10-05-2024, 09:54 AM
(This post was last modified: 10-05-2024, 10:04 AM by SeePak. Edited 1 time in total.
Edit Reason: information addition
)
RE: OSCAR Data - Low AHI but still not feeling great, and are these real OA events?
Hi Santino
Still same here, you need 8 cm, no EPR, give it a try.
Wondering if you have gas or acid in esophagus feeling? Hearburn?
Aerophagia can be caused by not relaxing during breathing as well.
Try some breathing exercises, check out Patrick McKeown.
I know you are close now with 8 cm, but keep EPR off otherwise we will not be able to see the effect of higher exhalation pressure on your obstructive events.
Need to get a handle on the obstructive.
Collar will give a good idea where to go next.....
agree?
Questions?
RE: OSCAR Data - Low AHI but still not feeling great, and are these real OA events?
(10-05-2024, 09:31 AM)Santino Wrote: ... but I did experience some aerophagia again. My subjective feeling of restfulness feels about the same--not great. ...
I might remember waking up gasping or something?
Your gasping feeling is probably caused by your high flow limit, which can be mitigated by increasing your pressure. If you want to stick with CPAP, then you should raise your pressure to 9 cm. However, APAP (you have a more advanced device than CPAP) flexibly adjusts your pressure when you need more air and gasping. Therefore, APA would be a better choice.
Higher EPR mitigates aerophagia. You can try EPR=2, full time.
RE: OSCAR Data - Low AHI but still not feeling great, and are these real OA events?
Santino
yes, preceded by irregular breathing, same for me, and i would think most obstructive.
If they come right out of the blue and long, possibly/probably positional, keep an eye on the flowrate, when it gets real LOW.
Sleep Hygiene
This cannot be overlooked....
A steady breathing state before putting mask on
no tv before bed, keep it to 1 hr, that's what i do, i fall asleep in seconds some time.
No food 2 hrs before bed, flexible time here, most say it matters
Alcohol, keep it minimum before sleep
Exercise, this is a big one! Need to get into a state of CO2 creation, which allows oxygen to be transferred from air to blood, then from blood to cells in your body, including the Brain!
For me, its all about that balance, and then some sense can be made about the Charts .
Its hard, i know, sometimes, life is crazy really!
But we need to make time for ourselves, our bodies, our souls!
A Breathing Disorder got us into this apnea and CPAP world
Re-Learning to Breathe can get us out, or at least functioning much better while using CPAP.
10-05-2024, 11:15 AM
(This post was last modified: 10-05-2024, 11:26 AM by Santino. Edited 2 times in total.)
RE: OSCAR Data - Low AHI but still not feeling great, and are these real OA events?
SeePak - Thanks. I am hesitant to turn off EPR entirely just yet due to the aerophagia. I suspect my body may just need some more time to adjust to the higher average pressure. I woke up in the middle of the night feeling pain in my stomach and needing to burp and pass gas. In the morning, though, I was fine.
I agree that cervical collar is the logical next step to see if I can confirm or rule out positional apnea and then go from there. Another reason I’m hesitant to change my settings again yet is because I’m trying to just change one variable at a time to isolate the effect.
Thanks also for the tips on sleep hygiene, but I don’t think that’s the issue here as I’ve had that stuff dialed in long ago. Last night I think it was likely the aerophagia that caused me to have trouble falling back asleep for awhile.
G. Szabo - Sorry if I wasn’t clear—what I’m saying is that I DON’T ever remember waking up gasping, which is surprising to me given the occasional very long duration of some of the OAs.
RE: OSCAR Data - Low AHI but still not feeling great, and are these real OA events?
Another thing I don't know if I suggested is oro functional therapy which includes swallowing and tongue exercises uvula raises and that will help with the swallow reflex which can be a very big contributor to aerophagia
RE: OSCAR Data - Low AHI but still not feeling great, and are these real OA events?
Sorry should have read Oro facial myofunctional therapy
RE: OSCAR Data - Low AHI but still not feeling great, and are these real OA events?
Interesting, I will look into that. Thank you.
RE: OSCAR Data - Low AHI but still not feeling great, and are these real OA events?
I've had the same issue and I also have had trouble swallowing in the past I've also had burning sometimes in my esophagus and also I used to get like a lump in the throat type thing all these things were due to reduce sleep and other issues with muscles in my throat and neck.
Just a few exercises and you can make it a lot better I stopped doing them now for about a week but I'm going to be doing them again
But breath work breathing exercises that's number one
