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Pressure settings causing chest pain
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Farmacist Offline

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Posts: 4
Joined: Jun 2016

Machine: System one
Mask Type: Nasal mask
Mask Make & Model: Wisp
Humidifier: System one
CPAP Pressure: 6
CPAP Software: Not using software

Other Comments:

Sex: Male
Location: Massachusetts, USA

Post: #1
Pressure settings causing chest pain
Hy all, New to forum. Thanks for being here. I use a pressure reading of 7 on my system one. Breathing in is easy and takes little effort but breathing out causes the center of my chest to burn. Would a lower pressure make it easier to exhale and stop the chest burning feeling?? Or is it just the opposite, do I need a higher pressure??? Probably a dumb question but to me I need help please. Thanks, farmacist
06-17-2016 03:55 PM
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PaytonA Offline
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Posts: 3,005
Joined: Dec 2013

Machine: ResMed S9 VPAP Auto
Mask Type: Full face mask
Mask Make & Model: Resmed Mirage Quattro
Humidifier: H5i(distilled-top up)
CPAP Pressure: VAuto MinE14.0 MaxI 20.6 PS4.0
CPAP Software: ResScan SleepyHead

Other Comments:

Sex: Male
Location: Orange County,California

Post: #2
RE: Pressure settings causing chest pain
Sounds to me like you need some Exhalation Pressure Relief or as Philips calls it, Flex. Without knowing the exact model of your CPAP and assuming that it is a Philips Respironics CPAP, I would suggest that you turn the "flex" on and set it to "2". See if that helps.

Best Regards,

PaytonA
06-17-2016 04:29 PM
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chill Offline

Advisory Members

Posts: 852
Joined: Mar 2016

Machine: DreamStation X500
Mask Type: Full face mask
Mask Make & Model: Walk-in Mask Closet
Humidifier: DreamStation
CPAP Pressure: 13-16
CPAP Software: SleepyHead

Other Comments: CPAP True Believer

Sex: Male
Location: Vancouver, Canada

Post: #3
RE: Pressure settings causing chest pain
Welcome! Can you describe the burning sensation more? It is like heartburn? Or like the tingle when you hit your funny bone? Is it in your throat? Closer to your heart? Higher up or lower down by your stomach? Does it start immediately when you start exhaling? Does it go away immediately when you stop exhaling?
06-17-2016 04:31 PM
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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: #4
RE: Pressure settings causing chest pain
Hi Farmacist,
WELCOME! to the forum.!
Much success to you with your CPAP therapy, hang in there for more answers to your question.

trish6hundred
06-17-2016 06:37 PM
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Farmacist Offline

Members

Posts: 4
Joined: Jun 2016

Machine: System one
Mask Type: Nasal mask
Mask Make & Model: Wisp
Humidifier: System one
CPAP Pressure: 6
CPAP Software: Not using software

Other Comments:

Sex: Male
Location: Massachusetts, USA

Post: #5
RE: Pressure settings causing chest pain
I will explain more the discomfort I have experienced for the last year. As soon as I start using my CPAP my chest burns on exhale like heartburn right down the center of my chest, between my nipples and 3" both above and below that point. I notice it right as I start using it, lasts all night in till I take it off but then leaves my chest area sore for most of next day. Doctors have said over and over it is not my heart, asthma, GERD, stomach or anything they can imagine. I know it is real and I know the CPAP is causing it. The CPAP helps my breathing greatly but this cheats pain is a real pain. Pressure set at 7 from sleep study and flex at 2. I need your advice please. Thanks, DADfarmacist
06-18-2016 05:21 AM
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cate1898 Offline

Advisory Members

Posts: 784
Joined: Aug 2015

Machine: PR System One 560BT Auto
Mask Type: Nasal pillows
Mask Make & Model: P10's/backup-DreamWear
Humidifier: PR attached
CPAP Pressure: 8.5 - 13. A-Flex 3
CPAP Software: SleepyHead

Other Comments: Began CPAP Therapy Sept. 11, 2015. Hx Hypertension, Post Graves Disease, chronic migraines.

Sex: Female
Location: Southern Ontario//SW Florida

Post: #6
RE: Pressure settings causing chest pain
Welcome to the forum Farmacist! How long have you been being treated for sleep apnea? I notice you say you are using pressure 7, but your member details under your username say 6. It would be helpful if you could update all your user details; exact model of machine, correct pressure-unless you've changed it, and assuming from your info you might be using the fixed CPAP mode, or are you using Auto CPAP (also referred to as APAP) ?

