1st Night P10 Pain

General Discussion on any topic relating to CPAP and/or Sleep Apnea.
pm_denver
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1st Night P10 Pain

Post by pm_denver » Thu Jul 02, 2015 4:23 pm

Just got my equipment yesterday... Airfit P10 and Airsense 10 Autoset. I had nose pain from the pressure of the pillow on my nose. I gave up on it around 2 am due to the pain. The P10 is marked Medium. Reading through some of the posts here it sounds like that this can be an issue since the headgear isn't adjustable. I have an appointment in one week with DME to try something else.

1- I heard stretching the headgear could help. If I damage it, is it typically still returnable?

2- One week out to get an appointment - is that typical? It is unusable as-is, so that delays getting on CPAP.

3- Last night I was on the cpap for 3 hours 18 minutes. It seemed I was awake the whole time, although when i gave up I was surprised on was on it that long. Sleepyhead said I had a AHI of 0.0, average pressure of 5.15, min of 5 and max of 5.4. The machine is set to mode: APAP and pressure of Min 5 Max 15 (cmH2O). I had no leakage. Are these the results of someone who was awake the whole time?


thanks
patrick

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cancun
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Re: 1st Night P10 Pain

Post by cancun » Thu Jul 02, 2015 4:46 pm

pm_denver wrote:Just got my equipment yesterday... Airfit P10 and Airsense 10 Autoset. I had nose pain from the pressure of the pillow on my nose. I gave up on it around 2 am due to the pain. The P10 is marked Medium. Reading through some of the posts here it sounds like that this can be an issue since the headgear isn't adjustable. I have an appointment in one week with DME to try something else.

1- I heard stretching the headgear could help. If I damage it, is it typically still returnable?

2- One week out to get an appointment - is that typical? It is unusable as-is, so that delays getting on CPAP.

3- Last night I was on the cpap for 3 hours 18 minutes. It seemed I was awake the whole time, although when i gave up I was surprised on was on it that long. Sleepyhead said I had a AHI of 0.0, average pressure of 5.15, min of 5 and max of 5.4. The machine is set to mode: APAP and pressure of Min 5 Max 15 (cmH2O). I had no leakage. Are these the results of someone who was awake the whole time?


thanks
patrick
Hi Patrick, I am still new to this and I don't use the pillows, from what I have read they normally come with different size pillows so you might just need a different size pillow. Are the straps adjustable? You should be able to try to adjust them. I would call the DME tomorrow and let them know you don't feel you can use it and they should be able to see you sooner than a week. My DME did not take my first mask back when they gave me a second mask and I ended up using the first mask as I didn't really care for the 2nd mask just didn't give the first one enough time to get used to it.
Good luck.
Someone with more experience should chime in soon.

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Sonnyboy
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Re: 1st Night P10 Pain

Post by Sonnyboy » Thu Jul 02, 2015 5:13 pm

pm_denver wrote:Just got my equipment yesterday... Airfit P10 and Airsense 10 Autoset. I had nose pain from the pressure of the pillow on my nose. I gave up on it around 2 am due to the pain. The P10 is marked Medium. Reading through some of the posts here it sounds like that this can be an issue since the headgear isn't adjustable. I have an appointment in one week with DME to try something else.

1- I heard stretching the headgear could help. If I damage it, is it typically still returnable?

2- One week out to get an appointment - is that typical? It is unusable as-is, so that delays getting on CPAP.

3- Last night I was on the cpap for 3 hours 18 minutes. It seemed I was awake the whole time, although when i gave up I was surprised on was on it that long. Sleepyhead said I had a AHI of 0.0, average pressure of 5.15, min of 5 and max of 5.4. The machine is set to mode: APAP and pressure of Min 5 Max 15 (cmH2O). I had no leakage. Are these the results of someone who was awake the whole time?


thanks
patrick
You can remove the elastic strap from the plastic frame and stretch out the elastic, it's not going to break. Don't try to stretch the plastic frame. If you over stretch the elastic all you do is wash the strap in hot water and it will pop back into shape.
The pillow detaches from the frame and there are 4 sizes: Extra small, small, medium, large. Resmed has an introductory package that includes 3 sizes, usually small, medium, large for men. DME likes to give the client one pillow and pocket the other two. Call and complain. Tell them you want to try the other pillow sizes.

There are ointments recommended by some forum members if the pillow irritates your nose. I am not familiar with these so hopefully someone will come along and advise you on this. You can also do a search.

