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Introduction

If you’ve been diagnosed with obstructive sleep apnea, there’s no avoiding CPAP. It

continues to be the “gold standard” of sleep apnea treatment, and is the first (and

sometimes only) treatment recommended by doctors.

Whether or not CPAP is the best treatment for YOU may be a different story.

Researchers estimate that up to 50% of CPAP users give up the equipment within 3

months of using it. And that’s why I wrote this guide – to help you have the highest

possible chance of sticking with your CPAP therapy. In this guide I’ve provided tips on

buying the equipment that is right for you, and overcoming common CPAP problems.

And I’ve done my best to do so using plain English.

To get the most out of this guide, please make sure to listen to the accompanying audio

interview and online videos. The audio is an interview with two respiratory therapists

who have nearly 60 years of combined experience. Listening to them will give you the

confidence to deal with any obstacles you may face when using your CPAP equipment.

The videos are an assortment of instructional guides to visually guide you in overcoming

common CPAP problems.

If you have any comments or questions about this guide, please feel free to contact me at

my direct email address: [email protected]. And if you liked this guide,

make sure to check out the free reports and paid guides at my catalog website:

http://www.ApneaTreatmentCatalog.com.

To your good health,

Marc MacDonald, M.Sc.

Independent Sleep Apnea Researcher

Medical Disclaimer

The material presented in this guide is not meant to replace medical advice. This is

simply a discussion of information and particular treatments that have been used by

others. Because of the serious, long-term health issues of sleep apnea, it is recommended

that any treatment be discussed with your own physician. If an alternative method of

treatment is perceived to be successful, it is also recommended that you undergo testing

through traditional medical sources to verify your results.

mailto:[email protected]

http://www.apneatreatmentcatalog.com/



Table of Contents

Chapter 1: Types of PAP Machines and Masks .................................................... 1 Full face mask ....................................................................................................................................... 2 Nasal mask ........................................................................................................................................... 2

Nasal pillows ........................................................................................................................................ 3

Hybrid mask ......................................................................................................................................... 3

Oral mask .............................................................................................................................................. 4

Continuous Positive Airway Pressure (CPAP) machine ................................................................ 5

Bilevel Positive Airway Pressure (BiPAP, BPAP) machine ........................................................... 5 Auto-adjusting Positive Airway Pressure (AutoPAP, APAP) machine ...................................... 6 Travel CPAP ......................................................................................................................................... 6

Chapter 2: Buyer's Guide to CPAP Machines ....................................................... 7 Factors to Consider when Buying Your CPAP Machines .............................................................. 7

Comfort .......................................................................................................................................... 7

Size .................................................................................................................................................. 7

Noise............................................................................................................................................... 8

Light brightness ............................................................................................................................ 8

Ease of use ..................................................................................................................................... 8

Pressure range ............................................................................................................................... 8

Sleeping positions ......................................................................................................................... 9

Price ................................................................................................................................................ 9

Maintenance .................................................................................................................................. 9

Warranty ........................................................................................................................................ 9

Purchasing a CPAP Machine ............................................................................................................. 9

Chapter 3: Common Problems and Solutions for CPAP machines................... 11 Technical Problems............................................................................................................................ 11

How do I prevent water from getting in my mask at night? ................................................ 11

I just received my CPAP machine and am having trouble sleeping with it. Are there any

recommended methods for adjusting to sleeping with the CPAP machine and mask? ... 12

My mask is uncomfortable. What are the major reasons the CPAP mask is uncomfortable,

and what can I do to make it more comfortable? ................................................................... 12

My mask keeps coming off when I sleep. What are the best ways to make sure my mask stays

on when I'm sleeping? ............................................................................................................... 13

The pressure in my CPAP is too high. How do I fix that? .................................................... 13

How do I clean the mask and hose, and how often? ............................................................ 13

How do I make sure that the air pressure in my CPAP is correct? ..................................... 15

Can I adjust my CPAP pressure settings myself? .................................................................. 15

What should my “leak” numbers be? ...................................................................................... 15

How do I prevent air from leaking from my mask? .............................................................. 16

I breathe through my mouth while sleeping. How can I stop that? .................................... 16



I get condensation in my CPAP hose. How can I fix that? ................................................... 16

Do I have to use distilled water in my humidifier? ............................................................... 17

Health Side Effects ............................................................................................................................ 17

I get watery eyes when wearing my CPAP mask. How can I stop that? ............................ 17

I get a sore throat when wearing my CPAP mask. How can I stop that? ........................... 17

I sneeze when wearing my CPAP mask. How can I stop that? ........................................... 18

I have sinus problems when wearing my CPAP mask. How can I stop that? ................... 18

I have panic attacks when wearing my CPAP mask. How can I stop that? ....................... 19

I get headaches when wearing my CPAP mask. How can I stop that? .............................. 20

I feel tired the day after wearing my CPAP to bed. How can I stop that? ......................... 20

I get a dry mouth when wearing my CPAP mask. How can I stop that? ........................... 20

I have chest pain when using my CPAP. Why is that? ......................................................... 21

I get clogged nasal passages when wearing my CPAP mask. How can I stop that? ........ 21

I get claustrophobic when wearing my CPAP mask. How can I stop that? ....................... 22

I get allergies when wearing my CPAP mask. How can I stop that? .................................. 22

I have difficulty breathing when wearing the CPAP mask. How can I fix that? ............... 23

I belch/get a bloated stomach from using CPAP. How can I fix that? ................................ 23

I get air blowing in my eyes while using CPAP. How can I fix that? ................................. 23

The mask irritates my nose. What can I do to stop that? ...................................................... 24

When using the mask my cheeks fill with air. How can I stop that? .................................. 24

I wake up often when sleeping with my CPAP. How can I sleep straight through the night?

...................................................................................................................................................... 24

Chapter 4: Other Types of Sleep Apnea Treatments .......................................... 25 Easy-to-follow Treatments for Sleep Apnea .................................................................................. 25

Adjusting your Sleeping Position............................................................................................. 25 Using Solutions that can Help you Breathe Easier ................................................................ 25 Playing the Didgeridoo .............................................................................................................. 26 Singing ......................................................................................................................................... 26

Treatments that Necessitate Moderate Effort ................................................................................ 27 Oral Appliance or Devices ........................................................................................................ 27 Acupuncture ............................................................................................................................... 27

Herbal Treatments......................................................................................... ..............................28 Weight Loss ................................................................................................................................. 28

Lifestyle Changes ....................................................................................................................... 28

Treatments that Necessitate Surgical Intervention ....................................................................... 29 Throat Surgery ............................................................................................................................ 29 Nasal Surgery .............................................................................................................................. 30

Wrapping Up ..................................................................................................................................... 30

1



Chapter 1:

Types of PAP Machines and Masks

Living with sleep apnea can be very difficult and stressful. It prevents you from getting a

proper amount of deep (REM) sleep each night. Without adequate deep sleep, the body

cannot repair, rest, and regenerate. Lack of sleep can lead to irritability, fatigue, and

decreased productivity during the day. It can also lead to accident or injury if you fall

asleep while driving or at work. There can also be long-term serious health consequences,

such as high blood pressure, increased blood sugar levels, and weakening of the immune

system, which leaves you more susceptible to illness or infection. To make things even

more difficult, a lot of sleep apnea sufferers don’t even know they have the disease. They

may simply believe they are snorers or just tired. Once diagnosed, it is important to find a

solution to manage this condition.

