Sleep Apnea - Living With - Living With

It is important that you properly use and care for your prescribed breathing device or mouthpiece. If your doctor prescribed a breathing device or CPAP machine:

• Be patient with your breathing device or CPAP machine. It may take time to adjust to breathing with the help of a CPAP machine.
• Use your breathing device or CPAP machine for all sleep, including naps. To benefit fully from your treatment, you should wear your device whenever and wherever you sleep. If you are traveling, be sure to bring your breathing device with you. Call your doctor or sleep specialist right away if your device stops working correctly.
• Talk to your doctor or supplier if you experience discomfort or have difficulty using your prescribed breathing device. Let the team or supplier know if you are having irritation from the mask, if your mask is not staying on or fitting well, if it leaks air, if you are having difficulty falling or staying asleep, if you wake with dry mouth, or if you have a stuffy or runny nose. Your doctor can explore options to improve the treatment, such as trying different masks or nasal pillows, adjusting the machine’s pressure timing and settings, or trying a different breathing device that has a humidifier chamber or provides bi-level or auto-adjusting pressure settings. Cleaning the mask and washing your face before putting your mask on can help make a better seal between the mask and your skin.
• Properly care for your breathing device or CPAP machine. Know how to set up and properly clean all parts of your machine. Be sure to refill prescriptions on time for all of the device’s replaceable parts, including the tubes, masks, and air filters.
• Properly care for your mouthpiece. If you were prescribed a mouthpiece, ask your dentist how to properly care for it. If it does not fit right or your signs and symptoms do not improve, let your dentist know so that he or she can adjust the device. It is common to feel some discomfort after a device is adjusted until your mouth and facial muscles get used to the new fit.

You should visit your doctor to monitor your response to treatment and see whether you have any complications that, if left untreated, can be life-threatening. Your doctor may do any of the following to monitor your condition.

• If your doctor prescribed a breathing device, your doctor and possibly your insurance company will want to check the data card from the machine. The data card shows how often you use the breathing device and whether the device and its pressure settings are helping to reduce or eliminate apnea events while you sleep. Your doctor may also check to see whether you still experience excessive sleepiness during the day, how you feel about your quality of life, whether you are still snoring, or whether have experienced weight loss or changes in your lifestyle.
• If you were prescribed a mouthpiece, you should follow up with your dental specialist after six months and then at least every year. This is to see whether the mouthpiece is working correctly, whether it needs adjustment, and whether a replacement device is needed.

Sometimes, repeat sleep studies are necessary. Your doctor may have you repeat a sleep study to monitor your response to the treatment, especially if your sleep symptoms continue, if you are using a mouthpiece, if your weight changes significantly, or if your employer requires these tests.

Side effects of CPAP treatment may include congestion, runny nose, dry mouth, dry eyes, or nosebleeds. If you experience stomach discomfort or bloating, you should stop using your CPAP machine and contact your doctor.

Sleep apnea can increase your risks of complications if you are having surgery, and it can affect your ability to drive.

• Before surgery. If you are having any type of surgery that requires medicine to put you to sleep or for pain management, let your surgeon and doctors know that you have sleep apnea. They might have to take extra steps to make sure that your upper airway stays open during the surgery and when selecting your pain medicines.
• Driving precautions. Undiagnosed and untreated sleep apnea can decrease learning capabilities, slow down decision making, and decrease attention span, which can result in drowsy driving.