[CPAP] Apnea / sleep / aerophagia? advice

[NoVanWinkle]

Hi, I've never posted here but want to echo what a few others have said.
Started CPAP (Resmed Airsense 10) about 4 years ago. After a sleepover at a clinic I was told I experienced 33.9 events/hr. Long story short, got the Resmed, doc set it to 15psi & I (and my wife) slept like a baby for 2 years. Had some shoulder surgery two years ago. After that, for some reason, I started experiencing severe aerophragia. Woke me up one night so bad I almost had my wife call an ambulance. After a long belch & some other stuff I felt better and went back to sleep. But the aerophragia, sometimes mild, sometimes severe wouldn't go away. Saw a new sleep doc (PA actually) who suggested another sleep study. Said I'd think about it and pretty much quit the machine for awhile.

Maybe 6 months ago I decided to start playing with the pressure. Gradually took it down to 14, 13, 12, etc. then said screw it & took it down to 8. I've kept it there and still experience some mild to no symptoms, events are no different .1-maybe 2 events/hr. Central AI .1. I can live with it. I feel far worse without it.

But nothing ever beat the first couple of years I was on it before the surgery. I never felt that good in my then, 65 years on the planet. No fog, I wanted to get up. Maybe they intubated me, don't know. Something changed.

Stick with it.

[Dormeo]

I think it is just fine to experiment with a slight drop in pressure. You're looking for the place where you have less aerophagia, with greater comfort and better sleep, while maintaining your excellent numbers.

Eventually it'd be nice if you could raise pressure and reintroduce EPR to see what you could do for the flow limitations, but one thing at a time.

Keep us posted.

[NoVanWinkle]

I think it is just fine to experiment with a slight drop in pressure.  You're looking for the place where you have less aerophagia, with greater comfort and better sleep, while maintaining your excellent numbers.

Eventually it'd be nice if you could raise pressure and reintroduce EPR to see what you could do for the flow limitations, but one thing at a time.

Keep us posted.

Very good advice and will do. Thank you.

[Dormeo]

Hello NoVanWinckle! I just wanted to explain that my advice was in response to a post by Buonarroti. Your nice post will give Buonarroti some good encouragement, I'm sure.