APAP for aerophagia?

cosmiccowpoke · Post by **cosmiccowpoke** » Fri Aug 24, 2007 3:09 pm

I've seen some people say that apap is better for people with GERD/hiatal hernia related-aerophagia. Has anybody out there tried that with any success?

Wulfman... · Post by **Wulfman...** » Fri Aug 24, 2007 3:46 pm

Go to the top of the page and search on "aerophagia"......there will be lots of threads to read.

It's "different strokes for different folks". Some get relief from straight pressure (without C-Flex or EPR) and some get relief WITH those features. Also, for some it's related to sleeping position, mask type, GERD and many other things.

I've never experienced it, but have read many threads where it was discussed.

Good luck.

Den

inacpapfog · Post by **inacpapfog** » Fri Aug 24, 2007 4:28 pm

I can tell you that my aerophagia on a straight cpap was so bad that one night of a trial apap was bliss!!! Have not had another night of such torment! Been on apap now for almost 3 years!

dsm · Post by **dsm** » Fri Aug 24, 2007 5:59 pm

This aerophagia issue really is an individual challenge that varies greatly.

I was on CPAP / AUTO & was getting depressed by the effects of it (I take GERD meds daily). I am also something of a mouth breather due to constant nasal constriction/congestion.

Here are my observations based on my own reaction to various machines ...

1) CPAP / AUTO at around 13-15 CMS - got regular aerophagia

2) AUTO (12-16CMS) with C-flex set to 3 it was very noticable

3) AUTO (12-16) with C-flex at 1 or off, aerophagia diminished quite a bit

4) On BiLevel - aerophagia all but went away also I dropped my CMS frist to 8/15 then to 10/13 & have been on that for about 12 months.

I am convinced that mouth breathing is a significant factor in my own aerophagia. The times I used a nasal mask (when I could) the aerophagia also seemed to go away.

Good luck

DSM

drummergirl410 · Post by **drummergirl410** » Fri Aug 24, 2007 6:07 pm

From my experience the APAP was the clear way to go! I was given a two-week trial on the APAP and almost no arrophalgia the whole time, then had it swiped away by the DME and replaced with a bare bones straight CPAP. The aerophalgia got so bad I had to stop therapy after only an hour! Next day I want rounds with the RT and finally agreed to pay the difference in the price to cover what the insurance wouldn't to get the APAP back. The RT had me run it in straight CPAP mode with an EPR of 3. That helped. Any aerophalgia symptoms were very minor. As of my appointment with the pulmonologist today I'm back in auto mode.

dsm · Post by **dsm** » Fri Aug 24, 2007 6:36 pm

[quote="drummergirl410"]From my experience the APAP was the clear way to go! I was given a two-week trial on the APAP and almost no aerophalgia the whole time, then had it swiped away by the DME and replaced with a bare bones straight CPAP. The aerophagia got so bad I had to stop therapy after only an hour! Next day I want rounds with the RT and finally agreed to pay the difference in the price to cover what the insurance wouldn't to get the APAP back. The RT had me run it in straight CPAP mode with an EPR of 3. That helped. Any aerophagia symptoms were very minor. As of my appointment with the pulmonologist today I'm back in auto mode.