PAP (Positive Air Pressure) machines are considered the most effective way to treat and

manage sleep apnea. This device works by treating the process of the disease

development, not its cause, making it consistently effective. It does not actually cure

sleep apnea. There are other treatments for sleep apnea that can actually target the root

cause of the disease, and those will be discussed in the latter part of this book.

All types of PAP machine work by maintaining a clear, open airway through delivering

positive air pressure, or increased air pressure. This increased air pressure forces the

airway to open, allowing air to flow into your lungs, unobstructed. A typical PAP

machine has the following components:

A compressor to pull in the air

A hose or tube which delivers the air from the compressor into your respiratory

system

A mask that is placed your face

Figure 1: A typical CPAP machine and its components

2



There are three main types of PAP masks. These include the full-face mask, nasal mask,

and nasal pillows. Today, there are many different types of PAP masks, including the

combination of those three types. The following are examples of the kinds of CPAP mask

available in the market today:

A mask that covers both the nose and mouth (full-face masks)

o This is recommended for patients who breathe through their mouths and

for those who have sensitive nasal passages. The main disadvantage of this

type of mask is the difficulty in finding one that fits perfectly to each

patient’s face without leaking air.

Figure 2: (Left) ComfortFull 2 Full-face CPAP Mask; (Right) Total Face CPAP Mask

A mask that covers the whole nose

o This type is similar to the first one, except that it’s less bulky, as it covers

only the patient’s nose. The main disadvantage of this type of mask is that

it does not cover the patient’s mouth, and some people tend to breathe

through their mouths or find it uncomfortable when their nose is covered.

Some patients use a chin strap to keep their mouths closed, but this has

varying success rates.

Figure 3: DeVilbiss Flexset Nasal CPAP Mask

3



Nasal pillows

o The least bulky of the three masks, this type consists of small, flexible,

hollow cushions which fit securely into the patient’s nostrils. Nasal

pillows are recommended for those who feel claustrophobic when wearing

masks. Nevertheless, this is not a good option for patients who have

extremely sensitive nasal passages. The materials used to make the pillows

can cause irritation in some cases. This may be easily solved by the

application of petroleum jelly or moisturizers.

Figure 4: Fisher Paykel Opus 360 Nasal Pillow CPAP Mask

A mask that covers the mouth and has nasal pillows

o This oral-nasal or hybrid mask is designed for patients who cannot tolerate

a full face mask, yet need the benefits of one. The pillows are located in

the top of the mask and are inserted into the nostrils; the bottom of the

mask covers the mouth. This is a very difficult type of mask to fit, as the

pillows and the mask must fit snugly.

Figure 5: InnoMed Hybrid Full Face CPAP Mask with Nasal Pillows

4



A mask similar to the one used in SCUBA diving

o An oral mask fits over the teeth and lips, similar to a diving breathing

device or mouth guard. There are two seals involved. One must fit

between the teeth and lips and the other seal must fit over the outer portion

of the lips. The outer seal is often adjustable to achieve a proper fit. Nose

plugs may be needed to keep air from moving out of the nasal cavity

rather than down the airway.

Figure 6: Fisher & Paykel Oracle Oral CPAP

Finding the most comfortable mask is only half of the solution for sleep apnea. The type

of PAP machine used is also a decision to be made with the assistance of the doctor or

respiratory therapist. The difference between the various types of PAP machines lies in

the range of pressure that they produce, and how the pressure is managed to provide

comfort and effective relief for the patient’s sleep apnea.

5



Continuous Positive Airway Pressure (CPAP) Machine

What is it and how it works:

The CPAP machine is the most common and most popular type of PAP machine. As the

name suggests, this type of PAP machine works to provide a constant or “continuous”

level of positive airway pressure throughout your sleep cycle. The constant pressure

allows your airway to remain open, even when the mouth, tongue, and airway muscles

are relaxed.

For those who snore, using the CPAP machine can also be very helpful, as it keeps the

airways open and prevents loud snoring sounds. It is important to note that snoring can

also be a sign of sleep apnea, and indicates whether or not your airway is open adequately

during sleep. Loud snoring means that you are working hard to keep breathing. The

elimination of the snoring noise helps you, and anyone around you, to reach deeper levels

of sleep easier and faster.

Drawbacks:

The problem patients have with the CPAP machine, or PAP machines in general, is that

they have to wear a mask all night. This is especially difficult when beginning to use the

machine. Nevertheless, with commitment, this problem is usually resolved as time goes

by, when you get used to wearing the mask and feeling the pressurized air every night.

There are also other factors that discourage patients from using a CPAP machine. These

include the machine blowing air down the throat (making it difficult to exhale), and

wearing a mask with straps that is connected to hoses or tubes. These conditions can

make falling asleep much more difficult. But CPAP machines do allow many patients to

sleep peacefully and naturally—it’s just a matter of choosing the machine that is the most

comfortable for the individual patient. The factors that must be considered when selecting

the best CPAP machine for you will be discussed in the next chapters.

Bilevel Positive Airway Pressure (BiPAP, BPAP) Machine


BiPAP is actually a brand name for a Bilevel PAP machine, but it is often used to refer to

all PAP machines that fall under this type. Bilevel PAP machines are also known as

BPAP.

Compared to CPAP machines, which generate a constant level of air pressure, BiPAP

machines produce pressure corresponding to the phase of the breathing cycle. They

reduce the air pressure when the device detects that you are exhaling and increases the

pressure it when you are inhaling, making it easier for you to breathe when wearing the

PAP machine. BiPAP machines are somewhat similar to the ventilators used in hospitals

6



to help patients breathe by moving air in and out of the lungs. There are more advanced

forms of BiPAP machines that are useful in managing more difficult or complicated kinds

of sleep breathing disorders.

Drawbacks:

Although considered to be better than a CPAP machine, some patients still have problems

with a BiPAP machine. The most common complaint regarding the device is that it

cannot detect when the patient is ready to inhale. This means that the machine fails to

increase the air pressure when the patient inhales, but does so when the patient is trying to

exhale, resulting in inaccurate timing of the pressures with the breathing cycle.

Auto-adjusting Positive Airway Pressure

(AutoPAP, APAP) Machine


AutoPAP, or APAP, is a more sophisticated type of PAP machine, which has the ability

to automatically adjust the air pressure according to your needs. This is based on the idea

that the pressure you require varies, and is influenced by factors such as sleeping

positions and stages of sleep. APAP machines can also be adjusted to produce a constant,

single pressure as CPAP machines do.

