Constant Aerophagia

General Discussion on any topic relating to CPAP and/or Sleep Apnea.
dtorpey
Posts: 3
Joined: Sun Apr 26, 2026 6:24 am

Constant Aerophagia

Post by dtorpey » Mon Aug 03, 2026 7:50 pm

Therapy started in February and I have been battling Aerophagia nearly the whole time. Doctor put me on an acid inhibitor to counteract the heartburn/reflux that it was causing (though it still sometimes exists). Burping all day and stomach pressures is constant. For a week now, however, I have felt very fatigued and I can't figure out why.

I have been retrying a wedge pillow for a few nights now, no improvement.

I generally fall asleep on my left side, but more than half the time, wake up on my back.

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Pugsy
Posts: 65357
Joined: Thu May 14, 2009 9:31 am
Location: Missouri, USA

Re: Constant Aerophagia

Post by Pugsy » Mon Aug 03, 2026 8:39 pm

You may need to reduce your pressure settings in small increments to see if you can get to a point you don't have the aerophagia bothering you so much...like reducing the max setting by .2 cm increments. This option will take some time.

How did you or your medical team come up with the settings you are currently using?
They sure aren't very high but you aren't the first person to have significant aerophagia with rather low pressures.

Another option is to back way up with the pressures and work upwards monitoring data to evaluate the results as far as therapy effectiveness and aerophagia relief.
Like start at 4 minimum and 6 maximum and EPR at 2..or 4 min and 7 max with EPR at 3.
This might be a faster option.

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dtorpey
Posts: 3
Joined: Sun Apr 26, 2026 6:24 am

Re: Constant Aerophagia

Post by dtorpey » Tue Aug 04, 2026 4:22 pm

I was initially started on the standard 4-20 (through Lofta). After my first follow up (complaining about Aerophagia), the tech lowered me to 4-7.6.

based on advice from the board here and other sources, I have been raising my minimum to avoid larger spikes during reactionary events.

it's kind of a weird toss up between getting the lowest pressure versus stability and good sleep.