Chest Pain

General Discussion on any topic relating to CPAP and/or Sleep Apnea.
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Windmill
Posts: 59
Joined: Tue May 12, 2009 11:23 am
Location: Niagara, Ontario, Canada

Chest Pain

Post by Windmill » Thu Nov 12, 2009 11:28 am

Can anyone tell me if you can experience chest pain with Aerophagia? I have been starting to have multiple problems with air...belching...both ends , constipation, bloating and now chest and upper back pain. I am seeing my GP this afternoon on the chest pain business but am wondering if this is something that could be related to my cpap therapy.

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Mask: AirFit™ P10 Nasal Pillow CPAP Mask with Headgear
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Muse-Inc
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Joined: Fri Jun 12, 2009 8:44 pm
Location: Atlanta, GA

Re: Chest Pain

Post by Muse-Inc » Thu Nov 12, 2009 11:42 am

Intially, I had pain in my lower ribcage trying to breathe out against pressure. It radiated around to my back and made deep breaths very uncomfortable. I called my sleep doc and he confirmed it was common and should go away in a bit...it did, took several weeks.
ResMed S9 range 9.8-17, RespCare Hybrid FFM
Never, never, never, never say never.

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BlackSpinner
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Location: Edmonton Alberta
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Re: Chest Pain

Post by BlackSpinner » Thu Nov 12, 2009 11:51 am

Intially, I had pain in my lower ribcage trying to breathe out against pressure. It radiated around to my back and made deep breaths very uncomfortable.
Yes me too when I had to bump up my pressure after titration. Also some of that excess air at both ends for about a week. What was strange is when I went to visit Edmonton (much higher & drier) it got much worse and cleared up immediately on my return home.

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OutaSync
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Location: Virginia

Re: Chest Pain

Post by OutaSync » Thu Nov 12, 2009 12:15 pm

Yes, I have had all of the symptoms that you have described since I started CPAP therapy. It's been over two years and it has been getting worse, not better. In fact, I spent last Saturday night in the ER with chest pains so bad I was working to breathe. My blood pressure was elevated and my pulse was 110 to 125 for a couple of hours before we decided to go to the ER. Blood tests, CT scan, chest x-ray all were normal. Morphine brought my blood pressure and heart rate way down and I would have felt better but they wouldn't let me go home until 3:30 a.m. and I did not have my BiPap Auto SV with me so I didn't dare fall asleep! Followed up with my PCP. PCP said to double up on the Prilosec and come back in two weeks.

I didn't know I had GERD until I started CPAP therapy. Turns out that my lower esophageal sphincter doesn't close properly. I think the CPAP air pressure blows through all night, causing a gut full of air, and all that air has to go somewhere!

I know from reading here that my case is unusual. Most people report that their symptoms are short-lived. I hope that is the case with you. But just in case this happens to you, I didn't want you to think that you are the only one.

Bev
Diagnosed 9/4/07
Sleep Study Titrated to 19 cm H2O
Rotating between Activa and Softgel
11/2/07 RemStar M Series Auto with AFlex 14-17
10/17/08 BiPAP Auto SV 13/13-23, BPM Auto, AHI avg <1

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Muse-Inc
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Re: Chest Pain

Post by Muse-Inc » Thu Nov 12, 2009 12:21 pm

OutaSync wrote:... lower esophageal sphincter doesn't close properly...
The mint family and chocolate are known to relax this, so neither one of these anywhere near time to go horizontal...that's if you regularly eat either.
ResMed S9 range 9.8-17, RespCare Hybrid FFM
Never, never, never, never say never.

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OutaSync
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Joined: Sun Sep 23, 2007 8:49 am
Location: Virginia

Re: Chest Pain

Post by OutaSync » Thu Nov 12, 2009 12:34 pm

[quote="Muse-Inc]
The mint family and chocolate are known to relax this, so neither one of these anywhere near time to go horizontal...that's if you regularly eat either.[/quote]


How did you know that mint chocolate chip ice cream is my all time favorite? But I haven't had any in a couple of years. I recently discovered that even a small piece of chocolate after dinner will keep me awake for hours, even after taking melatonin and Ambien. I thought it was the caffeine, but maybe it was the relaxed LES.

Bev
Diagnosed 9/4/07
Sleep Study Titrated to 19 cm H2O
Rotating between Activa and Softgel
11/2/07 RemStar M Series Auto with AFlex 14-17
10/17/08 BiPAP Auto SV 13/13-23, BPM Auto, AHI avg <1

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Windmill
Posts: 59
Joined: Tue May 12, 2009 11:23 am
Location: Niagara, Ontario, Canada

Re: Chest Pain

Post by Windmill » Thu Nov 12, 2009 3:15 pm

OutaSync wrote:Yes, I have had all of the symptoms that you have described since I started CPAP therapy. It's been over two years and it has been getting worse, not better. In fact, I spent last Saturday night in the ER with chest pains so bad I was working to breathe. My blood pressure was elevated and my pulse was 110 to 125 for a couple of hours before we decided to go to the ER. Blood tests, CT scan, chest x-ray all were normal. Morphine brought my blood pressure and heart rate way down and I would have felt better but they wouldn't let me go home until 3:30 a.m. and I did not have my BiPap Auto SV with me so I didn't dare fall asleep! Followed up with my PCP. PCP said to double up on the Prilosec and come back in two weeks.

I didn't know I had GERD until I started CPAP therapy. Turns out that my lower esophageal sphincter doesn't close properly. I think the CPAP air pressure blows through all night, causing a gut full of air, and all that air has to go somewhere!

I know from reading here that my case is unusual. Most people report that their symptoms are short-lived. I hope that is the case with you. But just in case this happens to you, I didn't want you to think that you are the only one.

Bev
Thanks for the info Bev. I went to my GP this afternoon and he gave me some branded Prevacid. I was taking Prevacid till a month ago (chest pain started about 3 weeks ago) when it was changed to the generic as my drug plan will only pay for the cheapest brand available. Hopefully this will tell if the chest pain could be from the acid reflux. I sure hope it helps as I get really nervous when I have chest pains, have already had 2 heart attacks and don't need another.

I mentioned to him about the constipation and he had never heard that it could be caused from CPAP. When I started CPAP in May I was taking Trazadone. I thought it was the culpert for my constipation, so I quit taking it after a month, but nothing has changed. I believe too that all that air does go somewhere! I have had troubles all my life in this dept. and it has been under control and working like a charm for many years till I started this therapy. He did mention that I should go back to the sleep Dr. if it continues, maybe I need a pressure change. It certainly is no fun waking up in the night gulping and birping. I already have my EPR at 3 and my pressure is only 8.

_________________
Mask: AirFit™ P10 Nasal Pillow CPAP Mask with Headgear
Additional Comments: Pressure 9.4, masks used Airfit P10, Swift LT for her, Swift FX with and without bella straps ResScan 5.1 Software, Sleepyhead