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SnoringDefinition Snoring is a loud, hoarse, or harsh breathing sound that happens while you are asleep.Considerations Snoring is common in adults and usually is not an indication of an underlying disorder. Sometimes, however, snoring can be a sign of a serious sleep disorder called sleep apnea. This means you have periods when you are not breathing for more than 10 seconds while you sleep. These periods of "apnea" are indicated by a long period of silence just after you have been snoring. They are followed by a sudden snort or gasp when breathing resumes. Then, snoring starts all over again. If you have sleep apnea, this cycle generally happens several times a night. The major risk from this condition is stroke due to episodes when your brain is not getting enough oxygen. If sleep apnea is suspected, your doctor (or a sleep specialist) can test you for it by doing a sleep study either at home or in a hospital setting. Common Causes In most people, the reason for snoring is not known. The following are potential causes other than sleep apnea:
Home Care The following can reduce snoring:
Call your health care provider if Call your doctor right away if you awaken at night confused. Also call your doctor if you have:
Children with chronic snoring should also be evaluated for apnea. Sleep apnea in children has been linked to growth problems, ADHD, poor school performance, learning difficulties, bedwetting, and high blood pressure. Most children who snore do NOT have apnea, but a sleep study is the only reliable way to tell for sure. What to expect at your health care provider's office Your doctor will ask questions to evaluate your snoring and perform a physical exam, paying careful attention to your throat, mouth, and neck. Questions may include the following (some of which your partner might have to answer):
Referral to a sleep specialist for sleep studies may be needed. Treatment options include:
References Tung A. The Biology and Genetics of Obesity and Obstructive Sleep Apnea. Anesthesiol Clin North America. 2005; 23(3): 445-461. Goh YH. The physiologic impact of sleep apnea on wakefulness. Otolaryngol Clin North Am. 2003; 36(3): 423-435, v. Illustrations
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