Aerophagia
Re: Aerophagia
Last night's sleep report shows an AHI of 0.18. That score is all hypopnea. All apneas are 0.0! This is a first.
I am up to Min. 8, Max. 10 pressures with no aerophagia.
95% = 9.96
99.5% = 10.00
I have read that 95% shows a pressure the machine is at or below 95% of the time. I don't understand how that has any significance. Are these percentiles it telling me to raise the Max pressure? Can someone give a definition of them for dummies?
I am up to Min. 8, Max. 10 pressures with no aerophagia.
95% = 9.96
99.5% = 10.00
I have read that 95% shows a pressure the machine is at or below 95% of the time. I don't understand how that has any significance. Are these percentiles it telling me to raise the Max pressure? Can someone give a definition of them for dummies?
Re: Aerophagia
It doesn't really mean much of anything of any major significance.
AT or BELOW...that is the definition and 95% numbers are easily skewed to the high side with just a relatively short period of time at higher numbers.
It's just a number...and most of the time doesn't mean much of anything.
The only real reason to increase the maximum is when someone keeps pegging out the max all night long where the machine wants to go higher for some reason or other but can't.
Normally we just let the machine sort it out with more maximum....BUT when someone is having major aerophagia issues and the machine wants to go higher and the going higher causes a problem then it is perfectly acceptable to limit the max..even if it pegs out at max all night long.
Sometimes the reason it wants to go higher creates a bigger problem than it is trying to fix.
Here's a really old report of mine that shows a higher 95% number at a little above 16 but my overall average is around 12.
It's pretty clear that the time at the end of the night where the pressure went way up there is the reason for the elevated 95% number.
What does it mean? Nothing. It's just a number.
Now you are probably maxing out at 10 for quite a bit of time....in your situation with your potential aerophagia issues I wouldn't go wild and crazy trying to increase the max. You might create a bigger problem.
Especially if you are sleeping decently and with that AHI well below 1.0....I wouldn't change a thing if it were me.

_________________
Machine: AirCurve™ 10 VAuto BiLevel Machine with HumidAir™ Heated Humidifier |
Additional Comments: Mask Bleep Eclipse https://bleepsleep.com/the-eclipse/ |
I may have to RISE but I refuse to SHINE.
Re: Aerophagia
I once upon a time wrote a basic explanation (complete with examples) of what a 95% number means and how it is calculated. You can find it at my old blog about CPAP related things.ejbpesca wrote: ↑Fri Nov 11, 2022 9:30 amLast night's sleep report shows an AHI of 0.18. That score is all hypopnea. All apneas are 0.0! This is a first.
I am up to Min. 8, Max. 10 pressures with no aerophagia.
95% = 9.96
99.5% = 10.00
I have read that 95% shows a pressure the machine is at or below 95% of the time. I don't understand how that has any significance.
...
Can someone give a definition of them for dummies?
The relevance to PAP therapy is that the 95% pressure level gives you an idea of how much pressure the machine is using when your breathing is at its worst during the night. So if someone wants to use fixed pressure, then the usual recommendation is to start with the 95% pressure level after several days of titration on an APAP running with a max pressure of 20. But you already know that max = 10 is doing a good job of controlling your OSA, so there's no real need to do further titration with a higher max pressure.
Not necessarily. Your AHI is good and you're feeling decent and there's no aerophagia. So in my opinion, there is no good reason to increase the pressure, and there's a very good reason to not increase the pressure---namely to prevent the aerophagia from reappearing. In other words, if it ain't broke, don't fix it.Are these percentiles it telling me to raise the Max pressure?
Now, if you were running at roughly 10cm of pressure all night long and if there were evidence of significant snoring, lots of flow limitations, or on some nights you get clusters of obstructive events that can't be written off as SWJ, and if you weren't feeling decent, then there would be a reason to increase your max pressure. But in that case, I'd encourage you to do it cautiously so as to minimize the chances that the aerophagia monster comes back.
_________________
Machine: AirCurve™ 10 VAuto BiLevel Machine with HumidAir™ Heated Humidifier |
Mask: Swift™ FX Nasal Pillow CPAP Mask with Headgear |
Additional Comments: Also use a P10 mask |
Joined as robysue on 9/18/10. Forgot my password & the email I used was on a machine that has long since died & gone to computer heaven.
Correct number of posts is 7250 as robysue + what I have as robysue1
Profile pic: Frozen Niagara Falls
Correct number of posts is 7250 as robysue + what I have as robysue1
Profile pic: Frozen Niagara Falls
Re: Aerophagia
Finally got 02 data in on an OSCAR report. Android File Transfer got the O2 Ring data from my phone to the Mac. The O2 Insight Pro app for Mac will not save the O2 Ring files in proper format for OSCAR. I see it takes a while for OSCAR, in some cases to get the O2 segment to a sleep report. Sometimes 02 Ring data appears instantly, other times the Import Wellue/Viatom data takes a bit to appear.
Looking like this OSCAR report tells me that at least for one night my AirSense 10 worked well and my body cooperated by not moving to my back. I will hang a while on these settings until another BAD cluster shows then go from there.
