My fight with aerophagia (air swallowing).

RicaLynn wrote: The mask refit is to hopefully solve some of the skin irritation I've developed around my nares, and I intend to ask about possible leak issues as well. I'm only five days into my therapy, so I'm fairly certain this is part of the tweaking process to be expected with my S9 AutoSet. But better to make the DME aware of it now, eh?

palerider wrote:

RicaLynn wrote:

Can't ever have too much information unless it's your kids telling you about great sex

OldLincoln, I laughed so hard I snorted my coffee!

or your parents.

sawinglogz wrote: I try to leave at least 3 hours between meal and bedtime.

• I'm also having some reflux problems. This is typically due to a malfunctioning Lower Esophageal Sphincter (LES) which allows stomach contents to regurgitate back into the esophagus. In my case, I also have a hiatal hernia which is probably weakening the LES and contributing to my reflux and aerophagia. I suppose it's not surprising then that the LES might let somewhat pressurized air into the stomach.
  
  Eating close to bed time can exert additional pressure on the LES which can cause reflux and probably also contribute to aerophagia. Note that you can be having some level of reflux and not even know it. Not eating close to bed time is standard advice for anyone suffering with reflux.
  
  Use of simethicone-containing products like Gas-X might be contraindicated. Simethicone doesn't actually get rid of the gas. It works by combining gas that may exist as separate bubbles into larger bubbles that can be expelled. If there's lots of air in your stomach, the simethicone may be creating a gigantic bubble which could create more pain before it's expelled. This is just a theory of mine. Take it for what it's worth.

avi123 wrote: ↑

Fri Jul 18, 2014 10:50 pm

As a beginner CPAPer who have low respiratory system compliance, you are likely to develop gastric and intestinal distention with air (its medical term is “meteorism” in contrast to “aerophagia” which is used for intestinal distension resulting postoperatively) . The cause for this distention is because your mouth pressure during CPAPing can be above your lower esophageal sphincter pressure, while your mouth is occluded. You should keep your mouth somewhat open to let some trapped air go out from your stomach to the atmosphere, even if this mouth leak affects somewhat the CPAP’s proper treatment.

Saying it another way:

If you tape your mouth’s lips because you want to reduce your mouth air leak and thus improve the XPAP treatment, then you’re likely to invite a Meteorism situation. In such a situation you lock- in extra ingested air in your GI tract. The extra air has no easy way to go and be vented to the atmosphere. You better of keeping your mouth somewhat open to let some trapped air go out to the atmosphere, even if this mouth air leak has some negative effect on the XPAP’s proper treatment. An elastic Chinstrap that allows some mouth opening could solve this problem. Keep yourself somewhat vented while you train your body.