most common cpap problems and helpful solutions.

September 1, 2025

Mask-Related Issues

Discomfort / Pressure sores → Try different mask sizes or styles (nasal, nasal pillow, or full-face). Use mask liners or soft fabric covers. Adjust straps for snug but not tight fit.
Air leaks → Refit the mask while lying down (your face changes shape). Clean mask cushion daily to improve seal. Replace cushions/headgear when worn.
Skin irritation → Wash face before bed to reduce oils. Use hypoallergenic mask liners or barrier creams. Rotate mask styles if irritation continues.
Claustrophobia → Start with a smaller nasal pillow mask. Practice wearing the mask while awake (watching TV or reading) to desensitize. Use relaxation techniques before sleep.

Dry mouth → Switch to a full-face mask or add a heated humidifier. Use a chin strap to keep mouth closed if using nasal mask. Stay hydrated.
Nasal congestion/dryness → Use heated humidification with adjustable temperature. Add heated tubing to prevent rainout (water condensation). Consider saline nasal spray before bed.
Difficulty exhaling → Ask provider about "pressure relief" or "ramp" features (e.g., EPR, C-Flex) that lower pressure during exhale. BiPAP may be an option if severe.
Aerophagia (swallowing air) → Lower the pressure (with medical approval), sleep with head elevated, or switch to a BiPAP machine. Avoid eating right before bed.

Noise disturbance → Place machine on a soft surface or under the bed. Use longer tubing to move it away. Make sure filter is clean.
Hose tangling → Use a hose holder/clip above the bed. Try lightweight tubing. Route hose behind pillow.
Air pressure feels too strong → Use the ramp feature (starts low, gradually increases). Recheck prescribed pressure with your provider if intolerable.
Adapting to device → Wear it while awake to get used to the feel. Start with short naps before full nights.

Removing mask during sleep → Use a snug but comfortable mask, try mask alarms (some CPAP machines have alerts), or practice relaxation before bed to reduce unconscious removal.
Travel inconvenience → Get a travel CPAP (smaller, battery-powered). Use FAA-approved CPAP for flights. Keep distilled water in TSA-approved bottles for humidifiers.
Cleaning & maintenance → Set a routine: mask/tubing weekly, humidifier daily. Use mild soap and air dry. Replace supplies regularly (masks ~3-6 months, tubing ~6-12 months).

Embarrassment → Remember CPAP is a common treatment (millions use it). Share concerns with support groups or online forums.
Frustration / giving up → Track improvements (better energy, lower blood pressure, less snoring). Set small goals (using CPAP 4+ hours/night). Work with your doctor or CPAP supplier for adjustments.