My CPAP therapy has had pretty mediocre results since April of this year. Initially thought it was mask related and have been on a mask hunt since then. I consider the Swift LT to my back up. Leaks are controlled and my AHI tends to hover between 2-3. Regardless, I feel okay at best even with these numbers. Every mask I've tried since then has had problems with leaks and/or has been painful in one way or another. In addition, I've been waking up with headaches (that go away after a few minutes), dark puffy eyes, and significant fatigue. Sometimes, I've been waking up during obstructions.
So I decided to give myself a break last night and use my Swift for a night. I also decided to increase my pressure a little to see if may be that would help decrease the obstructions. I was titrated at 11 so I decided on a small increase and went to 11.6. I woke up with an AHI of .9 (all HI) and tongue was in place. But I had a big headache and my eyes were puffy though not dark. Since it was pretty late in the morning, I decided to experiment again and lowered my pressure to 10.4. As soon as I had my mask on, the pain began. It began at the outside corners of my eyes, then to my forehead, and then the crown. I took off my mask but this time, it took longer for the pain to subside.
Wanting a little more sleep, I got up with my pillow and went to the couch. On the couch, I can position myself so I don't sleep on my back as my apnea is entirely positional. I woke up 2.5 hours later with no headache but puffy eyes unchanged.
What is going on here???