This topic is about a person with an ileostomy who uses a CPAP machine and experiences their pouch inflating with air overnight. They are curious about why this happens and how to manage it. Here are some helpful insights and advice:

1. The main reason for the pouch inflating is excessive swallowed air, known as aerophagia. CPAP machines can make this worse for those who tend to swallow air while sleeping.

2. It's a good idea to review your diet. Foods and drinks that produce gas, like milk and other dairy products, can make the pouch inflate more at night.

3. The type of mask you use with your CPAP machine can make a difference. Nasal-only masks are better at reducing mouth breathing and air swallowing, while full-face masks might increase it.

4. Consider using a chin strap with your CPAP machine. This can help keep your mouth closed and limit the amount of air that enters your stomach.

5. If swallowing air continues to be a problem and becomes unbearable, it might be worth discussing your CPAP pressure settings or exploring alternative sleep apnea treatments with your sleep specialist. In some cases, stopping CPAP use might be necessary.