AT's Therapy Analysis

[Pawpri]

Thank you in advance

[Pawpri]

Hes using the Air Fit F20. I can't figure out how to jpdate that info on the side under my name

[Pawpri]

[Old Steve]

It sound like he may be having Aerophagia, setting the EPR to 3 should have helped with that not made it worse.   If the problem is too much pressure about all you can do is to lower his pressure.  Unfortunately, the lower pressure may not treat his apnea.  I would suggest having him try another night and see how it goes as his AHI is getting better.  If we determine that the Aerophagia is being caused by too much pressure perhaps we should try setting the machine to APAP as it may not cause the gassy problems as much. 

In APAP he can have a lower his minimum pressure and a higher max pressure as the machine will adjust automatically to the apneas.   If you want to try the APAP set the minimum pressure to start with at 7cm and the maximum pressure around 15cm and leave the EPR at 3.  Then see how he does.

Also, do you know why isn't he sleeping anymore than he is?  Do you think the problem is just the CPAP?

Also, could you take about a 3 minute section on the flow rate chart and enlarge it about four clicks so we can see what the actual flow rate wave looks like.  



If you look up Aerophagia on the OSCAR site it will give you more info as to some causes and things you can do that may help.

[Pawpri]

Thank you for the response.
I myself was also a little gassy. I think our dinner last night contributed so I'll have him do another night or couple of nights. We had Mexican for dinner.


Hes not sleeping as much because he's getting a lot of overtime at work. He's working 12+ hour shifts right now. And he likes to stay up and try to get things done before he goes to bed. :/

Do you want the flow rates enlarged for the last 2 nights or just tonight's when I post tomorrow?

[Old Steve]

Both would be great, try to get the flow rate images so they are a little large than this .

[Pawpri]

I was trying to cuddle him tonight while we sleep, and he keeps like jumping/flinching. Which he did a lot before the cpap. But I haven't tried to cuddle with him, or watch him sleep since he started using the Cpap, because I usually go to bed first, so idk if he's been doing this every night still or not. 

I thought it was related to the Sleep Apnea. But if the CPAP is bringing his AHI down, then idk why he keeps jolting. 

I asked him if he's okay and he said yea. And I asked him why he keeps jolting and he said he didn't know. And I asked if he was asleep when he did it, and he said he didn't know. 

(So yes he was probably asleep. ) 

But he's doing it a lot. 

Should I be concerned??

[Pawpri]

I was trying to cuddle him tonight while we sleep, and he keeps like jumping/flinching. Which he did a lot before the cpap. But I haven't tried to cuddle with him, or watch him sleep since he started using the Cpap, because I usually go to bed first, so idk if he's been doing this every night still or not. 

I thought it was related to the Sleep Apnea. But if the CPAP is bringing his AHI down, then idk why he keeps jolting. 

I asked him if he's okay and he said yea. And I asked him why he keeps jolting and he said he didn't know. And I asked if he was asleep when he did it, and he said he didn't know. 

(So yes he was probably asleep. ) 

But he's doing it a lot. 

Should I be concerned??

I have another thread here, where we have been making coap changes, but the jolting is concerning me right now and I was hoping to get a quicker response on it. 

https://www.apneaboard.com/forums/Thread...11-Autoset

[Phaleronic]

Do any of these apply to him?

'Excessive Caffeine or Nicotine Consumption
Stimulants like caffeine and nicotine wake up your brain
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National Heart, Lung, and Blood Institute (NHLBI)
The NHLBI is the nation's leader in the prevention and treatment of heart, lung, blood and sleep disorders.
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. These substances can also stay in your system for several hours, disrupting sleep. In one study, people who stopped drinking coffee six hours before bed
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National Library of Medicine, Biotech Information
The National Center for Biotechnology Information advances science and health by providing access to biomedical and genomic information.
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still had trouble falling asleep. Having too much caffeine or nicotine, or consuming these substances too close to bedtime, may lead to hypnic jerks.

Stress and Anxiety
Both everyday stress
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National Library of Medicine, Biotech Information
The National Center for Biotechnology Information advances science and health by providing access to biomedical and genomic information.
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and diagnosed anxiety disorders
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National Library of Medicine, Biotech Information
The National Center for Biotechnology Information advances science and health by providing access to biomedical and genomic information.
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can contribute to insomnia, which leads to the kind of sleep deprivation that increases your risk of hypnic jerks. When you are stressed or anxious, your cortisol levels remain elevated during sleep, which makes sleep less restful. Anxious thoughts can also keep you up at night, making it hard for you to relax into sleep and disrupting the transition between wakefulness and sleep, potentially triggering a hypnic jerk.

Some people who experience hypnic jerks frequently may even develop anxiety around sleep itself, which only increases their likelihood of experiencing sleep deprivation and more hypnic jerks.'

[Old Steve]

It is possible that he has Restless leg Syndrome (RLS).  If you can post his sleep test it might help someone on here determine if the jumping is  sleep related.   When you post the sleep test make sure you do not show his name.  You can look up RLS in the Wiki on this site.