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thrush from apnea mask?
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nativedancer Offline

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Posts: 118
Joined: Mar 2015

Machine: Resmed S9 Vpap ST
Mask Type: Full face mask
Mask Make & Model: F&P Simplus
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CPAP Pressure: 17.8/12.4
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Sex: Male
Location: Hell's Half Acre, Piedmont Plain, NC

Post: #1
thrush from apnea mask?
I have developed patches of white on my tongue. Dr has tried two mouthwashes and I am now on a 3 pill regimen of fluconazole. first 2 pills seem to have made the patches less distinct, but I may be fooling myself. About 2 weeks ago , I had 2 separate dehydration events, owing to a defective ac unit. also. I have frequent dry mouth episodes from mouth breathing in the mask, and I wonder if either or both of these might be partly responsible. If pills fail to correct. Dr will refer me to ENT. Not usually a whiner, but never had anything like this before.

Another thing: I wash my cushion regularly. but until recently -- when I changed to a new hose -- I never cleaned the older hose.
(This post was last modified: 09-15-2016 01:42 PM by nativedancer.)
09-15-2016 12:20 PM
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trish6hundred Offline

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Posts: 6,430
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: #2
RE: thrush from apnea mask?
Hi nativedancer,
You mentioned that you have had dry mouth, where do you have your humidity set? To much or too little can be a problem. It's like so much with this therapy, trial and error.
Good luck to you with getting rid of the stubborn yeast (thrush.)

trish6hundred
09-18-2016 03:34 PM
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nativedancer Offline

Advisory Members

Posts: 118
Joined: Mar 2015

Machine: Resmed S9 Vpap ST
Mask Type: Full face mask
Mask Make & Model: F&P Simplus
Humidifier: Resmed H5i
CPAP Pressure: 17.8/12.4
CPAP Software: Not using software

Other Comments:

Sex: Male
Location: Hell's Half Acre, Piedmont Plain, NC

Post: #3
RE: thrush from apnea mask?
Thanks, Trish, good to hear from you again. I put the tongue to a family vote, and both son and daughter think it is normal. I conveyed this to the doc, and he said he would send me to ENT clinic if I wish, but left the decision up to me. I'll wait a few more days, I guess. Guess I'm the only one worried, eh? But I seem to get that way more and more, the older I get.

Hope y'all are well. Jim
09-21-2016 03:21 PM
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srlevine1 Offline

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Posts: 226
Joined: Sep 2015

Machine: ResMed Airsense Autoset (S10)
Mask Type: Nasal mask
Mask Make & Model: ResMed Mirage Activa LT
Humidifier: Internal to S10
CPAP Pressure: 12-15.6
CPAP Software: ResScan SleepyHead Other Software

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Sex: Male
Location: Westlake Village, California USA

Post: #4
RE: thrush from apnea mask?
(09-15-2016 12:20 PM)nativedancer Wrote:  I have developed patches of white on my tongue. Dr has tried two mouthwashes and I am now on a 3 pill regimen of fluconazole. first 2 pills seem to have made the patches less distinct, but I may be fooling myself. About 2 weeks ago , I had 2 separate dehydration events, owing to a defective ac unit. also. I have frequent dry mouth episodes from mouth breathing in the mask, and I wonder if either or both of these might be partly responsible. If pills fail to correct. Dr will refer me to ENT. Not usually a whiner, but never had anything like this before.

Another thing: I wash my cushion regularly. but until recently -- when I changed to a new hose -- I never cleaned the older hose.

I experienced this once when I started to open my mouth (pre-chin strap using nasal mask) and my dentist recommended a mouthwash and giving the situation two weeks to resolve. He recommended sanitizing my toothbrush after every use and bushing multiple times during the day. It worked well for me and the problem did not reoccur after I resolved my dry mouth issues.

It appears that yeast bacteria are always present in our mouths and are held in check by natural factors. Dry mouth can certainly upset the balance that allows the bacteria to predominate as can stress, certain medications, and diseases like unchecked diabetes. Other than keeping your equipment scrupulously clean and having your doctor rule out other possible causes, it appears that your quest might be one of trial and error. Perhaps even switching to a nasal mask that can accommodate your pressure requirements and using a chin strap. Best of luck.

"The object in life is not to be on the side of the majority, but to escape finding oneself in the ranks of the insane." -- Marcus Aurelius
09-21-2016 03:58 PM
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nativedancer Offline

Advisory Members

Posts: 118
Joined: Mar 2015

Machine: Resmed S9 Vpap ST
Mask Type: Full face mask
Mask Make & Model: F&P Simplus
Humidifier: Resmed H5i
CPAP Pressure: 17.8/12.4
CPAP Software: Not using software

Other Comments:

Sex: Male
Location: Hell's Half Acre, Piedmont Plain, NC

Post: #5
RE: thrush from apnea mask?
srlevine1, i'm relieved to have your support for the dry mouth theory. i can't use a nasal device, however, wish i could, but i am a mouth breather and a ff mask is the only solution. also, i tried two anti-bacterial mouthwashes with little effect. dry mouth has always been an issue for me, since i first began my therapy over a year ago, but the yeast issue is very recent. there is possibly another factor: about two weeks ago. i had two separate episodes of heat exhaustion, both of which caused dehydration and sent me to the er for treatment. if the dehydration figures into the problem, the yeast may go away gradually, but if i cannot see any improvement soon, i will get an appt with the ent clinic here.
09-21-2016 08:09 PM
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trish6hundred Offline

Advisory Members

Posts: 6,430
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: #6
RE: thrush from apnea mask?
(09-21-2016 03:21 PM)nativedancer Wrote:  Thanks, Trish, good to hear from you again. I put the tongue to a family vote, and both son and daughter think it is normal. I conveyed this to the doc, and he said he would send me to ENT clinic if I wish, but left the decision up to me. I'll wait a few more days, I guess. Guess I'm the only one worried, eh? But I seem to get that way more and more, the older I get.

Hope y'all are well. Jim

Hi nativedancer,
It’s good to hear from you again as well.
We are doing well, thank you.
I don’t blame you for being concerned about your thrush, hopefully, that has cleared up.
I’m sorry I have been a bit slow to respond to your post, I’m trying a new Oporating system on my computer and I’m not sure if I’ll stay with it yet,or not. Anywho, you take care of yourself.

trish6hundred
09-22-2016 07:15 PM
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