Monthly Archives: May 2024

The Trials of a New CPAP User

Definition – Continuous Positive Airway Pressure (CPAP) therapy

Below is a list of common issues for new CPAP users. I have experienced just about all of them. I will do some future posts on my experience as it relates to individual challanges from the list.

Overcoming Initial Challenges

Starting a journey with Continuous Positive Airway Pressure (CPAP) therapy can be both a relief and a challenge for those diagnosed with sleep apnea. While the promise of restful nights and improved health is enticing, new users often encounter several obstacles as they adjust to this life-changing device.

1. Discomfort and Mask Fit Issues

One of the primary complaints among new CPAP users is the discomfort associated with the mask. The mask needs to fit snugly to be effective, but it can be challenging to find one that feels comfortable throughout the night. Ill-fitting masks can cause pressure sores, lead to air leaks, and create a sense of claustrophobia. New users may need to try several different masks to find one that works best for them.

2. Dryness and Nasal Congestion

Using a CPAP machine can lead to increased dryness in the nose and throat, as the continuous airflow can strip away natural moisture. This can result in nasal congestion, sore throats, and dry mouth, making it difficult to sleep comfortably. Heated humidifiers and nasal sprays can help alleviate these symptoms, but adjusting to these added components can be another hurdle.

3. Aerophagia (Swallowing Air)

Some new CPAP users experience aerophagia, which is when air is swallowed into the stomach instead of going into the lungs. This can cause bloating, gas, and discomfort, making it challenging to continue therapy. Adjusting the pressure settings on the CPAP machine or opting for a different type of machine may help mitigate this issue.

4. Noise Disturbance

Although many modern CPAP machines are designed to be quiet, the noise can still be bothersome to some users and their bed partners. This can be particularly problematic for light sleepers who are not used to having any background noise while they sleep. Investing in a quieter machine or using white noise machines to mask the CPAP noise may be necessary solutions.

5. Psychological Adjustment

The psychological adjustment to using a CPAP machine can be significant. The device can feel intrusive and make users self-conscious about their appearance while sleeping. It can also be challenging to get used to the routine of setting up the machine nightly and maintaining it regularly.


While the initial period of CPAP therapy comes with its fair share of challenges, persistence and patience can lead to significant improvements in sleep quality and overall health. Many new users find that with time, they are able to adapt to the device and reap its benefits fully. Support from healthcare providers, CPAP suppliers, and online forums can also be invaluable during this transition period.

My Timeline

  • December 22, 2023 I met with Dr Jackson in Greensboro to receive the results of the sleep study. He prescribed a CPAP machine for use while sleeping.
  • November 8, 2023 I had a sleep study. Overnight stay in a sleep lab with multiple sensors attached.
  • December 28, 2023 I was back at Dr. Jackson’s office for a tutorial on how the use the machine once I received it. CPAP machine ordered.
  • On January 26, 2024 I received my CPAP machine and attended a class on its use at AeroCare, the vendor.
  • April 10, 2024 I met with Dr Jackson for my first follow up since starting CPAP therapy.
  • April 24, 2024 Another night in the sleep lab for a Titration study.

Definition – A CPAP titration sleep study is used to determine the rate at which air should be pushed out of the CPAP machine. Follow this link for more information ->