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DEE107's Photo DEE107 SparkPoints: (1,170,980)
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10/23/09 10:00 P

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thanks for sharing I never snore and never had a problem until after the emergency major surgrey

DEE Southern New Jersey

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FLOPEA68's Photo FLOPEA68 Posts: 2,810
10/23/09 8:00 P

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My goodness you have sure done some intensive research. I have both nasal and full face mask as well as a humidifier. Don't know how many times I had to make a long trip to have the air flow put up. Along with cronic sinuitis and seasonal allergies I have snored for years, and yes I am obese.
I have had many problems since I started using the cpap in May of this year. I find myself hyperventalating while using it. Found that I can only use it so long then have to take it off. The place and the doctor where I had to go is not of much consolation. Therefore I went to my family doctor and asked to send me to the local sleep clinic and the doctor there. Just waiting for an appointment.
My mistake was letting my doctors nurse practicioner set up a sleep study out of my city. I have had nothing but problems. So I will see this repiratory specialist before the sleep study.

Years ago I had a CPAP and couldn't use it. I was even scheduled for surgery 5 years ago called a spetaplasty and they were going to remove my uvalva? that thing that hangs down in the back of the throat. When I woke up I felt wonderful, ha, no signs of surgery, why, my blood pressure dropped to dead and they couldn't stabilize me therefore couldn't do the surgery, hence kept me in overnight and gave me a nitro pill. I never did find out what happened.
So hopefully I can get some better answers in using my cpap comfortably. I don't think it is set right. Hope I get a call next week. My sinuses are really bad and the rainy weather isn't helping.
So wish me luck sure would like to have a great nights sleep.
Florence

Florence, Hamilton, ON


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IAMPREACHER's Photo IAMPREACHER Posts: 5,132
10/23/09 3:17 P

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HUMIDIFICATION

Humidifying the air from your positive airway pressure device involves connecting a specially designed humidifier to your therapy system. Humidification is not necessary for all patients; however, adding a humidifier to your system may resolve symptoms experienced by some people:
Nasal congestion, dryness, or tenderness
Mouth breathing (commonly referred to as "mouth leak")
Dry throat

Resolving these symptoms can improve the comfort and quality of your therapy.

Click on the questions below to expand and reveal more information...
How does the body's natural humidification process work?
The human body has its own humidification process that protects the respiratory system.
Every time you take a breath, your nose and other airways humidify add moisture to the air so that it enters your lungs with the necessary humidity.
Your nose is responsible for about two-thirds of this process. As the air passes further into your airway, it becomes warmer and more humid. By the time air reaches your lungs it is at the ideal temperature and humidity. When you exhale your nose conserves water by recovering about a third of the moisture present in each exhaled breath. That moisture is then used to assist in the humidification of your next breath.
Do environmental factors impact on how the body's own humidification process works?
Environmental factors can increase demands on your body's humidification process. If you travel to an extremely dry climate, you may experience a sore throat, nasal congestion, or irritated sinuses. You may also experience these symptoms in extremely cold climates-cold air tends to be less humid. In both cases, the lower humidity puts an extra burden on your body's normal balance.
Some people adjust quickly enough that the change in humidity doesn't affect them; some people may experience only temporary discomfort; however, some people may feel as if they can't adjust to the new climate.
How does positive airway pressure (PAP) therapy impact on the body's own humidification process?
Just as some people have difficulty adapting to less humid climates, some people have difficulty adapting to positive airway pressure.
This therapy creates a new climate for your nose and upper airway because airflow is greater than what your body is accustomed to humidifying and the greater your treatment pressure the more difficult this task becomes. Your nose may become tender or dry, or it may respond to the new environment by creating more mucus to protect its sensitive tissues.
A humidifier can prevent and even reverse these symptoms by treating the air before it even reaches your nose.
Does mouth breathing impact on the body's own humidification process?
If you breathe through your mouth, you may develop a dry throat. By breathing through your mouth, you bypass your nose, which is responsible for two-thirds of humidification. This means that you've tripled the humidification workload of your upper airway. If you add positive airway pressure on top of that you may start to experience stronger symptoms. Even if you're only exhaling through your mouth, you are still losing valuable moisture because you aren't allowing your nose to recover the moisture your body invested in the air as you "inhaled" it.
A 1997 study found that nasal symptoms cause mouth breathing and that mouth breathing causes nasal symptoms. Because one symptom causes another, a vicious cycle can develop. For example, some congestion leads to mild mouth breathing that can worsen the congestion that causes more severe mouth breathing.
Does it help to use a humidifier with my positive airway pressure (PAP) therapy?
Humidification can resolve and prevent all of the symptoms mentioned above, but not all systems supply the same amount of humidification.
How does a ResMed heated humidifier work?
The humidifier connected to your system has a hot plate and temperature control
You set the temperature, and the hot plate heats the water, creating water vapor
The pressurised air is now humid, so your nose and upper airway have very little work to do
Can create a lot of water vapor, soothing extreme nasal dryness and irritation



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IAMPREACHER's Photo IAMPREACHER Posts: 5,132
10/23/09 3:12 P

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DEALING WITH MOUTH LEAKS
Mouth breathing
Is a common problem for CPAP and bilevel therapy users
Mouth leak experience by around 40% of CPAP users1,2,3
Mouth leak experience by almost all bilevel users1,2,3
Commonly caused by chronic nasal disease
Usually experienced from time to time, not all the time
Can be made worse by:
o Colds
o Allergies
o Alcohol consumption
Causes high airflow in one direction and prevents moist air from the lungs passing through your nose. This results in drying of the skin in your nose, nasal congestion, and flu-like symptoms on awaking in the morning.

