Hello
I just wanted to pass on what worked for me in regards to the aerophagia as I had terrible time with it in the begining( 8 months with cpap.) Additionally, I have learned how to lower my AHI without raising my pressure
( 4min/12 max). First, I promise you it will get better as your body adjusts. Try using a full face mask if you can as covering my mouth seemed to equalize the pressure and it made a big difference for me.
( I used the dreamwear full face mask). I wore it for 2 months, than went back to the Dreamwear nasal cushion thank goodness and did not have any more issues. I believe my body finally adjusted through time while I was wearing the full face mask and when I went back to the nasal cushion, I was fine. Also, during the 2 month period, I wore a cervical collar and learned to lay straight on my side. Additionally, I would cheat and press the ramp setting (4) if I woke up gassy. On a side note I had a terrible time with being dizzy included with the aerophgia and I turned my EPR setting off and the dizziness went away. When I turned it back on my dizziness returned so of course i switched it off and what a relief to not be dizzy anymore! After 6 months of cpap use,I forgot my cervical collar during a vacation and learned I did not need it for lowering my events. My guess is I learned how to keep my chin from tucking while I as asleep. Lastly, as for lowering my AHI, these are ways I learned mostly by accident how to lower my AHI with raising my pressure like the doctor wanted to do.
1. I use the cpap pillow called Endurimed large cpap pillow with big cutouts and I actually lay my head in the cutout. It tilts my head slightly forward so my tongue tends to stay forward and as a side benefit, my face does not get as many marks. Also, the bottom of the cutout holds my chin up so that might be another reason I don't need the cervical collar anymore.
2. Using nasal pillows made a difference. I believe I am getting a more direct air flow that opens up my airway. I do not like wearing them but it made a big enough difference.
3. Sleeping in a cool room made a huge difference. I love being warm while I sleep however I love having a much lower AHI count. Also, I have an autopap and my 90% pressure went from 7.5 to 5.5.
After using all of these tactics, my AHI went from an average of 3 to almost always below 1 and most time 0.3-0.6 and feeling so much better. I believe if some of these things work for someone else, even if they have a higher AHI, any time you can lower your events it has to be a good thing.
I am not saying all or any of these suggestions will work for everyone however they have worked for me and made a huge difference in my sleep quality and the amount of sleep I now get ( 8 hours form 5 or 6 ).
I am so much healthier and happier and i want to help others in any way i can. I wish you luck!
