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RE: jaredtaskin - Therapy Help - Crimson Nape - 01-20-2024
It's based on my personal experience. Whenever I don't feel rested the next day, my respiration graph appears wonky (redneck technical term).
- Red
RE: CPAP - First week Oscar evalution - jaredtaskin - 01-22-2024
(01-15-2024, 10:13 AM)jaredtaskin Wrote: Understood. Here's my question about how I've been feeling subjectively:
Day 1 I didn't sleep much and felt crummy, but Days 2-5, while still fatigued, I felt pretty good overall.
Then yesterday (Day 6) and today (Day 7), I'm having what you might call some minor flu-like symptoms. Sinus pressure (not congestion, just feelings of fullness/pressure), minor headache, and stomach queasiness/nausea. I haven't been vomiting, and the nausea seems to alleviate when I eat.
So it makes wonder if this is just a coincidental bug, or whether it's something related to my therapy that I could adjust. The fact that it didn't start until day 6 makes me think it's probably just a coincidence, but then, at the same time, it's hard for me to think of the P10 blowing air up my nose and not imagine there's a connection.
Worth noting that it's been extremely cold and dry in Indiana these past few days.
Any thoughts on this?
I wanted to update on this and try to explain again. I've been really successful in using the CPAP, sleeping through the night (a few wakeups, but falling back asleep easily), and sub 1.0 AHIs every night.
But I still feel kinda not right in a way that's hard to explain. I keep wanting to describe it as "sinus pressure", but I don't know if that's right. I have pretty much ZERO congestion or runny nose. It's just a feeling of fullness/pressure around/behind my eyes. Maybe this isn't sinus pressure, but just the kind of general eye achy-ness you get when fatigued? I don't really feel particularly sleepy at all though. I don't have much of the queasiness I described above anymore, but it does appear occasionally. Also occasionally I feel a little dizzy/overheated.
Again, I have no proof that this is related to CPAP, but also no proof that it's not.
I've started making a list of things I could try to see if they'll help:
1. Switch back to distilled water (I've been using tap). Very skeptical that this would matter, but it couldn't hurt to try.
2. Try a nasal saline rinse. Is there even any point to this if I have no congestion, only pressure/irritation?
3. Start fiddling with the humidity settings on my machine. Currently I have climate control set to auto.
I'm fully aware that it may also be true that I just need to wait and this will go away on it's own. But I'm a tinkerer/overthinker through and through.
I'd be interested in any thoughts/suggestions/ideas that you all have.
Thanks!
RE: jaredtaskin - Therapy Help - BoxcarPete - 01-22-2024
It very well may be sinus pressure. Most of your face is hollow, and many of these chambers are connected with tiny channels. If you have blockages between these, CPAP may be trapping air and stuff in them while at pressure, that does not normalize well when the pressure is removed. It is certainly worth attempting to rinse these channels to flush out anything in there and try to keep them clear. You may not feel congested because your nose may be clear, but some other sinus chambers could be blocked. Dizziness can certainly be another result of sinus pressure, if the middle and inner ear are affected by trapped pressure in another sinus cavity.
I think I'm starting to sound like a broken record, but when in doubt, go get scoped! There are tons of things going on inside our air passageways that we can only speculate about, a good ENT can see everything there is to look at in under a minute. I had lots of sinus and eye pressure/pain on my right side when I started CPAP, when I went in to be evaluated the doc said "no surprise there, your septum has a bone spur on that side aimed right at your sinus."
RE: jaredtaskin - Therapy Help - TechieHippie - 01-22-2024
If you hold still and move just your eyes up and around around to the periphery of your vision, does it change the feeling at all?
