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need advice
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LeeC Offline

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Posts: 12
Joined: May 2014

Machine: phillips
Mask Type: Nasal mask
Mask Make & Model: responinics
Humidifier: responinics
CPAP Pressure: 10
CPAP Software: Other Software

Other Comments:

Sex: Male
Location:

Post: #1
need advice
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!
05-19-2014 07:35 AM
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jaycee Offline

Preferred Members-2

Posts: 115
Joined: May 2014

Machine: S-9 Autoset
Mask Type: Full face mask
Mask Make & Model: Quattro Air Large
Humidifier: 5i
CPAP Pressure: 9-13
CPAP Software: ResScan

Other Comments: RT at a DME

Sex: Male
Location:

Post: #2
RE: need advice
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.
05-19-2014 07:58 AM
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Moriarty Offline

Advisory Members

Posts: 270
Joined: Jul 2012

Machine: Respironics REMStar 50 Series Auto
Mask Type: Nasal pillows
Mask Make & Model: Fisher & Pakel Pilairo Q
Humidifier: Respironics System One
CPAP Pressure: 8.5-20 (average 9.4)
CPAP Software: SleepyHead

Other Comments: Image above is my CPAP machine...

Sex: Male
Location: Toowoomba - Qld - Australia

Post: #3
RE: need advice
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
05-19-2014 08:08 AM
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LeeC Offline

Members

Posts: 12
Joined: May 2014

Machine: phillips
Mask Type: Nasal mask
Mask Make & Model: responinics
Humidifier: responinics
CPAP Pressure: 10
CPAP Software: Other Software

Other Comments:

Sex: Male
Location:

Post: #4
RE: need advice
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?
05-19-2014 08:42 AM
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trish6hundred Offline

Advisory Members

Posts: 6,446
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: #5
RE: need advice
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
05-19-2014 10:25 AM
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LeeC Offline

Members

Posts: 12
Joined: May 2014

Machine: phillips
Mask Type: Nasal mask
Mask Make & Model: responinics
Humidifier: responinics
CPAP Pressure: 10
CPAP Software: Other Software

Other Comments:

Sex: Male
Location:

Post: #6
RE: need advice
Thanks, but I use a chin strap but it doesn't help.
05-19-2014 11:48 AM
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PaulaO2 Offline
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Moderators

Posts: 8,065
Joined: Feb 2012

Machine: S9 Autoset
Mask Type: Full face mask
Mask Make & Model: F&P Simplus
Humidifier: H5i
CPAP Pressure: 14-20
CPAP Software: SleepyHead

Other Comments: Ehlers-Danlos Syndrome, Hypermobility Type; chronic sarcasm

Sex: Undisclosed
Location: western NC, USA

Post: #7
RE: need advice
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
Apnea Board Moderator
www.ApneaBoard.com


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05-19-2014 10:35 PM
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LeeC Offline

Members

Posts: 12
Joined: May 2014

Machine: phillips
Mask Type: Nasal mask
Mask Make & Model: responinics
Humidifier: responinics
CPAP Pressure: 10
CPAP Software: Other Software

Other Comments:

Sex: Male
Location:

Post: #8
RE: need advice
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!
05-20-2014 10:02 AM
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retired_guy Offline

Preferred Members-2

Posts: 2,744
Joined: Jan 2014

Machine: ResMed S9 Autoset
Mask Type: Nasal pillows
Mask Make & Model: Resmed Airfit P10
Humidifier: ResMed
CPAP Pressure: 10.6/14, EPR 3
CPAP Software: ResScan SleepyHead

Other Comments: Is it bedtime yet?

Sex: Male
Location: Beautiful, albeit very wet Oregon Coast

Post: #9
RE: need advice
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.
(This post was last modified: 05-20-2014 11:59 AM by retired_guy.)
05-20-2014 11:59 AM
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zonk Offline

Advisory Members

Posts: 7,908
Joined: Feb 2012

Machine: A10 AutoSet
Mask Type: Nasal mask
Mask Make & Model: Activa LT
Humidifier: Integrated /ClimateLineAir
CPAP Pressure: 9/13
CPAP Software: ResScan

Other Comments: CPAP since Nov 2010

Sex: Male
Location: Australia

Post: #10
RE: need advice
(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]
05-20-2014 03:08 PM
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