Lungs Feel Sore After First Night on CPAP

telly · Post by **telly** » Sat Dec 23, 2006 11:04 pm

Need a separate post on this topic. After my first night at 11 cm H20 of straight CPAP I feel great overall. My lungs have felt kind of sore all day, though. I have heard that this is normal, but I am concerned.

The feeling I have is the need to cough (yet I do not cough), like a tightness in my chest when you get a chest cold. However there is little to no mucous coming up. How strange.

Any suggestions going into Night 2?

drbandage · Post by **drbandage** » Sat Dec 23, 2006 11:16 pm

Hi Telly -
I'm a newbie, too. Interesting and spot-on description of what I had noticed myself. I always felt like I am about to choke, or am breathing at high altitude. Almost like the old bags got stretched a little more than they they have come to expect. Kind of feels good in a strange way. Sort of like it hurts so good?
It will be interesting to hear what the vet Pappers have to say. Physiologically, I am intrigued and mystified.

Goofproof · Post by **Goofproof** » Sat Dec 23, 2006 11:35 pm

As with all new exercise, muscles and body parts are being pushed past their normal limits. It will get sore for a few days or a week then it will get better, in a few weeks it will be gone and you will wake up to put your hand over the mask exhaust to see it the pump quit.

Tough it up, I started at 14 cm, after they opened my chest. Jim
Nothing has fell out yet!

-SWS · Post by **-SWS** » Sun Dec 24, 2006 12:02 am

I think the short answer is that you'll get used to CPAP and very soon will no longer feel that way.

I for one don't know exactly why that happens. There's inflation and slight stretching of the airway that occurs with a static pressure of even 11 cm. There are stretch receptors throughout the airway. I have admittedly wondered if the brain (neural adaptive plasticity) takes a while to factor in what is the "new" and "normal" stretch rate, regarding nightly stretch receptor input.

If you're not running adequate CPAP humidification, then adding a good heated humidifier may be at least part of the solution, however.

drbandage · Post by **drbandage** » Sun Dec 24, 2006 12:15 am

I for one don't know exactly why that happens. There's inflation and slight stretching of the airway that occurs with a static pressure of even 11 cm. There are stretch receptors throughout the airway. I have admittedly wondered if the brain (neural adaptive plasticity) takes a while to factor in what is the "new" and "normal" stretch rate, regarding nightly stretch receptor input.

Yeah. What he said.

It does make physiologic sense that stretch receptors would need time to "acclimate" to a new baseline.
Also, anecdotally, more recently I have indeed double -checked that my machine was actually on , as the air pressure doesn't feel nearly as turbo charged as it did initially.
I call that progress.

telly · Post by **telly** » Sun Dec 24, 2006 12:44 am

Thanks you guys. You totally R O C K my apneatic world!

Sooooo GoofProof. It sounds like you're just tellin' me to "man up".

OK. OK. I can dig that. I guess I just don't want any kinda cuh-RAZY complications interrupting the "Telly Train". I'm headed straight to recovery baby.

When you take the CPAP straight up (no chaser), I appears you gotta expect a little "kick" to it. Much like your first shot of Jack Daniel's, you're body goes, "Hey, what the heck is going on here?"

And the lung's are all....

I'm sorry Telly, I can't do that...

If it starts getting unbearable, I'll go see the Doc. Looks like I should anyway is what I'm thinkin'. I'll make an appointment with a real sleep Doc first thing after Xmas. I'll also procure a standard GP.

Until then, I'll take my CPAP like I take my Thelonious Monk... "Straight––No Chaser".

Monk....the man is a genius

Time to gear up for Night 2

telly · Post by **telly** » Sun Dec 24, 2006 1:05 am

Another thing on topic: Perhaps my Humidifier was not working? I noticed that little, if any, water was missing. The air I was breathing was not as warm and moist as I expected it would be. I'd better double check and make sure it is working right tonight.

Little things: I'm bummed I can't wear my eye shades (my room is too bright) or my specs with my mask on. Ah well.

bdp522 · Post by **bdp522** » Sun Dec 24, 2006 6:34 am

The humidifier doesn't warm the water enough for you to feel a diference heat wise. It just warms it enough to allow more moisture to be picked up by the air moving through. I have to keep my HH on 3 to not have dryness in the a.m. I don't feel more moisture I just don't feel the dry throat and sinuses. If you want the air warm(or have rainout) you will need the Aussie heated hose. I have one to keep my nose from freezing.
There are masks that allow you to wear glasses. I use the hybrid most of the time, and can wear my glasses.

Brenda

snoregirl · Post by **snoregirl** » Sun Dec 24, 2006 6:59 am

I can't remember if you said what type of cpap you have for now.

If it is a classic Remstar (not m series) then if you turn off the machine the hh turns off too and doesn't restart unless you specifically restart it.

On the classic Remstars I need 3 before I get warm moist air.

On Resmed, I have read (don't have one) that the humidifier has to be a bit higher to give similar humidity.

M Series Remstar I don't remember reading anything on this and don't have one.

Maybe this will help.

Goofproof · Post by **Goofproof** » Sun Dec 24, 2006 10:59 am

I take my HH straight up too, turned off, used in the passive mode, I like it cold. Also if I had mouthleaking going on I would know it very fast, by drying out.

I don't worry much about what's going on until I see Blood, then I might go to the Dr. Jim

telly · Post by **telly** » Sun Dec 24, 2006 11:14 am

Thanks guys. Night 2 was a bit more restful. Woke up once at 6AM. Got water and went back to bed until 8:30.

Lungs had to be cleared in the morning. Mucuous is clear, so I am not ill. I think you guys are right. It will get better, I just have to get used to it.

Figured out the humidifier, the heat was on but not cranked up. I set it to medium height and my lungs are not so sore today. Much more water has been evaporated as well, so it definitely was working.

Thanks all for your advice and concerns.

Oh, and BTW: Today is my 44th Birthday. True, I still do get those combo-presents and cards. Nowadays, I get the combo e-mails as well. Faaaaaantastic. .

-SWS · Post by **-SWS** » Sun Dec 24, 2006 12:32 pm

telly wrote:Oh, and BTW: Today is my 44th Birthday.

Happy Birthday!!!!!!

Goofproof · Post by **Goofproof** » Sun Dec 24, 2006 12:42 pm

Roll out the blanky, Your just a pup! Happy Birthday. Jim

Arizona-Willie · Post by **Arizona-Willie** » Sun Dec 24, 2006 2:00 pm

I've heard there are some real celebrities who have OSA and may even be seen on the boards ... so, not being a big movie buff who keeps up on all of the info, I decided to see if it was the real Telly ( being somewhat suspicious because I was pretty sure Mr. Savalas was much older than 44 ).

Googled him and here's the scoop:

Birth Name: Aristotle Savalas
Born: January 21, 1924, Garden City, New York
Died: January 22, 1994, Universal City, California

Hah, I thought so.

Now this MUST be a real popular site when they come back from beyond to post.

Welcome aboard anyway --- nothing wrong with a nom de plume.

Gerald · Post by **Gerald** » Sun Dec 24, 2006 5:52 pm

Way to go Arizona! Your curiosity and skepticism should earn you the coveted "Oxmachine Award"....for the ability to separate BS from the truth.

Lungs Feel Sore After First Night on CPAP

Lungs Feel Sore After First Night on CPAP

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