Increased nasal symptoms can Worsen your sleep apnea and lead to increased nasal airway resistance. This in turn leads to further mouth breathing, thus perpetuating the cycle.
The result is loss of therapy effectiveness, loss of comfort, and disrupted sleep4

The Full Face Mask solution

A full face mask covers both your nose and mouth so that effective therapy can be delivered even if you breathe through your mouth and experience leak.
Many people may need to use a full face mask all of the time. Others may find they only need it from time to time as an alternative to their nasal mask.
Full face masks are just one of a range of solutions that we offer to help you identify and manage mouth leak.

How do you know which people will need a full face mask?

Take a few minutes to ask yourself these questions:

1. Do you often wake up with a dry mouth and/or throat?
2. Do you tend to breathe through your mouth (rather than your nose)?
3. Do you suffer from allergies or hay fever?
4. Do you have a blocked nose/congestion at certain times of the year?
5. Have you ever had a broken nose?
6. Do you have a deviated septum?
7. Have you had previous nasal surgery?
8. Are you currently using any nasal therapy or medication?

In addition, if you are already using therapy with a nasal mask:

1. Are you continuing to snore even when using therapy?
2. Do you use a chin strap with therapy?
3. Is leak indicated by your flow generator data?

If you answer YES to one or more questions ... you may benefit from using a full face mask. Please consult your health professional.


References
1. Richards et al. Am J Respir Crit Care Med 1996 Jul;154(1):182-186
2. Lojander et al. Act Otolaryngol 1999;119(4):497-502
3. Meyer et al. Sleep 1999 Jul; 20(7):561-9
4. Teschler et al. Eur Respir J 1999 Dec; 14(6):1251-1257



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IAMPREACHER's Photo IAMPREACHER Posts: 5,132
10/23/09 2:55 P

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GETTING THE MOST FROM CPAP THERAPY

While some people adjust immediately to sleeping with positive airway pressure, many find the change difficult. Some give up and allow a serious health problem to worsen.
Some carry on with treatmentall the while believing that there must be some way to improve their therapy. If you are one of these people, then we have good news; you're right.
Therapy can be more comfortable and more effective.

Consider the goal of therapy. It's simple. You want to stop the effects of your sleep apnea and allow yourself to get healthy sleep

Use your therapy whenever you sleep, day or night. Generally speaking, the more you use therapy, the more you will achieve in managing your sleep apnea

Make sure that your mask is comfortable and there are no leaks between your face and the mask. Your therapist would be pleased to help you pick the best mask for your individual case. And, if the first mask doesnt work for you, your therapist can show you alternatives

Many patients find that using heated humidification with their CPAP makes their therapy much more comfortable. Ask your therapist about the merits of humidification, particularly if your mouth feels dry during the night, you experience nasal congestion, or you breath through your mouth while you sleep


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IAMPREACHER's Photo IAMPREACHER Posts: 5,132
10/23/09 2:52 P

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Healthy lifestyle

Different aspects of your lifestyle may impact your therapy. Your daily habits and personal relationships may play a role in the success of your treatment. While it may take time, it's possible to comfortably integrate therapy into your lifestyle. Talk to your doctor about any concerns you may have.

Daily habits

Changes in your daily routine may affect your therapy. Drinking alcohol, gaining or losing weight, or taking medications can cause your pressure needs to change. Check with your doctor to see how your lifestyle might affect your therapy, and be sure to tell your doctor about any symptoms or changes.
Personal relationships

Some people feel self-conscious about using their PAP equipment in front of others. They worry that their spouse or partner may be turned off by the appearance of the equipment.

Similarly, some people worry about taking their equipment with them on trips, like camping or business travel. They worry their friends or colleagues will think less of them because they are on PAP therapy.

These concerns are normal, but PAP is nothing to be embarrassed about. By using your PAP regularly, you are taking control of your health and making a positive choice for your future and wellbeing.


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IAMPREACHER's Photo IAMPREACHER Posts: 5,132
10/23/09 2:49 P

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Tips for sleep apnea patients
If you have been diagnosed with sleep apnea, Dr. Philip R. Westbrook, Chief Medical Officer of Advanced Brain Monitoring, Inc., recommends you do the following:1
Always inform all your physicians that you have sleep apnea and how that disorder is being treated. If possible, show him/her a copy of this report
Tell a spouse or responsible persons the details of your diagnosis and treatment so they can inform the physician in an emergency situation
Avoid narcotic (opioid) pain medications such as morphine, which can lead to life-threatening hypoxia (low oxygen), even in patients with mild sleep apnea
Avoid alcoholic beverages (or use with moderation) within 3 hours of bedtime
Avoid (or use with caution) sleeping pills and other medication known to cause sedation
If you smoke, quit. You are three times more likely to have sleep apnea if you smoke than if you never smoked or stopped smoking. For more information or to get help with quitting, visit www.smokefree.gov
Avoid sleeping at high altitude. Altitude can make the loss of oxygen that occurs with sleep apnea worse
If your sleep apnea causes you to be sleepy, avoid operating a motor vehicle or other machinery potentially dangerous to yourself or others until you are adequately treated
If you are being treated with CPAP, always take your CPAP machine with you if you are being admitted to a hospital.
If you are overweight, lose weight. Sleep apnea is strongly linked to obesity. For more information or to get help with weight loss, visit www.obesity.org


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