CPAP constantly waking me up at night

General Discussion on any topic relating to CPAP and/or Sleep Apnea.
DavidTre
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Joined: Sun Feb 14, 2021 4:43 am

CPAP constantly waking me up at night

Post by DavidTre » Sat Feb 20, 2021 4:22 am

Hi,

I've been trying to sleep with CPAP for 5 months without much luck. Currently using the Resmed P10 mask since I feel it's the most comfortable!

I am using the Resmed Airsense 10 Auto with a 7-8 pressure, EPR at and humidifer at 2.

The problem is that it keeps waking me up at night, I am attaching a picture of the OSCAR data
good_day.png
good_day.png (263.91 KiB) Viewed 2450 times
It says that I have leaks but I never noticed them. Is it possible that I have mouth leaks?

How could I solve them? I tried a chin holder but I sleep on my side and it bothers me too much...

Thanks in advance!


PS: That is a good day, mostly I have the mask for 2h and take it off during my sleep

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Julie
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Re: CPAP constantly waking me up at night

Post by Julie » Sat Feb 20, 2021 6:04 am

Why is your max pressure so low?

Why couldn't you have mouth leaks - when you're asleep you wouldn't be aware of them.

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Pugsy
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Re: CPAP constantly waking me up at night

Post by Pugsy » Sat Feb 20, 2021 8:28 am

Those leaks could be mouth leaks but they could also simply be mask movement leaks.
The machine doesn't have any way to know or show mouth vs movement leak. To the machine a leak is a leak no matter where it comes from.

Now some people find that even small leaks from any source will cause wake ups.

If those CAs/centrals flagged are real asleep centrals they could also be causing wake ups.
or if you were awake when those were flagged they could be a symptom of the poor sleep.

Some people are just extra sensitive to the sensory stuff that wearing a cpap mask causes.

Could you maybe safely take an OTC sleep aid to help you sleep a little more soundly????
Have you talked with your doctor about your inability to sleep with mask on?
Do you have insomnia issues even without cpap being used?
Do you take any meds of any kind? If so, what?

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DavidTre
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Re: CPAP constantly waking me up at night

Post by DavidTre » Sat Feb 20, 2021 10:31 am

Julie wrote:
Sat Feb 20, 2021 6:04 am
Why is your max pressure so low?

Why couldn't you have mouth leaks - when you're asleep you wouldn't be aware of them.
I never noticed that's why, but it makes sense I may not be realizing!

What would be your suggestion? I am a stomach/side sleeper and both chin straps and full face masks seem daunting

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DavidTre
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Re: CPAP constantly waking me up at night

Post by DavidTre » Sat Feb 20, 2021 10:32 am

Pugsy wrote:
Sat Feb 20, 2021 8:28 am
Those leaks could be mouth leaks but they could also simply be mask movement leaks.
The machine doesn't have any way to know or show mouth vs movement leak. To the machine a leak is a leak no matter where it comes from.

Now some people find that even small leaks from any source will cause wake ups.

If those CAs/centrals flagged are real asleep centrals they could also be causing wake ups.
or if you were awake when those were flagged they could be a symptom of the poor sleep.

Some people are just extra sensitive to the sensory stuff that wearing a cpap mask causes.

Could you maybe safely take an OTC sleep aid to help you sleep a little more soundly????
Have you talked with your doctor about your inability to sleep with mask on?
Do you have insomnia issues even without cpap being used?
Do you take any meds of any kind? If so, what?
Thanks for taking the time to answer, I think I may be having mouth leaks and not realizing.

About your questions:
1.I have tried sleep aid but does not seem to help much.
2. I am self-treating the sleep apnea
3. I used to have trouble sleeping but would not say insomnia
4. Currently not taking any meds

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JasonJ
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Re: CPAP constantly waking me up at night

Post by JasonJ » Sat Feb 20, 2021 10:35 am

This is me too. Just joined this morning because of the same problems. Started CPAP therapy in November. I've slept through the night with it on once since then. Most nights I average 2 hours of use. My struggle is that I remove my mask while sleeping, so I don't know what the cause is... Currently using nasal pillows so I was thinking of purchasing a full mask.

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Pugsy
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Re: CPAP constantly waking me up at night

Post by Pugsy » Sat Feb 20, 2021 10:43 am

DavidTre wrote:
Sat Feb 20, 2021 10:32 am
I used to have trouble sleeping but would not say insomnia
Trouble sleeping is insomnia...I don't know why people are afraid to admit it.

