Most
people don't take snoring
seriously. But maybe they
should.
Those nocturnal snorts, whistles
and wheezes can actually cause
serious problems -- for your
health and your relationships
if your snoring keeping others
awake at night.
Snoring affects a surprisingly
large number of people. The
National Sleep Foundation
(NSF) estimates that nearly
one in three snores occasionally,
and 37 million are habitual
snorers.
"Primary snoring is a pretty
common entity," said Dr. Bradley
Rowens, director of the Michigan
Institute for Sleep at St.
John Providence Park Hospital,
in Novi, Mich. "Probably 40
percent of males between 30
and 60 years old, and probably
30 percent of women in that
age group snore."
Sometimes, snoring is a sign
of a more serious problem
-- obstructive sleep apnea.
In sleep apnea, people actually
stop breathing for several
seconds. This disorder can
contribute to high blood pressure
and even cause stroke, according
to the
National Institutes of Health.
However, it can be hard for
the average person to distinguish
between heavy snoring and
apnea, according to Susan
Zafarlotfi, clinical director
of the Institute for Sleep-Wake
Disorders and The Breath and
Lung Institute at Hackensack
University Medical Center,
in New Jersey. For that reason,
anyone who habitually snores
should see their doctor or
a sleep specialist to determine
if the problem is sleep apnea,
rather than ordinary snoring,
she said.
Rowens said primary snoring
is typically a regular, monotonous
sound -- "a sawing-wood type
of noise, not punctuated with
stopping breathing, squeaking
or gasps."
For most people, snoring
doesn't pose a great health
risk, although the NSF said
snoring can disrupt your sleep
to the point where you may
experience headaches, fatigue
and concentration problems
during the day. For your partner,
however, their lack
of sleep -- called environmental
insomnia -- can cause these
symptoms and more.
"Snoring definitely causes
difficulties for the partner,"
said Zafarlotfi, who added
that most people come in to
have their snoring evaluated
after prompting from their
partner.
Snoring occurs when the airway
becomes partially blocked.
The noise originates in the
back of the mouth where the
tongue, uvula, upper throat
and soft palate meet. If these
structures rub together, the
resulting noise from the vibrations
creates snoring.
Common causes of snoring
are excess weight, which narrows
the airway making it more
likely that the parts will
rub together; nasal congestion,
either from allergies or a
cold; alcohol or sedating
medications that relax the
airways; or anatomical defects,
such as a deviated septum.
Treatments for snoring often
depend on the cause. If enlarged
adenoids or a deviated septum
are causing your snoring,
surgery may be necessary.
However, most doctors recommend
lifestyle changes first. These
include losing weight, exercising
more and eliminating alcohol
and other sedating drugs before
bedtime.
"Weight is a big issue, because
excess weight narrows the
airway," said Zafarlotfi.
Quitting smoking is also
helpful, according to Rowens.
For many people, making sure
they don't sleep on their
back does the trick. To keep
yourself from rolling onto
your back in the middle of
the night, Rowens suggests
sewing a tennis ball into
the back of your pajamas.
If nasal congestion is the
cause of your snoring, nasal
decongestants or antihistamines
to control your allergies
may help. However, antihistamines
can also contribute to the
problem because many are sedating.
Rowens said that nasal dilating
strips are helpful for some
people.
There are also dental devices
that help keep the tongue
in place to prevent snoring,
Rowens said. And, new procedures
are being developed all the
time. The latest involves
inserting small rods into
the back of the throat, stiffening
the soft palate and making
it less likely to vibrate,
he said.
If your snoring is caused
by sleep apnea, the gold standard
of non-surgical treatment
is called CPAP (continuous
positive airway pressure),
Zafarlotfi said. Using a specially
designed nasal mask or pillows,
CPAP delivers air into the
airway, with the flow of air
creating enough pressure when
you inhale to keep the airway
open, according to the American
Academy of Otolaryngology
- Head and Neck Surgery.
Other treatments aren't
generally recommended, because
they can stop the snoring,
but the apnea is still present.