Post Reply 
can't find right settings
Author Message
Avonjohn13 Offline

New Members

Posts: 3
Joined: Mar 2016

Machine: Philips REMstarSE
Mask Type: Nasal pillows
Mask Make & Model: Philips Nuance Pro
Humidifier: Philips System One
CPAP Pressure: 9
CPAP Software: Not using software

Other Comments:

Sex: Male
Location:

Post: #1
can't find right settings
I have had the machine for about 2 months and wake up with either a runny or stuffed up nose depending on the humidity setting. I also wake up during the night with a dry mouth. I have not experienced the deep sleep I was expecting. Any similar experiences?
03-13-2016 05:12 PM
Find all posts by this user Post Reply Quote this message in a reply

Donate to Apnea Board
JudgeMental Offline

Advisory Members

Posts: 324
Joined: Feb 2012

Machine: Respironics DreamStation Auto-CPAP
Mask Type: Full face mask
Mask Make & Model: Respironics Amara View
Humidifier: Respironics
CPAP Pressure: 11-14
CPAP Software: SleepyHead

Other Comments:

Sex: Male
Location: Florida USA

Post: #2
RE: can't find right settings
Most of what you are describing has been experienced at one time or another by most of us apnea sufferers .. The humidity settings is a just keep trying issue 'til you find the right setting that works best.
The dry mouth issue is usually indicative of mouth breathing. From your listed equipment info, you are using nasal pillows. You may have to either try using a chin strap or a full face mask, if your dry mouth issues continue.

Yesterday is history; Tomorrow is a mystery; Today is a gift; Thats why its called "The Present".
(This post was last modified: 03-13-2016 05:46 PM by JudgeMental.)
03-13-2016 05:45 PM
Find all posts by this user Post Reply Quote this message in a reply
Avonjohn13 Offline

New Members

Posts: 3
Joined: Mar 2016

Machine: Philips REMstarSE
Mask Type: Nasal pillows
Mask Make & Model: Philips Nuance Pro
Humidifier: Philips System One
CPAP Pressure: 9
CPAP Software: Not using software

Other Comments:

Sex: Male
Location:

Post: #3
RE: can't find right settings
Thanks JudgeMental. My doctor advised that with warming spring temperatures the humidity settings should be lowered to 2 or 3. I was using settings 4 or 5 during colder temps with somewhat better results. The lower settings result in runny nose and sneezing during the day. Doc said higher humidity settings with the warming spring temps could lead to infections. I'm frustrated with the machine and so far do not see significant improvements.
03-13-2016 06:05 PM
Find all posts by this user Post Reply Quote this message in a reply

Donate to Apnea Board
woozie38 Offline

Advisory Members

Posts: 248
Joined: Jan 2013

Machine: Fisher & Paykel Icon + Auto
Mask Type: Full face mask
Mask Make & Model: F&P Simplus
Humidifier: Integral
CPAP Pressure: 8 to 14
CPAP Software: SleepyHead Other Software

Other Comments: 17 years of CPAP + supp. oxygen @ 3 L/min

Sex: Male
Location: Toowoomba, Queensland Australia

Post: #4
RE: can't find right settings
(03-13-2016 05:12 PM)Avonjohn13 Wrote:  I have had the machine for about 2 months and wake up with either a runny or stuffed up nose depending on the humidity setting. I also wake up during the night with a dry mouth. I have not experienced the deep sleep I was expecting. Any similar experiences?
Hello John,
It always takes some time to come to grips with the therapy & get all your settings & mask right. Your problem with humidity is related to the ambient humidity of your room & that will change from day to day. Thus in some climates it's necessary to set the humidity level each night. If you find droplets of water in your mask, or whistling from the mask exhaust port, then the setting is too high.

Dry mouth is common for users of nasal masks. There are numerous posts on this board about the subject. Remedies range from training yourself to keep your tongue pressed to the roof of your mouth, to changing to a full face mask.

There are pro & cons with each solution. It is difficult to maintain the tongue seal method for the duration.
FFM's tend to pull the lower jaw to the rear moving the tongue with it & causing narrowing of the airway.

The method I favor & is decried by other members is taping the mouth closed using surgical tape.
Your pressure settings, believe it or not, are enough to blow the tape clear off.
Chin straps are suggested too, but most are poorly designed and tend to force the lower jaw backwards causing narrowing of your airway too.

All of us have experienced the same problems at one time or another & its just a matter of trying different solutions until you find one that works for you. Best wishes & good luck.

[Image: signature.png]Keep on breathin'
03-13-2016 06:14 PM
Find all posts by this user Post Reply Quote this message in a reply
surferdude2 Offline

Advisory Members

Posts: 1,077
Joined: Jul 2014

Machine: ResMed S9 AutoSet
Mask Type: Full face mask
Mask Make & Model: Mirage Quattro & Optilife
Humidifier: ResMed H5i @ #3 if nose breathing & #5 if mouth breathing
CPAP Pressure: 12 ~ 20 & 11 ~12 if nasal mask
CPAP Software: ResScan SleepyHead

Other Comments: Late stage 2 emphysema

Sex: Male
Location: Mousetown, Southern Illinois

Post: #5
RE: can't find right settings
The nasal pillows mask is the least obtrusive of all masks and usually delivers good therapy at a lesser pressure than full face masks. However, to use one successfully you must be able to refrain from opening and breathing through your mouth. That is easier said than done for some of us. A suggestion that works for some folks is to place the tip of your tongue against your teeth and create a suction that will hold the tongue to the roof of your mouth. Some can do that while others cannot. I suspect it has something to do with the shape of the roof of ones mouth.

