Help required to reduce AHI and Aerophagia

General Discussion on any topic relating to CPAP and/or Sleep Apnea.
Jude92
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Re: Help required to reduce AHI and Aerophagia

Post by Jude92 » Sun Mar 31, 2024 9:50 am

Thanks for your input ozij. That's very reassuring.

This was my 2nd night with minimum pressure at 5. Very similar to the first night. While I did I sleep a bit longer, I again woke up feeling like a balloon being pumped with air ready to burst. I had to take the mask off after a while to grab a little bit more sleep. Here's the chart - https://imgur.com/a/tkpEyWm

Small reduction in CA and OA, but big increase in Hypopneas from the previous night.

Jude92
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Joined: Fri Mar 29, 2024 6:52 am
Location: UK

Re: Help required to reduce AHI and Aerophagia

Post by Jude92 » Mon Apr 01, 2024 7:07 am

Results from my 3rd night with minimum pressure 5 - https://imgur.com/a/cVStdy4

Slightly longer sleep than previous nights (about 6 hours). Hypopneas and OA similar to previous night but CA back up again.

Aerophagia has remained the same too.

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Pugsy
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Re: Help required to reduce AHI and Aerophagia

Post by Pugsy » Mon Apr 01, 2024 7:25 am

I think a stroll through the flow rate graph using SleepHQ is in order.
Need to know if those flagged events are asleep events or arousal/awake related flagged events.

More pressure is indeed needed to deal with the OAs and hyponeas ....if they are real asleep events...but they may not be real asleep events and if that's the case the more pressure won't help awake/arousal events but will sure make the aerophagia monster's visit misery.

How about making sure that "more pressure" is what is for sure needed before going down that road????
Mainly because more pressure in this situation creates another significant problem. Lets see if it is even needed.

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Jude92
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Location: UK

Re: Help required to reduce AHI and Aerophagia

Post by Jude92 » Mon Apr 01, 2024 3:09 pm

Thanks for your post pugsy.

The first flagged event at 7.30 was an awakening. I couldn't say for sure what the 2nd event was.

I've just created a sleephq account. Would you mind telling me what I'm looking for or if there's some data I need to share?

Thanks again!

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Pugsy
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Re: Help required to reduce AHI and Aerophagia

Post by Pugsy » Mon Apr 01, 2024 3:17 pm

You have to load up a SleepHQ report so that it is public and then provide a link to that report.
Once we can access the report it is interactive for us and we can zoom in on the flow rate/breathing and look to see if the flagged events happened while asleep or awake.

I can do the zooming in and evaluation but I have never actually used SleepHQ to post those interactive links myself.
Someone else will need to explain the how to get to that point. I don't know the steps....I just know how to deal with it once it's available for review. I know it has to be public though. How to make it public though....I don't know that part.

_________________
Machine: AirCurve™ 10 VAuto BiLevel Machine with HumidAir™ Heated Humidifier
Additional Comments: Mask Bleep Eclipse https://bleepsleep.com/the-eclipse/
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vandownbytheriver
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Re: Help required to reduce AHI and Aerophagia

Post by vandownbytheriver » Mon Apr 01, 2024 10:49 pm

Pugsy wrote:
Mon Apr 01, 2024 3:17 pm
(snip)
Someone else will need to explain the how to get to that point. I don't know the steps....I just know how to deal with it once it's available for review. I know it has to be public though. How to make it public though....I don't know that part.
On the Dashboard, looking at the night you want to share. There's three vertical dots at the upper right... click them and choose Share. You get a popup dialog that has a link... click the box to the right of the link and it's now in your clipboard, you can paste it in a reply here. If you want to use that link again, or if you want to deactivate it, go to Share Links in the left pane. Easy!

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Machine: AirCurve 10 Vauto USA C2C CO
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Jude92
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Location: UK

Re: Help required to reduce AHI and Aerophagia

Post by Jude92 » Tue Apr 02, 2024 5:14 pm

Thanks for your help vandownbytheriver!

Here's a link to my report from 31st March - https://sleephq.com/public/81a4ceaf-56f ... f11546d3b5

Link to last night's report - https://sleephq.com/public/169d1ca2-605 ... a3a1b12d3f
Last night's Oscar chart - https://imgur.com/a/z8lVBul

CA back down again and bloating remains the same.

I'm on vacation for the next 6 days so won't have access to my laptop to get oscar data or new sleephq data. I will have my DreamMapper app which only provides limited data.

Thanks again! :)

Jude92
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Location: UK

Re: Help required to reduce AHI and Aerophagia

Post by Jude92 » Wed Apr 10, 2024 2:24 pm

I'm back from my vacation so can share some more data.