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palerider
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Re: 1st Night P10 Pain

Post by palerider » Thu Jul 02, 2015 5:38 pm

pm_denver wrote:. Reading through some of the posts here it sounds like that this can be an issue since the headgear isn't adjustable.
the headgear is adjustable, and, 2: no, not returnable.
3: maybe..

https://www.youtube.com/watch?v=MylY6a6KXMY

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Sonya
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Re: 1st Night P10 Pain

Post by Sonya » Thu Jul 02, 2015 6:00 pm

Try to find patience. Your first night sounded a lot like mine. I ended up not being able to keep the P10 and switched to the N10 after my appointment with the CPAP coordinator at the sleep doc's office about 6 weeks into trying. I was getting a sore and it was annoying. I was only given XS replacements and wanted to try a small. I had to be quite persistent in my request before anyone took me seriously. Don't be afraid to be the squeaky wheel. For me, the headgear on the P10 ended up being a problem for me. Too easy to get off in my sleep. I'm happy with the N10, although I'm still working getting the whole thing nailed in.

The advice here to wear your mask while watching TV or reading is good stuff. Spending time out of the bed with it on and getting used to just breathing on it and adjusting it saves all that stuff happening at bed time.

I'm not too much further on this journey than you are, but last night I got my first solid 7 hours of sleep with good looking numbers and I can feel the difference today. That's enough to keep me experimenting and learning and trying to figure out how to optimize my sleep. Hang in there!

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MarylandCPAPer
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Re: 1st Night P10 Pain

Post by MarylandCPAPer » Thu Jul 02, 2015 7:09 pm

I have used P10 nasal pillows for 1.5 years (out of 5.5 years on CPAP/APAP). I have been using Medium, too. I have not had any nostril pain. Don't give up on this mask too quickly. You may need a different nasal pillow size. There should have been 3 nasal pillow sizes that came with the P10. Also, try the cream people here recommend for your nostrils. I haven't used it --something from the baby aisle that is something like Lanisoh. I vaguely remember having some nostril irritation with the first nasal pillows i used (5.5 years ago) and used something recommended here. We have to get used to having a blower and hose attached to our noses, so a little pain is not a reason to switch masks or type of mask quite yet.

You have the unfortunate timing of the holiday this weekend and a lot of businesses being closed on Friday because Independence Day/July 4 is on Saturday. If you are able to go to the DME's office and they did not give you the full set of 3 nasal pillows, you should be able to at least be able to pick up the other 2 sizes of nasal pillows sooner. I don't meet with the DMEat home. I always go to the DME's office when I need something or am getting a new mask of machine, because I don't want the excuse, "I don't have what you're asking for with me." I also like to see new / different masks that are more likely to be in stock at the DME, not just what a DME would think to bring.

If the DME only gave you one size nasal pillows, you can also ask them to mail you the other 2 sizes that should have come with your mask. They should have given you a number to call to get supplies. My DME's office has a sign that says 24-hour service, but the number for supplies is an 800 number in another state. For routine replacement supplies (filters, hoses, nasal pillows, etc.), the people at the 800 number mail out the supplies. I don't have to go to the office to pick them up unless it's urgent, I want to meet with somebody, or it's time to try out new masks.

Good luck with treatment and let us know what the solution is to your nose pain. Don't give up on the P10 this fast. It is one of the lightest weight and durable masks out there, in my experience. It is the only mask I have used for more than a few months, other than one that may not be made anymore and that I like because I have TMJ problems and don't want anything crossing my jaw area. Even so, I don't have much TMJ pain with the P10 and am still with it.

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Last edited by MarylandCPAPer on Thu Jul 02, 2015 7:36 pm, edited 1 time in total.
Started CPAP 12/18/09 Pressure 13. Changed to APAP 1/18/10, Pressure 10-16. 4/2014:Switched to AirFit P10 mask. PR System One REMstar Auto Series 550 with A-Flex for 5.5 years. 7/2015 to present: AirSense 10 AutoSet FOR HER. Range: 10-20

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Kakkles
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Re: 1st Night P10 Pain

Post by Kakkles » Thu Jul 02, 2015 7:31 pm

The cream to try is:

Brand: Lansinoh
HPA Lanolin

its in the baby isle (was for me) and is used to treat dry cracked nipples for nursing mothers....dont let that stop you!! I bought some and used it and it works great!