Drawbacks:

Even if the AutoPAP machine can detect respiratory apnea events quite well, one cannot

say that it does so with 100% accuracy. Additionally, the machine cannot always adjust

the PAP level perfectly, as the device needs to detect first the respiratory events that are

occurring before it can generate the necessary pressure. And more often than not,

AutoPAP machines tend to lower the pressure that it delivers at first, in order to

determine if there’s a need to increase the level of pressure. In other words, the machine

can fully control the respiratory events only after it has detected the lowest pressure that

was adequate.

Travel CPAP

Travel CPAPs are modern CPAP machines which can be taken on trips easily due to their

small size. This type usually requires a power source, such as from typical AC or DC

adaptors. Some travel CPAPs are even battery-powered.

This information has been provided to instruct you on what PAP machines are, as well as

general information about the accompanying masks. But before you purchase, continue

reading the next chapter, as it will provide a guide for buying your own CPAP machine.

7



Chapter 2:

Buyer’s Guide to CPAP Machines Before buying your CPAP machine, there are a lot of factors that must be considered.

These may include factors associated with your preference (e.g. comfort, look, size,

noise, humidity, etc.), your medical needs, or your budget. In this chapter, we will discuss

these factors in detail, along with other important features that you should look for when

planning to buy a CPAP machine for your sleep apnea.

Factors to Consider When Buying Your CPAP Machines

Comfort:

Since the perception of what’s comfortable varies from person to person, finding which

CPAP machine you will be most comfortable using may require going to a PAP machine

retailer directly. Doing so will allow you to test the machines and experience them first-

hand. Another option would be buying the device and trying it for a few days. Some

medical equipment stores or PAP machine retailers will allow this process. Another

option is to ask to try different types of masks during the diagnostic sleep study during

which the air pressure prescription is determined by the doctor. The doctor or respiratory

therapist may have recommendations depending on your needs. As previously mentioned,

a typical CPAP machine usually consists of a compressor, a series of hoses and tubes, and

a mask.

Whichever machine you choose to buy, it is important to remember that using the

machine every night when you sleep will require a period of getting used to it. This is

because most patients are not used to sleeping with some form of mask on their face, and

the change requires some time for the patient to adjust. Nevertheless, once you get used

to wearing this device, you will start to have preferences regarding which one is the most

comfortable to use.

Size:

The typical size of a CPAP machine is very similar to the size of a regular shoebox,

which is small enough to be put on a table or nightstand, and quite light; however, many

manufacturers today are producing varying sizes of the machine. With this in mind, when

purchasing a CPAP machine, it would be best if you choose one that is portable, and

comes with a protective case, which may be included or can be purchased separately.

This is particularly important when you need to put the device in your bag or suitcase,

8



and take it with you. The size of the CPAP machine that will be most suitable for you

depends upon your needs.

Noise:

The amount of noise produced by the CPAP machine while in use is a problem that, for

some users, cannot be fixed. And while the primary role of the device is to actually allow

the patients suffering from sleep apnea to get a good night’s sleep, the noise generated by

the CPAP machine may work against that goal. The noise created can also be related to

the climate and sometimes using a humidifier with the machine is needed. The noise

generated by the humidifier may contribute to how disrupting the CPAP machine will be.

Most CPAP machines that are currently available are very quiet and considered “white

noise” in the background, so this is a lesser problem today than it used to be.

Light Brightness:

Most CPAP machines are equipped with LED lights. Depending on the level of

brightness of these lights and their positions, they may serve as a distraction and prevent

you from falling asleep. There are CPAP machines which work without the presence of

very bright LED lights and those which are constructed with the LED lights hidden or

positioned away from you. Some have lights that turn off after a few moments, providing

you with time to settle in before the room is dark. Consider your tolerance for light when

looking at CPAP machines.

Ease of Use:

Buying CPAP machines that are simple and easy to use is obviously better than getting

those which are very complex and complicated to operate. Machines that are easy to

control and manipulate will make you less anxious, while those that require a lot of effort

to use are irritating and can cause worry.

Pressure Range:

Some CPAP machines have advanced gauges that can detect humidity, altitude,

movement, and pressure range. Pressure range is an important factor that must be

considered when choosing a CPAP machine. The normal pressure range that can be

delivered by the machine is 4-20cmH2O, encompassing the amount of pressure required

by sleep apnea patients which is generally around 6 to 14cmH2O. Specialized CPAP

machines can deliver a pressure ranging from 25 to 30cmH2O. The pressure range is

prescribed by the doctor and set by the retailer or vendor.

9



Sleeping Positions:

Your movement while sleeping is also a critical factor that must be considered when

buying a CPAP machine. There are PAP machines that are flexible and can operate

properly even when the patient moves a lot during sleep, while there are those which stop

to work properly when pulled in certain ways. If you are planning to buy your CPAP

machine, you should choose one that can respond well to resistance and movement.

Price:

The price at which CPAP machines are sold depends on what type of machine you are

planning to buy, the brand, and if you will buy it directly from the manufacturer or from a

retailer. There are CPAP machines, especially the new ones, which can be bought for a

price as low as $299, and there are those that are as expensive as $1350 or more. Some

insurance companies offer plans that include paying for certain types of PAP machines,

offer deductibles, or help set payment plans, depending on the brand and

recommendation of the physician. If you are considering a high-end, expensive CPAP

machine, it is always recommended to check your insurance company’s policies to see if

your insurance plan will help you purchase the device that you want and determine how

much you will have to contribute out-of-pocket.

Maintenance:

Regular maintenance is necessary to allow a CPAP machine to work properly and last for

a long period of time. CPAP machines that are low-maintenance are recommended,

especially for those who lack time and effort to do regular check-ups on their device to

keep it up and running. While CPAP machines, in general, require regular maintenance, it

is quite easy and can be done quickly with a routine. Few require skilled maintenance

from the manufacturer or retailer.

Warranty:

CPAP machine manufacturers usually provide customer support and warranty of around

1 to 3 years for their product. Getting a good support plan is highly-recommended, in

case you encounter problems with your device.

Purchasing a CPAP Machine

Getting a CPAP machine for your sleep apnea will require a recommendation and

prescription from your physician, who will teach you how to operate the device properly.

When you have your prescription, you can choose which CPAP machine to buy, either

from a store that specializes in selling medical equipment, or from online medical supply

stores. Oftentimes, the physician’s office will recommend a retailer or vendor that they

10



work with regularly. If you don’t want to buy your own CPAP machine yet, there may be

options to rent a device. Some CPAP machines may be paid for on a rent-to-own basis,

allowing you to rent, and subsequently purchase, the machine.

The benefits of CPAP machines should be noticed after your first use. After the first

week of use, patients usually see a great improvement in terms of increased energy levels

and decreased daytime sleepiness, as the restorative levels of sleep have been resumed.

11



Chapter 3:

Common Problems and Solutions for

PAP Machines

Although CPAP machines are the first choice for treatment of sleep apnea, there are some

common problems that arise from using them. This chapter will identify the most typical

technical and health problems experienced by patients who use CPAP for their sleep

apnea.

