Stomach issues with cpap

You may want to talk to your doctor again, but not about machine settings, etc, more about possibly looking for other problems with new testing for possible cardiac or other issues not directly related to OSA or Cpap.

If we are to believe your pressure graph and assume that those apnea events flagged are real asleep events then you have a problem with sub optimal apnea therapy. Your machine wants to go higher to deal with the obstructive apneas and it's entirely possible that the apneas happening are the cause of a lot of your problems.

Your OSA isn't being adequately treated and you are having a lot of apnea events and those events cause stress on the body and will cause a increase in stress hormone levels in your body.

Your pressure settings aren't dealing with your OSA optimally. Your OSA isn't under control.
You for sure need a higher maximum and probably need a higher minimum as well.

Now more pressure might make stomach issues with aerophagia worse but at this point your elevated pulse and stress levels could simply be from untreated apneas and they also could be causing aerophagia issues as well.

Does it make sense to set my pressure higher (e.g. 12 or 15 ) and see if I get an significant improvements with my AHI?
Can aerophagia be dangerous ? Is it limited to the stomach or can it also impact the heart and other organs ?

Raising your minimum from 4 to 6 was correlated with a reduction in your AHI, with the reduction spread across the three categories of OA, CA, and H. The normal next step would be to raise it again, especially if the belly problems are unrelated to CPAP.

It sounds as though you are experiencing some kind of tachycardia. More here, from a trusted source:

https://www.mayoclinic.org/diseases-con ... c-20355127

As it happens, I had three episodes of supraventricular tachycardia during the past three months. Because I don't know what underlies your condition, I don't know whether this advice from my doctor would help you, but I don't see how it can hurt. Reduce or eliminate caffeine consumption; stay well hydrated; drink alcohol in moderation; avoid over-exercising. For what it's worth, part of my work-up was to wear a heart monitor for 30 days.

I am torn about suggesting that you raise your pressure. As Pugsy says, events during the night can cause stress reactions in your body, and that would suggest you should increase your minimum again. On the other hand, I worry about giving you advice when I think you do need more attention from your doctor to figure out what's going on with your heart. Bearing both sides of that quandary in mind, you might consider raising your minimum by 1, which would be a pretty conservative change.

It's be great to hear from experts about this.

ElCamello wrote: ↑

Sat May 30, 2020 7:31 am

Last night and this morning were a nightmare.
I did not take Nurexan for the entire day. before going to bed and while brushing my teeth my heart rate was jumping to 150. I had to lay in bed so it calms down.
I woke up at 2 am and could not get back to sleep. My sleep was disrupted the entire night. I was laying in bed and feeling my legs my arms and back all burning form the inside. Like at the bones levels.
I am suspecting too much stress hormone is released in my body. Any ideas ?
In the morning I went to wash my face and my heart rate was jumping to 140. I took Nurexan and a beta blocker that my doc gave me and told me I can take in case I have heart racing again. and than went back to bed.
Now my heart rate is back to normal but emotionally and psychologically I am devastated. Not knowing what really is happening to me.
I am continuing taking Nurexan for the time being I ordered a lactose free variant but will can not get it till Tuesday.
below are my recordings form last night :
29_May_2020_v1.png

You still have max IPAP at 9. Got to get that set to 20. you are not getting enough Air. If I was stuck with that setting I would be better off not using the unit.

ElCamello wrote: ↑

Sat May 30, 2020 7:31 am

Last night and this morning were a nightmare.
I did not take Nurexan for the entire day. before going to bed and while brushing my teeth my heart rate was jumping to 150. I had to lay in bed so it calms down.
I woke up at 2 am and could not get back to sleep. My sleep was disrupted the entire night. I was laying in bed and feeling my legs my arms and back all burning form the inside. Like at the bones levels.
I am suspecting too much stress hormone is released in my body. Any ideas ?
In the morning I went to wash my face and my heart rate was jumping to 140. I took Nurexan and a beta blocker that my doc gave me and told me I can take in case I have heart racing again. and than went back to bed.
Now my heart rate is back to normal but emotionally and psychologically I am devastated. Not knowing what really is happening to me.
I am continuing taking Nurexan for the time being I ordered a lactose free variant but will can not get it till Tuesday.
below are my recordings form last night :
29_May_2020_v1.png

THIS IS A Dangerous situation. Your sleep doctor or therapist is plain stupid and should not be advising anybody in sleep apnea..... GET YOUR MACHINE SET TO IPAP 20 before you use it again.

ElCamello wrote: ↑

Sat May 30, 2020 7:31 am

Last night and this morning were a nightmare.
I did not take Nurexan for the entire day. before going to bed and while brushing my teeth my heart rate was jumping to 150. I had to lay in bed so it calms down.
I woke up at 2 am and could not get back to sleep. My sleep was disrupted the entire night. I was laying in bed and feeling my legs my arms and back all burning form the inside. Like at the bones levels.
I am suspecting too much stress hormone is released in my body. Any ideas ?
In the morning I went to wash my face and my heart rate was jumping to 140. I took Nurexan and a beta blocker that my doc gave me and told me I can take in case I have heart racing again. and than went back to bed.
Now my heart rate is back to normal but emotionally and psychologically I am devastated. Not knowing what really is happening to me.
I am continuing taking Nurexan for the time being I ordered a lactose free variant but will can not get it till Tuesday.
below are my recordings form last night :
29_May_2020_v1.png

