A Series of Unfortunate Events--Using a Heated Hose

[Sleeping Ugly]

Wow-what just happened?

After 45 days of therapy using a standard hose and the machine's humidifier, I bought a heated hose and used it for the first time last night. I set the humidifier on 3 and the hose setting on 3 and set it on "adaptive." When I started everything up, the hose felt slightly warm to the touch (very nice) and the air felt comfortably warm to breathe. I woke up at 4 in the morning and the air felt much less warm and the hose felt cold to the touch and for the first time since I started therapy, one nostril was completely closed down. Like 150%, lol. There was severe swelling under and over the eye on the related side. I also had the WORST upper back and shoulder pain I have had since I started therapy.

Because of the setting being on "adaptive" and the bedroom temp. being about 69F, do you think that is why the air and hose didn't feel as warm?

I did have a "mask fight" at one point and I snugged up the right side of my mask--the same side that clogged up, but I didn't think it was THAT tight. Maybe I was wrong.

My wedding anniversary was yesterday and so I had VERY rich Italian food that I am not used to and I also had a glass of red wine for the first time in a year. Would this have an effect?

Any help would be appreciated!

[Arlene1963]

I also had the WORST upper back and shoulder pain I have had since I started therapy.


I had VERY rich Italian food that I am not used to and I also had a glass of red wine for the first time in a year. Would this have an effect?

Any help would be appreciated!

Do you have a history of gallbladder problems? If so, the upper back and shoulder pain sound like classic symptoms, maybe from the rich food and wine which you don't often have.

Just a possibility to consider.

[Pugsy]

Because of the setting being on "adaptive" and the bedroom temp. being about 69F, do you think that is why the air and hose didn't feel as warm?

Probably.

The hose heater cycles on and off as needed to maintain the desired temperature.
No different than your household furnace cycling on and off to maintain whatever temperature you set the thermostat to.
You probably just happened to catch it in a cooler cycle.

[Sleeping Ugly]

I also had the WORST upper back and shoulder pain I have had since I started therapy.


I had VERY rich Italian food that I am not used to and I also had a glass of red wine for the first time in a year. Would this have an effect?

Any help would be appreciated!

Do you have a history of gallbladder problems? If so, the upper back and shoulder pain sound like classic symptoms, maybe from the rich food and wine which you don't often have.

Just a possibility to consider.

I had my gallbladder removed in 2011. You make a very good point about the pain being classic symptoms--and even though my gallbladder is not there any more, my body still has to adjust to trying to handle rich food and alcohol without it. It could very well be related.

[Sleeping Ugly]

Because of the setting being on "adaptive" and the bedroom temp. being about 69F, do you think that is why the air and hose didn't feel as warm?

Probably.

The hose heater cycles on and off as needed to maintain the desired temperature.
No different than your household furnace cycling on and off to maintain whatever temperature you set the thermostat to.
You probably just happened to catch it in a cooler cycle.

I thought as much.

Do you think using a heated hose has anything to do with one of my nostrils closing up completely? Too high of a setting? Too low? Will having a mask adjusted too tightly have any affect (although I still don't think I had it tight)? With the addition of the heated hose, should I adjust my humidity level? I originally had it on 5, that was too much and I had rain out and then I adjusted it to 3 (before the heated hose) and that stopped the rainout, but I would have liked to have the air warmer.

I just read on the internet that red wine can cause sinus congestion--there's one question answered. I am beginning to think I caused my own "perfect storm" last night.

I appreciate all of the help, trust me.

[Pugsy]

One nostril being closed could simply be nasal cycle.
I have it happen to me intermittently and have never figured out a trigger.
https://en.wikipedia.org/wiki/Nasal_cycle
Usually goes away quickly though.

If it were humidity related I would think both nostrils would be involved.

You may have indeed created your own perfect storm last night..it happens even to the best of us from time to time.
I don't know that I would go changing things just yet since this could have been a fluke bad night.

What humidity setting were you using before you got the heated hose?

[Sleeping Ugly]

One nostril being closed could simply be nasal cycle.
I have it happen to me intermittently and have never figured out a trigger.
https://en.wikipedia.org/wiki/Nasal_cycle
Usually goes away quickly though.

If it were humidity related I would think both nostrils would be involved.

You may have indeed created your own perfect storm last night..it happens even to the best of us from time to time.
I don't know that I would go changing things just yet since this could have been a fluke bad night.

What humidity setting were you using before you got the heated hose?

Before the heated hose, I first tried a setting of 5 and then I had rainout. I then had it set on 3 and no rainout, but I would have liked it a bit warner.

[palerider]

When I started everything up, the hose felt slightly warm to the touch (very nice) and the air felt comfortably warm to breathe. I woke up at 4 in the morning and the air felt much less warm and the hose felt cold to the touch

"to the touch" is relative, it all depends on how warm your hands are.

Plus, at it's hottest setting, the hose is going to be colder than body temperature, since all it needs is to be warmer than room temp, so feeling the hose, while everybody does it, really doesn't mean anything.

[Pugsy]

If you want warmer air in the you might play around with manual settings vs "adaptive"...manual gives you more control over each setting.

[Sleeping Ugly]

I changed my settings to "fixed" with the humidifier and heated hose both set on 3. It was an awesome night. I loved having the constant warm air. I also turned my exhale relief off and I LOVE IT! I felt so much better! It only took less than 5 minutes to get used to the difference in feeling. Now I don't feel like I am on a respirator.

The only weird thing that I have discovered with using the heated hose the last two nights is that, the morning following, my eyes water so much, it's like I am crying. They leak! I am constantly having to wipe them and water accumulates in the inside corners allllllllllll day. They are also quite swollen in the morning, but that has happened since day one. After doing a whole bunch of reading on the subject, it sounds like that is positional edema.

[Sheepish]

I changed my settings to "fixed" with the humidifier and heated hose both set on 3. It was an awesome night. I loved having the constant warm air. I also turned my exhale relief off and I LOVE IT! I felt so much better! It only took less than 5 minutes to get used to the difference in feeling. Now I don't feel like I am on a respirator.

Glad those settings are working better for you. FWIW, those are the settings I use as well, and they seem to work well for me, too.