You should be aware that there are conditions for which CPAP should be avoided or used

with caution. Your doctor should be made aware of these conditions before prescribing

CPAP, and evaluate whether its use is appropriate.

Fluid or air in the area around the lungs (pneumothorax)

Acute heart failure

A tendency towards heavy nosebleeds (epistaxis)

Middle ear infection (otitis media)

A perforated eardrum

Acute respiratory failure and respiratory distress syndrome

Severe or acute inflammation in the sinuses (sinusitis)

If you have been diagnosed with any of these conditions, your physician will assess the

risk and benefits of using CPAP machines for your sleep apnea. He or she may also

prescribe specialized types of PAP devices that have been developed especially for

patients with these disorders.

If none of these conditions apply to you and you will be moving forward with CPAP use,

the next section will present the most common problems encountered with the device,

along with solutions.

Technical Problems

How do I prevent water from getting in my mask at night?

The water that is getting into your mask at night is called a “rainout”. A rainout refers to

the accumulation of water in the CPAP tube, which is brought about by the moist, warm

air that cools and travels from the CPAP humidifier to your CPAP mask.

12



Solutions for this problem include the following (they will be discussed further later):

Increase the temperature of your room. Use a machine with heated tubing. Keep your CPAP machine at a similar level as your bed. Use a hose cover to insulate your CPAP hose/tube or place the hose under the

bedcovers. Choose a CPAP machine that has a special feature called “rainout reduction.”

I just received my CPAP machine and am having trouble sleeping with it. Are

there any recommended methods for adjusting to sleeping with the CPAP

machine and mask?

Trouble sleeping with the CPAP machine is completely normal, especially if it is your

first time using the machine. After three to four weeks, you will get used to it. If not, you

should talk to your doctor to determine if there are any other reasons that cause you to

have problems falling asleep. Some causes could be nasal congestion, leaks from the

mask, presence of water in the hose or mask, etc. Solutions for adjusting to a CPAP

include:

Try wearing the mask without the machine turned on to get used to it.

Build up slowly. Try wearing the CPAP during daytime naps.

Commit yourself! Be as persistent as possible in wearing it every night. You

won’t get used to it if you don’t keep wearing it.

Make sure the humidity is set appropriately. This can be discussed with a

respiratory therapist or retailer.

My mask is uncomfortable. What are the major reasons the CPAP mask is

uncomfortable, and what can I do to make it more comfortable?

The following are the most common reasons why a CPAP mask can be uncomfortable:

Choosing the wrong mask for your face

o This usually happens when you received your CPAP mask as a part of

your insurance plan. Sometimes, it is the insurance company that orders

and ships the CPAP machine to you, without your input.

o Solution: Contact your insurance company to inquire about obtaining your

own mask. Going directly to a CPAP retailer and having them fit the mask

to your face will help you decide which one is the best for you. You may

also consult a respiratory therapist to help you properly fit the mask.

Adjusting the gear too tightly

o This is usually done to prevent air leaks from the mask, or to compensate

for a mask that is ill-fitting.

13



o Solution: The mask should not be fastened too tightly because it will

cause sores on the face and simply be uncomfortable. Adjust the straps so

that the mask is stable, but the straps are not constricting.

The mask does not fit correctly o A therapist or retail representative trained in CPAP should fit the mask

correctly for each patient.

o Solution: See your respiratory therapist or vendor for assistance in

ensuring a proper fit.

The mask has been kept too long and is worn out o Sometimes a mask is simply kept too long and is creating pressure points

on the face because it no longer fits correctly.

o Solution: See your retailer for a new mask. Check with your insurance

company to find out how frequently they cover new masks and

accessories.

My mask keeps coming off when I sleep. What are the best ways to make sure

my mask stays on when I'm sleeping?

This may be caused either by a poor-fitting mask or the pillows that you use when you

sleep. To make sure that your mask stays on your face during sleep, choose one that

perfectly fits your face. This can be assessed by the therapist, retail representative, or a

home care vendor.

If your mask fits well and still comes off during sleep, the problem is likely caused by the

pillow that you use. For this, you may consider trying a pillow that is specifically

designed for people who wear CPAP mask at night. Ask your medical equipment

company if they have these types of pillows available for purchase.

The pressure in my CPAP is too high. How do I fix that?

If you experience difficulty exhaling against the CPAP pressure or bloating, then the

pressure of your CPAP machine must be too high, and should therefore be decreased.

THIS SHOULD NOT BE DONE BY YOU. The doctor will assess the issue through

repeated sleep studies or an AutoPAP and will decrease the pressure incrementally, until

the proper pressure is determined.

A change to BiPAP or AutoPAP may be indicated.

How do I clean the mask and hose, and how often?

To reduce the risk of infection, and also to make your CPAP machine last longer, it is

essential to maintain it by always keeping it clean.

14



The manufacturer will provide instructions regarding how to clean your CPAP machine

and how often it should be done. These directions may include the use of a mild cleaner,

followed by rinsing with running water. Some advise the use of vinegar, although some

masks are incompatible with vinegar and may deteriorate. NEVER use bleach in cleaning

your CPAP machine. The best and most reliable instructions are those that come with

your machine.

Your CPAP mask tends to absorb skin oils, which promote its deterioration. The mask or

cushions should be cleaned daily to remove oils. The hoses or tubing are generally

cleaned weekly with dish soap and water and allowed to air dry.

Listed below are the steps on how you should clean your CPAP machine*:

1. Unplug your CPAP machine.

2. Separate the components of the machine—the hose from the compressor and the

mask from the hose.

o If your CPAP machine has a humidifier, remove the hose attached to it,

and clean it together with the other components of your device.

3. Immerse the hoses and mask in warm water with mild detergent for about 30

minutes.

o To remove any obvious dirt from the interior of the hoses, slightly shake

them.

o Do not use detergents that contain dyes, perfumes, or moisturizers, as

these may cause irritation to your airway and lungs.

o There are many medical equipment cleaners available. If you don’t want

to use commercial detergents for your CPAP machine, you can consult

your medical equipment company to determine which cleaner will work

best for your device.

o It is also important to note that you should never wash your CPAP

machine in a washing machine or dishwasher.

o Some manufacturers recommend washing with a solution of one part

white vinegar to 3 parts water once per week. Check your instructions or

with your vendor to find out if this is acceptable for your equipment.

4. Wash the hoses and mask under running water, and make sure that all debris and

detergent are removed.

5. Allow the hoses and mask to air dry.

o Hanging the hoses and mask is the most effective way to dry them, as this

prevents water from pooling within the tubing.

15



o You can also use a clean towel after, to ensure that the components are

completely dry. When doing this, take care not to stretch the hoses. Hoses

that are torn or damaged cannot be restored, and must be replaced.

6. When completely dry, connect the parts of the CPAP machine again.

o If you find that you have reassembled it incorrectly and you feel that your

machine isn’t working as it used to, bring it to your medical equipment

provider to have it checked out.

*These are general directions. Consult the instructions provided with your machine for

specifics in disconnecting, cleaning, and reconnecting.

