CPAP Cough

by Judy Y.
(Willard, WI USA)

I am a new user to a CPAP machine, seven weeks now. This past fall I had two bouts of pneumonia, this was just before I began using the CPAP. I was finally healthy when I began the CPAP and LOVED using the machine the first two weeks. Then one night I woke up with a very bad cough and after that I have had a very loose cough, resting right in my bronchial tubes.

I thought my pneumonia came back but, x-rays came back normal. I am not on a 10 day run with an antibiotic. The doctor thinks it may be just some type of an infection. She said if I wasn't better in 10 days to call her.

I am on day 8 of my medicine and I still have the exact same cough. It is a very deep, loose cough, I wezz when I breath.

She thought if the meds didn't work I should go get some allergy testing done. I am a dairy farmer and am in a barn 6 hours a day, of course seven days a week. I really can't think it to be that as I have been farming for 25 years now.

My question, people have asked me since the cough began two weeks after I started the CPAP, can the cough be due to the CPAP machine?

I look forward to your answer.

Answer


Dear Judy, you are not the only CPAP user who has coughing problem. There are many sleep apnea patients who start coughing when CPAP is turned on. However, we cannot definitely say that CPAP is the main cause for this issue.

Actually, there are many causes for coughing, and because you are a beginner with CPAP therapy, I'm thinking about your CPAP humidifier.

CPAP Humidifier

If you don't use a humidifier, the dry air from CPAP enters into your airways, drying your mouth, your nasal passages, your throat, and irritating the soft tissues. This can cause coughing and phlegm.

So, if you have a CPAP humidifier, you have to turn it ON. Furthermore, increasing the level of humidity doesn't guarantee you will escape from CPAP coughing. You have to test which level of humidity is more appropriate for you.

In other words, some CPAP users find coughing relief with lower humidifier settings, others with higher. It depends on how humid is your environment.

Type of CPAP mask

What type of mask are you using? You may want to know that for some CPAP users nasal pillows can cause coughing. The air is felt like it's being forced in the throat, irritating everything in his path. Thus, sore throat, coughing and mucus secretion.

Moreover, the nasal airways are unable to provide sufficient humidity to humidify the increased airflow of CPAP therapy. This results in the nasal mucosa being stripped of the moisture required to humidify the air.

Disorders that may cause coughing while using CPAP

CPAP therapy can aggravate GERD (gastroesophageal reflux disease) or acid reflux. Obstructive sleep apnea (OSA) is a known risk factor for GERD, which can also cause chronic coughing.

So, if you sometimes fell like vomiting (stomach juices getting up into your airway passage), or can hear a liquid (acid) in the back of your throat crackling when you open your mouth, you should tell your doctor. Acid reflux can wear the lining out of your esophagus. And if your flap gets damaged from it you will have to sleep sitting up the rest of your life.

Asthma, Sinus issues, Interstitial Lung Disease or Multiple Bilateral Pulmonary Embolisms may cause coughing as well.

Allergies

Your doctor is right. Allergies can be a risk factor for coughing. Did you know that some CPAP users are allergic to the CPAP filter? There are different types of filters, so changing these filters can be a good idea.

But you may also have allergies from CPAP mask materials.

Other users discovered mildew inside the CPAP machine (surprising, I know...). And others didn't clean their CPAP parts properly.

So Judy, there are a lot of things involved in coughing while using the CPAP. I think you need to consider all the facts mentioned above, but if you have other questions, please don't hesitate to ask or comment.

Remember to speak with your doctor about your problem.

I hope it helps. Don't be afraid to comment back.

Remy Thierry
Founder of Sleep Apnea Guide


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Feb 16, 2014
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I cough with Cpap
by: Donna

I read some comments about coughing with Cpap.

I have recently started coughing with my CPAp after almost four years.I am so frustrated because my sleep is interrupted at night. My doctor is confused. He says if it continues he will run some tests. I was glad to know I am not alone.
Even nose spray has stopped working. I am going to tell him what I read online. So you are not alone.

Dg

Apr 27, 2014
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Mind borthering
by: Ellen


I to have a cough that want go away since i started useing my cpap i've been on the cpap for three weeks now. i never had a cough till then, i don't cough while i'm wearing the mask just when i get up in the morning til at night when i put my mask back on.And i do have aid reflux. don't know if that has anything to do with it. thank u 4 your help

Jul 01, 2014
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So bothersome
by: Judy A.

