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It was my question that started this strand. I am delighted to say that after being prescribed an Auto-titrating machine I no longer suffer from the gastric insufflation. My suggestion to anyone who is suffering with gas because of a single-pressure CPAP is to begin the process to obtain an APAP or BIPAP machine. When I requested an APAP my HMO denied me. After filing a grievance (California allows such actions) I was tested by the HMO sleep lab and after some time was prescribed the new machine. Luckily my HMO had begun to "see the light" and realized that because of the gas many apnea patients simply put the machines on the shelf rather than suffer every night.

If you are one of those or have continued to have problems with gas while using a CPAP, by all means start the process of requesting an auto or bilevel machine. As noted in one of the responses above, gastric insufflation can cause some serious health problems and prescribing an auto or bilevel machine should be "formulary" for those with the problem.

August 23, 2009 - 10:45am

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