And that begs the question: "Can blood O2 go from 97 to 75 and back to 95 in less than a minute, and repeat that 60 times in a cluster of events lasting 30 minutes? My O2 ring is claiming such.
Thanks, y'all.
Ooops, "Sorry, the board attachment quota has been reached."
I guess I can help by deleting my past files.
I no longer get notified by email when a reply is posted even though to do so is checked. Anyone know what's up there? No email in junk folder either.
Looking like this OSCAR report tells me that at least for one night my AirSense 10 worked well and my body cooperated by not moving to my back. I will hang a while on these settings until another BAD cluster shows then go from there.
And that begs the question: "Can blood O2 go from 97 to 75 and back to 95 in less than a minute, and repeat that 60 times in a cluster of events lasting 30 minutes? My O2 ring is claiming such.
Thanks, y'all.
Ooops, "Sorry, the board attachment quota has been reached."
I guess I can help by deleting my past files.
I no longer get notified by email when a reply is posted even though to do so is checked. Anyone know what's up there? No email in junk folder either.
Re: Aerophagia
Can 70 OAs occur in one hour? Can a CPAP machine sense that many in such rapid succession?
Re: Aerophagia
Yes, although it is unusual, it is possible for a person to have 70 OAs in one hour.
And yes, unless there is a huge leak, xPAP machines do an excellent job of tracking the airflow in and out of your upper airway.
_________________
Machine: AirCurve™ 10 VAuto BiLevel Machine with HumidAir™ Heated Humidifier |
Mask: Swift™ FX Nasal Pillow CPAP Mask with Headgear |
Additional Comments: Also use a P10 mask |
Joined as robysue on 9/18/10. Forgot my password & the email I used was on a machine that has long since died & gone to computer heaven.
Correct number of posts is 7250 as robysue + what I have as robysue1
Profile pic: Frozen Niagara Falls
Correct number of posts is 7250 as robysue + what I have as robysue1
Profile pic: Frozen Niagara Falls
Re: Aerophagia
It only takes 10 seconds to 'sense' one.
Get OSCAR
Accounts to put on the foe list: dataq1, clownbell, gearchange, lynninnj, mper!?, DreamDiver, Geer1, almostadoctor, sleepgeek, ajack, stom, mogy, D.H., They often post misleading, timewasting stuff.
Accounts to put on the foe list: dataq1, clownbell, gearchange, lynninnj, mper!?, DreamDiver, Geer1, almostadoctor, sleepgeek, ajack, stom, mogy, D.H., They often post misleading, timewasting stuff.
Re: Aerophagia
Funny I mention recently the possibilities of equipment failure on another post and this appears on last nights OSCAR reports:
All graphs have data for 8 hours except for Flow Rate, Mask Pressure, Insp. Time and Exp. Time. Those are blank for 7 hours then data appears the last hour or so of the session. The night before's report showed those items blank for the first third of the session before data is recorded. I can't find another report out of a dozen that has blank areas.
The graphs that have full data from last night show what appears to be a decent night of therapy with little to no leaks.
I wonder why the blank hours of operation?
All graphs have data for 8 hours except for Flow Rate, Mask Pressure, Insp. Time and Exp. Time. Those are blank for 7 hours then data appears the last hour or so of the session. The night before's report showed those items blank for the first third of the session before data is recorded. I can't find another report out of a dozen that has blank areas.
The graphs that have full data from last night show what appears to be a decent night of therapy with little to no leaks.
I wonder why the blank hours of operation?
Re: Aerophagia
IIRC you're on a Mac.
JoyD has also run into sudden problem with OSCAR on a Mac - after upgrading to Ventura.
On the other hand, on my PC, I sometimes need to close OSCAR, take out the SD card, reinsert it and do the whole OSCAR import again, and the problem is solved. So try this, and then check JoyD's thread.
JoyD has also run into sudden problem with OSCAR on a Mac - after upgrading to Ventura.
On the other hand, on my PC, I sometimes need to close OSCAR, take out the SD card, reinsert it and do the whole OSCAR import again, and the problem is solved. So try this, and then check JoyD's thread.
_________________
Mask: AirFit™ P10 Nasal Pillow CPAP Mask with Headgear |
Additional Comments: Machine: Resmed AirSense10 for Her with Climateline heated hose ; alternating masks. |
And now here is my secret, a very simple secret; it is only with the heart that one can see rightly, what is essential is invisible to the eye.
Antoine de Saint-Exupery
Good advice is compromised by missing data
Forum member Dog Slobber Nov. 2023
Antoine de Saint-Exupery
Good advice is compromised by missing data
Forum member Dog Slobber Nov. 2023
Re: Aerophagia
At 8-14 pressure. Aerophagia is not present. Gained back six pounds as acute acid reflux subsides.
This report is a usual mess of pressure pegging, leaks, etc., but maybe as good as I am going to get. Looking back, it seems I will not be able to produce a nice even night of OSCAR reported therapy due to sleep habits that interfere with PAP therapy.