I have just woken up because of a dry cough while using my cpap machine. I have been using it since 2009 and have never had a problem until recently. I cannot sleep without my machine but will go back to bed and try sleeping without it. The cough is just too bothersome.

Nov 21, 2015
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COUGHING WITH CPAP
by: Anonymous

I have been a CPAP user for the past 15 years. I recently changed to a new machine and have begun coughing.

Took antibiotics and cough came back. changed settings and still coughing. I switched to my old machine and am fine with it.

My dr. and cpap supplier say it can not be the machine. I am at a loss. After using my older machine for about 2 weeks and being cough free , I went back on my new machine and developed a cough the very next day!

Surely we all can't be crazy! I have tried humidifier on all type of settings and my new machine still makes me cough

Jan 20, 2016
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New cpap user...new cough!
by: Amber

I just started using my CPAP 3 weeks ago and since then I have had a cough. Its starts at night when I go to bed as soon as I put my CPAP on. It keeps me awake for hours before I can finally fall asleep. Then I wake up and cough most of the day.

I finally stopped coughing in the evening only to relive the entire experience as soon as I put my CPAP back on at night. I've never had a cough before that wasn't associated with a cold.

I don't know what's going on but I'd love to find out. In fact I just got out of bed to Google why this was happening because I was so tired of coughing.

Jan 21, 2016
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New cough
by: Anonymous

I've used my CPAP for years and recently developed a periodic dry cough while wearing my CPAP. It interrupts my sleep and will last for hours. I've changed all the pieces and the filter. No change.

I remove the mask and the cough stops, but I don't sleep well without it. I've spoke to my MD and he recommended I decrease the humidification. I increase the humidification in the winter and decrease in the summer. I tried to decrease the humidification as he suggested and it hasn't helped.

I have GERD but have had no symptoms of reflux. I will be calling my MD again.

Jan 22, 2016
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Just tested, lots of mucus
by: Bee

I did a sleep study with CPAP last night -- nasal at first, but that didn't work so changed to mask. I slept okay, I guess, but today I am exhausted and have a lot of mucus in the back of the throat and have hacking it all day.

Can the CPAP do something to cause that? Would it be from my lungs or from reflux or what?

I am recovering from massive pulmonary embolism six weeks ago, and I am totally weak today. I had hoped the CPAP would help me rest but I feel awful instead.

Any thoughts, advice, stern motivation :-) ?

Mar 23, 2016
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bronchitis
by: denisd

Started using cpap 3 weeks ago. Did good for two weeks. Then got bad sinus and chest congestion and diagnosed with sinus infection and bronchitis. Took 5 days antibiotic z pak. Now increased cough weakness increased phlegm. Hurting all over, is this related to cpap use somehow?

Apr 10, 2016
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Cough herd sinus problems With bi pap machine
by: Anonymous

I'm beginning to wonder where we are getting our supplies from??? I need the bi pap but using it during the last 3 Years is causing me to have asthma, g.e.r.d. A dry cough and hacking up mucus all day....

I feel so sick....could it be the tubing,masks, etc. I know companies what to save money and give the job to lowest bidder....We need to look into the products that are supposed to be helping us....it might take 20 more years for it to be discovered....in the meantime....we are suffering.

I feel like I'm walking around half dead...anyone else having these problems? I don't know which is worse using the machine and getting all these problems or going without and taking a chance of having a stroke or heart attack or even death....sick of being sick and tired....
B


Apr 14, 2016
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Medications
by: Wulfman

For those who experience a cough after beginning CPAP therapy, investigate the medications you're taking. In particular, Lisinopril, the ACE medication often prescribed for high blood pressure and kidney protection for those with Diabetes is a KNOWN dry cough contributor.

If you ARE taking it, ask your doctor to switch you to an ARB type medication like Diovan/Valsartan or Cozaar/Losartan.

.

Aug 11, 2016
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Gasping and coughing...
by: Anonymous

I've been using my CPAP for 4 years and recently I have been waking up gasping for air and coughing. I'm using the pillow mask and I sleep on my side. I keep the equipment clean and change the filters often. I'm waiting at this moment for call back from my provider. Anyone experiencing this concern? if so please give me some tips.

Aug 22, 2016
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Coughing as well !
by: Anonymous

I got my CPAP Machine and pillow mask in APRIL! Did just fine until I started coughing in June!

I am Wondering if the summer air could be causing my problem! Was on Lisinopril but changed to Valsartan! Cough better but still waking up at night coughing!

Going back to doctor Sept 6- all of these comments make me wonder about "who is making our new equipment since older machines users have found switching to new machines have caused them to cough! Could be countries outside America are making these new machines???

