{"id":26226,"date":"2011-02-02T10:37:14","date_gmt":"2011-02-02T14:37:14","guid":{"rendered":"http:\/\/dominicanewsonline.com\/dno\/?p=26226"},"modified":"2011-02-02T10:42:16","modified_gmt":"2011-02-02T14:42:16","slug":"health-talk-snoring","status":"publish","type":"post","link":"https:\/\/dominicanewsonline.com\/news\/homepage\/columns\/health-talk\/health-talk-snoring\/","title":{"rendered":"HEALTH TALK: Snoring"},"content":{"rendered":"<p><img loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-26227 alignleft\" title=\"Doc\" src=\"http:\/\/dominicanewsonline.com\/dno\/wp-content\/uploads\/2011\/02\/Doc.jpg\" alt=\"\" width=\"300\" height=\"225\" srcset=\"https:\/\/dominicanewsonline.com\/news\/wp-content\/uploads\/2011\/02\/Doc.jpg 300w, https:\/\/dominicanewsonline.com\/news\/wp-content\/uploads\/2011\/02\/Doc-150x113.jpg 150w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/>Many of us snore, but almost all of us who do will vigorously deny it except, of course, when we\u2019re caught on tape.<\/p>\n<p><strong>OVERVIEW<\/strong><\/p>\n<p>On your part or your partner\u2019s, loud and frequent snoring may seem unavoidable during your nighttime sleep time.\u00a0 But this nighttime \u2013 or daytime, for that matter \u2013 annoyance may indicate a more serious health condition, and may even disrupt your household and, yes, strain your relationships.<\/p>\n<p>About 33% (one third) of older adults snore.\u00a0 Snoring occurs when air flows past relaxed tissues in your throat, causing those tissues to vibrate as you breathe, creating hoarse or harsh sounds.<\/p>\n<p>To restore peace and quiet and domestic harmony, simple changes, such as losing weight or sleeping on your side can help.\u00a0 Now, laser surgery may reduce disruptive snoring.\u00a0 But of course, this is not suitable for everyone who snores, such as people with sleep apnea, a potentially serious disorder in which breathing stops and starts during sleep.<\/p>\n<p><strong>WHAT CAUSES SNORING?<\/strong><\/p>\n<p>As you doze off and progress from a lighter sleep to deep sleep, the muscles in the roof of your mouth (back part, the soft palate), tongue and throat relax.\u00a0 If those muscles in your throat relax enough, they vibrate and may partially obstruct your airway.<\/p>\n<p>The more narrowed your airway, the more forceful the airflow becomes.\u00a0 Tissue vibration increases, and your snoring gets louder.<\/p>\n<p>A low, thick soft palate or enlarged tonsils or tissue in the back of your throat (adenoids) can narrow your airway.\u00a0 Also, if the triangular piece of tissue hanging from the soft palate (uvula) is enlarged, airflow can be obstructed and vibration increased.\u00a0 Excessive weight contributes to narrowing of your throat tissues.<\/p>\n<p>Snoring can also occur if you consume too much alcohol before bedtime.\u00a0 Alcohol acts as a sedative, relaxing throat muscles.\u00a0 Chronic nasal congestion or a crooked partition between your nostrils (deviated nasal septum) may be the reason.\u00a0 Snoring may be an occasional problem, or it may be a habit.<\/p>\n<p>Snoring may be associated with sleep apnea.\u00a0 In this serious condition, excessive sagging of throat tissues causes your airway to collapse, preventing you from breathing.\u00a0 Sleep apnea breaks up loud snoring with 10 seconds or more of silence.\u00a0 Eventually the lack of oxygen and an increase in carbon dioxide signal you to wake up, forcing your airway open with a loud snort.<\/p>\n<p><strong>DO I NEED TO CHECK THE DOCTOR?<\/strong><\/p>\n<p>Well, the thing is, you may not be aware that you snore, but your partner is very likely aware.\u00a0 And it\u2019s not the most pleasant sound coming from someone next to you in bed.\u00a0 Many a marriage has left the bed and gone on the rocks for snoring.\u00a0 Seeing your doctor about it can benefit both of you.<\/p>\n<p>For you, snoring may indicate another health concern, such as sleep apnea, nasal obstruction, or obesity.\u00a0 For your partner, your seeking medical advice about your snoring may result in being able to get a restful night of sleep.<\/p>\n<p>If your child snores, check with your pediatrician.\u00a0 Nose and throat problems, and obesity often are underlying factors in your child\u2019s habitual snoring.\u00a0 Treating these conditions could help your child sleep better at night.<\/p>\n<p><strong>SCREENING AND DIAGNOSIS<\/strong><\/p>\n<p>The severity of your snoring can determine the best treatment.\u00a0 To diagnose its severity, snoring is graded from the bed partner\u2019s point of view:<\/p>\n<p>Grade 1: Heard only if you listen close to the face.<\/p>\n<p>Grade 2: Heard in the bedroom.<\/p>\n<p>Grade 3: Heard just outside the bedroom with the door open.<\/p>\n<p>Grade 4: Heard outside the bedroom with the door closed. (This is some serious snoring).<\/p>\n<p>Parents are asked about the severity of a child\u2019s snoring.\u00a0 As for the person who snores, doctor will do a physical examination and take a medical history (ask a bunch of questions).\u00a0 Your primary care doctor may then refer you to an ENT doctor or sleep specialist for additional studies and evaluation.\u00a0 In places where these exist, you may be required to stay overnight at a sleep center, where you undergo in-depth analysis of your sleep habits by a team of specialists.<\/p>\n<p><strong>ANY COMPLICATIONS?<\/strong><\/p>\n<p>Habitual snoring may be more than just a nuisance and a cause of daytime sleepiness.\u00a0 Untreated, persistent snoring may raise your lifetime risk of developing health problems such as diabetes, high blood pressure, and even heart failure and stroke.