First try and my nose got clogged

hello.
I tried my ResMed AirFit™ N20 Nasal Cushion CPAP Mask with climateLine last night.
However, it made my nose clogged.
I saw YouTube video saying that increasing temperature or moisture can solve the issue, and I tried with different setting.
However it didn't change nothing.
I didn't try many times. so I will try different setting again
Can you let me know the best way or setting to prevent clogged nose.

Also, the device blow air too much to my nose, so it was not easy to exhale through the nose


Thank you.

Too much humidity, either attached to machine or just local conditions can cause congestion, so I'd be careful about adding more and also you can try Flonase in the evening to clear things out.

i second julie's recommendation on flonase. it works a treat!

good luck!

I will try flonase.

By the way, Can you recommend temperature and humidity level?

Also Can I adjust speed or power of air?
The device blow air too much to my nose, so it was not easy to exhale through the nose



Thank you.

possible_sleepapnea wrote: ↑

Fri Mar 10, 2023 9:25 pm

By the way, Can you recommend temperature and humidity level?

Also Can I adjust speed or power of air?
The device blow air too much to my nose, so it was not easy to exhale through the nose

Hard to give setting ideas when we don't know what you are using or trying in terms of humidity settings, hose air temp or even the pressure being used.

More information is needed please.

Pressure settings???
Using EPR Exhale pressure relief???
Humidity setting???
Hose air temp if using a heated hose.
Does a hot steamy shower help relieve any congestion you might have or make it worse?

When it climate was auto, I set temperature to 82, 83, 84, 85.. etc according to YouTube video saying that increasing temperature can increase moisture and it will prevent clogged nose.
it dint' worked.

So, I changed to manual, and I set temperature to 84 something, and I put moisture to 6,7,8.
And It didn't worked too.

By the way, after I tried multiple temp/moisture setting, my nose got clogged already.
So, it is hard to say that all temp/moisture setting that I tried didn't work for me.

I live in Los Angeles area, and my nose is clogged little sometime either I was awake or sleep.
So it is hard to say that the solely CPAP device clogged my nose. However for sure, it made my nose more clogged.

Mode
Pressure settings???
Using EPR Exhale pressure relief??? --- > I can see only pressure relief setting in My opinion menu, and it is ON now.
Humidity setting???
Hose air temp if using a heated hose.
---> I didn't change any except the temperature and moisture.
Does a hot steamy shower help relieve any congestion you might have or make it worse? --->Air trhough Climatehose with multiple temperature and moisture setting didn't help nothing.
I'm not sure if you are referring other function. is there a menu for steamy shower?

I simply watched one YouTube video how to hook up and start to use yesterday.
So I didn't even know that there is settings menu
After googling I just got to know how to change settings include pressure settings.
I will watch more Youtube videos, however it would be appreciated if you can give me some advice.

You're not listening... stop trying to add water/humidity.. you're making things worse.

And again, what ARE your pressure settings? It's hard to help without basic info.

The hot steamy shower question was just to try to tease out if you do better with more moisture being added or not.
Some people find that increasing moisture helps relieve congestion and some people find that it makes things worse.

So another question.....does the congestion ease up if you remove the mask? As in fairly immediate easing???

Julie wrote: ↑

Sat Mar 11, 2023 4:53 am

You're not listening... stop trying to add water/humidity.. you're making things worse.

And again, what ARE your pressure settings? It's hard to help without basic info.

Thank you for reply.
It is Autoset, Min 4, Max 20
Do I need to change to CPAP and put a manual number?

Pugsy wrote: ↑

Sat Mar 11, 2023 6:22 am

So another question.....does the congestion ease up if you remove the mask? As in fairly immediate easing???

Thank you for the answer.
Yes, it get better immediately.

I tried yesterday the device without using flonase, and I had no luck.
It was hard to breath by nose if I use the device.

However, I found few helpful option
Ramp time was set Auto. And the device increased air pressure even though I was not fell a sleep, so It made me hard to exhale. I changed it manual and set time 40 mins. So it helped
Also, I found that 'Run Warmup' function can be helpful which warmup water before using the device. However even with the function, my nose got clogged.


Thank you.

possible_sleepapnea wrote: ↑

Sat Mar 11, 2023 9:28 am

It is Autoset, Min 4, Max 20

Ramp is useless when the minimum and starting pressure is 4 cm. 4 cm is as low as the machine can go so ramp isn't doing anything.

Are you using EPR turned on? If so at what setting.

If your nasal congestion is immediately relieved when the mask is removed then maybe it is the pressure of the mask itself on the nasal turbinate area of the nose that is causing the congestion. I have this happen myself when I use ANY mask that touches the sides of my nose (nasal bridge area where eye glasses tend to rest) as it seems to put pressure and cause more congestion from that pressure. For that reason I simply won't/don't use any mask that touches the sides of my nose.

The N20
https://www.cpap.com/productpage/resmed ... k-headgear
is going to put a slight amount of pressure on those turbinates but sometimes it doesn't take much to cause congestion.
Just in case this is your problem I would put messing with the humidity settings on hold and just try a different mask and see if it is the mask itself that is the problem.
Most of the time when humidity (either too much or too little) is the cause of nasal congestion it is something that doesn't come on immediately nor is it relieved immediately with mask removal Normally it just takes more time for humidity (too little or too much) to be the cause of nasal congestion than what you are experiencing.

See if you can get your equipment supplier to let you try a mask that doesn't touch the nasal bridge area at all.
Something like the ResMed N30 which is a nice little under the nose cushion mask or even a nasal pillow mask like the ResMed P10.

https://www.cpap.com/productpage/resmed ... h-headgear

https://www.cpap.com/productpage/resmed ... k-headgear

Pugsy wrote: ↑

Sat Mar 11, 2023 9:50 am

possible_sleepapnea wrote: ↑

Sat Mar 11, 2023 9:28 am

It is Autoset, Min 4, Max 20

Ramp is useless when the minimum and starting pressure is 4 cm. 4 cm is as low as the machine can go so ramp isn't doing anything.

Are you using EPR turned on? If so at what setting.

Thank you for the detailed answer!
EPR is turned on - Full time, level=2.

I will try few more night, and if it doesn't work, then I will try different mask

Thank you.

EPR is when the machine drops the pressure upon exhale by whatever setting you have it set at.
So a setting of 2 drops the pressure by 2 cm upon exhale.
But same constriction when the pressure is starting out at the minimum of 4 cm setting.....it can't ever drop below 4 cm so you aren't getting the benefit of EPR when the starting pressure is 4 cm. There's no where for it to drop to.

You need to try a different mask sooner than later.
If your N20 mask is indeed the culprit no amount of setting tweaking is going to fix the problem.