Sep 15, 2016
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Horrible cough after starting CPAP
by: Anonymous

10 days into new CPAP therapy. Not feeling any better or sleeping better. I have developed dry harsh cough, like I have smoked for 50 years !!

Never smoked, have reactive airway disease and occasionally need inhalers when really sick, but only when really sick. I have increased humidity on machine and not sure it helped.

I called my doctor and he said there is an adjustment period after beginning therapy and remain in touch about cough. Does anyone know what "time frame" for adjustment is, and will this subside anytime soon?

Any input would be greatly appreciated. The coughing sometimes starts at night and I remove CPAP, and continues throughout the day. I am a RN and work closely with patients and cough sounds horrible, but I am not sick. People think I am sick. Coughing did not start until I began CPAP!!! Help??

Sep 23, 2016
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Coughing w cpap
by: Lisa

Thank you for your answers. I just woke up coughing, I was scared I did forget to use my advair last night. I don't know if that makes a difference. I have been on the cpap machine about a month. Not easy to get used too!

Oct 17, 2016
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Puzzled
by: Shy

Just as the rest of you I have OSA and sleep with a CPAP for the last 4 years. It is only recently I really started noticing the coughing more.Especially my husband which worries him. I too also have 12 different allergies and also Gastroesophageal (sp) Reflux.I thought id google it to see if its normal to have coughing which is how i wound up here. Reading through above I seen it suggested changing the humidifier settings so I will try that and see what happens.

I also wonder if OSA is hereditary? My uncle too lived with OSA as well.

Oct 28, 2016
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I cough too
by: Ehf

I am sorry so many of you are going through these coughing attacks but I'm feeling relieved because I have been coughing from (the use of my cpap?) for months now.

I do use Lisinopril but I am going to ask to get that medication switched. I am going to look into a different type of filter as I read that some people are allergic to the type of filters. I am also going to try to research the tubing options.

Wouldn't it be sad if the type of plastic in the tubing was making us all cough. I think the doctor's need to read these threads and realize something needs to be done about this, too many people having the same coughing problems. Hope to find some solutions I can share with you.

Nov 15, 2016
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QUESTIONABLE
by: Anonymous

I have ben a cpap user for two years and yes , I am getting more hours of steady sleep....I dread waking up because the coughing begins....for an our or so...Every day same old same old....Dr's who know little to nothing about Cpap therapy want to run tests that never have an answer,he prescribes medication that never works........Many people use these machines...The industry loves the sales and the user suffers with NO answers. Dr. Rosenberg in Prescott AZ has written many books on the subject that sells tons of these units but even he has no conclusive answers.....Is it about dollars or safety ? Are we developing a whole society of users that solve one problem that created another problem

Nov 15, 2016
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Coughing
by: Valerie

I have been on the CPAP machine for a tad over a month....that's when the coughing started. At first I was coughing in the middle of the night, until I began taking a cough drop right before I went to bed and having a bottle of water on the night stand.

I still cough during the day, though. Also clearing throat a lot. My machine has a heated humidifier which seems to be working. (BTW I am on Lisinopril as well, but, have been for years).

Along with the coughing I am wondering if anyone has used a mask sealer? Rezzzmed sells them. Its supposed to seal the mask all the more, you know, around your eyes,and at your chin. (I use a Quattro Air full face mask).
Any thoughts would be helpful!

Nov 24, 2016
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Coughing like a smoker.
by: Anonymous

I'm a cpap user for 8 years now. I have been coughing for a very long time. Never put two and two together till today.

I have been going to sleep with a cough drop in my mouth for many years. My coughing has gotten much worse (like I've been smoking for 50 years)

I googled cpap and coughing and came across this site. I found my answer!!!!! THANK YOU ALL FOR YOUR INPUT.

Mar 15, 2017
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cPAP - cough
by: Robin

Wow I am a new CPAP user and had no cough until I started using the machine. Now I sound like death warmed over. I have been using for about 3 1/2 weeks. i took steroids and antibiotics for a week and it didn't help. I have a dry cough and am hoarse. Waiting to hear back from my pulonary Dr. Seems like too many of us to be coincidental.


Mar 16, 2017
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Just began coughing
by: Anonymous

Have had my CPAP machine for months with no problem, then all of a sudden have started coughing at night so much so that it is impossible to rest. I am fine if I take the mask off but I can't go on like this! The company gave me a new hose and mask, and am wondering if the new materials are bothering me. How would I clean any mold out of the machine itself? I don't see any, but have read where others have and am concerned this may be cause for my coughing? Help! So sleepy during the day.

