Snoring and Breathing Issues: When to See an ENT Specialist

Snoring during sleep?

Hello Dr.
Chen: I have been suffering from chronic sinusitis since my teenage years, but I have not received any medication for it.
In recent years, I have noticed that my breathing is not very smooth while sleeping at night, and I often alternate breathing through each nostril (especially when the weather is colder).
My husband tells me that I snore loudly, but I am not aware of it myself.
Given my situation, do you think I need to see a specialist? If so, which department should I consult? Thank you!

Xiao Yu Er, 30~39 year old female. Ask Date: 2001/02/05

Dr. Chen Junliang reply Otolaryngology

There are many reasons for loud snoring, such as nasal congestion, enlarged tonsils, and hypertrophy of the soft palate and uvula.
You also mentioned that breathing through your nose and ears is not very smooth, which is likely due to nasal obstruction.
Therefore, it is essential to visit an otolaryngology clinic for an accurate diagnosis to receive appropriate treatment.

Reply Date: 2001/02/05

More Info

When it comes to snoring and breathing issues, especially in the context of a history of chronic sinusitis, it is essential to consider the potential underlying causes and the appropriate steps to take for evaluation and treatment. Given your symptoms of difficulty breathing at night, alternating nasal airflow, and loud snoring, it is advisable to consult with an Ear, Nose, and Throat (ENT) specialist.

Chronic sinusitis can lead to nasal obstruction, which may contribute to your breathing difficulties during sleep. The inflammation and swelling of the nasal passages can result in a condition known as nasal congestion, which can exacerbate snoring and obstructive sleep apnea (OSA). OSA is characterized by repeated episodes of partial or complete blockage of the airway during sleep, leading to disrupted sleep patterns and potential health complications.

In your case, the following steps are recommended:
1. Consult an ENT Specialist: An ENT specialist can perform a thorough examination of your nasal passages, throat, and airway. They may use endoscopy to visualize the nasal cavity and sinuses, allowing them to assess for any structural abnormalities, polyps, or other issues contributing to your symptoms.

2. Sleep Study: If OSA is suspected, the ENT may recommend a sleep study (polysomnography) to monitor your breathing patterns, oxygen levels, and sleep stages during the night. This test can help determine the severity of any sleep-disordered breathing and guide treatment options.

3. Treatment Options: Depending on the findings, treatment may include:
- Medications: Nasal corticosteroids, antihistamines, or decongestants may be prescribed to reduce inflammation and improve nasal airflow.

- Surgery: In cases where structural issues (such as deviated septum or nasal polyps) are identified, surgical intervention may be necessary to improve airflow and alleviate symptoms.

- Lifestyle Modifications: Weight management, positional therapy (sleeping on your side), and avoiding alcohol or sedatives before bedtime can also help reduce snoring and improve breathing during sleep.

4. Follow-up Care: Regular follow-up appointments with your ENT specialist can help monitor your condition and adjust treatment as needed. If your symptoms persist or worsen, further evaluation may be warranted.

In summary, given your history of chronic sinusitis and current symptoms of snoring and breathing difficulties, it is important to seek evaluation from an ENT specialist. They can provide a comprehensive assessment and develop a tailored treatment plan to address your concerns and improve your quality of sleep and overall health.

Similar Q&A

Which Specialist to See for Snoring Issues During Sleep?

If you snore continuously while sleeping and it affects your mental well-being, leading to reluctance to sleep due to fear of disturbing others, you should consider consulting an Ear, Nose, and Throat (ENT) specialist. Thank you!

Dr. Zheng Jueyi reply Otolaryngology
Hello, Xiao Xin: Depending on the hospital, you can first schedule an appointment with either the Otolaryngology Department or the Pulmonary Medicine Department to evaluate the issue of snoring. Wishing you safety and health. Sincerely, Dr. Cheng Jue-Yi, Director of the Otolaryng...

Understanding Snoring: When to Seek Medical Help for Sleep Issues

A family member (69-year-old mother-in-law) snores very loudly during sleep, and it is almost constant throughout the night. Upon waking, she feels her throat is quite dry or experiences pain and discomfort. She wants to seek medical attention for improvement but is unsure which ...

Dr. Wang Zhenyang reply Psychiatry
Thank you for your message! Regarding the issue of snoring during sleep, you can seek assistance from a hospital that has a specialized sleep clinic or sleep center. Through a collaborative consultation with various specialists, you can find the most suitable treatment approach. ...

Should You See an ENT or Pulmonologist for Sleep Breathing Issues?

Hello, Doctor: I previously inquired about this issue—may I ask if I should first see an otolaryngologist, and should I also consult a pulmonologist at the same time? Thank you for your response.

Dr. Zheng Jueyi reply Otolaryngology
Dear Mr. Chuang, Hello, you can have a consultation with both departments at the same time to consider the opinions of both specialists. Wishing you health and safety. Sincerely, Dr. Cheng Jue-Yi Director, Department of Otolaryngology Taoyuan Hospital, Ministry of Health ...

Understanding Neck Pain: When to See an ENT Specialist

You should see a specialist in neurology or an ear, nose, and throat (ENT) doctor.

Dr. Zheng Jueyi reply Otolaryngology
Hello: You can first visit the ENT department or the Family Medicine department for an examination. Wishing you safety and health. Sincerely, Dr. Cheng Jue-Yi, Director of the ENT Department, Taoyuan General Hospital, Ministry of Health and Welfare.