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Dr. Seema Arya

MBBS, DCH, DHA, RPSGT(USA), WHO Fellowship in Adolescent Health

Dr.Seema Arya, DCH , RPSGT a highly experienced, competent, and compassionate Sleep Disorders Specialist is extensively engaged..


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Dr. Animesh Arya

MD, DTCD (Gold Medalist), FIACM, RPSGT (USA)

Dr. Animesh Arya is working as Director, ASRA Centre for Chest Diseases, Allergy and Sleep Disorders and ASRA Centre for Sleep at New Delhi. He is Head of the Dept.


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The gold standard treatment for obstructive sleep apnea is continuous positive airway pressure device (CPAP). CPAP is a machine with tubing & mask that fits over the nose and/or mouth, and gently blows air into the airway to help keep it open during sleep.

Regular cleaning is essential to assure proper function and safety of PAP devices. The method and schedule for cleaning hoses, masks and changing filters differs for each PAP device, so please refer to the manufacturer’s instruction manual for details on the maintenance of your PAP equipment. Improper care of PAP devices; filters, mask and hoses can lead to nasal and sinus problems, congestion and even infections.

It is advisable to wear your upper dentures during therapy, as the PAP mask fits properly and there are lesser chances for air leaks to develop. If you have no upper teeth, the specialists at ASRA Centre for Sleep advise trying a mask that fits inside or just under the nose.

You may find your PAP machine more difficult to use when you have a cold, therefore you may need more humidity or a decongestant. If you develop nasal blocks, sinus or ear pain when using your machine, this could be a sign that you are developing an infection. Be sure to contact your specialist at ASRA Sleep Clinic for the correct course of treatment.

How long do I have to wear my CPAP each night for it to be effective? Studies show that at least 6 hours of CPAP usage per night is needed to reduce the long-term health risks of obstructive sleep apnea.

It occurs when the air delivered by your CPAP enters the esophagus and stomach rather than the lungs. It can occur when your CPAP pressure is set too low or too high. It can also occur if you are a mouth breather but not wearing a full face mask. Consult your physician if the problem is chronic and persistent.

In general, your CPAP pressure settings should be just high enough to hold your airway open. When the pressure is too low, you may suffer symptoms of Sleep Apnea. If the pressure is too high, you may struggle with the device, have nasal congestion, and experience choppy or fragmented sleep.

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