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I have been using a CPAP machine for three years. I am presently sleeping seven hours a night with the mask. For the past few weeks I awake tired and am sleepy during the day. Any suggestions on what might be wrong? I am planning to see my doctor soon.

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could be a lot of things --- pressure not high enough; pressure too high; too much leaking out of the mask. is your mouth dry when you wake up?
Marvin -- putting this message on the forum so that everyone has the benefit of your answer --

Yes, I have had dry mouth occasionally. I have had many leaking incidents in past weeks which required an adjustment during the night. Several months ago, I complained to the supplier about similar symptons, and the tech person came out and checked the machines (CPAP and Oxygen) and found nothing wrong.

Do need to change the nose pieces perhaps?

Thanks for replying!
Your suspicion is a good one --- there's probably something wrong with the mask. You should bring the machine and mask with you to your sleep doctor or respiratory therapist, and lie down with the mask on as you would when you go to sleep, and twist and turn as you would throughout the night --- then they should be able to identify the source of your leak, and recommend a new mask, or new cushion for the mask that is better suited to your face.

Mike said:
Marvin -- putting this message on the forum so that everyone has the benefit of your answer --

Yes, I have had dry mouth occasionally. I have had many leaking incidents in past weeks which required an adjustment during the night. Several months ago, I complained to the supplier about similar symptons, and the tech person came out and checked the machines (CPAP and Oxygen) and found nothing wrong.

Do need to change the nose pieces perhaps?

Thanks for replying!
I had a similar experience and after getting an experienced, knowledgeable therapist to look at my data from the cpap machine, we could see that I was leaking a lot during the night - with my very dry mouth, we realized it was caused by an open mouth at night. I had to switch from the nasal pillows (which I loved) to a full-face mask (which I'm still getting used to). I'm not saying this is your issue or solution, but you should be able to ask your therapist if you are opening your mouth during the night and they should be able to see from the data off your cpap if there is a chance this is the case.
What is the full name of your cpap? I looked at your profile and it states you are using an auto-adjusting cpap machine. Under the machine category it is showing Remstar plus.

If it is an auto adjusting cpap you have available data that can help determine what is going on. You should be able to retrieve some of that info off from the screen. Could you please write down and post some of that information for us.

If you do indeed have a Remstar Plus model you are only going to have compliance data -- in other words how many hours and days you have used the machine. That isn't going to help narrow down why you are still fatigued.

When did you change your mask cushions last?
Hi: You have to be tested yearly. It has to be adjusted sometimes, especially if your have a weight gain or loss. Have it checked again by a sleep lab.
If you have a data capable machine I don't feel it is necessary to be tested yearly. You can get the software for several of the data capable machines now and on the Resmed machines you have the data via the screen. Sleep studies are needed in some cases -- but in my opinion you don't need them yearly -- especially if therapy is going okay.
My fatigue was getting so bad that I had to stop using the CPAP. I would wake up and hardly be able to get out of bed and the entire day was a blur. No way I could work or drive a car.

They checked my data; very little leakage, good pressure, good duration,,,,,they couldn't find anything.
A friend had the same thing a few years ago, they did a follow-up sleep study and then put her on meds to keep her awake !!!!! I don't think so......

I told them I wouldn't take meds to counteract the CPAP. There must be a reason. Another sleep study is scheduled.
After doing several on-line searches, I'm finding that this is not that uncommon. But the real cause and treatments seem to vary.
GW, take a look here at Rick London's Apnea story. he was one who could not use cpap and ultimately found a surgeon who worked wonders for him.

GW said:
My fatigue was getting so bad that I had to stop using the CPAP. I would wake up and hardly be able to get out of bed and the entire day was a blur. No way I could work or drive a car.

They checked my data; very little leakage, good pressure, good duration,,,,,they couldn't find anything.
A friend had the same thing a few years ago, they did a follow-up sleep study and then put her on meds to keep her awake !!!!! I don't think so......

I told them I wouldn't take meds to counteract the CPAP. There must be a reason. Another sleep study is scheduled.
After doing several on-line searches, I'm finding that this is not that uncommon. But the real cause and treatments seem to vary.

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