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second night
#1
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
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#2
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.
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#3
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-...tuffy-Nose

2- Nasal Breathing Video Series by Barry Krakow MD - see Commercial Posts (Scroll down to bottom of the page)
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#4
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


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#5
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
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#6
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!
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