Snoring: Causes and Solutions for Better Sleep - Otolaryngology

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Snoring during sleep?


Hello, Doctor.
I find it troubling that I snore whether I'm sleeping lying down or napping on my desk.
I previously underwent testing, but the facility said I do not have sleep apnea.
However, I still feel tired every day regardless of how much sleep I get.
I have allergies that cause nasal congestion, and a doctor previously mentioned that I have enlarged tonsils.
I would like to understand if this could be the cause and if it can be treated.
Thank you!

Wei Ni, 20~29 year old female. Ask Date: 2022/01/06

Dr. Li Jiaxuan reply Otolaryngology


Snoring and sleep apnea can both lead to a decrease in blood oxygen levels, but the severity may vary.
Based on your description, it seems that snoring and nasal congestion are affecting your sleep quality.
Surgery or weight loss should have a certain degree of effectiveness, but we do not have your sleep study report.
It is recommended that you return to the sleep clinic for evaluation and treatment.

Reply Date: 2022/01/06

More Info


Snoring is a common issue that can significantly impact sleep quality, both for the person snoring and for anyone sharing the sleeping space. Understanding the causes of snoring and exploring potential solutions can lead to better sleep and overall health.


Causes of Snoring
1. Anatomical Factors: The structure of your mouth and throat can play a significant role in snoring. Enlarged tonsils or adenoids, a thick soft palate, or a long uvula can obstruct airflow during sleep, causing vibrations that result in snoring sounds. In your case, the mention of enlarged tonsils could be a contributing factor.

2. Nasal Issues: Allergies, sinus infections, or a deviated septum can lead to nasal congestion, making it difficult to breathe through your nose. This can force you to breathe through your mouth while sleeping, increasing the likelihood of snoring. Your history of nasal allergies and congestion could be exacerbating your snoring.

3. Sleep Position: Sleeping on your back can cause the tongue to fall backward into the throat, leading to airway obstruction. This is why many people snore more when lying on their backs.

4. Weight: Excess weight, particularly around the neck, can put pressure on the airway, leading to snoring. If you are overweight, losing weight may help reduce snoring.

5. Alcohol and Sedatives: Consuming alcohol or sedatives before bed can relax the throat muscles, increasing the likelihood of snoring.

6. Age: As people age, the throat muscles become weaker, which can contribute to snoring.


Solutions for Better Sleep
1. Address Allergies: Since you mentioned having nasal allergies, managing these allergies can significantly improve your breathing at night. Consider using antihistamines or nasal sprays as recommended by your doctor. Keeping your sleeping environment clean and free of allergens (like dust mites and pet dander) can also help.

2. Consult an ENT Specialist: Given your history of enlarged tonsils, it may be beneficial to consult an Ear, Nose, and Throat (ENT) specialist. They can evaluate whether surgical options, such as tonsillectomy, are appropriate for you.

3. Change Sleep Position: Try to sleep on your side instead of your back. You can use a body pillow to help maintain this position throughout the night. There are also specialized pillows designed to encourage side sleeping.

4. Maintain a Healthy Weight: If applicable, losing weight can help reduce the fatty tissue around your neck and decrease snoring.

5. Limit Alcohol and Sedatives: Avoid consuming alcohol and sedatives before bedtime, as they can relax your throat muscles and worsen snoring.

6. Practice Good Sleep Hygiene: Establish a regular sleep schedule, create a relaxing bedtime routine, and ensure your sleep environment is conducive to rest (dark, quiet, and cool).

7. Use Nasal Strips or a Humidifier: Nasal strips can help open your nostrils and improve airflow. A humidifier can also help keep your nasal passages moist, reducing congestion.

8. Consider Oral Appliances: In some cases, dental devices designed to reposition the jaw and tongue can help keep the airway open during sleep.


Conclusion
Snoring can be a frustrating issue, but understanding its causes and implementing some of these solutions can lead to better sleep quality. If your snoring persists despite trying these strategies, or if you experience excessive daytime sleepiness, it may be worth revisiting a sleep specialist for further evaluation. Sleep is essential for overall health, and addressing snoring can significantly improve your quality of life.

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