APNEABOARD - A great place to be if you're a hosehead!! Rolleyes

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06-18-2016 06:51 AM
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green wings Offline

Advisory Members

Posts: 544
Joined: Feb 2016

Machine: Respironics System One RemStar Pro (460)
Mask Type: Nasal pillows
Mask Make & Model: AirFit P10
Humidifier: integrated humidifier
CPAP Pressure: 13.0 cm
CPAP Software: SleepyHead

Other Comments: using CPAP since Jan. 2016

Sex: Undisclosed
Location: US

Post: #7
RE: Pressure settings causing chest pain
Hello, Farmacist. My first thought if someone says they have chest pain is to tell them to see a doctor about it. It sounds like you have already done this.

Do you think this pain is muscle pain? Is the area of your chest that you described sore to the touch in the mornings?

Some people do have pain in the muscles when they first start CPAP therapy, but it seems unusual for it for persist as long as yours has.

Have you tried taking an anti-inflammatory medication like Advil/motrin for the pain?

Do you notice any difference in the intensity of the pain when you're lying on your side vs. lying on your back?

Here is a link to download the free SleepyHead software that most of us on this site use to look at the data from our CPAP machines. If you could download that program and show us some information from your CPAP machine, it might give some information that would help to solve your problem.

Here is the Beginner's Guide to SleepyHead and a short guide explaining what charts/graphs from SleepyHead to post to this forum if you want advice from members.

You will need to upload the screenshots from SleepyHead to an image hosting site like imgur or Dropbox in order to show them in a post here.



(06-18-2016 05:21 AM)Farmacist Wrote:  I will explain more the discomfort I have experienced for the last year. As soon as I start using my CPAP my chest burns on exhale like heartburn right down the center of my chest, between my nipples and 3" both above and below that point. I notice it right as I start using it, lasts all night in till I take it off but then leaves my chest area sore for most of next day. Doctors have said over and over it is not my heart, asthma, GERD, stomach or anything they can imagine. I know it is real and I know the CPAP is causing it. The CPAP helps my breathing greatly but this cheats pain is a real pain. Pressure set at 7 from sleep study and flex at 2. I need your advice please. Thanks, DADfarmacist
(This post was last modified: 06-18-2016 06:23 PM by green wings.)
06-18-2016 08:34 AM
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OpalRose Offline

Monitors

Posts: 3,167
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: #8
RE: Pressure settings causing chest pain
Farmcist,

I can't imagine why Cpap would be causing the chest pain your describe, but if I were you I would get another doctors opinion. Your pressure of 7 is fairly low and should not cause you discomfort.

We can't easily recommend pressure changes until we can see some data, like your AHI readings and breakdown of such. Start using software, and then you can post us a screenshot of your data.

This is the latest version of our free SleepyHead software.
http://sleepyhead.jedimark.net/


Also a link to obtaining the clinicians manual for your machine.
http://www.apneaboard.com/adjust-cpap-pr...tup-manual

OpalRose
06-18-2016 09:00 AM
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green wings Offline

Advisory Members

Posts: 544
Joined: Feb 2016

Machine: Respironics System One RemStar Pro (460)
Mask Type: Nasal pillows
Mask Make & Model: AirFit P10
Humidifier: integrated humidifier
CPAP Pressure: 13.0 cm
CPAP Software: SleepyHead

Other Comments: using CPAP since Jan. 2016

Sex: Undisclosed
Location: US

Post: #9
RE: Pressure settings causing chest pain
I agree with OpalRose about getting a second opinion from a doctor. Or a third or fourth.

I can do a web search and find examples of other people saying they have the type of pain that you're describing when they first started using CPAP, but all the cases I saw said that the pain went away after a short adjustment period.

I suggested using an NSAID in my post above, but really, my experience with inflammation from something repeated like CPAP use, is that the pain will get gradually worse each day if you keep doing the activity.

We can't see you, and we don't have a complete health history for you, so that makes it very hard to answer this sort of question.
(This post was last modified: 06-18-2016 05:57 PM by green wings.)
06-18-2016 09:30 AM
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chill Offline

Advisory Members

Posts: 852
Joined: Mar 2016

Machine: DreamStation X500
Mask Type: Full face mask
Mask Make & Model: Walk-in Mask Closet
Humidifier: DreamStation
CPAP Pressure: 13-16
CPAP Software: SleepyHead

Other Comments: CPAP True Believer

Sex: Male
Location: Vancouver, Canada

Post: #10
RE: Pressure settings causing chest pain
Your doctor's seem to have covered everything that I had in mind. GERD would not go down below your nipples. The only other thing I can think of is some sort of nerve pain, but I don't think any major nerves run in that area and direction, nor would that leave your chest sore the next day.
06-18-2016 10:36 AM
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