PLEASE DO NOT USE THIS MACHINE ANOTHER NIGHT WITH THESE SETTINGs... I SENT YOU A PRIVATE MESSAGE WITH INSTRUCTIONS ON HOW TO SET YOUR PRESSURE
https://youtu.be/DrNaoD783Po Youtube video

So Cali Reese wrote: ↑

Sat May 30, 2020 12:26 pm

ElCamello wrote: ↑

Sat May 30, 2020 7:31 am

Last night and this morning were a nightmare.
I did not take Nurexan for the entire day. before going to bed and while brushing my teeth my heart rate was jumping to 150. I had to lay in bed so it calms down.
I woke up at 2 am and could not get back to sleep. My sleep was disrupted the entire night. I was laying in bed and feeling my legs my arms and back all burning form the inside. Like at the bones levels.
I am suspecting too much stress hormone is released in my body. Any ideas ?
In the morning I went to wash my face and my heart rate was jumping to 140. I took Nurexan and a beta blocker that my doc gave me and told me I can take in case I have heart racing again. and than went back to bed.
Now my heart rate is back to normal but emotionally and psychologically I am devastated. Not knowing what really is happening to me.
I am continuing taking Nurexan for the time being I ordered a lactose free variant but will can not get it till Tuesday.
below are my recordings form last night :
29_May_2020_v1.png

THIS IS A Dangerous situation. Your sleep doctor or therapist is plain stupid and should not be advising anybody in sleep apnea..... GET YOUR MACHINE SET TO IPAP 20 before you use it again.

Corrected the setting on your unit is AUTO MAX set it at 20

https://youtu.be/DrNaoD783Po GET YOUR SETTING (AUTO MAX) to 20 ASAP link to how attached

The situation as follows :
_ My sleep therapist did a sleep study with his device last April and did it show that the AHI is 4 and no oxygen interruptions while sleeping. According to him the therapy is working.
_ My cardiologist did a heart scan and stress ECG last February. She did in addition a 24hr Holter ECG and 24 hr blood pressure tests two weeks ago. According to her it is anxiety and stress issue and she does not want to see me anymore.
_ My generalist doc did a heart scan and blood tests in April a 24hr holter ECG two weeks ago and a stress ECG last week. Now he is literally making fun of me suggestion it is all in my mind and that he is making good money out of me.
_ I was to the cardiology department in the hospital a month back where they performed an ECG and heart related blood work. It was all ok and they suggested Nurexan for anxiety and a 24hr ECG which I did twice.
_ My doc suspected an issue with the adrenal glands. I got tested for Metanephrin(+73) and normetanephrine(+291) which were elevated. I had a CT scan for my abdomen last week and the results showed no tumors or overgrowth of the glands. My doc think the elevated values are related to anxiety.
_ I had a stress ECG last week, I stated feeling a bit dizzy at 120 BPM I did only 100 watt. My doc thinks my heart is in a bad shape and I do need to do more cardio fitness. I go daily for a 1 hour brisk walk since two months now.
_ I started seeing a therapist for my anxiety...

_ if there is something potentially I am not doing well is my nutrition, I am under eating and have lost some weight recently due to the stress and the situation.

There is something you're not doing and that is to set your machine to useful numbers. You can keep looking for magic answers elsewhere, but all you'll do is drive yourself crazy, sicker and more annoying to everyone else. I know that sounds mean, but really, isn't it time to try what experts here know, or at least have lots of reason to believe is needed, rather than just rely on your doctor who plainly has no understanding of how the machine works? MOST doctors do not... they know the science behind apnea, that people need machines, but they routinely do not learn the basics - if they did, this forum would not exist. So many out there go off their machines because they can't get proper sleep or relief of symptoms and have not discovered the forum(s).

For heaven's sake what will it take for you to try a little change that isn't going to make you feel any worse than you already do, and is so likely to make you feel much better? We wouldn't suggest changes if there was a chance those changes (small as things go here) could in any way hurt you. Even if aerophagia were to make you uncomfortable, you would then have more advice re how to deal with it then, but until such time, be brave, do what''s been advised by long time knowledgable people - aerophagia won't kill you or do much else than make you somewhat uncomfortable for a short time, if that, relative to all the c..p you've felt anyway from lousy therapy. At worst I think you might even feel foolish for not having at least tried it!

Hi Julie,
Sorry I did not mean to be annoying.
I am planning to give it a try already tonight. I am just wondering If I should directly set the pressure all the way to 20 or set it somewhere to 15.

20 is standard, but if you're that leery, try 15 - it's still better than where you're at (and I didn't mean you were 'annoying' - sometimes I get carried away with my writing!).

Thanks for the fuller description of your doctors' investigations of your heart. I'm pained at the thought a doctor would make fun of a patient who is suffering arrhythmia from stress.

I don't share Reese's sense of urgency about your settings. It is just fine not to open up the maximum to 20. Julie's suggestion of 15 sounds like a sensible one to me. You can even take a night or two to get up there.

But also be bring up your minimum. The machine you have is a perfectly good one, but it is fairly slow to raise pressure in response to events. Notice how it barely budges in response to all those hypopneas last night from around midnight to 4 a.m.? That means you want the minimum up high enough to head those events off in the first place. So bring the minimum up a little too. In my last post, I suggested going up by just 1 to see how that works for you. If it is OK, then you can continue to inch it up.

Bottom line: try minimum of 7 and maximum of 15, or 12 if you want to take it in stages. Then post a chart so we can take a look and see what happened.

I change the pressure on my Dreamstation by holding down the ramp button and pushing ing the dial on the front at the same time. Hold them down for about 60 seconds and it will change to therapy screen. There are other adjustments you can make in there also.