Hello Guest, Welcome to Apnea Board !
As a guest, you are limited to certain areas of the board and there are some features you can't use.
To post a message, you must create a free account using a valid email address.

or Create an Account


New Posts   Today's Posts

Aerophagia help
#1
Aerophagia help
Hello,
I have been using a CPAP machine for about 4 years. In the last year aerophagia has got worse. I've tried adjusting my pressures to no avail. Any guidance would be greatly appreciated. Thank you.


Attached Files Thumbnail(s)
   
Post Reply Post Reply
#2
RE: Aerophagia help
I have and still do struggle with aerophagia a bit.  Several things can help.  
1.  I see some large leaks that increase your pressure.   Mask Primer  This may help decrease them. 
2.  Usually decreasing pressure helps decrease aerophagia.  BUT, that needs to be balanced against performance (AHI, etc.).  
3.  I see some hypopnea and other clusters in your chart.  Possibly using a soft cervical collar could reduce these and keep your pressure and aerophagia down more.  I wear one every night.  
4.  CPAP since March 22, still dealing with aerophagia, wakings, and heart rate problems 1 2 )

manacles[url=http://www.apneaboard.com/wiki/index.php?title=Mask_Primer][/url]
This thread has a unique solution that worked for this member.  I tried this, but it did not work for me personally.  I am currently at 10 max epap and 20 to 22 for ipap (PS).  I may try to raise my epap significantly so less ipap and see if that helps decrease aerophagia.  

Lots of things to try.  There is the possibility something has happened to your esophageal sphincters over time as you have aged.  GERD can affect this.  Something neurological can also for example.  
Download OSCAR
OSCAR Chart Organization
Attaching Files

Advisory Members serve as an "Advisory Committee" to help shape Apnea Board's rules & policies. 

Membership in the Advisory Members group does not imply medical expertise or qualification for advising Sleep Apnea patients concerning their treatment.  
Post Reply Post Reply
#3
RE: Aerophagia help
I Agee with most of what Jay said.  Where I differ is what is causing your higher pressure. Compare your Flow Limits and high pressure,you can see they are driving up your pressure. We use ERP to lower FL.  

I would try the following :

Min 7
EPR full time
EPR 3
Leave max where it is

The reason of increasing the Min is to give EPR room to work.
Apnea (80-100%) 10 seconds, Hypopnea (50-80%) 10 seconds, Flow Limits (0-50%) not timed  Cervical Collar - Dealing w DME - Chart Organizing
Post Reply Post Reply
#4
RE: Aerophagia help
Thank you for your input. I did up my pressures. Seeing that there's still a large league I'm going to use a new mask tonight. My old one may be worn out. Thanks again.


Attached Files Thumbnail(s)
   
Post Reply Post Reply
#5
RE: Aerophagia help
What about your EPR setting? Raising that to its max value is key. If that doesn't work, I recommend you go to your care provider and complain about the aerophagia. You will need bi-level therapy. Ask for the ResMed AirCurve VAuto. Accept nothing less.
Sleepster

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.
Post Reply Post Reply
#6
RE: Aerophagia help
You are also having positional apnea.  This shows up where you see Hypopnea or Obstructive apneas clustered together on your chart.  These occur when you are tucking your chin towards your chest.  This causes something similar to a kink in a hose and makes it difficult for the air to get through.  This can be corrected by sleeping on a flatter pillow or by wearing a soft cervical neck collar to bed.  No setting change can fix it.
Machine:  ResMed AirCurve 10 Vauto
Mask:  Bleep DreamPort Sleep Solution
Post Reply Post Reply
#7
RE: Aerophagia help
My EPR is set on 3. Positional makes sense. What again are you seeing on the graph that indicates that to you? I would like to learn.
Post Reply Post Reply
#8
RE: Aerophagia help
We can not see some of the information the top chart is missing. You need to have the rope of events showing so we can see O, H events. 

Positional apnea is shown when there are grouped O or H events.
Apnea (80-100%) 10 seconds, Hypopnea (50-80%) 10 seconds, Flow Limits (0-50%) not timed  Cervical Collar - Dealing w DME - Chart Organizing
Post Reply Post Reply
#9
RE: Aerophagia help
In my case, positional issues contribute to aerophagia.   A soft cervical collar helps, as does sleeping on my back on an incline.   A nasal pillow mask eliminates the aerophagia but it’s taking me a while to adjust to it.
Post Reply Post Reply
#10
RE: Aerophagia help
(05-12-2024, 11:19 AM)Deborah K. Wrote: You are also having positional apnea.  This shows up where you see Hypopnea or Obstructive apneas clustered together on your chart.  These occur when you are tucking your chin towards your chest.  This causes something similar to a kink in a hose and makes it difficult for the air to get through.  This can be corrected by sleeping on a flatter pillow or by wearing a soft cervical neck collar to bed.  No setting change can fix it.

When your airway is obstructed, the pressure from the CPAP machine can force air into your stomach. This could be contributing to, or may even be the cause of, your aerophagia.

I highly recommend the soft cervical collar.
Sleepster

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.
Post Reply Post Reply


Possibly Related Threads...
Thread Author Replies Views Last Post
  [CPAP] New to therapy and CPAP, Aerophagia issue Aplar 12 293 07-06-2024, 11:01 AM
Last Post: Jay51
  Fix aerophagia for cheap VINEDIGGER 8 247 07-03-2024, 11:21 AM
Last Post: VINEDIGGER
Gross [Symptoms] Severe Aerophagia Ottoman1453 1 152 07-02-2024, 01:34 PM
Last Post: G. Szabo
  [Pressure] Horrible aerophagia :( Suggestions for pressure and settings please WildBelle 1 157 07-01-2024, 08:46 AM
Last Post: G. Szabo
  New to CPAP and getting aerophagia MissConstrue 7 355 06-16-2024, 05:55 PM
Last Post: Dormeo
  What condition could cause/worsen aerophagia? urachan 6 468 05-17-2024, 05:50 AM
Last Post: urachan
  [CPAP] Aerophagia with chronic constipation Leaderd 2 280 05-17-2024, 05:39 AM
Last Post: srlevine1


New Posts   Today's Posts


About Apnea Board

Apnea Board is an educational web site designed to empower Sleep Apnea patients.