Regardless, it's possible it's low level vertigo. ( Forgive me if I've already posted this, I thought of this the first time I saw your thread but I don't think I got around to replying.) I'm prone to this and got some of the first time I used the cervical collar. The change in neck angle brought it on. I've learned only recently to recognize low level vertigo because I don't perceive a motion effect like with full-on vertigo, and it's often on both sides which makes it harder to feel. Just parts of my head and my vision feel slightly off, and I feel sluggish and don't really want to do anything and then I realize it's because my eyes don't want to be stressed. It's pretty subtle. Over and over again, I find myself avoiding certain activities and then eventually realize that this is what's going on. I suspect I've had it at times all my life and I just didn't know what it was.
But then when I was doing a bunch of work on my tongue and jaw somehow I threw the crystals way out of whack and had the full on vertigo. I still can't reliably sleep on my left side or my back without it coming back.
If that feels like a possibility, I reset my inner ear crystals with the half somersault maneuver from Carol Foster, which you can find videos and printable instructions online. It's similar to the Epley maneuver but less prone to trigger vertigo if I don't have it, and I find it more comfortable. They say to be sure to wait 15 minutes before lying down or doing the other side.
I really hope you get it figured out ! Keep us updated.
RE: jaredtaskin - Therapy Help - jaredtaskin - 01-24-2024
I still don't know if the sinus issues I'm having are due to a cold or are due to my CPAP settings. I've been using the humidifier on auto. If I decided I want to start manually setting the humidifier, where to begin?
Last night in my bedroom it was about 68F and 30% RH. On auto, the machine used about half the tank of water. Can we deduce from this what manual setting this would be equivalent to?
I'm thinking I'd like to bump up the humidity at first. Which setting would you try? Maybe set it at 6 (and increase tube temperature accordingly)?
RE: jaredtaskin - Therapy Help - jaredtaskin - 01-24-2024
OR, could a hose cover be helpful for my case? Would that allow the machine to reach a higher humidity on auto mode?
RE: jaredtaskin - Therapy Help - BoxcarPete - 01-24-2024
Heated hose lets you crank it higher, a hose cover presumably just prevents temperature differences across the hose that lead to rainout in the cooler segments. I don't know what auto is trying to accomplish in terms of AH/RH, so I can't speak to its correlation to manual modes. IIRC, the manual numbers correspond to some absolute humidity estimates, you should be able to reference some RH/temp values available to you in the machine's manual for fiddling.
RE: jaredtaskin - Therapy Help - PeaceLoveAndPizza - 01-24-2024
Here is a document from ResMed explaining how their humidification works. It’s a bit old, but still relevant.
https://document.resmed.com/documents/products/machine/airsense-series/humidair-vs-h5i-settings-fact-sheet/1018807_humidair-vs-h5i_fact-sheet_usa_eng.pdf
RE: jaredtaskin - Therapy Help - jaredtaskin - 01-26-2024
Hi all,
Still trying to figure out my cold-like symptoms that I've been having. I found this old thread which seems to get to the crux of the matter:
https://www.apneaboard.com/forums/Thread-Does-congestion-caused-by-CPAP-linger-all-day-or-do-I-have-a-cold
The poster is trying to determine whether their congestion is caused by cold/allergies or CPAP. He asks if CPAP-caused congestion could last all day, or whether it would be more likely to resolve earlier in the morning. The consensus in that thread is that if congestion is lasting longer than a few hours, then it is likely not caused by CPAP.
Would you agree with this consensus? If so, that would really clarify my situation. The symptoms I'm currently having are not more severe in the morning, in fact they sometimes seem to get worse in the afternoon/evening. Can I conclude from this that they are not the result of CPAP?
RE: jaredtaskin - Therapy Help - TechieHippie - 01-26-2024
I'm interested to hear other people's answers too. The two things that came to mind when I read you last message. Contaminants in the air to which you are more sensitive after having been exposed to the off-gassing of the CPAP materials (and build up symptoms in your daytime environment), and if you have heart issues, fluid imbalance (My dad had cardiac issues and your description reminded me of how he felt when he was waterlogged. It could be that the CPAP is fixing something that other medicines are also controlling). I know these are both fairly far-fetched. But just in case they ring a bell.