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Sleeping wedge question
#1
Hello all, I've been using my CPAP for the past 20 days and definitely see an improvement over using the MAD I had tried for past 2 months. Yesterday, based on hearing that sleeping slightly propped up can help further and also helps with acid reflux I purchased a bed wedge at Bedbath and excitedly tried it last night as I had been struggling with one good pillow and one hard pillow beneath but couldn't get quite the comfort level I wanted. I fell asleep without issue and woke up after 6 hours and quickly noticed I had that (wake up exhausted feeling). I looked at the report on my S9 and saw that instead of the AHI of .1-.3 I had been enjoying for the past two weeks, my AHI was 1.5, my leak rate up from 5 to 14 and max pressure at 8 vs the normal average of 5. I've felt really extra bloated and tired since then (now 2pm). Can a wedge be a bad thing especially if I ended up sleeping more on my back? I'm going to try it once more tonight but I was curious what others think or have tried. Is it normal to feel so exhausted going to an AHI of 1.5 after adjusting to .2 normally? I already have a bloating issue and the Cpap seems to have exacerbated the situation. Thanks
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#2
Sleeping on your back can increase apneas, usually OA's. A pillow wedge is OK if you're a back sleeper but really cramps your style if you are a slide sleeper. The side position is often the preferred position to reduce apneas. I have GERD and require an inclined sleeping surface, as well as being a side sleeper. My Gastro man wanted me to have my bed setup where the head was 6" higher than the foot. I tried this and quickly found that I would need some velcro pajamas to stay in the bed. I've since reduced the elevation to 3" on the head without suffering any indignity caused by gravity. The wedge pillow has many good uses. I use mine for watching TV in bed or under my knees if my back is hurting. . . it's kind'a big to use as a doorstop though.
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#3
Daso,
It could be that your AHI is up due to sleeping on your back. Or could be just due to trying something different. It might be worth another night to see how you feel. I know myself I have to be elevated because of GERD. I have been fortunate to be able to purchase an adjustable bed, and I realise that not everyone can do that, but it's has made a difference in my sleep quality.

Spearhart,
I got a chuckle out of your "Velcro pajamas". Rolling laugh
OpalRose.
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#4
(02-10-2015, 02:15 PM)Daso Wrote: I looked at the report on my S9 and saw that instead of the AHI of .1-.3 I had been enjoying for the past two weeks, my AHI was 1.5,

Well, your AHI, like mine, is very low. I would not panic over a possibly isolated 1.5 - that is still well below the 5 threshold for concern.

It's almost always a mistake to draw conclusions from a sample of one. Ideally one needs to compute the standard deviation from the mean of your AHI readings over an extended time, and if a single measurement is more than two standard deviations above (or below) the mean that might be a cause for concern, but we really should have a week of elevated numbers to draw a reasonably valid conclusion.

In short, don't panic! Try your pillow a few times and if you are always high using it then perhaps reconsider it's usefulness.

I an NOT a doctor and I don't play one on T.V. either.
Ed Seedhouse
VA7SDH

I am neither a Doctor, nor any other kind of medical professional.

Actually you know, it is what it isn't.
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#5
(02-10-2015, 02:32 PM)sgearhart Wrote: Sleeping on your back can increase apneas, usually OA's. A pillow wedge is OK if you're a back sleeper but really cramps your style if you are a slide sleeper. The side position is often the preferred position to reduce apneas. I have GERD and require an inclined sleeping surface, as well as being a side sleeper. My Gastro man wanted me to have my bed setup where the head was 6" higher than the foot. I tried this and quickly found that I would need some velcro pajamas to stay in the bed. I've since reduced the elevation to 3" on the head without suffering any indignity caused by gravity. The wedge pillow has many good uses. I use mine for watching TV in bed or under my knees if my back is hurting. . . it's kind'a big to use as a doorstop though.

I agree, I'm a side sleeper and found it really hard sleeping on my side with the wedge, I thought it was a magic adjustment but might bag on it tonight. This thing is about 6" at the top and it was cool for watching tv, but a bit steep for sleep (no pun intended). I also seem to mainly get apneas on my back.
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#6
I'm going to give the wedge one more night. I totally felt a difference waking up from a regular .3 apneas to 1.5 (maybe it's mental??)
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#7
(02-10-2015, 03:08 PM)OpalRose Wrote: Daso,
It could be that your AHI is up due to sleeping on your back. Or could be just due to trying something different. It might be worth another night to see how you feel. I know myself I have to be elevated because of GERD. I have been fortunate to be able to purchase an adjustable bed, and I realise that not everyone can do that, but it's has made a difference in my sleep quality.

Spearhart,
I got a chuckle out of your "Velcro pajamas". Rolling laugh
OpalRose.

Definately don't sleep in silk pajamas on silk sheets or your sleeping problem is solved. You will spend all night picking yourself off of the floor.

Eat-popcorn
Cindy lots-o-coffee
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#8


Definately don't sleep in silk pajamas on silk sheets or your sleeping problem is solved. You will spend all night picking yourself off of the floor.

Eat-popcorn
[/quote]

Haha, I wonder what my numbers would be like sleeping on the floor ;-)
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#9
One night isn't enough to toss it. However, it could be the simple change in position. As for the leaks, I have found that sleeping inclined causes more leaks since the mask is pulled downward, out of/off of the nose. Put all of that together, and you have a slightly higher but still within safe limits AHI.

As for the bloating, it is odd you have it after sleeping inclined. Usually that helps, not makes it worse.
PaulaO2
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www.ApneaBoard.com


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#10
(02-10-2015, 06:05 PM)PaulaO2 Wrote: One night isn't enough to toss it. However, it could be the simple change in position. As for the leaks, I have found that sleeping inclined causes more leaks since the mask is pulled downward, out of/off of the nose. Put all of that together, and you have a slightly higher but still within safe limits AHI.

As for the bloating, it is odd you have it after sleeping inclined. Usually that helps, not makes it worse.

I'm giving it another run tonight. Bloating is a constant since I started the clap seriously 20 days ago. I hope it starts to subside. Gas x and charcoal help a little bit, but not enough.
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