(04-05-2014, 11:13 AM)PaytonA Wrote: Hang in there. I have no experience to help you with but there are plenty of people on the board that do and I am sure you will be getting plenty of help.

PaytonA

(04-05-2014, 10:47 AM)Brian Rule Wrote: 1. if I wake in the night and lie quietly for more than a few minutes before going back to sleep then the AHI goes shooting up. I have pretty low leakage in general but often my AHI goes up to 10 or 12 for 30 to 60 minutes. There is no significant leakage and the sleepyhead and Resscan software both show little of no Apnea activity during the period:

(04-05-2014, 10:47 AM)Brian Rule Wrote: 2 The second problem is that I wake most mornings absolutely blown up with air which, unless I can discharge it by burping soon after getting up causes me severe discomfort and chest pain throughout the day. I have tried sleeping with a higher pillow (not much improvement) and Gaviscon is of limited usefulness. Seems a minor problem which the doctors don't seem to take seriously, but it is pretty difficult to cope with all day every day to the extent that I wonder if it isn't worse than the S[/b][/size][/font]leep Apnea. I feel sure others must have to cope with this problem so any advice would be more than welcome - I am certainly not getting much from the medical world.

(04-05-2014, 11:32 AM)retired_guy Wrote:

(04-05-2014, 10:47 AM)Brian Rule Wrote: 1. if I wake in the night and lie quietly for more than a few minutes before going back to sleep then the AHI goes shooting up. I have pretty low leakage in general but often my AHI goes up to 10 or 12 for 30 to 60 minutes. There is no significant leakage and the sleepyhead and Resscan software both show little of no Apnea activity during the period:

I'm a bit confused: Your ahi goes up to 10 or 12, yet the software shows little or no activity? What are you looking at to know your ahi is increasing?

(04-05-2014, 10:47 AM)Brian Rule Wrote: 2 The second problem is that I wake most mornings absolutely blown up with air which, unless I can discharge it by burping soon after getting up causes me severe discomfort and chest pain throughout the day. I have tried sleeping with a higher pillow (not much improvement) and Gaviscon is of limited usefulness. Seems a minor problem which the doctors don't seem to take seriously, but it is pretty difficult to cope with all day every day to the extent that I wonder if it isn't worse than the S[/b][/size][/font]leep Apnea. I feel sure others must have to cope with this problem so any advice would be more than welcome - I am certainly not getting much from the medical world.

That's generally from air in your mouth being swallowed rather than expelled through your lips. In other words, you're mouth breathing. You may need to use a chinstrap or other technique to help train your mouth to keep shut. I use my wife for that purpose.

(04-05-2014, 10:47 AM)Brian Rule Wrote: I wake most mornings absolutely blown up with air

(04-05-2014, 02:15 PM)justMongo Wrote: There are two graphs of which you speak. There are the events. And there is the AHI graph. The second is of little use unless you understand the concept behind what the AHI graph shows. The graph shows the mathematical integral of the number of apnea event with respect to time divided by the total time. I'll see if I can cast it into an equation...



Flow limitation is a scoring of the inhalation waveform. If the waveform has a rounded shape, it scores low limitation. If it is flat on top, it scores higher flow limitation. It's an indication that OSA is possible. I wouldn't get too wrapped up in that graph; the scoring is somewhat subjective.

(04-05-2014, 03:03 PM)zonk Wrote: Events while awake are meaningless and discarded for true AHI value

Flow limitation (FL) are minor obstruction events, don,t meet the 10 seconds or more criteria to be scored as an apnea.
The machine raise pressure in response to FL, whats pressure stats med, 95p, max


Bloating discomfort is called aerophagia, something you need see the doc to see whether CPAP related or GERD or bit of both

Two different conditions with different approaches, increase pressure to deal with FL and decrease pressure to deal with aerophagia
(chicken and egg syndrome)

Some people find bilevel machine helps with aerophagia, higher pressure when breathe-in and much lower pressure (comfortable) when breathe-out