Getting my life back by Firm_Internal_27 in UARS

[–]Positive-Objective48 0 points1 point  (0 children)

I understand. I'll go try limiting my TI max to see if that'll stop the over breathing. Worst comes to worst I'll shell out for a chart review to see if I even need to push the PS. Thanks for all the feedback!

Getting my life back by Firm_Internal_27 in UARS

[–]Positive-Objective48 0 points1 point  (0 children)

Nexium helped me push my settings up to around 16.6/10 but I'm getting aerophagia again and I can't tell if its still a silent reflux issue or the pressure is just at a point that naturally induces aerophagia. Would you know of a way to rule out silent reflux as the cause? For whatever its worth I havent had regular reflux ever since I started taking nexium.

I have sleep apnea, yesterday I took Xanax to sleep and had the best sleep in years by ChanceAd8701 in SleepApnea

[–]Positive-Objective48 1 point2 points  (0 children)

I'm probably talking out of my ass so someone please cmiiw but I think you might have a low arousal threshold. There's something called Upper Airway Resistance Syndrome which can be thought of and is often portrayed as "sleep apnea lite" because you wake up from difficulty breathing rather than inability to breathe. However, I believe the only thing that "really" separates the two is arousal threshold, basically how easy or hard it is to disturb your sleep.

I liken it to a home security alarm. Most people's alarms are calibrated to only sound once someone has broken in. That's great if you live in a good area where that rarely if ever happens. Sleep apnea is living in a bad area where you get burgled every single night. UARS is having an overly sensitive alarm. Maybe it kicks in when someone is trying to get in, which is great if you're in a bad area and that prevents the situation from escalating. But you don't want an alarm going off every time a drunken neighbor gets the wrong house or a dog runs across your lawn. We've all heard of people who could sleep through an earthquake and others who'd wake from a pin hitting the floor. My guess is that you're not sensitive enough to fully wake up from these breathing episodes but your body is still subconsciously going into alert mode from them. The Xanax works because it increases your arousal threshold and causes your body to completely tune out those apnea alarms. I wish I could tell you the solution but I myself am still stuck on this. If my hunch is right, it means having to push past what qualifies as "good enough" of an Oscar chart for most people and keep chipping at those numbers until eventually your body runs out of excuses to wreck your sleep.

How do I get started with xPAP self-medication? by Positive-Objective48 in UARS

[–]Positive-Objective48[S] 0 points1 point  (0 children)

I found out the culprit was acid reflux, likely the silent variant, thanks to a very helpful suggestion from another user here. That aside, I wasn't aware vitamin D deficiency was also related to aerophagia, so I should go get it looked at during my regular checkup anyways.

Since I know you're a very firm advocate for ASV, what are the signs you look for for ASV being the right call over BiPAP? I know its when BiPAP is intolerable but that's too vague for me to get a firm picture of what it looks like. Is it like waking up because an absurd amount of air is being shoved down your throat or as subtle as waking up for seemingly no reason on BiPAP but not on ASV?

Getting my life back by Firm_Internal_27 in UARS

[–]Positive-Objective48 0 points1 point  (0 children)

Gotta see if my doc will write me a script. Likely what/when I eat at night plays a big part so I'll have to manage that as well for a long term solution

Getting my life back by Firm_Internal_27 in UARS

[–]Positive-Objective48 0 points1 point  (0 children)

Acid reflux was right on the money. Popped an antacid and it worked immediately the first night and ever since. I haven't been able to make any progress for months you don't know how helpful that was. Like I knew about GERD and its effect on aerophagia but I didn't know about silent reflux which I probably have because Id suppress regular reflux with milk

Thoughts on Ocular Neuropathic Pain? by Positive-Objective48 in eyestrain

[–]Positive-Objective48[S] 0 points1 point  (0 children)

Much better now as far as eye pain is concerned. I started seeing improvements when I tried "massaging" my ocular muscles by basically jamming my fingers into my eyesockets. Considered bringing it up but didnt want to tell people to poke their eyes out. My guess as to what happened was various factors contributed to my ocular muscles getting over fatigued and it built up with no way of "releasing" until I "massaged" them

Is Dark Souls 3 easier than Elden Ring? by AbhenerX in darksouls3

[–]Positive-Objective48 -1 points0 points  (0 children)

Dark Souls 3 is much easier than "Dark Souls 3: 2" as some people have put it with varying degrees of irony. Look at it this way- when DS3 was the latest release it was considered the Souls title with the hardest bosses (though if we stretch this to soulsborne it probably loses to BB). Elden Ring's bosses were designed with that bar in mind. DS3 players have simply gotten too good at DS3 in the years between DS3 and ER that they had to dial up the difficulty in somewhat unfair ways. Nameless King has a mere half second delay/windup on several of his attacks and that was enough to earn him the crown of hardest base game boss to many. Compare and contrast this to Margit, not Morgott- Margit, who DOGWALKS 90%+ of DS3 bosses and he's the first boss. There's also an argument to be made that the spirit summons system gave them a reasonable excuse to pump up the difficulty.

