Nasal Pillow help?

I just started with the nasal pillow and I think it is more comfortable than the full face type because of the "less is better" design. My problem may be inherent in the design where exhaling through the nose takes some effort due to the air stream going in constantly. I have to exert the nasal exhale to push against the stream and initially its not enough; I have to mouth exhale... at least for a time. When I exhale through the mouth there is a big stream of air and its a bit disconcerting but is the only way to get a full exhale especially in the early stage of getting to sleep. It seems I need more deep breaths to get relaxed initially. Am I reading my experience correctly? I mean once I get relaxed is it easier to exhale through the nose? It's certainly not the same as regular breathing in and out. I guess the full mask has more space for exhaling and is easier in that respect. My first night with the nasal pillow I recall awakening and having very easy in and out through the nose, so I know it works but its the early getting to sleep stage that I seem to need deeper exhales and its almost impossible to get a good nose exhale.

Please also see thread "Mayo Clinic Health Tips" for this discussion.

Does your CPAP machine have a button to ramp up the air pressure? Mine is on the top of the machine toward the lower left side. My pressure starts at 1/2 of my full pressure and gradually increases to full pressure in 30 minutes. This is enough time for me to fall asleep.....usually. If not I can push it for another 30 minutes . It really helps .

Good suggestion, @EnthusiasticOrangeRedHare7703 . Some people do very well with the ramp feature. Some people feel the ramp-time pressure is not adequate and that causes them to feel as if they are "not getting enough air." Sometimes that, in and of itself, will cause an anxious feeling. The ramp pressure can be increased by the equipment provider, thus lessening the feelings of suffocation and anxiousness.

With so many options in equipment features and mask types, a best solution can be found. Perseverance and keeping positive are very important.