Sleep onset insomnia....trouble falling asleep.
Sleep maintenance insomnia...trouble staying asleep, waking repeatedly for no known reason, or too early and not being able to go back to sleep which becomes a combination of maintenance and onset insomnia.

Google both...lots of potential causes.

What OTC sleep aid did you try? Dosage?
Do you take any meds of any kind? If so, what...this is important to know.
Any other physical or mental health conditions going on?

Okay, self treating and no doc to help....do you have a primary care doc?

Google "good sleep hygiene" and look to see if you are maybe guilty of anything that might be a factor. Be honest with yourself.

To be able to fix a problem we have to first try to identify the cause of the problem if at all possible and sometimes that does take some detective work.

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DavidTre
Posts: 14
Joined: Sun Feb 14, 2021 4:43 am

Re: CPAP constantly waking me up at night

Post by DavidTre » Sun Apr 04, 2021 4:00 am

Pugsy wrote:
Sat Feb 20, 2021 10:43 am
DavidTre wrote:
Sat Feb 20, 2021 10:32 am
I used to have trouble sleeping but would not say insomnia
Trouble sleeping is insomnia...I don't know why people are afraid to admit it.

Sleep onset insomnia....trouble falling asleep.
Sleep maintenance insomnia...trouble staying asleep, waking repeatedly for no known reason, or too early and not being able to go back to sleep which becomes a combination of maintenance and onset insomnia.

Google both...lots of potential causes.

What OTC sleep aid did you try? Dosage?
Do you take any meds of any kind? If so, what...this is important to know.
Any other physical or mental health conditions going on?

Okay, self treating and no doc to help....do you have a primary care doc?

Google "good sleep hygiene" and look to see if you are maybe guilty of anything that might be a factor. Be honest with yourself.

To be able to fix a problem we have to first try to identify the cause of the problem if at all possible and sometimes that does take some detective work.
Thanks for the answer!!

I googled what you said and I do wake up repeatedly but I do think it's because of the CPAP, I am following all sleep hygiene tips I have found (no screens, blackout curtains, no sounds, relaxing stuff before bed, only use bed for sleep, do not eat too close, ..)

Other than sleep apnea I do not have any other conditions or take any meds

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Miss Emerita
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Re: CPAP constantly waking me up at night

Post by Miss Emerita » Sun Apr 04, 2021 12:23 pm

Several of the breaks in therapy come after leaks, so I do wonder whether they are disruptive. If they're mouth leaks, you could try taping your mouth. Here is some information about that plus some other approaches:

1. Tongue position. Try putting the tip of your tongue behind your upper front teeth. Then position the main part of your tongue up against your upper palate. Finally, give a little suck or swallow to create a bit of suction. You should now be able to open your mouth while breathing entirely through your nose. Practice this during the day, and see if you can get it grooved in deeply enough to help while you are asleep at night. For some people, this is really all it takes to avoid mouth leaks.

2. Collar. If your jaw tends to drop down during the night, pulling your mouth open, then a soft cervical collar, or a firmer snore collar, can be a big boon. More here:
http://www.apneaboard.com/wiki/index.php...cal_Collar

3. Although chin straps tend to pull the jaw back, which is not helpful, the Knightsbridge Dual Band strap has a design that pulls the jaw straight up, which makes it a possible alternative to a cervical collar.

4. Tape. Some people (including me) rely on tape to keep the lips from opening. (I can't rely entirely on the tongue thing.) When the lips open, all too often that eventually leads to a noisy and disruptive mouth leak. To see whether tape would be feasible for you, I recommend that you invest in a box of Somnifix strips. They are very gentle on the skin but hold very well. Be sure to curl your lips inward per instructions before placing the strip. If these work for you, then you can experiment with lower-cost options.

Note about tape: Some people avoid it, for two reasons. (1) If you suddenly need to vomit in the night, the tape could lead to your aspirating some vomitus, which would be bad. However, you can sacrifice one strip to see for yourself how well you can pull you mouth open in an emergency using only your jaw muscles. (2) If there is a power failure and your machine goes off while you're sleeping, you won't be able to do the natural thing and open your mouth to breathe. As for that, out of an abundance of caution, I've put a circuit alarm in a plug on the same circuit as my machine. It will wake me up immediately if I lose power to the machine.
Oscar software is available at https://www.sleepfiles.com/OSCAR/