Apr 10, 2017
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The most annoying cough that won't go away.
by: Anonymous

I have had a chronic cough for maybe 20 years. I find when I am in a crowd with loud music, I seem to strain my voice to talk above the noise, which then turns in to a coughing frenzy and eventually, I am unable to speak for coughing. I also cannot sing a whole song through without starting to cough. Late last year, I discovered through a sleep test, that I had Severe Obstructive Sleep Apnea. I was really hopeful that once using the cpap machine for a few months, that My cough would disappear, however, after 4-5 months, no change. This is the one most annoying part of my life. I also cough if I am anxious and this is also a problem. I find this all so distressing.
I am still hoping that eventually this will be resolved with using my cpap machine. Quite often the cough is loose, especially in the mornings. Many people ask me if I smoke as it sounds a lot like a smokers cough. All X-Ray's come back normal.

Apr 21, 2017
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woke up with a cough that felt like I must have been chocking
by: debphome

using the Cpap for just about 5 wks. I woke up last night for the second time since using the machine started coughing out of the blue. it felt like I must have been chocking or maybe my airway suddenly was blocked, coughed for a little while and was able to go back to sleep.I called the sleep dept where I got the machine and they acted like they have never heard of such a thing! asked me to bring in my machine so they could read the chip and see if I may need more pressure during sleep or maybe less, I am only on a 3 setting now.
it does have heat with a humidifier. So frustrating to have to use something to prevent heart problems and still have to wake up with a cough.

Apr 21, 2017
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what machine do you use?
by: Ehf

For the people who switched from a good machine, to a bad machine and back to a good one, please share the make & model of the good machine and the bad. We need to see if the majority of people with the coughing and mucus are using the same machine. We also need to know make & model of machines that don't end up with a dry cough.

When I clean my machine I now use a non scented dish soap, much prefer (and maybe it helps) not to have a strong scent of soap after cleaning, especially in the tubing.

I sympathize with everyone, I have also had bouts with dry coughs.

Jun 12, 2017
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What machine, filter does not cause coughing?
by: Anonymous

I just started using the CPAP machine 3 days ago. Over the 3-day period I have developed symptoms of severe flu, and my xisting illness has worsened.

It started with a little sore throat and dry sinius the first morning, and overall exhaustion. I was a zombie. Well, I frequently feel like a zombie in the morning because I have fibromyalgia, but the medication has made a huge difference over the past year-and-a-half since diagnosis. That first day after CPAP, I just couldn't shake it, even with Aderall.

The second morning, I had a sore throat, and wheezy, gurgly lungs, a stiff neck, and a sharp headache. I put that down to the CPAP machine. I was also light-headed, with achey joints. THAT sounds like the flu. But I never get summer colds. My CPAP machine is made be ResMed. It has a humidifier, hose heater, and regular filter.

Even more disturbing, on the second morning, my crazy fibromyalgia symptoms came back — random, sharp pains in soft tissues, large areas of skin feeling sunburned, lower back on fire. AND to top it off, my MS symptoms kicked in — numb hands and vertigo. But by evening, I felt better.

Both MS and fibro symptoms can get worse when your immune system is in an uproar. Even symptoms you have learned to live with can quickly escalate and add to your misery. But this is a temporary reaction to your immune system going on red alert. Something to do with stress and neurotransmitters. They generally improve when you get over your flu, bronchitis, whatever.

So, what got my system in this state? Like an idiot, I just assumed that I was coming down with something, and used the CPAP again last night. Today, Day 3, I had to call in sick. You know what else can trigger a relapse or exacerbation? Allergies, or exposure to toxins.

Thank you all for posting your complaints about coughing, wheezing, sneezing and general misery, and more importantly, your CONCLUSIONS that some agent is at work, whether it's allergy-triggering compounds in the silicone, filters and equipment, or allergy-triggering mold and mildew. I can't tolerate any of those, and if I continue to stress my immune system, my other conditions will get worse. I do have moderate obstructive sleep apnea. And would love to know what equipment would NOT cause those symptoms.

My thanks also to the person who suggested that we alert our doctors to this problem. It is obviously not going away. And should NOT be dismissed put of hand! Some of you have had good experiences returning to your older equipment. Please share!

