New to Bipap

Hello, I'm here because I've been diagnosed with severe central apnea and now have a bipap machine with pressures of 23 and 19 and 10 back up breaths (from my titration study). I typed in my equipment because I didn't find it on the list. (I have an ST machine, not an S, for example. And a F20i, not plain F20 mask.) I don't know if these are appreciable differences, but I wanted to be thorough.

I'm having trouble getting to sleep with these pressures. It's set to ramp for 10 minutes starting at 9, which is where I was with my CPAP when I needed one for OSA (APAP 9-20) but even if I get to sleep with lower pressures, I wake up when it gets high. In my titration study, I woke up with a very painful stomach from swallowing air. So I'm hoping I can avoid that going forward. I'm also having issues with mask leaks. Advice, please?

Thanks in advance.
Songstress

i have no knowledge to share, so i'm answering just to bump your post up towards the top.

Can you experiment by trying slightly lower pressures for a few days to see how it goes, and then either leave things, or lower them further.

I suggest getting in touch with your doctor about your problem because unfortunately the higher pressures the machine gives you all the time are maybe what is needed to deal with the central apnea.
There might be some wiggle room for reducing the pressure but that is really something your doctor needs to be involved with since you are using this very special ST machine in central fighting mode.
Reducing the pressure without medical input could possibly cause your central apnea to not be effectively treated well.

Maybe a compromise can be met but the ST model machine doesn't offer a lot of options and it won't auto adjust.
We don't want to offer an idea that might end up hurting you.