CPAP Problems

Continuous positive airway pressure (CPAP) is an effective treatment for sleep apnea, but many people discontinue therapy due to CPAP problems. Sleep apnea affects an estimated 12 million Americans, and untreated apnea is potentially fatal. Fortunately, most problems associated with CPAP use have simple solutions.

CPAP Nasal Mask

CPAP therapy involves the use of a small machine that provides constant air pressure through a hose and mask to improve breathing and prevent apnea episodes. CPAP problems are common, especially in new users, but changing masks or air pressure settings can resolve most side effects of CPAP use.

Everyone has a different face shape, which means not all masks work for all people. CPAP masks come in an assortment of shapes and sizes, with some covering the entire face and others covering only the nose. A poor mask fit can be uncomfortable and cause air leaks and difficulty sleeping. You may need to test several masks before finding one that fits snugly and comfortably. Speak with your prescribing doctor about the mask options available to you.

Nasal congestion, dry nose, dry eyes, sore throat, and nosebleeds are common CPAP problems. If severe, these problems can lead to sinus or throat infections and conjunctivitis. Using a heated humidifier with your CPAP machine can alleviate most of these symptoms. You can also try using a saline nasal spray before bed, or ask your doctor for a steroid nasal spray to reduce inflammation and congestion.

If your CPAP mask does not fit properly, or if you do not clean it regularly, it may cause skin irritation and pressure sores. These CPAP problems may make wearing your mask painful, and untreated sores or rashes are prone to bacterial infections. You can try adjusting the straps and pads on your mask for a better fit, and wash your mask every day with warm water and soap to remove oil, dirt, and germs.

Dry mouth is a common problem during CPAP use, especially for those who sleep with their mouth open. Using a chinstrap will hold your mouth closed and prevent mouth breathing, which should substantially reduce dryness. Other options include wearing a full-face CPAP mask and using a CPAP humidifier.

Difficulty sleeping with a CPAP mask in place is one of the most common CPAP problems for new users. Nasal congestion, noise from the CPAP machine, needing to sleep on your back, and the strange sensation of air being forced into your airways can make sleep nearly impossible in the early days of treatment. Over time, most CPAP users adjust to these changes and are able to sleep through the night. If they persist, it may be helpful to try a different sleeping position, wear earplugs, or change the style of mask you are currently using.

Feelings of claustrophobia are a significant problem for many CPAP users. Many people report a feeling of being unable to breath or choking during CPAP use. Fortunately, these sensations disappear with continued treatment. You can try meditation or progressive muscle relaxation to help you feel less anxious and fall asleep. If your claustrophobic feelings persist, speak with your doctor about other treatment options.

CPAP is the most effective nonsurgical treatment for obstructive sleep apnea and snoring. If left untreated, sleep apnea increases the risk of cardiovascular disease and high blood pressure, headaches, weight gain, memory problems, and impotency. According to the American Academy of Otolaryngology, proper CPAP use eliminates nearly 100 percent of apnea episodes. In nearly all cases, the benefits of continued CPAP use far outweigh CPAP problems and side effects.

Temporary CPAP problems affect most new CPAP users, but most problems disappear as the body adjusts to the mask and the effects of pressurized air. If you are experiencing problems with your CPAP, speak with your doctor about making adjustments to your mask or pressure settings.

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