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Yes. Excessively high pressures will cause the mask to leak and affect the CPAP's performance.

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Q: Can your cpap machine pressure be too high?
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Is 181 too high for blood pressure?

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Can the CPAP machine cause your stomach to be bloated and hard?

Yes. It is called aerophagia, the condition in which a person swallows too much air into the stomach. It can cause bloating and discomfort, and can result in feeling like you ate a huge meal and need to burp.When air is pumped into your nose and mouth, there is a chance that you're going to swallow it. Air will go down your esophagus and into your stomach, instead of your trachea and into your lungs.If your trachea isn't opened, then you can't handle the amount of pressure being delivered by the CPAP machine, causing the overflow to push into the esophagus.This could be resolved by adjusting the position of your head so that it's not tilting forward while you sleep. This keeps your airway open.ORThe CPAP machine might be delivering too much air for your trachea and lungs to handle. This could be resolved by Talking to your doctor about reducing the pressure setting on your CPAP machine.ORYou could have air leaks. No matter your level of CPAP pressure, if air is going in through your nose and is leaking out of your mouth, you will undoubtedly swallow involuntarily. This could be resolved by adjusting your mask appropriately, ensuring it is snug. You could also be using the wrong size mask. Additionally, you may want to get a full face mask for mouth breathers (it helps to hold your mouth closed.)


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Nasal CPAP?

DefinitionCPAP stands for "continuous positive airway pressure." CPAP is a treatment that delivers slightly pressurized air during the breathing cycle. This keeps the windpipe open during sleep and prevents the episodes of blocked breathing in persons with obstructive sleep apnea and other respiratory problems.Alternative NamesContinuous positive airway pressure; CPAP; Bilevel positive airway pressure; BiPAPInformationWHO SHOULD USE CPAPContinuous positive airflow pressure (CPAP), sometimes referred to as nasal continuous positive airflow pressure (nCPAP) is the best treatment for obstructive sleep apnea. It is safe and effective in sleep apnea patients of all ages, including children.After using CPAP regularly many patients report the following:Normal sleep patterns.Feeling more alert and less sleepy during the dayLess anxiety and depression and better mood.Improvements in work productivity.Better concentration and memory.Improved sleep of a patient's bed partners.A similar machine, called BiPAP (for bilevel positive airway pressure) is used as an alternative to CPAP.These devices are useful for children with collapsible airways, small lung volumes, or muscle weakness that make it difficult to breathe.CPAP or BiPAP may also be used for those who have acute respiratory failure, central sleep apnea, heart failure, or COPD.HOW CPAP WORKSCPAP works in the following way:The device itself is a machine weighing about 5 pounds that fits on a bedside table.A mask fits over the nose. A tube connects the mask to the CPAP device.The machine delivers a steady stream of air under slight pressure through this tube into the mask.The doctor, nurse, or therapist will help choose the mask that fits you best. They will also help adjust the settings on the machine. The settings on the CPAP machine depend on the severity of your sleep apnea.If you are using the CPAP machine, but your sleep apnea symptoms does not improve, the settings on the machine may need to be changed. Some patients can be trained to adjust the CPAP at home. Otherwise, you will need to make trips to the sleep center.GETTING USED TO THE DEVICEIt can take time to become used to a CPAP device. The first few nights of CPAP therapy are often the most difficult. Some patients may actually sleep less or not sleep well at the start of treatment.The patients who are having problems may tend not to use it for the entire night, or even stop using the device. However, it is important to use the machine for the entire night.Common complaints include:Nasal congestion and sore or dry mouthNosebleedsA feeling of feeling being closed in (claustrophobia)Irritation and sores over the bridge of the nose.Eye irritationUpper respiratory infectionsChest muscle discomfort, which usually goes away after awhileMany of these problems can be helped or eliminated by using a mask that is lightweight and cushioned. Some masks are used only around the nostrils. Chin straps, nasal salt water sprays, or humidifiers may also prevent side effects. Modern CPAP machines have many adjustments that can be made to make them more comfortable.ReferencesBasner RC. Continuous positive airway pressure for obstructive sleep apnea. N Engl J Med. 2007 Apr 26;356(17):1751-8.Weaver TE, Maislin G, Dinges DF, Bloxham T, George CF, Greenberg H, et al. Relationship between hours of CPAP use and achieving normal levels of sleepiness and daily functioning. Sleep. 2007 Jun 1;30(6):711-9.Patel NP, Ahmed M, Rosen I. Split-night polysomnography. Chest. 2007 Nov;132(5):1664-71.


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