(02-17-2018, 08:14 PM)MikeBear Wrote:

(02-17-2018, 06:20 PM)ajack Wrote: Your AHI is good, I would work on the leaks and the Aerophagia
Half the time you are over the median 11.7 and I think is when the Aerophagia would be happening, I would be tempted to choke the max pressure back a bit, with the 95% at 13.7, I'd try 13-13.4 and see if that helped. I would even be tempted to try 12.6 If the OA and H rise too much and it doesn't help the gas, you can increase it back to 14. When the gas is sorted, you might like to raise this a bit and have it 2cm above the 95% number, to give the machine room to move.

This may not help, but it can't hurt.
As well as putting the head of the bed on bricks, so the bed was on a slope. I found a change of diet helped my GERD. It's worth googling: GERD low carb
When the valve at the top of the stomach isn't inflamed and scared by acid, it seals better.

Thanks! See posts 53 and 54 in this thread. We discovered that my Airfit P10 mask reads at least 8.40 higher leak baseline really being zero 0 baseline on my particular Airsense 10 machine. Apparently this happens in certain cases. I confirmed this by replacing my hose with a brand new one (to make sure there were no microleaks from it), and then wearing the mask while I was wide awake and making sure there were NO mask leaks. Yet it still read high. So at least that amount has to be subtracted from the leak numbers. Last night was a bit of an anomaly, as pressures shot higher, and I was a little more restless (I think I rolled on my face as I lost my belly pillow which stops that) which probably caused the slightly higher leaks than normal for me.

Also GERD, yep, I have it due to a hiatal hernea. I take Pepcid every night for it. It's usually very well controlled. However it seems to have also gone into a bit of Gastritis now because of the aerophagia. I also have asthma and chronic bronchitis (so that version of COPD) I have to sleep with my head raised on several pillows, as when I lay flat, my AHI hits the roof and I can't easily breath in that position anyway. I've also had a septoplasty, UPPP, and turbinate reduction after my original sleep study. So I am not surprised at all that Flow Limitations tend to now be driving my pressures. I wasn't on an autoset machine all these years though, or data capable to tell me. I stayed too complacent all these years, and never followed what was going on with cpap therapy until now. I'm also a bit OCD, so now that I've decided to pay attention to that, I literally can't stop until I've got it figured out and tweaked as best it can be for me. But I'm obviously pushing it too fast.

For tonight, I'm going to keep pressure where it is, but UP the EPR from 2 to 3 as Sleeprider mentioned and see what happens. If the Aerophagia acts up a bit again tonight, I'll try your suggestions.