The next best solution is to get a chin strap that will hold the mouth shut when you fall asleep. Some chin straps work better than others. I have had good results by using a 3" wide chin strap from Amazon and deploying it around my neck and across my mouth in such a way that it's like taping my mouth shut but less dangerous. I had to resort to this since a regular chin strap application held my mouth shut but air still came out when I fell asleep. YMMV

Another solution is to use a 'Hybrid" mask that has nasal pillows and also an enclosure that covers and pressurizes the mouth. That method sort of defeats one of the best features of the nasal pillow mask, the ability to render effective therapy at a lower pressure. These are considered full face masks but are much less obtrusive and leaks are easier to manage since the total footprint is less.

Lastly, you may have to go to a full face mask. That's the least desirable solution since the mask is much heavier and has a larger footprint. Leaks are generally harder to manage than with the pillows but it's the only recourse if all else fails with the nasal pillows.

These are all general statements and you will have to experiment to see which applies to you. Some lucky folks come home with their new equipment and it just works without a hitch from the get-go.

Dude
(This post was last modified: 03-13-2016 06:21 PM by surferdude2.)
03-13-2016 06:19 PM
Find all posts by this user Post Reply Quote this message in a reply

Donate to Apnea Board
surferdude2 Offline

Advisory Members

Posts: 1,077
Joined: Jul 2014

Machine: ResMed S9 AutoSet
Mask Type: Full face mask
Mask Make & Model: Mirage Quattro & Optilife
Humidifier: ResMed H5i @ #3 if nose breathing & #5 if mouth breathing
CPAP Pressure: 12 ~ 20 & 11 ~12 if nasal mask
CPAP Software: ResScan SleepyHead

Other Comments: Late stage 2 emphysema

Sex: Male
Location: Mousetown, Southern Illinois

Post: #6
RE: can't find right settings
BTW, I suggest that your humidity problem may be resolved when you get the mask problem fixed. These seem to go hand in hand due to the large amount of air going through your nose and out your mouth under the circumstance. Fix the mouth leak and you will likely fix all else.

Dude
03-13-2016 06:29 PM
Find all posts by this user Post Reply Quote this message in a reply
Avonjohn13 Offline

New Members

Posts: 3
Joined: Mar 2016

Machine: Philips REMstarSE
Mask Type: Nasal pillows
Mask Make & Model: Philips Nuance Pro
Humidifier: Philips System One
CPAP Pressure: 9
CPAP Software: Not using software

Other Comments:

Sex: Male
Location:

Post: #7
RE: can't find right settings
Thanks Woozie and Dude: I have trouble with the chin strap as I breathe with my mouth open when sleeping and feel constricted and claustrophobic while wearing it. I guess I have to keep trying and experimenting until I get comfortable with the machine. I have slept without it for a few days at a time and feel better although the snoring keeps my wife awake.
03-13-2016 06:33 PM
Find all posts by this user Post Reply Quote this message in a reply

Donate to Apnea Board
surferdude2 Offline

Advisory Members

Posts: 1,077
Joined: Jul 2014

Machine: ResMed S9 AutoSet
Mask Type: Full face mask
Mask Make & Model: Mirage Quattro & Optilife
Humidifier: ResMed H5i @ #3 if nose breathing & #5 if mouth breathing
CPAP Pressure: 12 ~ 20 & 11 ~12 if nasal mask
CPAP Software: ResScan SleepyHead

Other Comments: Late stage 2 emphysema

Sex: Male
Location: Mousetown, Southern Illinois

Post: #8
RE: can't find right settings
Wearing the mask and chin strap while watching TV or reading may help you get used to it.

Keep after it, it gets better in time and you'll not be bothered with the mask once you learn that it isn't dangerous but is the opposite, it can help you live a longer and happier life.

You may benefit from a saline nasal rinse or even a corticosteroid nasal spray such as Nasacort. Experimenting is important.

Dude
(This post was last modified: 03-13-2016 06:47 PM by surferdude2.)
03-13-2016 06:46 PM
Find all posts by this user Post Reply Quote this message in a reply
trish6hundred Offline

Advisory Members

Posts: 6,453
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: #9
RE: can't find right settings
Hi Avonjohn13,
WELCOME! to the forum.!
Much success to you with your CPAP therapy and getting it fine tuned to meet your needs.
Hang in there for more responses to your post.

trish6hundred
03-13-2016 07:26 PM
Find all posts by this user Post Reply Quote this message in a reply

Donate to Apnea Board
Post Reply 


Possibly Related Threads...
Thread: Author Replies: Views: Last Post
  [Equipment] How do I find old machine? Skeeter 3 158 Today 07:50 PM
Last Post: kwhenrykerr
  Dream Station Ramp and Pressure Settings knowoneuno 27 596 Yesterday 09:02 PM
Last Post: Russatrice
  Newbie - need advice on settings and machine tmc712 18 402 12-06-2016 09:04 PM
Last Post: tmc712
  Dream Station Settings Autumnseer 15 572 11-26-2016 07:01 AM
Last Post: Weird Tolkienish Figure
  Can't Find Device Number (DN) on Back of Machine gamegrrl 5 188 11-14-2016 05:32 PM
Last Post: gamegrrl
  Who generally is in charge of your CPAP settings? Mezzrow 9 486 11-12-2016 01:47 AM
Last Post: blueelement2016
  do I have the right machine (and settings) JaminV 4 380 10-31-2016 10:05 PM
Last Post: trish6hundred

Forum Jump:

Who's Online (Complete List)