Does Transition from CPAP to BiPAP Improve Symptoms of Aerophagia?

Authors

Kathy Tran, DO, Thomas Jefferson UniversityFollow
Karl Doghramji, MD, Thomas Jefferson UniversityFollow

Files

Description

Introduction

Adherence to continuous positive airway pressure (CPAP) therapy has been an ongoing dilemma in obstructive sleep apnea patients and up to 83% of patients are noncompliant. It is believed that mask discomfort or pressure intolerance are the major causes. Aerophagia, or “air swallowing” may be an under-recognized and insidious cause for CPAP nonadherence. Patients generally complain of belching, bloating, abdominal pain and distention. Some studies have reported worsening gastrointestinal reflux symptoms from PAP-induced aerophagia. Although bi-level positive airway pressure (BIPAP) is often utilized in such circumstances, this practice had not been examined. We hypothesized that transitioning patients from CPAP to BiPAP would relieve aerophagia and improve compliance.

Publication Date

6-4-2018

Keywords

aerophagia, sleep, sleep medicine, CPAP, BIPAP, OSA, sleep disorder

Disciplines

Medicine and Health Sciences | Sleep Medicine

Comments

Presented at the 2018 AASM Conference

Recommended Citation

Tran, DO, Kathy and Doghramji, MD, Karl, "Does Transition from CPAP to BiPAP Improve Symptoms of Aerophagia?" (2018). Department of Sleep Medicine Posters. 3.
https://jdc.jefferson.edu/sleepposters/3