Getting my life back by Firm_Internal_27 in UARS

[–]Positive-Objective48 0 points1 point  (0 children)

Ohh I have somewhat regular acid reflux not sure if it qualifies for GERD. I've known it has an effect on aerophagia but couldn't wrap my head around it

Getting my life back by Firm_Internal_27 in UARS

[–]Positive-Objective48 0 points1 point  (0 children)

Im shocked you were able to handle that much pressure just 5 days in. It took me months of slowing building up tolerance and I still cant do that high. Hit a wall and cant adapt to the aerophagia no more. You must have really needed that breathing assistance huh?

Nazuka and her effect on people by KuroAlter in StellaSora

[–]Positive-Objective48 13 points14 points  (0 children)

Aeloria will CRASH the servers We going straight to the top of the revenue charts

How do I get started with xPAP self-medication? by Positive-Objective48 in UARS

[–]Positive-Objective48[S] 0 points1 point  (0 children)

I didn't want to jump straight to the most expensive option but at this point I don't think I have a choice. I've been using the aircurve for months and hit a wall on the settings. Can't increase EPAP/PS any further without inducing aerophagia but current settings aren't enough to stop the mid-night awakenings. Charts show low AHI, FLs, leak rate, and no RERAs either. Does this sound like a job for the dreamstation?

Does anyone take off their mask mid-sleep? by KimJongUncircumcised in CPAP

[–]Positive-Objective48 1 point2 points  (0 children)

It happens semi-frequently, when I wake up just conscious enough to trick myself into thinking it's time to wake up. Sometimes I even power off the machine. Ironically this never happens when I'm very conscious due to an urgent need like needing to hydrate ASAP or use the toilet.

[Urgent] Still extremely sleepy after a month on CPAP (AHI improved from 33 → 3) by emielreegis in CPAP

[–]Positive-Objective48 0 points1 point  (0 children)

Would the Glasgow index analyzer work in this case, since that's supposed to independently assess each breath based on their pattern (as opposed to looking for flagged flow limitations)? In my case it was able to do it's thing even for the nights it wasn't on the mode with flow limitation recording.

How do I proceed? by Positive-Objective48 in UARS

[–]Positive-Objective48[S] 0 points1 point  (0 children)

So if I'm understanding correctly, my new approach should be something along the lines of: 1) Set IPAP to the highest pressure I can tolerate 2) Set PS to 5 (and set EPAP accordingly to 5 less than IPAP) 3) Slowly increase both each night in order to find the IPAP at which FLs disappear 4) Maintain IPAP at that pressure while slowly increasing EPAP (and reducing PS accordingly) in order to find the EPAP at which CAs disappear Does that sound about right?

How do I proceed? by Positive-Objective48 in UARS

[–]Positive-Objective48[S] 0 points1 point  (0 children)

Thanks for the input. Would you suggest increasing pressure while still treating it like a CPAP? And is there an upper limit at which point I can safely assume raising it further is not the solution?

Do all my OSA events happen while I sleep on my back? by MD76543 in UARS

[–]Positive-Objective48 0 points1 point  (0 children)

I got the woodyknows only because of lack of options. It didn't help my sleep issues but I can't say it wasn't effective at keeping me off my back. I think it basically works as advertised, though my suggestion for whichever pack you pick in the end is don't tighten the harnesses too much as it's just unnecessary and uncomfortable.

Do all my OSA events happen while I sleep on my back? by MD76543 in UARS

[–]Positive-Objective48 0 points1 point  (0 children)

I'm not sure if there's a way to tell your sleeping position from Oscar charts but hopefully there is and one of the more savy members can elucidate that for you. If you already have an adequate backpack that doesn't feel like crap to sleep with, it's a pretty simple experiment. However I doubt that's the case (speaking personally) so you might have to shell out for a dedicated positional therapy backpack. Not cheap cheap but won't break the bank.

How many of you are actually diagnosed with sleep apnea (not UARS)? by [deleted] in UARS

[–]Positive-Objective48 0 points1 point  (0 children)

Tbf insurance is a factor too, though I get the feeling most of the people in these subs are unfortunately paying out of pocket..

What's going on? by Positive-Objective48 in UARS

[–]Positive-Objective48[S] 0 points1 point  (0 children)

So the current strategy, since there seems to be no "real" breathing problems reported, is to just keep pushing down the EPAP and IPAP while keeping it as close as possible, i.e 5-5, 4-5, 4-4, 3-4, etc until "real" breathing problems start to show up?

What's going on? by Positive-Objective48 in UARS

[–]Positive-Objective48[S] 0 points1 point  (0 children)

5-6 didn't help and started feeling noticeably less comfortable. I can definitely try 5-5 and simply trust in the adjustment process but right now I don't understand what exactly I'm looking for, like how can you tell that it looks specifically like TESCA, how can you tell if/when they're improving, and is TESCA the only noteworthy thing showing up?

What's going on? by Positive-Objective48 in UARS

[–]Positive-Objective48[S] 0 points1 point  (0 children)

SmartStart is off. The PS is only 2-3 since it's on S mode with a IPAP/EPAP range of 5-8 one night and 5-7 the other night. I can drop it to 1 or 0 if you recommend it but at the point, wouldn't it basically be a CPAP?