Sleep Centers of Middle Tennessee

Is My PAP Set Too High?

Posted on 15 Aug 2012 - 11:53 AM

Listener Question
Sleep Doctors,
I have been to a sleep specialist and was given a prescription for a Bi-PAP
machine. The setting is 24/21. I wake up several nights a week with a
swollen stomach and some times I can raise up and burp for several seconds
and let the air out but sometimes I can not and have to deal with a stomach
ache for 30 minutes until enough flatulence passes. I also wake some nights
with sore groins and arms, as though I have been working out. Do you think I
might need to adjust my machine?

The Sleep Doctors Answer
Dear Anonymous,
Thanks for your question. In reading your email, my first thought was that you need your pressures decreased on your BiPAP machine. The major signs of being on too much pressure are as follows: difficulty exhaling or breathing out, oral pressure leaks (air escaping from the mouth), and aerophagia (swallowing air). I’m not sure when your last PAP titration sleep study was done, but it sounds like it might be time to adjust your pressures. Please feel free to let us know if we can help you with this, or if you are outside of the middle Tennessee area we can direct you toward a competent sleep specialist in your area to help you with this. Best of luck, and thanks for listening to the sleep doctors!