I am all over the place in bed, wake on my back, wake to find the mask off, go though bizarre time of somewhere between wake and sleeping with vivid dreams.
I resumed the med Gabapentin at night due to the return of leg movement that kept me from being able to fall asleep. Drug causes me to wake uncoordinated, as if in an intoxicated state that passes within an hour. The benefit is that even with bizarre dreams and restless sleep, I feel more rested, clear headed, and capable for a few hours after the side effects wear off. It's a trade off. I probably will stop it again due to how bizarre the stuff make me feel.
Please take a look at this report and give your much appreciated opinion. I cannot stop the move to supine position in my sleep. I may get an another collar, but after wearing one for a few months I found it very irritating. I replace my FF mask every month. At about 2 weeks I tighten the mask. I will try a medium again to see if it may not leak as much. I don't think it is my beard that causes leaks, but rather movement, because I can go a whole night with a very low leak rate.
This report is a usual mess of pressure pegging, leaks, etc., but maybe as good as I am going to get. Looking back, it seems I will not be able to produce a nice even night of OSCAR reported therapy due to sleep habits that interfere with PAP therapy.
I am all over the place in bed, wake on my back, wake to find the mask off, go though bizarre time of somewhere between wake and sleeping with vivid dreams.
I resumed the med Gabapentin at night due to the return of leg movement that kept me from being able to fall asleep. Drug causes me to wake uncoordinated, as if in an intoxicated state that passes within an hour. The benefit is that even with bizarre dreams and restless sleep, I feel more rested, clear headed, and capable for a few hours after the side effects wear off. It's a trade off. I probably will stop it again due to how bizarre the stuff make me feel.
Please take a look at this report and give your much appreciated opinion. I cannot stop the move to supine position in my sleep. I may get an another collar, but after wearing one for a few months I found it very irritating. I replace my FF mask every month. At about 2 weeks I tighten the mask. I will try a medium again to see if it may not leak as much. I don't think it is my beard that causes leaks, but rather movement, because I can go a whole night with a very low leak rate.
Re: Aerophagia
Are you aware of what made the difference before the first and second session?
_________________
Mask: AirFit™ P10 Nasal Pillow CPAP Mask with Headgear |
Additional Comments: Machine: Resmed AirSense10 for Her with Climateline heated hose ; alternating masks. |
And now here is my secret, a very simple secret; it is only with the heart that one can see rightly, what is essential is invisible to the eye.
Antoine de Saint-Exupery
Good advice is compromised by missing data
Forum member Dog Slobber Nov. 2023
Antoine de Saint-Exupery
Good advice is compromised by missing data
Forum member Dog Slobber Nov. 2023
Re: Aerophagia
Why do you replace your mask so often?
Re: Aerophagia
My AirFit 10 full face loses its elasticity with time. By one month I am having to tighten it too much. A new one allows me to loosen the head gear.
Re: Aerophagia
Thanks so much for the help two years ago. This week aerophagia and severe acid reflux returned. I reviewed this thread and used its advice to lower Max and Min cm once again. Anything above 15 cm pressure to my masks is useless anyway due to large leaks... the air goes out the sides of the mask, not into me, and try as I may I cannot control large leakage past 15 cm.
I've gained 25 lbs. since I started this thread...ugh. Never thought I could get this heavy..185 lb. 5' 6'. The majority of my life is spent in an adjustable bed due to permanent injuries and degenerative spinal maladies caused by them. The idleness is probably why so much weight has been gained which exacerbates the apneas. My AHIs are all over the place from 5.00 to 10.00 with an occasional 30.00. About once every week or so I get a <5 and I'm pretty sure that is because I did not roll to my back that night. I roll in my sleep to relieve pain in my shoulder, hip, spine, and neck due to past injuries.
I've tried many suggestions to prevent rolling to my back in sleep but each failed. I am sure it is on my back when the apnea clusters occur up to 70+ in an hour which wrecks the AHI score Pressure shoots up during on-back sleep, large leaks occur, and therapy stops. I am wondering now if it is sleeping on my back that is the cause of my severe apnea and since PAP therapy cannot help that, why have I been at it for 18 years?
I've gained 25 lbs. since I started this thread...ugh. Never thought I could get this heavy..185 lb. 5' 6'. The majority of my life is spent in an adjustable bed due to permanent injuries and degenerative spinal maladies caused by them. The idleness is probably why so much weight has been gained which exacerbates the apneas. My AHIs are all over the place from 5.00 to 10.00 with an occasional 30.00. About once every week or so I get a <5 and I'm pretty sure that is because I did not roll to my back that night. I roll in my sleep to relieve pain in my shoulder, hip, spine, and neck due to past injuries.
I've tried many suggestions to prevent rolling to my back in sleep but each failed. I am sure it is on my back when the apnea clusters occur up to 70+ in an hour which wrecks the AHI score Pressure shoots up during on-back sleep, large leaks occur, and therapy stops. I am wondering now if it is sleeping on my back that is the cause of my severe apnea and since PAP therapy cannot help that, why have I been at it for 18 years?