Here is a link to my Oscar reports from April 2nd, 4th, 5th, 6th, 7th & 9th - https://imgur.com/a/YXfoJwE. I didn't really get any sleep on the 3rd due to being awaken by family members I was staying with, and I was travelling overnight on April 8th so didn't have my machine on. Please note, the times will look strange as I was on vacation in the USA which is a 5 hour time difference.

Here are my SleepHQ reports:

April 2nd - https://sleephq.com/public/3df26e88-d5d ... 271c35593e
April 4th - https://sleephq.com/public/8a462d3f-ec2 ... 937b17d4a5
April 5th - https://sleephq.com/public/d966a232-34f ... 931f9c0008
April 6th - https://sleephq.com/public/64ff5eb8-ee9 ... 3615d086ad
April 7th - https://sleephq.com/public/286b51cd-53d ... 547958535e
April 9th - https://sleephq.com/public/1d5f79cb-518 ... 920bafbfd1

A big takeaway from the past week is that once I got settled into my new environment I got 2 of the best nights sleep I had in a long time on April 6th and 7th. My aerophagia also massively went down while I was away. I also turned my humidifier up to 5 as my mouth was getting dry in the hotel after the first couple of nights.

My first night back in my own bed last night resulted in my aerophagia returning in a big way. I had to temporarily turn the machine off before 1am as it was unbearable. I then took the mask off completely at about 5.45am due to discomfort in my stomach.

Any suggestions/help would be much appreciated.

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vandownbytheriver
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Re: Help required to reduce AHI and Aerophagia

Post by vandownbytheriver » Wed Apr 10, 2024 10:03 pm

So you liked the 6th and 7th but not the 9th?

Massive leaking 6&7th... much less so on 9th. Pressure took you up to 12cm on the 6th. Looked like you restarted the Ramp on the 7th at 11:30am... was that for pressure relief?

Looks like it wants to treat you at 8cm. All that pressure jumping around is not fun to sleep through.

_________________
Machine: AirCurve 10 Vauto USA C2C CO
Mask: Fisher & Paykel Vitera Full Face Mask with Headgear (S, M, or L Cushion)
Additional Comments: I use O2Ring, Oscar, SleepHQ, and Cover Roll Stretch mouth tape.

Jude92
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Re: Help required to reduce AHI and Aerophagia

Post by Jude92 » Thu Apr 11, 2024 10:53 am

Yeah, 6th and 7th were great, and I felt a lot less tired upon wakening than I did on the 9th or really any other day in the past few weeks. I'm guessing that restart on the 7th was for pressure relief but I can't recall exactly.

How do you suggest I proceed from here. Is another pressure change worth a try?

Here is last night's Oscar chart - https://imgur.com/a/KwctkYW and sleepHQ report - https://sleephq.com/public/b268e0dd-e63 ... 81702f0c8b

I've been finding it hard in my own bed even having the pressure at the minimum pressure of 4 as it feels like the air is going straight into my stomach. The past couple of nights I've been trying to go to sleep with the mask on and machine off, hoping the machine turns on after I fall asleep. This has worked but is there a setting on the dreamstation where you can set the machine to come on at a certain time? I'm guessing it's turning on at the moment when it notices a difference in my breathing.

Last night's sleep was similar to the previous. The gap from 3.30am was for a trip to the bathroom.

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vandownbytheriver
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Re: Help required to reduce AHI and Aerophagia

Post by vandownbytheriver » Thu Apr 11, 2024 2:05 pm

Jude92 wrote:
Thu Apr 11, 2024 10:53 am

How do you suggest I proceed from here. Is another pressure change worth a try?
Frankly those pressure changes make no sense. Are you hitting a Reset button or something to cause the pressure drop?

Turn off any Flex and try another night. Divide and conquer.

_________________
Machine: AirCurve 10 Vauto USA C2C CO
Mask: Fisher & Paykel Vitera Full Face Mask with Headgear (S, M, or L Cushion)
Additional Comments: I use O2Ring, Oscar, SleepHQ, and Cover Roll Stretch mouth tape.

Jude92
Posts: 14
Joined: Fri Mar 29, 2024 6:52 am
Location: UK

Re: Help required to reduce AHI and Aerophagia

Post by Jude92 » Thu Apr 11, 2024 3:36 pm

Thanks for your post vandownbytheriver. Any time you see the pressure drop to 4, that's me hitting the ramp button to relieve pressure for comfort. All other changes are automatic from the machine.

I watched a video from one of the SleepHQ guys who recommends trying a fixed pressure to view the affects on AHI and aerophagia. I think I might give that a go to test it out. This should hopefully help me work out the maximum amount of pressure I can handle for aerophagia and what volume I need to get a lower AHI score.