How to reduce cpap-related air swallowing side effects electricity usage calculator


One of the most common causes of CPAP gas is that the pressure setting of the machine is simply too high. If the pressure was not set as part of a titration study, if the device delivers solely a fixed pressure, or if you have lost at least 10 percent of your body weight, this is more likely.

By turning down the pressure, or setting a range of pressures that includes a lower setting with AutoCPAP, the air swallowing may improve substantially. In some cases, it may be necessary to switch to bilevel therapy, a device type that drops the pressure during exhalation and that will make it easier to breathe out against the airflow.

Another important factor is your sleep position. If you sleep on your back, it can be helpful to sleep at an incline. This will prevent a "kink" in the esophagus that may lead it to more easily allow the passage of air into the stomach. Most people find it helpful to sleep with the head up at an angle of about 30 to 40 degrees. This can be accomplished by sleeping on a wedge pillow. The wedge may be placed on top of or under the mattress, depending on its design. You should also be certain that a stack of pillows does not simply move your head forward. It is really about your head, neck, shoulders, and upper body being fully supported in a neutral position.

Some people opt for an adjustable bed, but this can be expensive, often costing thousands of dollars. Another option would be to raise the bed as a whole. With the use of books (such as old telephone books) or even cinder blocks, you can prop up the two feet at the head of your bed. Therefore, the entire bed will be kept at a slant. This is usually well tolerated by a bed partner if you have one, and there is little risk of sliding out of bed at the proper angle.

The lower part of the esophagus has a muscular ring called the lower esophageal sphincter. This ring closes the esophagus off from the stomach. This prevents the contents of the stomach, including stomach acid, from splashing up into the esophagus. However, in people with GERD or heartburn, the sphincter becomes weakened. It does not close off the esophagus as well as it should. This allows reflux of the stomach acid into the esophagus, but it also can allow air to get into the stomach with the use of CPAP.

The short answer is no. Whether the pressurized air is being delivered through the nose or mouth, it ultimately comes to the same passage at the back of the throat. The problem lies farther down in the airway and not at the nose or mouth where a mask could be applied differently. Therefore, it won’t likely make a substantial difference which mask you choose to use. A Word From Verywell

It can be very uncomfortable to experience extreme air swallowing, especially with the use of CPAP settings that are not optimized. Don’t suffer in silence! It is advisable to immediately stop the use of your CPAP machine. Reach out to your CPAP equipment provider to get the pressure lowered. It is likely that you will also need to involve your sleep doctor about any setting changes, as this is a prescription change. Fortunately, with a few phone calls, you can get on the right track. What a relief.