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second night
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Adrianf Offline

Members

Posts: 7
Joined: Nov 2013

Machine: ResMed S9 Elite
Mask Type: Full face mask
Mask Make & Model: Quattro Air
Humidifier: H5i
CPAP Pressure: 9.6
CPAP Software: ResScan

Other Comments:

Sex: Male
Location: Australia

Post: #1
second night
When I had my sleep study done I had an AHI of 32 first night of using my new CPAP it went down to 27.1 2nd night using the machine it went down to 9.6.

First night I had a lot of leakage around the mask. 2nd night I fitted the mask a little better. with minimal leakage.

The figures are starting get to where the sleep specialist said they should be but I feel worse today than I have for awhile, very tired.
Is feeling tired usual until CPAP takes full effect?

I did wake during the night with nasal congestion and couldn't breath through my nose and had to remove the mask for a few minutes but did put it back on.
Is nasal congestion normal wearing a mask? Is there a way to stop it happening?

I did look at the data from ResScan and most of the AHI spikes were between 3 and 5.30 am which coincides with mask leakage. I think I need to rethink my sleeping position od need to look at the pillows I use, I think I am pushing the mask off my face Oh-jeez

Adrian
11-21-2013 01:21 AM
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eviltim Offline

Advisory Members

Posts: 408
Joined: Aug 2013

Machine: Resmed S9 VPAP
Mask Type: Full face mask
Mask Make & Model: Resmed AirFit F10
Humidifier: H5i heated humidifer
CPAP Pressure: 5 exhale/9 inhale
CPAP Software: SleepyHead

Other Comments:

Sex: Male
Location:

Post: #2
RE: second night
Adrian, I'd say it is completely normal to have a few rough nights when starting out. Your numbers are not quite where you'd want them to be (under 5 AHI), getting the leaks under control is important (especially since the machine's reporting is not reliable if the leaks are bad enough). Nasal congestion is also a common problem, I had to tweak my humidifer settings a lot (and use a humidifier) to get mine under control. Keep playing with that mask (but don't tighten it up TOO much as that can also cause leaks) and I bet you will find your experience improves rapidly.
11-21-2013 01:45 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: #3
RE: second night
Hi Adrianf and welcome to the forum
Nasal congestion is one of CPAP side effects. Humidifier can helps relieve the side effects and good mask fit helps too
There are some OTC sprays but should not taken for more than 3 days because of rebound effects
I've taken Nasonex steroid nasal spray, it take a week or two to work but now only use saline sinus rinse (squeeze bottle) available from the chemist. - I recommend these topics
1- Un-stuffing Your Stuffy Nose by Steven Y. Park MD
http://www.apneaboard.com/forums/Thread-Un-stuffing-Your-Stuffy-Nose

2- Nasal Breathing Video Series by Barry Krakow MD - see Commercial Posts (Scroll down to bottom of the page)
11-21-2013 04:08 AM
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DeepBreathing Offline
Wiki Editor
Moderators

Posts: 2,295
Joined: Sep 2013

Machine: Resmed S9 VPAP Adapt
Mask Type: Full face mask
Mask Make & Model: F&P Simplus
Humidifier: Resmed H5i
CPAP Pressure: EPAP: 9 - 15 PS: 3 - 10
CPAP Software: ResScan SleepyHead

Other Comments:

Sex: Male
Location: Perth, Western Australia

Post: #4
RE: second night
G'day Adrian, welcome to the forum.

Yes, it's very normal to feel worse before you feel better. You're learning to breathe in a different way, with a plastic alien strapped to your face! Even though you're getting fewer arousals due to apnea, all the new sensations are no doubt causing even more (though you may not remember them). Leaking masks will wake you up, the drag of the hose, the mask on your face, your lungs learning to work with the machine and not against it...all these things will cause arousals and consequent fatigue.

The good news is that most people get through this phase fairly quickly. The bad news is that some don't and may need additional interventions such as a different mask or even a different type of CPAP device. Hopefully you'll get there quickly.

I get bad nasal congestion even without the machine, so I always have a little bottle of eucalyptus oil handy - a few drops on a hankie or tissue makes a great inhalant. I've also found that putting a few drops on a tissue left near the air inlet of the machine gives a longer lasting benefit. Your profile lists "unsure" about your humidifier. Are you unsure if you have one, or unsure of the model? I think all S9s have the same model - H5i.

Good luck with your therapy. It is a struggle at first, but I think it's definitely worth it.

DeepBreathing
Apnea Board Moderator
www.ApneaBoard.com


Bed

INFORMATION ON APNEA BOARD FORUMS OR ON APNEABOARD.COM SHOULD NOT BE CONSIDERED AS MEDICAL ADVICE. ALWAYS SEEK THE ADVICE OF A PHYSICIAN BEFORE SEEKING TREATMENT FOR MEDICAL CONDITIONS, INCLUDING SLEEP APNEA. INFORMATION POSTED ON THE APNEA BOARD WEB SITE AND FORUMS ARE PERSONAL OPINION ONLY AND NOT NECESSARILY A STATEMENT OF FACT.
11-21-2013 05:45 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: second night
Hi Adrianf,
CPAP therapy can take some getting used to. Your body is getting used to this "new" way of sleeping so just hang in there, it does get better.

trish6hundred
11-21-2013 10:14 AM
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Donna Offline

Preferred Members

Posts: 28
Joined: Nov 2013

Machine: REMstar Pro C-Flex+ Auto IQ
Mask Type: Nasal mask
Mask Make & Model: Respironics Wisp
Humidifier: System One Heated
CPAP Pressure: 10
CPAP Software: SleepyHead

Other Comments:

Sex: Female
Location: Tennessee USA

Post: #6
RE: second night
I've always experienced bad nasal congestion. I was pleasantly surprised when a stuffy nose was no longer an issue once I started CPAP. My humidifier must have been just what I needed. I hope that an adjustment of you humidified air will solve your problem as well. It takes a lot of tweaking to find settings that work. But hang in there! Once you zero in on what works best for you, your reward will be a better quality of life!
11-21-2013 03:03 PM
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