Jun 14, 2017
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CPAP causes dry mouth dry suit and it is a pain
by: Anonymous

I have tried all the CPAP mask I personally think it can cause coughing sore throat's you name it and a dry nose even if you do have a humidifier in it also screws up your face as far as getting it broken out this I was told by a dermatologist that CPAP mask cause a lot of problems on peoples faces it's a shame we have to use them

Jun 22, 2017
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sleep apnea implant therapy
by: Ehf

http://imtheramedical.com/sleep-apnea-implant/

see the link above. New therapy. I do not know anyone who has had this procedure. Maybe we should all pay attention to results for people who try this and keep it in mind. I like giving it some time before trying it myself.

Jun 28, 2017
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Hacking cough
by: Anonymous

After two months on CPAP I've been coughing since Thanksgiving. I did not cough with old machine years back. My mom has the older one and doesn't cough. I have constant sinus drainage and throat tingles, my sinuses start throbbing and tears start pouring and the cough is terrible, I'm exhausted from lack of sleep and coughing.

Jul 27, 2017
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CPAP and tickle cough
by: Lynne

issues with tickle cough compounded with use of CPAP. Issue when using CPAP my OSA registers higher than it should ... many tie to the coughing spells ... any ideas???

Aug 14, 2017
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Having the same issues
by: Janelle

I just started using a cpap and after years of being sleep deprived I was very excited and hopeful. It is not going well. It's been 2-3 weeks and It started with a scratchy throat. I honestly thought it was the wild fire smoke from Canada and other areas around Washington State...

Anyways I now cough so much in my sleep that I start gagging. I have had a headache for a few days and I feel horrible, I'm exhausted. I am clearing my throat constantly.

This is very alarming that this is so common and everyone's symptoms are the same. I'm calling my doctor tomorrow.

My machine is a Philips Respironics I am not familiar with the different types of masks but mine rests under my nose and is pretty comfortable but almost every morning I wake up with it on the floor and no memory of taking it off.




Sep 05, 2017
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Coughing and infections
by: Anonymous

I too just started the cpap. After 2 weeks I have a horrible cough, bronchitis and sinus infection. I called the doctor and told maybe the setting was to high.

She told me they did an extensive study and it is where the number should be a 12. I never knew that 1 or 2 nights with the mask was an extensive study.

What am I missing. Went to the doctor got z pack, steroids, and yes I am on lisinopril, have acid reflux, fibromyalgia, allergies, asthma, etc. I stopped using the machine and still have a horrible could. Tried the machine again and started coughing worse.

I am going to try it again and see what happens. Do not know what to do especially since the doctor states it okay. Yes I do smoke, but never had a cough like this until I started the cpap. I use the nose mask and wake up breathing thru my mounth. Going to try the full mask.

Sep 05, 2017
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stopped coughing
by: Ehf

After months of horrible coughing at night on CPAP went to an ENT and found out I had an infection in my maxillary sinus. Took a month of proper antibiotics to get rid of this. Also switched off of Lisinopril, to a different blood pressure medication, and quit smoking. After doing the combination of 3 things the coughing went away.

I also use an unscented dish liquid to wash the mask and tubing once a week, also clean the water chamber with the same weekly. Thought maybe the scent of the soap was a problem.

I wish you luck.

Sep 26, 2017
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Coughing after 8 years
by: Anonymous

Tickle cough started 4 days ago after 8 years of using a cpap machine...a year with the current one...resmed AirSense. Really wish we would get more updates on what worked for people to resolve this issue.

Oct 08, 2017
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CPAP Cougher?
by: Terri Orlando

I began using the Philips Resperinucs CPAP 3 weeks ago and have since developed this cough that feels like phlem is in my throat. I have never been a cougher, but this cough us on and off all day and night. It's a deep cough and it's starting to get concerning.

Yes, I take Lisinopril but have taken it for 8 years with no issues. I started with the nasal only mask then switched to the Amara View. Has anyone come up with a definite remedy or solution or should I go to the doctor?

Oct 14, 2017
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C-Pap Cough
by: Kathykmc

My husband has been on a C-Pap machine for at least 8 yrs. About 6 mos. ago he got a new ResMed AirSense 10 like I use. Mine is an Elite, his is an Auto set. I have to sleep with a sugarfree lozenge in my jaw due to dryness. Any tiny leak will cause dryness & occasionally I get phylm in the back of my throat.

But my husband, who also uses the thermal hose. (My whole mask I replace), But his has the replaceable part that snaps over a hard plastic piece. There have been 2 occasions where droplets of water come through the hose & he wakes up. The water level is not too high. He woke up at 3:00am 2 nights ago. I took the hose & mask to make sure all the water was out of the hose & found mold in the hard plastic part.

