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need advice
#1
Hello! I have a c pap and still have an AHI of 12 to 18! I have pressure of 10 and have another sleep study May 31. Have nasal mask and no leaks. Have chin strap and mouth is very dry during night. Humidifier is on 4 and does well. Sleep all night 7 - 8 hours a night. Not overweight. Any suggestions appreciated!
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#2
Unless you are on some type of medication that dries your mouth, it shouldn't be getting dry with a nasal mask unless air is escaping out your mouth. Depending on the model of your machine you may just be able to look at the screen and see how much leak you are having. A Full Fask Mask may be in your near future.

Since you have another sleep study coming up, I wouldn't worry about making changes until then. Let them know about you having a dry mouth.

While a FFM may seem intimidating, you are going through the hastle of wearing CPAP but not getting the full benefit.
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#3
HI LeeC,

Some more details would help in making suggestions.

In particular, a breakdown of your AHI could be helpful. It may be that the issue is more complex that 'straight-forward' Obstructive Sleep Apnoea (OSA). There are some breathing issues that are not fixable with ordinary CPAP or APAP.

One thing that I can comment on though is that I find from my experience is that if I have a dry mouth then I have had a mouth leak through the night.

Hope this helps,

Cheers

David
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#4
I have no leaks but AHI is still going up. Air I think is escaping through my mouth. Some nights are better than some. I stopped breathing in the original sleep study 29 times a hour. I take bacoflen for muscle spasms and wonder if med has any affect?
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#5
Hi LeeC,
WELCOME! to the forum.!
You might try a chinstrap and see if that helps you to keep your mouth closed.
Sometimes meds can cause dry mouth, you might talk to your Dr. about that.
Hang in there for more suggestions and best of luck to you with your CPAP therapy.
trish6hundred
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#6
Thanks, but I use a chin strap but it doesn't help.
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#7
If you are breathing through your mouth, then you have leaks. You say you have no leaks. How do you know? Are you looking at the data? If so, then is the data set up to show all leaks or just unintentional leaks?
PaulaO2
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#8
On the cpap it shows no leaks on the computer. I assume no leaks. But my mouth is dry and the ahi is going up!
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#9
You say you are taking Baclofen. Many meds can cause dry mouth. In Baclofen's case it can, but I think it's not supposed to be not all that common a side effect for it. Inanycase, I'm sure not the guy to help you if you're having medication issues.

But I can state that in my humble albeit uneducated opinion most complaints about dry mouth for us'ens that use cpap machines is we are breathing through our mouth. As a matter of fact, I had super dry mouth issues way before I started using a cpap machine. There are things you can squirt in your mouth before bedtime that help for a little while. But in the end the solution lies in eliminating the problem, which is mouth breathing. It says here you are using a nasal mask, and you mentioned you have used a chinstrap. Does your nose stay open and functional all night with the nasal mask? If so then perhaps all that is needed is to tweek the chinstrap a bit. Some of them pull back on the jaw while trying to keep the mouth shut which is just the opposite of what needs to be done. The idea is it should be comfortable, not tight, and just "encourage" the mouth to stay shut and the jaw to stay forward.
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#10
(05-19-2014, 08:42 AM)LeeC Wrote: I have no leaks but AHI is still going up. Air I think is escaping through my mouth. Some nights are better than some. I stopped breathing in the original sleep study 29 times a hour. I take bacoflen for muscle spasms and wonder if med has any affect?
Tell the doctors at the sleep lab that you,re taking bacoflen
From http://www.ncbi.nlm.nih.gov/pubmed/7758556
Because of the depressant effects of GABA on the central nervous system, we hypothesized that baclofen might aggravate sleep-disordered breathing in susceptible individuals by depressing central ventilatory drive, increasing upper airway obstruction and/or increasing the arousal threshold to apnoea.

Which Respironcis machine are you using
[Image: which-remstar.jpg]

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