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General Discussion on any topic relating to CPAP and/or Sleep Apnea.

For mild nasal congestion that occurs when lying down would you:

Use a corticosteroid to try and eliminate the problem?
2
15%
Use a full face mask and forget about the nasal spray?
4
30%
Use both?
3
23%
Use none, i.e., put up with the problem?
1
7%
Some other option that I'm not aware of?
3
23%
 
Total votes : 13


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Spiritus
 
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Corticosteroid or full face mask?

Postby Spiritus on Thu Dec 02, 2004 2:54 pm

Hi,

I'm wondering if people, given the choice, would opt to use a corticosteroid (like beclomethasone) or simply use a full face mask? My ENT has prescribed the above medication, but also suggested trying a full face mask. My healthcare provider, on the other hand, hates full face masks. Furthermore, he says that 90% of people also hate them.

What do you think?

I've also posted a poll so that I can get a sense numerically of peoples' opinions.

Thanks,

Rob Yale
Last edited by Spiritus on Sat Dec 04, 2004 10:39 am, edited 1 time in total.

IllinoisRRT
 
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Postby IllinoisRRT on Thu Dec 02, 2004 3:14 pm

As a healthcare provider, I can't imagine why another would say that they HATE full face masks- I don't care what kind you use as long as you USE it! Most of my patients who use full face masks like them just fine-if they know they're a mouth breather, they usually just accept it. If you feel like the full face mask would make you claustrophobic, you could try the steroid with a nasal mask first, but some patients would need the steroid anyway, regardless of your mask choice. I guess that's not much help, but I've never heard that my patients were given one or the other. And don't let your provider talk you out of a certain kind of mask. It shouldn't be their concern as long as you're compliant with your therapy!
Christine RRT

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Postby Nefarius Flatus on Fri Dec 03, 2004 1:06 am

As a health care provider, I an only say "AMEN, Christine!!!"

ldemmery
 
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Postby ldemmery on Fri Dec 03, 2004 7:17 am

Mild nasal congestions...I sleep on my side usually and if I'm congested slightly, what I do I flip to the other side and it usually drains fine.

Lynne

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Nenetx2004
 
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Postby Nenetx2004 on Fri Dec 03, 2004 2:52 pm

I've been on the CPAP for about 2 weeks now and caught a full blown cold. I have a full face mask which I have to admit I'm more comfortable with and it was fine while I was congested. The nasal pillows I use if I'm napping.

jeanne

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Spiritus
 
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Postby Spiritus on Sun Dec 05, 2004 7:32 pm

Well, from the poll it's looking like slightly more people are favouring the full mask route, and eschewing the medication. This is helping a lot. Tomorrow, I'm going to talk to the healthcare provider and have them bring me an Ultra Mirage full face, and I'll give it a try.

Thanks,

Rob

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Spiritus
 
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Postby Spiritus on Wed Dec 08, 2004 4:40 pm

Spiritus wrote:Well, from the poll it's looking like slightly more people are favouring the full mask route, and eschewing the medication. This is helping a lot. Tomorrow, I'm going to talk to the healthcare provider and have them bring me an Ultra Mirage full face, and I'll give it a try.

Thanks,

Rob


Tonight is my titration study, and I'm going to be using my Ultra Mirage FF.

Rob

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rested gal
 
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Postby rested gal on Wed Dec 08, 2004 5:25 pm

Good luck, Rob! Hope they use heated humidification for you. :)

Please let us know how it goes!

chrisp
 
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Postby chrisp on Wed Dec 08, 2004 9:05 pm

Js (pronounced jays) nose drops and lots of salt water up your nose works for me and is cheaper than flonase..works just as well for me...I live next to a cement quarry.......

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Spiritus
 
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Postby Spiritus on Thu Dec 09, 2004 11:26 am

Well, that was one of the worst nights, sleepwise, I've had!

I was anxious about the study, and had a lot of difficulty falling asleep. On top of that, I was having a restless leg episode (which I have infrequently - only when I'm ill or over-tired). To me it felt like I hadn't slept at all, but the therapist said I had slept 4 hours. He said that all events stopped at a setting of 7.

As far as heated humidification is concerned - they didn't use it. They only used the pass-over feature. Since I wanted to eliminate any congestion issues, I used Otravin and decided to use the Activa rather than the Ultra Mirage FF.

Now I'm hoping that when I try the new pressure out tonight it works. Otherwise I'm going to have to deal with the issue of PLMS - and I have no idea how effective treatments for that can be.

Rob

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Postby Guest on Fri Dec 10, 2004 5:55 pm

I was proscribed Flonase, and that works very well in combo with my ComfortGel mask.

The corticosteroids are not a "decongestant" per say. My physician recommended this approach before we look into nasal/sinus surgery.


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