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Is this Aerophagia? It's ruining my ASV therapy
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Is this Aerophagia? It's ruining my ASV therapy
I've been dealing with aerophagia pretty much since the start of my ASV therapy over 8 months ago. By aerophagia I mean excessive flatus due to air swallowing. Honestly, I didn’t mind it at all as it didn’t seem to impair the effectiveness of my ASV therapy. It was just a minor inconvenience.

However, a few weeks ago, I started experiencing something new that seems related to aerophagia, and it’s preventing me from sleeping in the early morning: as I drift off and my muscles relax, air seems to get stuck in my throat, waking me up immediately and forcing me to either burp or swallow the air. This cycle repeats no matter how many times I try to fall back asleep. It sometimes occurs at night when I first go to bed, but it’s most prevalent during early morning's REM sleep.

This issue is depriving me of those last couple of hours of sleep that would make me feel fully refreshed.

I know that one common suggestion for addressing aerophagia is to reduce CPAP/ASV pressure. I tried lowering it (from 11.0 EPAP min to 9.0 EPAP min), but it greatly reduces the therapy's efficacy—in other words, the remedy is worse than the condition. I’ve fine-tuned my settings quite precisely, so I don’t think there’s much room for adjustment there.

Has anyone else experienced this problem? If so, how did you resolve it?
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