General cleaning of the CPAP machine is usually sufficient. However, if you have a cold,

flu, or other viral infection, more frequent cleaning and disinfection of the device,

especially the mask, is necessary.

How do I make sure that the air pressure in my CPAP is correct?

You know that your CPAP machine has correct pressure settings if you can sleep

peacefully, and if the symptoms of sleep apnea have gone away. If symptoms such as

sleepiness, exhaustion, and lack of concentration during the day recur, along with snoring

at night, then the air pressure from your CPAP machine may be too low, and must be

evaluated by your doctor.

If you experience bloating or difficulty exhaling, even after two weeks of adjusting to the

CPAP, then the air pressure is likely too high and must be decreased. Again, this must be

evaluated by your doctor.

You cannot adjust the pressure yourself. This must be done by a home care vendor or

retailer.

Can I adjust my CPAP pressure settings myself?

No. You should never do this. Your CPAP pressure is set by a doctor’s prescription, just

like medication. You cannot change your dosage of medication without a new

prescription, nor can you change your CPAP pressure.

What should my “leak” numbers be?

It depends on the type of mask that you are using, and on the pressure settings of your

CPAP. The “leak” refers to the amount of air that flows through the machine, some of

which are airflow through the exhalation ports.

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There are many variables between patients and machines. This cannot be determined as a

standard number.

How do I prevent air from leaking from my mask?

Air leaks are usually caused by masks that are too big or do not fit properly. They can

also be caused by masks that are too old. Check with your vendor about proper fit or

purchase a new mask if yours is showing wear.

The machines are designed to accommodate a certain amount of leak so if the mask is

properly fit, it is likely normal and not a problem.

I breathe through my mouth while sleeping. How can I stop that?

Mouth breathing is probably one of the most common and most difficult problems

associated with the use of CPAP machines. This is more common in obstructive sleep

apnea. When the airway is obstructed, it is natural for you to open your mouth to breathe.

This pattern may continue, even when you start using a CPAP machine.

One of the best ways to solve this problem is to use a chin strap, which will help keep

your mouth closed. By using a chin strap for a few months, your brain may learn to

receive air in through the nose, thereby allowing mouth breathing to stop on its own.

Proper humidity will also help you keep your mouth closed as an open mouth may

indicate dry air.

I get condensation in my CPAP hose. How can I fix that?

As previously mentioned, the condensation that forms in the CPAP hose is called rainout.

It happens when the moist, warm air generated by the CPAP humidifier cools and

accumulates in the CPAP hose and mask. The following are the solutions to this problem:

Keep your CPAP machine at a similar level as your bed o This is done to allow any condensation formed to return from the hose into

the humidifier rather than to the mask.

Use a hose cover to insulate your CPAP hose/tube o The hose cover can be bought from the medical equipment company

where you bought your CPAP machine, you can make one yourself, or

you can tuck the tubing under the bedcovers.

Use a heated hose

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o There are heated hoses available that can be used on any brands of CPAP

machines. Although expensive, heated hoses are very effective in getting

rid of this problem. Check with your insurance provider to see if this

accessory is covered under your plan.

Increase the temperature of your room o This will help cut down on the excess moisture by decreasing the

difference between the room temperature and the humidifier temperature.

Choosing a CPAP machine that has a special feature called the “rainout

reduction” o These will automatically decrease the excess moisture in the hose.

Do I have to use distilled water in my humidifier?

It is preferable to use distilled water due to its low mineral content. It helps prevent the

haze from mineral buildup that can appear on the humidifier chamber. However, any type

of clean water will suffice in a pinch.

Health Side Effects

I get watery eyes when wearing my CPAP mask. How can I stop that?

Watery eyes result from the irritation from air that is blown directly towards your eyes.

This may be caused by air leaks when using full-face or nasal mask or by dislodged nasal

pillows. For those who use full-face or nasal masks, you can solve this problem by

preventing air leaks from the mask. (For more details about this, please refer to the

answer to the question “how do I prevent air from leaking from my mask?”)

For those using nasal pillows, ensure that they are properly inserted into the nostrils and

are the correct size.

I get a sore throat when wearing my CPAP mask. How can I stop that?

A sore throat occurs when the throat becomes irritated by the dry air released by the

CPAP machine. Many people complain of this problem. Listed below are the ways to

solve this irritation caused by the CPAP machine:

Use a humidifier

o Since a sore throat is often caused by dry air, using a humidifier with your

CPAP machine usually solves the problem by adding water to the air that

is going through the machine.

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Use a chin strap

o Because the problem can be caused by mouth breathing, keeping your

mouth closed while you sleep may help solve this problem. You can

accomplish this by using a chin strap with your CPAP mask. (For further

information about mouth breathing and how to stop it, please refer to the

answer to the question “I breathe through my mouth while sleeping. How

can I stop that?”)

I sneeze when wearing my CPAP mask. How can I stop that?

Sneezing is brought about by the irritation of the nasal passages, which in turn, is due to

the dry air released by the CPAP machine. To prevent sneezing when using the device,

your CPAP machine should have a humidifier, which will help produce warm, moist air

and decrease the urge to sneeze.

I have sinus problems when wearing my CPAP mask. How can I stop that?

The sinus problems related to the use of CPAP machine are most often due to the dry air

used by the devices, which tends to dry out the inside of the nose. The sinuses respond to

this by increasing mucous production, which results in a stuffy nose and further nasal

irritation. Sinus problems are characterized by the presence of facial pain, fever, a runny

or stuffy nose, and cough. The following steps can help solve this problem:

o Using a full-face mask o A full-face mask will avoid air being directed straight into the nasal

passages and may help decrease the irritation of the sinuses.

o Using nasal decongestants o The symptoms of sinus problems can easily be alleviated by the use of

nasal decongestants. However, if these medications do not work, then

consultation with a specialist may be necessary.

o Using humidifiers o This problem can be addressed by the use of humidifiers, producing warm,

moist air. If you experience sinus problems because your CPAP machine

does not have a humidifier, you may choose to speak to your healthcare

provider or vendor to have one installed.

o Cleaning your CPAP machine frequently o This must be done in order to reduce the amount of irritants that enter your

nasal passages.

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o Consulting an otolaryngologist o An otolaryngologist is someone who specializes in treating problems of

the ear, nose, and throat. If you are experiencing sinus problems because

of your CPAP, and you have already tried the other solutions, yet continue

to have problems, then you may need to consult your doctor and get

treated by a specialist.

I have panic attacks when wearing my CPAP mask. How can I stop that?

Panic attacks usually happen when it is your first time wearing the CPAP mask. The best

ways to stop these are the following:

Wearing the mask during daytime o Wearing the mask during daytime while reading, watching TV or doing

any other activity that requires attention will help you get used to wearing

the mask.

o Patients are usually less anxious during the day, making it a good time to

practice wearing the mask.

o The distraction that you get from the activities mentioned above will help

you to become used to wearing the mask at night.

Wearing the mask before sleeping o You should also wear the CPAP mask for about a half an hour before

bedtime. This will allow you to have the machine on and be comfortable

with it before actually trying to going to sleep.

