Struggling to use CPAP, requesting titration help

[pmc123]

Hello,
I was diagnosed with OSA in 2014 and received a Resmed S9 autoset and a mirage quattro mask.   I used the machine once, couldn't stand it and put it away

Fast forward, I have had septoplasty and turbinate reduction in 2019 and had been using a dental appliance.   

This year it seems the appliance wasn't cutting it so I went back to my doctor and had an in home study done and that showed AHI of up to 20.

I pulled my CPAP machine out of the closet and attempted to use it a couple nights.  Most nights I couldn't stand it for more than an hour, but I did get one night of almost 5 hours.   Attached are the results.

My main problems with CPAP are that I feel like I am suffocating and also I swallow tons of air and end up bloated/gassy/diarrhea in the morning.  

Here's my chart, hopefully I have this formatted correctly

Thank you very much

       

[Crimson Nape]

Hi pmc123! -

I would try reducing your pressure to 10 and turn off the EPR. This will give you the EPAP pressure to avoid OAs and Hypopneas, while reducing the CAs and hopefully, the bloated feeling.

Instead of zooming in on the sleep session, you can deselect the 1-minute session at 11:36 in the lower left of the screen. The graphs will readjust to just the active sessions.

- Red

[pmc123]

Thanks, I will try that.   Here's the deselected chart

   

[pmc123]

I tried 11.   Was able to keep the mask on basically the entire time I was asleep now for the first time.  

Still some air swallowing, not nearly as bad but not great.  

   

[Crimson Nape]

First, how do you feel? You may wish to let this ride for a few days to see if and when your body accepts the pressure. You can try dropping the pressure down to 10 cm, but expect your hypopneas and OAs to increase. If you are not, sleep on one of your sides as much as possible. Avoid your back as much as you can.

Keep us informed!
- Red