I turned his humidifier down from 4 to 3. He uses a lot more water per night than me--the whole thing-- where I use 1/3. On his settings he had his air temp on 72 degrees which would be fine, but we were in a hotel room where the temp was 69. He has had the cough since the new machine & did the throat clearing a lot.

This past week he had more hoarseness. The cough now has congestion & I am getting him to the doc. as soon as I can. He sounds like he has bronchitis. That mold & droplets has me really scared. With myself I do not use the thermal hose--it is heavier & I sleep better with the clear one. So make sure your filter is changed monthly, your hose is cleaned with hot soapy scent free Ivory Soap- b/c of allergies & that the mask is replaced ever so many mos.

Please check that if you have the hard clear plastic piece that attaches to your replaceable mask that touches your face has no mold. That high fluid, maybe w/mold can be dangerous. I only have go blow my nose several times in the morning.

My husband has med for acid reflux. I just now found out I have it, too, & had no symptoms. Keep checking your humidity level until right for you.

Oct 29, 2017
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First week on cpap
by: Anonymous

I have brand new cpap. This is my first week on the machine. I noticed after first few nights I was waking up feeling a bit stopped up and tickle in throat.

Today I woke up with a bad cough that has gotten worse throughout day. My eyes are also dry itchy but watery. I don't know if I am getting sick or if it is from machine. I thought humidifier was automatic. I have sterilized and reading book. I am hoping I have a slight cold and that it is not from machine. After reading posts am afraid it is machine.

I definitely did not have any allergy issues before starting treatment.

Nov 10, 2017
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Coughing an CPAP use
by: AnonymousMark

I started using CPAP macine in March of 2015. I don’t know if it is a coincidence, but I have had at least 6 different epidodes of a dry bronchial cough that have lasted on average about 5 weeks. I cough all day long unlike others who just seem to get it while using their CPAP. I use the nasal pillows myself.

I also have had bronchitis 3 timrs since starting on the CPAP Machine. I rinse my tubes and nose piece daily and super clean it once a week. I also change the filter frequently.

Could this be causing my conditions? I have never had bronchitis since my early twenties nor have I had a cough that has lasted nearly as long as now. I have slways been very healthy.

Nov 26, 2017
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C.R.A.P. Cough
by: Anonymous

I didn't have a cough until I started using the CPAC machine. Now I have had to quit using it do to the cough it has giving me. My doc X-Ray'ed my lungs and they are clear but I've got a cough that would wake the dead!

You know when they buy in the sleep apnea study and was told I needed one, I ask if they could ever remember one person that's came in that was t sold a machine. Nope! That alone told me that something wasn't right but I went against my better judgement and now have this terrible cough.

I'm heading for a specialist next week but think we were all sold a bill of goods!
MAJ Boyd USA (Ret.)

Nov 27, 2017
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cpap cough
by: Anonymous

can cpap use cause postnasal drip which causes coughing. i ope there is an answer as i have chronic heart disease and need to use machine...but have to take mask off to stop the coughing and have to sleep without it...not good

Jan 20, 2018
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Mucus problem.
by: Anonymous

I have been using a CPAP machine for two weeks. I am now choking on a lot of mucus all day long.

Does anyone have a solution for this? It is very annoying.

Jan 25, 2018
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Blood when waking
by: Anonymous

I woke up this morning and mucus from my sinuses when I coughed and spit it was phlegm with dark blood.

I don’t use water with my CPAP machine and I have been using it for 6 months now. Cannot use water because of COPD. Is this normal?

Jan 25, 2018
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I did have a cough
by: Ehf

Last year I had a horrible cough, post nasal drip, sinus issues. I'm not sure if the cpap machine use caused it or (I do know) it made all the symptoms worse.

After 3 months of getting no where with primary doctor and sleep medicine Dr. went to ENT specialist to find out I had a horrible sinus infection deep in maxillary sinus, took antibiotics for a month to get rid of this.

Quit smoking, changed from Lisinopril blood medication to other becuase Lisinopril can cause coughing, quit eating & drinking dairy (causes extra mucus) and switched soap I used to clean cpap machine to no fragrance. Clean machine weekly, change filters as needed, replace tubing mask as recommended.

I have no cough now, no post nasal drip. I definately need to use cpap every night, can feel the difference if I don't use it. I wish you well, I know how frustrating this can be.