Adjusting the ramp setting on your CPAP machine o The ramp setting works to provide low pressure at first, and then

increasing the pressure gradually over a period of about 5 to 45 minutes,

depending on the patient’s preference.

o The highest ramp time is recommended for patients suffering from panic

attacks while on CPAP.

o For some people, the ramp setting causes more anxiety as they wait for the

full pressure to begin. Try it and see if it works for you.

Taking sleeping pills or anti-anxiety medications o If you are experiencing severe panic attacks, you may ask your physician

for a prescription of sleeping pills and anti-anxiety drugs to help you with

your problem. Once you have adjusted to the CPAP machine, you can

discontinue these medications with your physician’s assistance in tapering

them off.

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I get headaches when wearing my CPAP mask. How can I stop that?

CPAP machines do not usually cause headaches. A headache may be related to sinus

blockage or the pressure from the machine.

If the problem of headaches is due to blocked sinuses, it can be treated by taking non-

prescription drugs that open the sinus. Using heated humidifiers with your CPAP

machine can also help solve the problem, as they can help open and maintain the sinuses.

If you are not using a heated humidifier with your device, it is strongly suggested that you

do. And if any of these solutions do not relieve your headaches, a consultation with an

ear, nose, and throat (ENT specialist) may be necessary.

I feel tired the day after wearing my CPAP to bed. How can I stop that?

Exhaustion or sleepiness may occur in a small percentage of patients, despite using the

device for around 7 hours. You should be feeling relief if you are wearing the CPAP for

at least 4 hours per night. More often than not, this tends to resolve after 4-6 weeks of

using the machine. If this problem is not solved after that given period, then you may be

experiencing one of the following:

CPAP pressure too low o This may be solved by seeing your physician to check the settings and

reset them if needed.

o If this does not solve the problem, then there may be other causes. Have

your device checked by your vendor to confirm that it is working properly.

Long-standing sleep apnea o If you have had untreated sleep apnea for a long time, then this problem is

likely to occur, as there may be damage to your brain’s alerting pathways.

In this case, the use of stimulants to improve alertness during the day may

be required.

Underlying medical conditions o Some sleep apnea sufferers may also have other illnesses that cause them

to feel tired during the day, even after they have slept adequately the

previous night with their CPAP machine. If you know or suspect that you

might have other conditions that cause you to feel excessively tired,

consult with your physician regarding this for further examination.

I get a dry mouth when wearing my CPAP mask. How can I stop that?

A dry mouth may indicate that you breathe through your mouth when you sleep, causing

air to leak. If you are using a nasal mask, then the humidification provided by your

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humidifier becomes ineffective and useless. This also lessens the benefit you get from

your CPAP machine.

Listed below are the solutions for this problem:

Using a chin strap o Chin straps can help keep your mouth closed, reducing the amount of air

that leaks. If this doesn’t solve the problem, then you may try a mask

which covers both your nose and mouth.

Using a full-face mask o If you are using a nasal mask, then switching to a full-face mask can be

helpful, as it can reduce the amount of air that leaks, similar to using a

chin strap.

Using a heated humidifier o If you are already using a full-face mask, yet the problem doesn’t go away,

then you may need a heated humidifier, which provides more effective

moisture.

I have chest pain when using my CPAP. Why is that?

The chest pain a patient experiences while using the CPAP machine may be due to the

expansion of the chest wall by the air pressure from the device. If you have sleep apnea,

you probably have not been breathing deeply during sleep for a long time, so the

unfamiliar stretching of the chest wall causes mild pain. Nevertheless, this only lasts for a

few weeks and then resolves by itself.

More likely, the pain is related to the anxiety of using the CPAP machine and getting

used to it.

Chest pain can also be a sign of other more serious conditions. If the chest pain you feel

while using CPAP lasts for more than a week or is severe, consult your physician.

I get clogged nasal passages when wearing my CPAP mask. How can I stop

that?

The most common reason for experiencing vasomotor rhinitis or clogged nasal passages

while wearing a CPAP mask is the irritation of the nasal tissues by dry air. What you

should do to solve this issue is to adjust the settings of the humidifier. You may either

increase the temperature levels or the humidity (this depends on the model that you are

using).

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Nasal congestion also results when you open your mouth during sleeping. In this case,

aside from adjusting the humidifier, you may also need to use a chin strap to keep your

mouth closed. Using the chin strap is temporary, because as you get used to your CPAP

machine, you may be able to stop using the strap.

However, if adjusting the humidifier or using the chin strap do not work, you should

consult your physician so he or she can tell if you need a nasal steroid spray. If your

physician recommends the spray, you will need to use it on a regular basis to obtain

desired results; without regular use, the problem will not go away.

If all solutions given above fail, then there may be a problem with the structure of your

nasal area, such as a deviated nasal septum. In such case, corrective surgery may be

needed to solve the problem. This will be determined by your physician.

I get claustrophobic when wearing my CPAP mask. How can I stop that?

Another problem associated with wearing the CPAP mask is the claustrophobic feeling

experienced by the patient. One way of solving this is by wearing the mask hours before

you sleep, while doing any activity that requires attention, such as watching TV or

reading. By doing this, you will get used to wearing the mask when you are ready to

sleep. If this does not help, consider trying a different mask.

I get allergies when wearing my CPAP mask. How can I stop that?

If redness and sores occur on the different areas of your facial skin, then you may be

allergic to the materials from which your mask is made. Redness or soreness can also be

due to straps that are adjusted too tightly against the face. The following steps may help

solve this problem:

Don’t adjust your straps too tightly.

o Slightly loosen them, but make sure that the mask is still sealed properly

to prevent air leaks.

Try using pads under the straps.

o Usually made of soft, hypoallergenic material, these pads will serve as a

barrier between the strap and your skin.

Try a new type of mask made from a different material

o There are many masks on the market. Consult with your vendor.

If the allergy symptoms are of the sinus variety, make sure that your equipment is cleaned

according to the manufacturer’s directions, including changing air filters regularly.

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I have difficulty breathing when wearing the CPAP mask. How can I fix that?

This problem is commonly encountered when the machine is set at high pressures or a

respiratory disease is involved. The first solution for this was the development of the

BiPAP machine, which is considered today to be the best type of PAP machine. In 2004,

a sophisticated feature, called the expiratory relief, was added to CPAP machines to

facilitate easier exhalation. Both BiPAP machines and CPAP machines, with expiratory

relief, adjust air pressure based on the patient’s breathing cycle; there is an important

difference on how and when each type of machine regulates the pressure—and that

determines which is more advantageous to use.

A BiPAP machine adjusts the pressure only when it detects that the patient is trying to

breathe, or in the case of the timed version, after a specific time interval. CPAP machines

with expiratory relief, on the other hand, decrease the pressure at the beginning of the

expiratory phase then gradually increase pressure before the end of that phase. In other

words, the machine does not have to wait for you to inhale before increasing the pressure.

