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Just want to stop by and see if anyone has any input.
Overall, I am happy with how I am tolerating the bipap vs apap, I had a really hard time with apap. I am having some aerophagia and battling mouth breathing (cheeks filling up with air, jaw relaxing and air trying to come out of mouth), but using tape to rectify that. The pressures feel good at this time though. I am using a nasal mask at this time.
Thanks! It's been a lot of finagling and playing with different masks, machines, pressure settings, etc. I am having some issues with aerophagia so I am looking for some insight on how to possibly rectify that.
I think it was recommended a few posts back to try these settings as they mirrored what you were using with the A11.
It may or may not help with Aerophagia, but worth a try. I would, however limit the maximum IPAP to 12.
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Your AHI is so low that I think you have plenty of room to experiment with lower max IPAP, as OpalRose suggests. If 12 doesn't help with the aerophagia, you can try 11; if that doesn't help, 10. Stop lowering the IPAP max if your AHI goes over, say 1.
I've heard other people say they have horrible aerophagia with one pressure and then none with a pressure just .2 or .4 lower. So you should definitely play around to find your sweet spot.
As for daytime fatigue, an easy thing to try is to schedule yourself so you can get more actual sleep. Many people need a solid 8 hours. To 8 hours you should add the time it takes you to fall asleep plus the time you spend awake during the night to get the total time in bed that you may need.
I changed the EPR to 2 last night and also adjusted the Timax slightly lower as I felt like it was just a hair too much inhalation for me (the standard settings felt too short). I think the aerophagia has reduced, but will report back after a few nights.
The only thing is the jaw relaxing, tongue falling off the roof of my mouth and cheeks filling up with air. I use mouth tape but it tends to fall off due to saliva. I currently am undergoing MARPE which makes keeping my tongue on the roof of my mouth much harder. I may try a chin strap or some more resilient tape. I’ll report back in a few days.
