Dry Mouth

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Dry Mouth

Postby Dragster » Wed Nov 09, 2005 6:17 pm

Hi

I am new to this site.

I have used my CPAP machine with heated humidifier for 6 nights. My pressure rating is 8. I do not use the RAMP. I seem to have a dry mouth each morning. Is this normal when using a CPAP machine?

Marshall
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Postby skitter » Wed Nov 09, 2005 6:40 pm

Hi Marshall,

Do you think you might be sleeping with your mouth open? That would definitely cause dry mouth, because the air flowing into your nose would go right out your mouth!

I also have a pressure of 8, and for the first few nights I had to consciously keep my mouth closed, but now I'm used to it, and other than biting the side of my tongue once, have been doing ok with just breathing through my nose. I don't really notice any dry mouth at all.

Also, what humidifier setting are you using?
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Dry Mouth

Postby Dragster » Wed Nov 09, 2005 9:31 pm

Hi Skitter:

I don't think that I am sleeping with my mouth open. I believe that I would notice the air movement through my mouth. My humidifier setting is on 3.

Marshall
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Dry Mouth

Postby Dragster » Thu Nov 10, 2005 1:29 pm

Hi Skitter;

Last night was my 7th night on the CPAP. I woke up with a dry mouth again this morning. I called my health care provider for the CPAP and he said to increase the humidifer setting to 4. I changed the setting and will see if there is any improvement. He also said there is the possibility that my mouth does open during the night. They could also provide a chin strap. I am not too concerned about the dry mouth because I have had that problem before using CPAP, but with the CPAP, I have had dry mouth every morning. I have also had insomnia for the last two years and taking 100 mg of Trazadone each night before bedtime. Last night, I tried to sleep without taking the Trazadone. I seemed to wake up more during the night, but I am not tired today and I do remember dreaming. I also take medication for high blood pressure for several years. I am hoping that the CPAP may reduce my need for that medication.

Marshall
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Postby SnoozeHunter » Thu Nov 10, 2005 10:32 pm

Hi.

I don't sleep with my mouth open and I don't snore, but when I first started using the bipap machine my mouth was so dry in the mornings that my tongue would stick to the roof of my mouth. I tried a humidifier, not a real heated one but a cold pass with warmed water, and didn't care for it. After several weeks the mouth dryness went away.

Recently, the settings on my bipap machine were increased and the mouth dryness came back just like before. Again, after a few weeks the dryness stopped. I kept a bottle of water by my bed for sips during the night when I woke up.

I think it's common for some mouth dryness to occur for everyone because saliva isn't produce when we sleep. Maybe all of the extra air blowing in there from the machines increases the rate of dehydration until the body adjusts to it. Just a thought.

SnoozeHunter
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Postby Marlene » Thu Nov 10, 2005 11:04 pm

I also have the dry mouth problem, even with the chin mask, warm humidifier, and separate room humidifier. For me, the dry mouth is not as bad as the sore throat, however, and I had to start holding a cough drop in my mouth before I could go back to sleep.

My question involves safety:
I had my air increased to 17, and was given a full-face mask, but the silicone part bothered me. Now I am using a small vinyl mask which does not cause skin problems and holds a seal fairly well. My next problem was the air escaping through my mouth. I just couldn't hold it in when I was asleep, even with the chin strap. One of you nice people told about taping her mouth shut, and I have done that successfully for several nights, sleeping through most of the night, and feeling good the next morning. I use special tape, and make pull-tabs at the ends.

Dry mouth and sore throat continued, however, even with the cough drop, so I added one half stick of chewing gum to the cough drop in my mouth, taped my mouth shut, strapped up the chin strap and mask, and have successfully slept the several nights since. Pretty desparate measures, but I am desparate.

Is this practice safe? In former times, I have often gone to sleep with a cough drop or chewing gum in my mouth, but not with both, and certainly not with my mouth taped shut.
Your letters indicate that the dry mouth will go away, but I don't know if I can hold out without my desparate measures.

