Forum · Dr. Soileau question

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[-] baseten +0 points · about 1 month ago

I wasn't sure if there is a way to send a private message on this site, but my question is for Dr. Soileau.

I have been using the Eason nasal mask with great success for 3 weeks, but just recently started to have trouble with my tongue coming away the roof of my mouth and the back of my throat making a strange noise like it is losing suction. I also had this trouble develop suddenly after 2 years of great success with the P10 Nasal Pillow Mask.

I am not doing anything different than what I have the last few weeks that have been so successful. To make the nasal mask work, I tape my mouth shut, use a chin strap and put some hard foam behind the lower mask straps so that my cheeks don't puff out. It sounds like a lot, but it has worked wonderfully and has been comfortable.

I picked up a new chin strap just to make sure that wasn't the problem, but it didn't help. I'd really like to stick with this mask because my AHI is so good now (under 1 most nights). I have no leaks; it's comfortable; and my mouth doesn't dry out like it does with a full size mask. I'm a small person so it's hard to get a full face mask to fit me without leaking. But I can only sleep for a few hours before all that noise and the clicking feeling in my throat wake me up and then keeps me awake for the rest of the night.

But I just wondered if you have ever seen anyone who was able to use a mask for a couple of weeks but then started to have this kind of problem. I cannot figure out why it changed.

My pressure is 15-19 with a PR of 3.

I also tried a boil and bite mouth guard with the nasal mask and chin strap without success. I no longer have that but am thinking to buy another to try with the full size mask and chin strap in case that would solve the problem.

Thanks so much.

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[-] DrTonySoileau +0 points · about 1 month ago

Yes I have seen this with patients that have a high pressure like your using at 15-19. I don't prescribe CPAPs so when I see this it is usually my ENT/sleep specialist that has a patient struggling with CPAP and wants to see if I can help. If the boil and bite didnt work consider a custom fabricated appliance like the Moses, TAP, or Narval that hold your upper and lower jaw together during sleep. This may solve all your problems and can be worn with a CPAP. Dr Tony

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[-] baseten +0 points · 15 days ago

Hi Dr. Tony,

Thank you so much for your advice. I will give those things a try.

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[-] DrTonySoileau +0 points · 14 days ago

Awesome. Let me know if you need anything else. And if the new appliance is working.

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