01-30-2023, 02:27 PM
Still sleepy and having arousals despite low AHI
Hi all,
I've been using CPAP since last April with my settings a majority of the time being CPAP 9 cmH2O with no EPR or ramp.
Initially, with a full face mask (Resmed F20), I was unknowingly removing my mask in the middle of the night and getting <4 hours on the machine each night but after switching to a nasal mask (Resmed N20 Airfit) with mouth taping I was able to get 7+ hours a night and was feeling somewhat refreshed for maybe about a couple of months or so. Since late summer of last year until now, I am still getting a consistent 7+ hours a night on CPAP but waking up very unrefreshed and sleepy. One thing I noticed that was changed AFTER I started feeling more tired was using a higher pillow which may be causing some chin-tuck/positional apnea for me so I will try to sleep on a flatter pillow; however, I did switch to a higher pillow AFTER i started to feel not refreshed after a night of sleep so I wanted to post some OSCAR screenshots here to see if I may be missing something.
I have tried to uptitrate to 10 and even to 11 cm H2O with no improvement in symptoms and only worsening of aerophagia. I am struggling with aerophagia even on 9 cm H2O especially when sleeping on my side. I tried to downtitrate to 8 cm H2O which does reduce the aerophagia but provides no improvement in treating of my apnea. I have been sleeping at a 45 degree incline for the last couple of nights which solves the aerophagia problem but I am still very tired.
My AHI has been consistently below 1 but my flow rates are never been regular. I will post a smattering of screenshots from various times throughout the last year since I'm not sure what will be helpful but please let me know if I can provide more information.
Thanks in advance!
I've been using CPAP since last April with my settings a majority of the time being CPAP 9 cmH2O with no EPR or ramp.
Initially, with a full face mask (Resmed F20), I was unknowingly removing my mask in the middle of the night and getting <4 hours on the machine each night but after switching to a nasal mask (Resmed N20 Airfit) with mouth taping I was able to get 7+ hours a night and was feeling somewhat refreshed for maybe about a couple of months or so. Since late summer of last year until now, I am still getting a consistent 7+ hours a night on CPAP but waking up very unrefreshed and sleepy. One thing I noticed that was changed AFTER I started feeling more tired was using a higher pillow which may be causing some chin-tuck/positional apnea for me so I will try to sleep on a flatter pillow; however, I did switch to a higher pillow AFTER i started to feel not refreshed after a night of sleep so I wanted to post some OSCAR screenshots here to see if I may be missing something.
I have tried to uptitrate to 10 and even to 11 cm H2O with no improvement in symptoms and only worsening of aerophagia. I am struggling with aerophagia even on 9 cm H2O especially when sleeping on my side. I tried to downtitrate to 8 cm H2O which does reduce the aerophagia but provides no improvement in treating of my apnea. I have been sleeping at a 45 degree incline for the last couple of nights which solves the aerophagia problem but I am still very tired.
My AHI has been consistently below 1 but my flow rates are never been regular. I will post a smattering of screenshots from various times throughout the last year since I'm not sure what will be helpful but please let me know if I can provide more information.
Thanks in advance!