This avoids the problem of timing associated with BiPAP machines, making a CPAP

machine with expiratory relief a better choice for some people. AutoPAP machines can

also be used to solve this problem. This should be determined by your physician.

Talk to your doctor to determine if there is another condition causing the breathing

problems.

I belch/get a bloated stomach from using CPAP. How can I fix that? Bloating indicates that the pressure from your CPAP machine is too high, and that you

are ingesting too much CPAP air. While there is no actual medical solution for this,

trying to change your sleeping position might help. The first position that you can try is

sleeping as flat as you possibly can, even without using a pillow. If that doesn’t work, try

sleeping on your side.

If changing your sleeping position still doesn’t work, you can consult your physician to

ask if the pressure can be set a bit lower.

Another solution is to use an anti-bloating medication, such as Gaviscon, until you are

used to the machine.

I get air blowing in my eyes while using CPAP. How can I fix that?

A poor-fitting mask allows the air to escape and be blown into your eyes. If you are using

a full-face or nasal mask, make sure it is fitted perfectly to your face. You can also try

using adjusting straps and pads. If you use nasal pillows, ensure that they are properly

fitted in the nostrils. Gel pads can be used to fill any gaps.

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The mask irritates my nose. What can I do to stop that?

An irritation at the inner surface of the nose usually results from using a pillow-type

mask. This could be allergy related or due to improper fit. This may be treated with a

non-prescription hydrocortisone cream, which can be applied directly to the affected area.

Talk with your physician or vendor about gel pads to increase comfort.

Some people can solve this problem by using petroleum jelly. This, however, may

deteriorate some of the materials that make up the mask and is not recommended.

When using the mask my cheeks fill with air. How can I stop that?

Commonly referred to as the “chipmunk” problem, this happens when the air enters the

mouth and does not maintain the pressure to proceed down the airway due to an

inadequate seal. Although it cannot solve the problem, keeping your mouth moist might

help. You can also try to place your tongue firmly against your palate and front teeth.

Switching your humidifier to higher settings can also help.

Ensure that your mask is fitted properly and that the straps are tight enough to maintain a

good seal against your face.

I wake up often when sleeping with my CPAP. How can I sleep straight

through the night?

This problem is commonly heard from new CPAP users. It can be solved by wearing the

mask during the day, so you can get used to how it feels. You can also use the ramp

feature of the machine, which works to gradually increase the amount air pressure

released as you sleep.

If you are waking often after you have adjusted to the machine, you may need to contact

your physician to ensure that the pressure prescription is correct for your apnea.

Other solutions may also help, including exercising, avoiding caffeine and alcohol, using

relaxation techniques, and showering with warm water before you go to bed. You should

also go to bed only when you are already tired, so you are more likely to fall sleep faster.

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Chapter 4:

Other Types of Sleep Apnea

Treatments

For most patients who have a confirmed diagnosis of sleep apnea, the best option, as

recommended by physicians, is using a CPAP machine. But doing so may not be easy, as

it may take weeks before the patient gets used to it. There are also a lot of disadvantages

and problems associated with CPAP machines as you have already read. Nevertheless,

for those who feel exhausted during the day due to lack of sleep, and also those who are

concerned by more harmful health effects of sleep apnea, a CPAP machine is the best

answer.

Fortunately, there are a lot of alternatives for CPAP machines that can be used to manage

sleep apnea. In this chapter, we will discuss those alternatives, some of which are very

simple and require very minimal effort on your part, while others need a bit of work,

time, money, and planning. For more information about alternatives to CPAP, check out

Cure Your Sleep Apnea without CPAP.

Easy-to-follow Treatments for Sleep Apnea

Listed below are some treatments for sleep apnea that are quite easy to follow. It should

be kept in mind that these will not get rid of the condition. Instead, these alternative

treatments will aid you in getting a good night’s sleep while you are still in the process of

looking for a better, more effective, permanent treatment for your sleep apnea.

Adjusting Your Sleeping Position

It is recommended that patients suffering from sleep apnea avoid sleeping on their backs,

as doing so tends to make the problem worse. In this position, the jaw tends to fall back,

along with the tongue, causing the airway to become blocked. As a solution to this,

patients are advised to sleep on their sides. One popular pillow that is used to promote

side-sleeping is the Sona Pillow.

Using Solutions That Can Help You Breathe Easier

This alternative treatment is advisable for patients suffering from mild to moderate sleep

apnea, or those who have blockages located mainly in the external nasal areas. Saline

drops and nasal strips are the most popular examples of solutions used by sleep apnea

http://apneatreatmentguide.com/curesleepapneawithoutcpapnew/

http://www.sonapillow.com/

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sufferers whose apnea stems from blocked a nasal passage. Breathe Right nasal strips are

a popular choice.

Mouth & Throat (“Orofacial”) Exercises

Orofacial exercises involve exercising the muscles of the mouth,

throat, jaw, tongue, and soft palate. The exercises must be done

consistently to see a result, and there are numerous clinical

studies that have proven the effectiveness of this treatment in

curing sleep apnea.

In one research study patients following three months of daily orofacial exercises

experienced a decrease in snoring frequency and intensity and daytime sleepiness, an

increase in sleep quality score, and a significant decrease in obstructive sleep apnea

severity (as measured by their apnea-hypopnea index).

For more information on orofacial exercises for sleep apnea, please consult the website

http://www.SleepApneaExercise.com

Didgeridoo Therapy

“Didgeridoo” is the name of a wind instrument that originated

from Australia, which is made from the wood of the

Eucalyptus tree. Playing the instrument serves as a therapy

that works to help treat sleep apnea by making the airway

muscles stronger.

In one research study published in the British Medical Journal 25 patients were trained in

playing the didgeridoo and followed a routine of playing 25 minutes per day. The

researchers found that four months of training of the upper airways by didgeridoo playing

reduced daytime sleepiness in people with snoring and obstructive sleep apnea; reduced

their apnea hypopnea index; and reported that the partners of participants were much less

disturbed in their sleep.

For more information on didgeridoo therapy for sleep apnea, please consult the website

http://www.DidgeridooForSleepApnea.org

Singing Therapy

Like didgeridoo therapy, this alternative treatment also works by

strengthening the airway muscles. In one study published in the journal

Complementary Therapies in Medicine it was found that 20 minutes of

http://www.breatheright.com/

http://www.sleepapneaexercise.com/

http://www.sleepapneaexercise.com/

http://www.didgeridooforsleepapnea.org/

http://www.didgeridooforsleepapnea.org/

http://www.singingforsleepapnea.com/

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singing exercises for three months reduced snoring significantly by strengthening the

throat muscles of participants – the same muscles that collapse during sleep and cause

obstructive sleep apnea.

For more information on how singing therapy can cure sleep apnea, please consult the

website http://www.SingingForSleepApnea.com

Treatments That Necessitate Moderate Effort

Dental Appliance

Dental appliances manage sleep apnea by pushing the jaw

forward, thereby keeping the airway open. This is usually

recommended by a physician, who refers you to a dentist. The

dentist takes an impression of the teeth and oral structures to

create a replica upon which the appliance or mouthpiece will be

created. Another option is to purchase a generic mouthpiece and

make modifications to help it fit in your mouth properly.

