Please recommend machine that adjusts pressure.

[jeffishere]

Hi folks,
I'm a newbie w/22 nights under my belt but my S8 is filling my gut with air....wakes me up & painful!

I'm hoping & praying to get my doc to write a "dispense as written" Rx for a machine that will adjust the pressure...an AutoSet or Flex type of machine.
Any standouts?

I really appreciate any recommendations you can make,
Jeff

[Mary Z]

Does your S8 have EPR and is it activated? You may need a machine that gives a lower pressure on exhale which EPR, or a BiPAP would do. Good luck, I know it's painful. Be sure and explain to your doc and DME the trouble you're having and listen to the advice you get here so you can do the right thing. Is your pressure very high?

[imtired]

I love my S8 Autoset II. if i was to replace it i would probably get the S9. avoid anything with the word escape in it. this machine does not record anything useful only verifies that you are using it.

[Wulfman]

What pressure are you currently using?
Is that your prescribed pressure?
Do you have you prescription?


Den

[jeffishere]

My pressure is 9. even tho that's not very high, lots of air is getting into my gut. do i need a bi-level machine?

[EricinNC]

Hi folks,
I'm a newbie w/22 nights under my belt but my S8 is filling my gut with air....wakes me up & painful!

I'm hoping & praying to get my doc to write a "dispense as written" Rx for a machine that will adjust the pressure...an AutoSet or Flex type of machine.
Any standouts?

I really appreciate any recommendations you can make,
Jeff

An S8 II is a pretty weak machine to begin with and 9 is on the lower high side pressure wise. If you went with a Phillips Respironics machine, those are more powerful and might make the air in the stomach issue worse (but maybe not? ). Your options are kinda limited and you should talk to your sleep doctor about it. Things I could think of off the top of my head might be:

1) get an APAP and set it the "traditional" APAP way. Where your minimum is an 8 and your maximum is like a 10 or 11. I do it differently, I set my APAP minimum as my CPAP titrated pressure, so if things are not exactly right I feel it right away.

2) talk to your sleep doc about a bilevel device. I dont know anything about those. I know they make some bilevels made for people who have trouble tolerating any kind of traditional CPAP or APAP

3) use the EPR function on your Resmed, although Ive heard of people complaining the EPR function waters their therapy down and they dont feel as good during the day. PR has a similar function called C-flex and A-flex, I dont use any of them myself Im old school I like straight air high pressure. As long as the air is good and humidified, I like it straight and old school style.

But really man, 9 is lowish pressure and Resmed machines made these days are pretty weak machines. Maybe talk to your sleep doc about it.


Eric

[Wulfman]

My pressure is 9. even tho that's not very high, lots of air is getting into my gut. do i need a bi-level machine?

Are you using EPR? If so, what setting?
Have you discussed this problem with your doctor, DME or Respiratory Therapist?

What you're experiencing is called "aerophagia"......you're ingesting air somehow. This seems to be a fairly common problem with some XPAP users. It could also indicate that you may have GERD.

Some people have experimented with their settings to try to avoid it. Some people with APAPs switch to a fixed pressure. Some people with straight-pressure CPAPs go to APAPs. Some people end up with Bi-Level machines. If they have GERD, some have raised the head of their bed. If you're mouth-breathing, maybe a different mask or making sure your mouth is sealed. There are just no "hard and fast" solutions.

If you go up to the Search line and put in "aerophagia", you'll get a whole lot to reading material.


Den

[EricinNC]

My pressure is 9. even tho that's not very high, lots of air is getting into my gut. do i need a bi-level machine?

Are you using EPR? If so, what setting?
Have you discussed this problem with your doctor, DME or Respiratory Therapist?

What you're experiencing is called "aerophagia"......you're ingesting air somehow. This seems to be a fairly common problem with some XPAP users. It could also indicate that you may have GERD.

Some people have experimented with their settings to try to avoid it. Some people with APAPs switch to a fixed pressure. Some people with straight-pressure CPAPs go to APAPs. Some people end up with Bi-Level machines. If they have GERD, some have raised the head of their bed. If you're mouth-breathing, maybe a different mask or making sure your mouth is sealed. There are just no "hard and fast" solutions.

If you go up to the Search line and put in "aerophagia", you'll get a whole lot to reading material.


Den

CPAP helped my GERD, got it under control. Ive heard of others with the same experience. If the pressure is hurting your stomach the pressure is probably too high, there is nobody here who can figure out this guys problem, he needs real world help. Real time on with the doc. Maybe a machine change or pressure change. Unless its something dramatic like he's got an ulcer or something that the CPAP just uncovered was all, the odds are thats not it though.

Eric