Feedback appreciated!
Marlene
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Postby SnoozeHunter » Fri Nov 11, 2005 1:13 am

Marlene,

I don't think it's safe at all to fall asleep with things in your mouth, especially if you are taping your mouth closed. You could aspirate the gum/lozenge into your lungs and choke to death. Sort of defeats the purpose of using the CPAP. :-)

Try an oral moisturing spray or mouthwash. I've not tried them so I can't give a first hand recommendation, but it would be better than having something in your mouth at night. Also, keep water beside your bed. Usually, if I wake up with a dry mouth, dry throat it only takes a sip or two to fix it and get back to sleep.

Here is a site that describes some of the oral moisturizers available. If you can't find it at the drugstores around your home, you can order it online from places like drugstore.com.

http://www.dentist.net/drymouth.asp

Good luck to you.

SnoozeHunter
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Dry Mouth

Postby Dragster » Fri Nov 11, 2005 2:28 pm

Hi Everyone;

Thank you for your replies.

Last night was my 8th night on CPAP and I again experienced dry mouth again during the night and when I woke up this morning. I am beginning to think that I must open my mouth during the night. My mask only covers my nose. If you do open your mouth during the night when using a CPAP machine, are you losing the benefits of the CPAP therapy? I changed my humidifer setting to 4 last night, but think I will change it back to 3 because I experienced more moisture inside the mask and on my face.

Marshall
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Postby lynn543 » Sun Nov 13, 2005 5:56 pm

with any nose mask the CPAP cant work at all unless your lips are sealed, some get help from a chinsplint but others find they still part their lips in their sleep using one
taping the mouth, which I do at times, is of course risky and not officially recommended here, but many of us do it and are still alive!!

maybe the answer is a full face mask for everyone
a very dry mouth on waking suggests the mouth was open at some times
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Postby PerkedUp » Mon Nov 14, 2005 9:46 pm

Hi,

I'm a new CPAP user and have been using it for about 5-6 weeks. I've also had issues with severe dry mouth (Sahara-like) since I started. It usually starts an hour or so after I fall asleep and wakes me up throughout the night, requiring a great deal of water to resume sleeping. I tried increasing the humidity with no improvement for 3-4 weeks. After looking through posts on this forum, I tried taping my mouth closed (something my husband has been wanting to do for years). This improved things, but I couldn't seem to keep the tape on all night and thought I might begin growing a mustache if I continued ripping tape off my upper lip each morning. So...I rigged up a homemade chin strap one evening, which resolved thing very well. So well that rather than leave well enough alone and continuing to use the homemade one (a band of elastic tied on the top of my head with a blouse's shoulder pad on the chin) I decided to order one. Now, I know why chin straps get such negative reviews from some. After adjusting the store-bought one throughout the night (when it stayed on) and waking up with my mouth blowing in the wind several times, I returned to my homemade version, which I've been refining (so it doesn't look like something from the Beverly Hillbillies). This contraption seems to have resolved the dry mouth issue. Everything else with CPAP adjustment has been going very well. For 44 years my motto has always been "I'm not a morning person". Now I'm going to need to change it. Hmmm......
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Way too dangerous IMHO.

Postby cgstarry » Wed Nov 16, 2005 1:58 am

Marlene,

Under no circumstances should you be sleeping with ANYTHING in your mouth. When I read your post I was horrified. I have woken up with dry mouth a few times and certainly empathize but please heed my warning and never ever go to sleep with anything in your mouth.

A few weeks ago I had a head cold and fell asleep acccidentally with a cough drop in my mouth to try and open up my nasal passages. I woke up a while later unable to breathe easily. I had nearly sucked the lozenge into my esophagus and had to work very hard to dislodge it. It only took a few seconds but it felt like an eternity.

Learn from my mistake my new friend, a dry mouth beats a possibly far worse consequence!