Hope this helps

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pm_denver
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Re: 1st Night P10 Pain

Post by pm_denver » Sun Jul 05, 2015 12:00 pm

Thank you for all the suggestions. I was able to stretch out the head gear and i sat with it on for 30 minutes to make sure it was fitting ok before bedtime. I'm going to cancel my appointment with the DME and stick with this mask.

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CPAPER Paul
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Re: 1st Night P10 Pain

Post by CPAPER Paul » Sun Jul 05, 2015 4:13 pm

I have been using the P10 for almost a year. I found that using a larger pillow size sealed better and kept the hard plastic away from rubbing my upper lip area. What most don't realize is that the narrow elastic straps can be "spread" apart so that the rear elastic band is much lower on the back of the head and front band is lower on the forehead and that reduces the "upward" pull of the elastic. In other words, the farther apart the two straps are on your head, the less the upward pressure which can hurt your nose.

I have found that the pillows don't have to be very "tight" against the nostrils and they work well, or even better and with no significant leaks.

Try spreading the two bands farther apart and see if it isn't more comfortable. Remember that the letters printed on the pillow must be toward you as well.

Good luck,

Paul

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chunkyfrog
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Re: 1st Night P10 Pain

Post by chunkyfrog » Sun Jul 05, 2015 4:32 pm

I found that wrapping the headgear (detached) tightly around a bath towel for an hour
can stretch it out a little. I even moistened my hands with water and a tiny bit of hair conditioner,
I then rubbed the headgear with my wet, conditioned hands to simulate a few nights of product transfer.

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SewTired
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Re: 1st Night P10 Pain

Post by SewTired » Mon Jul 06, 2015 1:14 pm

CPAPER Paul wrote:I have been using the P10 for almost a year. I found that using a larger pillow size sealed better and kept the hard plastic away from rubbing my upper lip area. What most don't realize is that the narrow elastic straps can be "spread" apart so that the rear elastic band is much lower on the back of the head and front band is lower on the forehead and that reduces the "upward" pull of the elastic. In other words, the farther apart the two straps are on your head, the less the upward pressure which can hurt your nose.

I have found that the pillows don't have to be very "tight" against the nostrils and they work well, or even better and with no significant leaks.

Try spreading the two bands farther apart and see if it isn't more comfortable. Remember that the letters printed on the pillow must be toward you as well.

Good luck,

Paul
I will try this. Thanks. What I've been doing is wearing it when I go to bed at night and switching to the Swift Nasal pillows mask after that in the hope it was just a wearing in issue. It stays on my head better, but my head was just a bit too big for the straps.

Thanks for asking this question OP!!

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Some_Guy
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Re: 1st Night P10 Pain

Post by Some_Guy » Mon Jul 06, 2015 3:18 pm

For what it's worth, some info on the relative sizing of the various P10 "masks"...

The distance between the inside edges of the nostril "pillows" is the same on the S, M, and L. The thing that's different is the diameter of each pillow. Large has broad pillows that I guess cover a larger nostril or just go less far into a smaller nostril, while Small has narrow pillows. I too was suffering from some nostril discomfort and hoped that the Large might help (I received just the medium with my setup). On a subsequent visit I got the small and the large, and don't find that it really makes much difference, because the gap between the left and right nostril pillows is the same. I was hoping that the Large would have a wider gap and thus push less on the inside edge of my nostrils. The large somewhat maybe helped, because the larger pillows don't go as far into my nostril. But I'm back with the medium pillows due to overall comfort and seal. I use neosporin to help with the nostril irritation but in general it seems to be getting better (after a month or so).

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CPAPER Paul
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Re: 1st Night P10 Pain

Post by CPAPER Paul » Mon Jul 06, 2015 3:32 pm

Some_guy,

I agree with your description of the mask and pillows. Where it made a big difference to me was that the "Large" pillows seemed to keep the hard part of the mask (where the pillow snaps into the tubing/holder) angled away from my upper lip which was causing the rubbing and irritation. The first time I was given the mask the DME gave me the "medium" pillow and it rubbed my upper lip raw in short order. That's when I switched to the "large" and it fit my nose better and angled itself outwards such that the rigid part of the mask did not rub. I have had no reason to use neosporin or lanolin since then.

The spreading of the straps alleviated the upward pulling pressure of the pillows somewhat and a more comfortable overall feeling. I then don't have the "strapped in" feeling so much.

YMMV I guess.....

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