CPAP Mask Problems

CPAP mask problems are common during early treatment, but most tend to resolve on their own with continued use.

An uncomfortable CPAP mask can interfere with restful sleep.

CPAP, or continuous positive airway pressure, is a common and effective treatment for obstructive sleep apnea. CPAP works by keeping the airways open with pressurized air, preventing apnea episodes, decreasing snoring, and improving sleep and breathing.

Many new users of CPAP develop side effects from using the machine and mask. Some common CPAP mask problems may result in unnecessary discontinuation of the breathing therapy. Fortunately, most problems caused by CPAP have simple solutions.

Chronic nasal congestion causes many people to discontinue use of their CPAP machine, but adding a heated humidifier to the machine can solve this problem. You can also use a saline nasal spray before bed to ease congestion.

Dry mouth generally occurs because of mouth breathing during CPAP use. Using a chinstrap to hold your mouth closed will prevent mouth breathing and ease dry mouth. Switching to a full-face mask or using a heated humidifier can also relieve symptoms of dry mouth.

A leaky, dirty, or poorly fitting mask can lead to skin irritation, pressure sores, and pain. Try adjusting your CPAP mask straps to obtain a better fit, and clean your mask regularly according to the manufacturer's directions. Let your doctor know if you experience deep sores or if you develop signs of infection, such as a fever, discharge, or increased swelling and redness.

One of those most common CPAP mask problems is incorrect fit. If the mask is too large or small, or if it is the wrong shape for your face, it may cause skin irritation and discomfort. Different types of masks are available, with some worn over the entire face and some designed to cover only the nose. Try on different styles and sizes to determine the best fit for your facial features.

If you are unable to fall or stay asleep while wearing your CPAP mask, several solutions may help. You can try gradually increasing the length of time you wear the mask each night, or you can try a machine with automatically increasing air pressure. In most cases, your sleeping problems will decrease as you become accustomed to wearing the mask and adjust to the sensation of pressurized air. If machine noise is keeping you awake at night, try cleaning the air filter or switch to a different model.

CPAP masks that cover the entire face make many users feel claustrophobic and prevent sleep, especially during early months of the breathing therapy. To help reduce feelings of claustrophobia, practice breathing through just the mask, and then attach the mask to the machine when your comfort level increases. Changing mask styles may also help, and using relaxation techniques before bed can help reduce anxiety.

If you wake in the mornings to find your CPAP mask on the bed next to you, it is likely you are removing it in the middle of the night while sleeping. This is a common problem during early treatment. Using a full-face mask or chinstraps may help keep your mask on. You can also set an alarm to wake you up every few hours to replace your mask, if necessary.

Speak with your doctor before stopping the breathing treatment because of side effects. Most CPAP mask problems discontinue with time, and switching to a different mask nearly always results in a decrease in side effects.

It may take several months for your body to adjust to using continuous positive airway pressure, but the health benefits of effectively treating sleep apnea will last much longer.

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