Best Regards,
John
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Postby KathlynMarie » Fri Nov 25, 2005 12:49 am

When you first mentioned dry mouth, I was actually thinking dry throat. When I dont' use my Cpap machine I have an extremely dry throta (and I guess my mouth is very dry too) because I can't keep my mouth shut without it on. For some reason I seem to be keeping it shut without using any device when I have my mask on. I do not have the dry mouth/throat problem. I'm tempted to ask my kids to come over and sneak in and see if I'm sleeping with my mouth open while useing my machine just to be sure. I still feel tired quite a lot.
diagnoses with osa in 1997.
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Severe dry mouth after surgery

Postby Gradyguy » Mon Nov 28, 2005 4:49 pm

I've been using CPAP for a few years, and just had surgery two weeks ago to repair a deviated septum and reduce my turbinates.

Now that I'm healing, I'm getting severe drying in the back of my mouth! I wake up with my mouth stuck together, and it's very uncomfortable. I suspect that my machine is set too high for my improved nasal passage, and the air is forcing itself into my mouth.

Has anyone had this problem! What do you think is causing it? How do you adjust a Resmed CPAP machine?

Thanks
Measure life by its good times.
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Re: Severe dry mouth after surgery

Postby WebDiva » Wed Nov 30, 2005 8:29 pm

Gradyguy wrote:I've been using CPAP for a few years, and just had surgery two weeks ago to repair a deviated septum and reduce my turbinates.

Now that I'm healing, I'm getting severe drying in the back of my mouth! I wake up with my mouth stuck together, and it's very uncomfortable. I suspect that my machine is set too high for my improved nasal passage, and the air is forcing itself into my mouth.

Has anyone had this problem! What do you think is causing it? How do you adjust a Resmed CPAP machine?

Thanks


My suggestion would be to see the sleep doctor in your area and explain to them about your surgery.
I recently had UPPP surgery and it cleared a lot of obstruction out of my throat. For that reason, I was
scheduled for another titration study to see where the pressure should be set at. Because you have
more open airway now, you may be able to have your pressures adjusted down, but I wouldn't mess
with it myself, strictly because you aren't going to know, without the feedback that all the sensors give,
where your pressure should be set at.

One thing I have noticed after my surgery is, when I breathe thru my nose (not just at night) I can feel
the cold air against the back of my throat. A very strange feeling.

Valerie
=^) Valerie
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Postby Marlene » Tue Jan 17, 2006 10:42 pm

Thanks to all for the help offered for my dry mouth problems and for my CPAP PRO decision. I am especially grateful to those who were horrified by my cough-drop-or-gum-while-asleep practice. I do always use the CPAP humidifier, as well as a Holmes steam humidifier in the room. If I could find a full-face mask seal made of vinyl, I think my problems would be solved, as I am not allergic to vinyl, and the full-face mask does not give me a dry mouth, for some reason. It also holds a seal with 17cc air. But, oh, that allergy! I know silicone should not cause an allergic reaction; a chemist friend told me that I'm allergic to the plasticizers used in manufacturing the silicone seal.

I have repeatedly tried to contact Fisher&Paykell's Research and Development Department, but have not been successful. I was able to talk to the F&P product manager for the U.S., but he said there is not enough demand for a vinyl mask seal to make its manufacture profitable.
I have heard that many others suffer from a silicone-related allergy, but he seemed unaware of a problem which affects many people.

But back to the sleeping with something in your mouth: I have called Wrigley's and other manufacturers about sleeping with gum or cough drops and have always been told it was to dangerous. Then I would always ask, "Have you heard of anyone who choked to death from this practice?" Nobody had, including local my local pulmonary people, so I just couldn't believe it really was dangerous.

But, after reading about CQStarry's experience, I'm a believer. Thanks, CQ and Snoozer, and thanks to all .

Oh yes--another question: Has anyone heard that sleeping with your lips taped shut is dangerous? I'm no longer doing that, but just in case I decide to start up again...
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