Aug 15, 2018
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Same boat
by: Anonymous

Same boat as all of you. My cough started late last fall, seems to be getting worse. Wheezing, mucous (white). Use a ResMed machine. Was on HBP meds that made me cough, switched that out well before I started C-pap. Maybe ENT visit is what I need.

Don't cough at night, just pretty severe in the morning, more controlled during the day, but post nasal drip and clearing throat all day gives me a headache by end of day.

Sep 12, 2018
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cough
by: Anonymous

I have used a c-pap for 15 years. suddenly about nine months ago I got this God awful cough, have had all kinds of test even echo gram, took 3 kinds of inhalers and nothing has helped. I'm begging to wonder if this is also my problem.

Sep 20, 2018
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Yep I cough like crazy
by: Anonymous

Love sleeping by way of my Cpap, but it causes me to violently cough. No question about it. I need to fix this.

Oct 15, 2018
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CPAP cough
by: Anonymous

I have used the ResMed 10 for her for 4 yrs. not sure when cough started but it has gotten worse to the point my husband sleeps in the opposite end of the house.

I am hoarse, cough all night, sleep deprived and feel awful. My Family doctor has tried every medicine and referred me to a pulmonologist.

He has ran every test iminagable and took me off the CPAP and my cough was 50% better the first night. So far my sinus ct has shown a sinus infection. I am waiting on the rest of the test results.

I am desperate for help. I sound like I have smoked my whole life and I was never a smoker and people even avoid me because I sound like I have whooping cough.

Apr 22, 2019
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Cough
by: Laura S.

I cannot stand coughing, even when I have a cold. Actually I can't tell if it's a cold or not. It finally dawned on me I don't have any other cold symptoms. So i have figured out it from my CPAP. WHY do I need to the humidifier with machine? Didn't have one with old machine but that was years ago. Didn't have a cough problem then. For two nights I have not used my machine, my cough is better. So until i talk to my Dr. I'm not using it. Any thoughts.

Apr 22, 2019
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turn humidifier off or down
by: Eileen

use the machine but with the humidifier turned off or as low as it can go.

Sep 17, 2019
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In same boat
by: Anonymous

Started cpap (Resmed airsense 10) on Friday and by Monday afternoon I had a cough starting. Tried using nasal mask and after a few hours had to take off and sleep without it. Today I’ve been coughing all day and blowing my nose. I don’t know if i have a cold or it’s the machine. Ugh. One reason I didn’t want cpap was germs and illness. If this is due to the machine that was very quick. Frustrated.

Sep 18, 2019
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Still Coughing
by: Anonymous

I was diagnosed with Sleep Apnea in February 2019 & been sick with bronchitis twice & put on antibiotics, cough medicine Mucinex 12 hour & an inhaler. I still have a cough with some muscas in the morning after I wake up from using my C-pap & cough throughout the day. My voice is horse & sounds aweful. I never smoked & never had this cough before using the C-pap & makes me wonder with all the other people who posted here about their cough there is a big problem with the machine itself. I keep all my sleep apnea items clean & it doesn't make sense why everyone is coughing so much? I think this needs to be investigated. The sleep apnea machine is suppose to help & it's causing more health problems & the cost of going to the doctor, buying medicine to get better & not feeling well with the coughing.

Oct 13, 2019
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What to do?
by: Donna

Everyone talks about the problems but has anyone found a solution to the coughing at night. Would appreciate information that has helped people stop coughing!

Mar 05, 2020
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Tickle Cough
by: Anonymous

I am same as you all. I started having a tickle cough a bout 3 months into using my CPAP. I have been on Lisinopril for 2 years, and never had a cough until using CPAP. So, in my case, I believe it's the CPAP use. I wouldn't think the Lisinopril would begin causing a cough after 2 years.

Apr 04, 2020
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OMG, It’’s the C-PAP!
by: Dawn

I started my C-PAP therapy Jan. 2019 and did well. My BP went down enough to stop meds for 4 months! Then I developed a cough that First began after eating some foods like cookies that seemed to catch in my throat. That was in November.

My cough persisted, and was dry, "hitting" with no warning, mostly when talking. Then progressing to intermittent coughing throughout the day for no reason. Went to dr., she gave me reflux and post nasal drip meds, to no avail.

CPAP triggered cough, so i would use a cough drop at night, sometimes allowing me to wear the nasal pillows for a longer time. She changed my BP med from hydrclorothiazide (My idea) to amlodipine with no improvement. Cough is awful and embarrassing.

