Congestion from CPAP?

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Congestion from CPAP?

Postby dwayne » Tue Mar 29, 2011 11:23 pm

I have been using a CPAP for about two months and finally feel that I am getting some rest. However, I have a history of sinus problems and, for the past few days, seem to be getting a sinus infection. My sinus irrigation, which I do daily, seems to be failing me, as do the meds I have used in the past. Tonight, I mixed 2TBS of apple cider vinegar, 2TBS of honey, 8 oz of water and heated it into a tea, then drank it. It has helped. Since I suspect that my CPAP tube might be involved in my problems, I am wondering if anyone has tried adding some apple cider vinegar to the humidifer tank. I have inhaled it before in boiling water to open my sinuses and wonder if it would work in my machine. Can anyone give me some advice on this idea? I am happy that the CPAP seems to be working but don't want to be sick from using it. Thanks. (Btw, I am a 61 year old female, and feel that my sinus problems are linked to my OSA.)
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Re: Congestion from CPAP?

Postby Daniel » Wed Mar 30, 2011 3:11 am

dwayne wrote:I have been using a CPAP for about two months and finally feel that I am getting some rest. However, I have a history of sinus problems and, for the past few days, seem to be getting a sinus infection. My sinus irrigation, which I do daily, seems to be failing me, as do the meds I have used in the past. Tonight, I mixed 2TBS of apple cider vinegar, 2TBS of honey, 8 oz of water and heated it into a tea, then drank it. It has helped. Since I suspect that my CPAP tube might be involved in my problems, I am wondering if anyone has tried adding some apple cider vinegar to the humidifer tank. I have inhaled it before in boiling water to open my sinuses and wonder if it would work in my machine. Can anyone give me some advice on this idea? I am happy that the CPAP seems to be working but don't want to be sick from using it. Thanks. (Btw, I am a 61 year old female, and feel that my sinus problems are linked to my OSA.)


Do NOT put any additives in your humidifier tank.
It is NOT recommended by the manufacturers, and could be harmful to your respiratory health.

There are no substances designed or approved (FDA/CE) for inhalation in a closed breathing circuit (CPAP/APAP) over a full 'sleeping period'.

I suggest that you see your sleep specialist about the sinus issue. You might also consider sinus irrigation.

Seehttp://www.apneasupport.org/viewtopic.php?t=3572&start=0

Best of luck.

Daniel.
The untreated Sleep Apnoea sufferer died quietly in his sleep..
Unlike his three passengers who died screaming !


The first 40 years of childhood are by far the hardest
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Postby Mrs Rip Van Winkle » Wed Mar 30, 2011 10:51 pm

I had a visit to my ENT about a month ago...we discussed irrigation and he said to not do it more than 3 times a week...that a rebound can happen. I started using Singulair which has helped my sinuses alot. Also I switched to a Full Face mask...hated to give up my nasal pillows but had to.
I'm only a sufferer, not a medical pro. What I post are my thoughts as a sufferer, not that of the ASAA. As a moderator on these forums I oversee the posting rules. This is the internet, always discuss what you read with your medical team.
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Postby ar-river runner » Sat Apr 02, 2011 3:53 pm

Hi dwyane!

The first month of APAP use I had lots of congestion. My GP recommended using a Netti pot before bed and after my morning shower. When that didn't quite clear up the congestion I played around with the humidity; I keep mine on 4 now.
Finally I had to resort to Flonase(Rx) and have had good results for the last 3 months, our pollen season begins in late January. I still use a Netti pot every morning due to severe grass and weed allergies.

Hope you find something that works for you.
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Postby xenosfrog » Sat Apr 02, 2011 6:31 pm

Hi rvrrnr. Couple of questisns. Are you using a fine or ultra filter on the intake port, in addition to the coarse filter? Do you clean the mask and small (mask) hose every morning and let air dry near a window with mild sun? Do you soak the long hose & humidifier reservoir in the mild vinegar solution & rinse well once a week? I find humidity helps. Even to the point of putting a cool mist humidifier on in the room plus having CPAP humidifier on set to 4 or 5 of 5 (high). I find that if I am congested in the evening, putting on the CPAP with the filtered, humidified air through clean hoses actually clears my sinuses. Some nights I can't wait to put it on (unless I'm totally glommed up - then it can be too hard on the ears). Best wishes, Scott.
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Postby ar-river runner » Mon Apr 04, 2011 7:17 am

Hi xenosfrog! I use an ultrafine filter along with the course filter. I've never let any of it air dry near a window. In the past I've had trouble with UV light breakdown on plastics (greenhouse film and potting supplies for growers; which are UV treated) and never would have considered it with the APAP supplies. I do wash my nasal pillows and the small hose every morning and once a week with the vinegar solution and then rinse. I also wash the reservoir every morning and once a week with the vinegar solution. The supply hose only once a week do I wash it and then the vinegar solution with a clear rinse; it takes too long for that thing to dry. If its not dry I've found that the extra water collects in my nasal pillows. It made for an early morning dream of swimming and me waking up pulling off the mask and blowing water out of my nose. I was sooo confused! We live in Arkansas and I never thought about using a room humidifer, its hard to get the house humidity below 60%.
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Postby xenosfrog » Mon Apr 04, 2011 10:47 am

rvrrunner, it sounds like you are doing everything right. I live in NJ and we mostly have high humidity in the summer, too. Only in the winter with heat on do we seem to need the cool mist humidifier. Sorry for your congestion problem. Mine might be more allergy related so that might be why the CPAP (with the filters and running through the humidfier) seems to help the congestion for me (by knocking out dust and pollen) and not helping you :-( . I'll keep on the thinking cap and if i think of any other possibly helpful things, I'll let you know. Hope it gets better for you, Scott
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Postby Janknitz » Mon Apr 04, 2011 2:19 pm

1. Could you be having seasonal allergies (it's that time of year) or a cold (lots going around)?

2. Have you tried adjusting the humidifier? Some people have more congestion if the humidifier is too high, other's have it if the humidifier is too low. Mine has to be just right (like Goldilocks!). I have sinus issues if I turn it up OR down. :roll:

It seems to be more common to have issues if the humdifier is too high, so if your humidifier is on a middle setting, try slowly lowering it--perhaps one notch every 3 to 5 days and see if you feel any better or worse. If worse, turn it up slowly.

Some people are really sensitive to the humidifier and either run their humidifier in passover mode (I used to think it was for Jewish people ;-) but it means having the humdifier attached but no heat at all) or take the humidifier off completely.
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Re: Congestion from CPAP?

Postby laurelennis » Sat Mar 17, 2012 6:00 am

Regarding the difficulty drying the hose, I hang mine over a towel rack and it's dry as toast by bedtime. My tech said you can blow a hair dryer into it, set on "cool" to help with drying.

They didn't tell me about the vinegar solution. Does anyone know the concentration to use? [Moderated. Email address removed, as they are harvested by spammers] Thanks!
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