Dental appliances are a hugely popular alternative to CPAP – because they’re more

comfortable and easy to wear while sleeping, and are small and convenient to carry while

traveling.

To get a comprehensive report on the mistakes to avoid when buying a dental appliance,

please go to the website http://www.DentalApplianceForSleepApnea.org

Acupuncture

During acupuncture treatment, very fine needles are inserted in

specific points on the body. This stimulates the release of

hormones that can function to heal the body.

Recent research has found that specific acupuncture techniques

can be used to stimulate the upper airway, keeping the airway

open during sleep (thereby curing sleep apnea).

To learn more about acupuncture for sleep apnea (including which techniques work for

sleep apnea), please visit: http://www.AcupunctureForSleepApnea.com.

http://www.singingforsleepapnea.com/

http://www.dentalapplianceforsleepapnea.org/

http://www.dentalapplianceforsleepapnea.org/

http://www.acupunctureforsleepapnea.com/

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Herbal Treatments

There are several herbs and other natural remedies that

have been proven scientifically to alleviate the symptoms

of obstructive sleep apnea (OSA). While not all of these

herbs and remedies are able to cure sleep apnea outright,

they usually help the patient be calm and sedated, leading

to better sleep overall.

To know more about herbal remedies for sleep apnea, please visit:

http://www.HerbsForSleepApnea.com.

Weight Loss

Being overweight worsens sleep apnea, particularly obstructive

sleep apnea, in two ways:

1. Excess fat in the neck area can compress the airway,

making it more difficult to breathe.

2. Excess weight in the abdominal area causes the respiratory

muscles in that area to be less efficient, adding to the

breathing difficulty already caused by an obstructed

airway.

Losing weight can be difficult, as many of us already know. And this is especially true in

the case of sleep apnea patients, as they tend to lose weight only after the treatment for

their condition has begun. This is because when they get more sleep, they have more

energy to use for exercise.

This treatment is very helpful, not just in managing apnea, but in promoting overall

wellness. For advice on which diet can help you lose weight, please consult this article on

Apnea Treatment Center: Do You Know the 6 Major Types of Diets?

Lifestyle Changes

Equally important as the other treatments for managing sleep apnea is the cessation of

unhealthy habits such as drinking, smoking, and taking drugs.

Drinking alcohol should be eliminated, especially during nighttime, as it can significantly

aggravate sleep apnea. It can decrease your breathing reflexes and, if taken excessively,

could lead to serious health consequences or death. Alcohol produces effects similar to

sleep medications, or other drugs that can influence your breathing.

http://www.herbsforsleepapnea.com/

http://www.apneatreatmentcenter.com/sleep-apnea-treatments/weight-loss-why-is-it-one-of-the-most-important-stepping-stones-for-treating-sleep-apnea/do-you-know-the-6-major-types-of-diets

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Smoking, as with weight loss and cessation of alcohol drinking, is good not just for sleep

apnea, but for general health as well. Quitting helps return lung function to normal. If you

are having a hard time with quitting smoking, there are nicotine patches available which

can be of great help; however, use of patches is not a cure and still requires effort on the

part of the patient.

Treatments That Necessitate Surgical Intervention

If the treatments for sleep apnea listed above do not work, there are other options -

surgery. This method of treatment is of help particularly if the apnea is brought about by

a problem related to the structure of the airway. More often than not, surgeries include the

removal of tissues that cause the blockage. Throat and nasal surgery are the most

common procedures performed to manage sleep apnea.

Throat Surgery

This involves the removal of some of the soft tissues of the mouth such as adenoids,

tonsils, and uvula. The tonsils and adenoids refer to the tissues found at the back of the

throat, while the uvula is the small, cone-shaped structure that hangs from the back of the

soft palate. Sometimes, implants are placed to stiffen the upper throat. Surgical

repositioning of the tongue is also an option to prevent it from falling back and blocking

the airway during sleep.

Listed below are the most common throat surgeries performed to correct sleep apnea:

Uvulopalatopharyngoplasty (UP3): Recommended for those with moderate to

severe sleep apnea, this surgical procedure involves removal of the uvula and

restructuring and tightening the sagging, fatty tissues of the upper throat and

palate. It can be done alone or in conjunction with other treatment methods,

depending on the location of the obstruction in the patient’s airway.

Just like any other surgery, there are risks involved when performing the UPPP,

and these include:

o Depression of the breathing reflexes due to the administration of general

anesthetics (this can be particularly risky in patient who already have

breathing problems such as sleep apnea)

o Swelling of the airway

o Medications before and after surgery for pain control (most of which can

affect breathing)

o Bleeding

o Pain that may last up to several weeks

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Laser-assisted uvula palatoplasty (LAUP): This is recommended for those with

moderate sleep apnea. A relatively new procedure, which was developed to

reduce snoring, LAUP involves the use of laser to remove the obstruction from

the airway. It is less extensive, and therefore less risky than UPPP, although for

that same reason, it may not be as effective as UPPP in terms of treating sleep

apnea.

Since LAUP was originally invented to manage snoring, the main danger

associated with this procedure is that patients may think that when their snoring is

eliminated, their sleep apnea is cured. This may not be the case. The patient’s

sleep apnea could get worse without the patient realizing it, as the primary sign,

snoring, has been eliminated.

Nasal Surgery Nasal surgery can also be an effective way to manage sleep apnea. This can include any

of the following procedures:

Straightening of the nasal septum, the thin wall between the nostrils. Also known

as deviated septum surgery, it is the only known cure for a displaced septum and

can help you breather better at night. If your health care professional advises you

to have this surgery but you need more information from people who have

actually undergone this surgery, check out Deviated Septum Surgery Secrets.

Decreasing the size of the nasal turbinates. These are bony shelves that are curled

and project into the breath passage within the nose. This surgery can be done

either by cutting of the tissues or through radiotherapy.

Removal of the inflamed sinus tissues

Removal or enlargement of bony tissues from the upper sinus area

WRAPPING UP CPAP has brought relief from sleep apnea symptoms for thousands of sufferers – but it’s

not without its challenges. For every CPAP user who has successfully brought their apnea

symptoms under control, another has given up CPAP therapy out of frustration.

In this guide I’ve provided tips from experts on how to buy the CPAP equipment that is

right for you, and how to overcome common CPAP problems. I’ve also thrown in some

suggestions for alternative sleep apnea treatments, if you – understandably – find CPAP

too much to bear.

As always, if you have any comments or questions on this guide, please don’t hesitate to

contact me at my direct email address: [email protected]. And be sure to

grab the free apnea treatment reports available on my catalog site:

http://www.ApneaTreatmentCatalog.com.

http://www.deviatedseptumsurgery.org/limited-time-offer.

mailto:[email protected]


31



To your good health,

Marc MacDonald, M.Sc.

Independent Sleep Apnea Researcher

http://www.ApneaTreatmentCatalog.com


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