If i hadn’t had so for long, I’d think it might be COVID-19! Could this be permanent injury? I can’t go back (3rd time) to dr now. I should have gone to ENT on my own.Woke this am an thought-could it be CPAP& found you!
Is there any help for us? Sooo tired of coughing!

Apr 04, 2020
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Coughing
by: Anonymous

I have been using my CPAP for 1.5 yrs. I cough when I am first falling asleep. I hit the button that slows the pressure down a bit. Someti
Sometimes I cough in the Night.

Sure is good to read that others experience this same issue.


Aug 18, 2021
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Cough and sore throat NEW
by: Anonymous

I find that I have a cough and sore throat when using the cpap. My machine, hose and mask is sanitized every day with the So-Clean machine. I found that when it was so terribly hot and I didn't wear my cpap that I didn't have the problem. I am seriously thinking of sleeping without it again. Seems like a lot of people suffer from this.

Apr 03, 2022
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Coughing
by: Anonymous

I’ve been using the CPAP with the water in the humidifier for about four years now. I have had pretty much continuous coughing nachos while using the CPAP but also all during the day and evening for probably at least the past year. This really concerns me. The doctor gave me medication in case I had a GERD but I took it for two weeks and I did not make a difference.
I clean my machine regularly and change the filter as well
I do have a so clean machine but I am concerned about using it because I’ve heard of issues with it that can be harmful to your health. Has anybody came up with any remedies thus far further coughing issues?

Oct 16, 2022
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CPAP COUGH.. NEW
by: Sharon

Ive been using my machine for approximately 12weeks now, the 1st month was good, I hired my machine for that month to see how it would go before buying my own, so since doing this ive got this awful constant wheezing, phlegm and hacking cough... always worse 1st thing in the morning..Ive spoken to my sleep nurse and its like she dosent want to admit that the machine has caused this, i also went to the Dr, she was clueless also, just gave me a puffer which has done absolutely nothing, ive tried reducing the humidity down from 4 to 1 but no change... i really dont know what to do??

Jan 14, 2023
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CPAP COUGH
by: Jay

I also have been using CPAP for many years. All in a sudden I'm coughing within minutes of putting it on. Very annoying, I even tried cough syrup and cough drops. I have an upcoming doctor's appointment because my CPAP doctor recommended it. Your definitely not alone.

Feb 06, 2023
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Weird Cough
by: Anonymous

Ive been using my Bipap for over a year. I was sick in January 2023 and due to a sinus infection, didn't use my machine. When the infection cleared up, I continued not using thr machine for two weeks. Well 5 nights ago, after cleaning all my parts and the machine thoroughly, I started again. Now my cough is back. But here is the weird part. The butter colored phlegm Im coughing up, taste almost like what laundry detergent smells like. I had my re-rinse my hose, mask, humidifier and wipe down the machine with just a wet cloth and dry it. I dont understand this. And this isnt the first time this has happened. This happens everytime I stop using my machine for a few weeks and then go back to it. Coughing, rattling in chest, wheezing. And it always taste the same.

Full disclosure: this started happening after I had covid in August 2021. I used this same machine, under doctors orders during that timeframe but its been cleaned thoroughly since then several times.


Feb 07, 2023
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Coughing and CPAP
by: Anonymous

I’ve been using my CPAP machine for several years. Got a new Rez med about a year ago. Stopped using the machine for two weeks while I was healing from dental surgery did not cough the entire two weeks then once I started back using the machine back to coughing again. I don’t cough while I use the machine I cough after I’ve been using the machine Pretty much all day and through the evening.

Feb 24, 2024
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cough with cpap NEW
by: Anonymous

Feb 2024, started cpap mid december 2023 and few weeks into treatment started coughing during the day. Starts out in the morning like whooping cough sound, sometimes cough up clear thin mucus and cough decreases. During the day have an annoying cough off and on. Took cpap off in the middle of the night due to headache, woke up with less cough the next day. Purposely didn't wear cpap the following night and the cough went away. Started cpap again the following night and the cough came back the next morning. I am blaming the cpap machine. Went in for first followup appointment with sleep center and the NP said to decrease the humidity level. I have the ResMed 10. I have tried the automatic setting for heat and humidity and also tried various temperature and humidity settings. Still have the annoying cough. The NP said my apnea events are almost nonexistent, the fatigue is gone, but the cough is too annoying not to say embarassing like I have something contagious. I am considering trying the dentist for a mouth guard device. What are the sleep doctors and ResMed saying about this cough that people have.

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