Wrote:  
(03-12-2014 04:46 AM)me50 Wrote:  check and make sure that you have a good seal with your mask. if all else fails, use a chin strap; if you decide to use a chin strap, try your pillows and/or a nasal mask again (of course, not at the same time!)

Thank you for your messages, I will try the tongue trick and report back. The leaks occur when my cheeks inflate and the leaks are from each side of the mask. I wondered if it was the fixed non auto pressure causing the problem. Cheers John

Also, try just a bit tighter on the mask straps to keep the seal.

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.
03-12-2014 08:05 AM
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Bama Rambler Offline

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Post: #8
RE: Another newbie problem
I tried the Quattro FX mask and never could get it to stop leaking, and while I didn't like the idea of the forehead piece I now use the Mirage Quattro and it almost never leaks. Even when it does leak slightly it doesn't make a loud flapping noise.

I'm still on the lookout for the perfect mask, but in the mean time, the Mirage Quattro works very well.
03-12-2014 08:08 AM
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Johnd80 Offline

Members

Posts: 11
Joined: Mar 2014

Machine: Resmed series9 auto
Mask Type: Full face mask
Mask Make & Model: F&P Simplus
Humidifier: Resmed H5i
CPAP Pressure: 6-12
CPAP Software: SleepyHead

Other Comments: Bought CPAP 11/4/14 AHI down from 45 to 3 or less

Sex: Male
Location: West australia perth

Post: #9
RE: Another newbie problem
Thank you gabby and Herbm, I have 2 weeks till my next visit to the sleep tech. So I will try all suggestions and get back to you.
Kind Regards
John
03-12-2014 08:19 AM
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trish6hundred Offline

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Post: #10
RE: Another newbie problem
Hi Johnd80,
WELCOME! to the forum.!
If you try either the pillows or a nasal mask, you might try a chinstrap to help keeep your mouth closed and see if that works better for you.
Best of luck with your CPAP therapy.

trish6hundred
03-12-2014 10:33 AM
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