\u00a0 In children, snoring may increase their risk of attention-deficit \/hyperactivity disorder (ADHD).<\/p>\n<p><strong>TREATMENT<\/strong><\/p>\n<p>When lifestyle changes don\u2019t eliminate snoring, your doctor may suggest:<\/p>\n<p>Traditional surgery.\u00a0 The surgeon will tighten and trim excess tissues.\u00a0 The procedure reduces snoring intensity most of the time.\u00a0 Even though you are put to sleep to have it done, it can be painful afterward.\u00a0 You need to be in hospital for one to three days and need about two weeks to recover.<\/p>\n<p>Laser surgery.\u00a0 By a procedure called laser assisted uvulopalatoplasty (LAUD), a small hand-held laser beam is used to shorten the soft palate and remove the uvula.\u00a0 Removing excessive tissue enlarges your airway and reduces vibration.\u00a0 Treatments depend on the severity of your snoring.\u00a0 You may need two to five sessions, each lasting about 30 minutes.\u00a0 Treatments occur four to six weeks apart.\u00a0 This surgery isn\u2019t advised for occasional or light snoring, but it should be considered if your snoring is loud and disruptive.\u00a0 It is not recommended for sleep apnea.<\/p>\n<p>Radiofrequency tissue volume reduction (somnoplasty).\u00a0 This is where a low-intensity radiofrequency signal is used to remove part of the soft palate to reduce snoring.\u00a0 It\u2019s done as an out-patient procedure under local anesthesia (deadening of the site).\u00a0 Slight scarring of the soft palate results, which may help to reduce snoring.<\/p>\n<p>Dental devices and nasal strips.\u00a0 Dental devices are formfitting mouthpieces that help bring forward the position of your tongue and soft palate to keep you air passage open.\u00a0 Nasal strips help many to increase the area of their nasal passage, thereby enhancing their breathing.<\/p>\n<p>Continuous positive airway pressure (CPAP).\u00a0 In this case, one wears a pressurized mask over one\u2019s nose while one sleeps.\u00a0 The mask is attached to a small pump that forces air through your airway to keep it from collapsing.\u00a0 CPAP eliminates snoring and prevents sleep apnea.\u00a0 It is the preferable method of treating this latter problem, but it is cumbersome and uncomfortable.<\/p>\n<p><strong>WHAT YOU CAN DO FOR YOURSELF?<\/strong><\/p>\n<p>To prevent or quiet snoring, try these little tips.<\/p>\n<p>\u2022 If you\u2019re overweight, lose it.\u00a0 Excess weight is the most common cause of snoring.\u00a0 Flabby throat tissues are more likely to vibrate as you breathe.<\/p>\n<p>\u2022 Sleep on your side. Lying on your back allows your tongue to fall backward into your throat, narrowing your airway and partially obstructing airflow.\u00a0 To prevent sleeping on your back, try sewing a tennis ball in the back of your pajama top.\u00a0 Hey, whatever works, know what I mean?<\/p>\n<p>\u2022 Treat nasal congestion or obstruction.\u00a0 Allergies or a deviated septum can limit airflow through your nose, forcing you to breathe through your mouth, hence increasing the likelihood of snoring.\u00a0 Use and oral or spray decongestant for no more that three days in a row for acute congestion.\u00a0 Adhesive strips applied to your nose (you\u2019ve seen these on TV) widen nasal passages and may help to reduce congestion or obstruction.\u00a0 Surgery may be needed to correct a deviated septum.<\/p>\n<p>\u2022 Limit or avoid alcohol and sedative.\u00a0 These depress your central nervous system, causing excessive relaxation of muscles, including the tissues in your throat.\u00a0 In addition, they can increase the duration of stoppages of breathing by blunting the brain\u2019s ability to arouse from sleep and restart breathing.<\/p>\n<p>Bet you never thought a discussion on snoring could be so stimulating.\u00a0 Just one of the small wonders of medicine.<\/p>\n<p>See you next week. For those of you who had questions about the menopause article, I\u2019ll see what I can do next week; I\u2019m kind of pressed for time right now.<\/p>\n<p><em><strong>Dr. Victor Emanuel has been an educator of medical                       professionals  in training, and the public, for over 20  years    in                   Dominica. The contents of his articles are  based   on    facts   and     research          conducted, and not of  his   opinion.<\/strong><\/em><\/p>\n","protected":false},"excerpt":{"rendered":"Many of us snore, but almost all of us who do will vigorously deny it except, of course, when we\u2019re caught on tape. OVERVIEW On your part or your partner\u2019s, loud and frequent snoring may seem unavoidable during your nighttime&#8230;","protected":false},"author":15,"featured_media":26227,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_cbd_carousel_blocks":"[]","footnotes":""},"categories":[49],"tags":[],"class_list":["post-26226","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-health-talk"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.6 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>HEALTH TALK: Snoring - Dominica News Online<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/dominicanewsonline.com\/news\/homepage\/columns\/health-talk\/health-talk-snoring\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"HEALTH TALK: Snoring - Dominica News Online\" \/>\n<meta property=\"og:description\" content=\"Many of us snore, but almost all of us who do will vigorously deny it except, of course, when we\u2019re caught on tape. 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