Is your snoring keeping your partner up? One simple remedy to try is to sleep on your side instead of on your back as some people snore, or snore heavily only when sleeping on their back.
In Singapore, up to 24% of the population are loud habitual snorers.
Snoring is caused by the vibration of tissues lining the upper air passages. Snoring in most people is due to multiple factors, each playing some part in the snoring process.
“Frequent snoring is likely to affect the quantity and quality of your sleep, as well as that of your partner. This can lead to daytime fatigue, irritability, increased health issues, and in the long run, major relationship problems,” says Clinical Associate Professor Toh Song Tar, Senior Consultant from the Department of Otolaryngology - Head & Neck Surgery, Sleep Centre, Singapore General Hospital (SGH), a member of the SingHealth group.
8 Ways to stop snoring naturally
Losing weight can help reduce the amount of fatty tissue around the neck and the muscles of the throat and tongue, thus reducing your likelihood of snoring.
Alcohol can cause both excessive muscle relaxation and swelling of the soft tissues. Alcohol can also change the sleep architecture (pattern) of sleep and cause frequent awakenings and sleep disruption.
Certain sleeping pills may cause the upper airway to relax and lead to snoring.
Smoking can cause swelling and irritation of the airway soft tissues which causes snoring.
Having a stuffy nose makes inhaling difficult, creating a vacuum in your throat that could lead to snoring. For patients with nasal allergies, reducing allergens like dust-mites and pet dander around the bedroom is important.
Bedsheets, pillows, fans & air-conditioning units should be cleaned regularly. Excessive decorations and carpets should be avoided in the bedroom. Initial treatment of allergic rhinitis with nasal sprays or oral antihistamines can be done by a family physician.
Treatment of nasal congestion can improve the severity of snoring, subjective sleep quality and reduce sleepiness, but snoring in adults is often due to obstruction at multiple levels including the throat and tongue, which will require further evaluation and treatment.
Over the counter nasal breathing strips and nasal dilators may help improve nasal airflow in some patients, but do not adequately treat snoring or sleep apnoea for most patients.
Following a routine of exercising regularly and going to bed at the same time may help minimise snoring.
Sleeping on your back is more likely to cause your tongue and soft tissues to drop backward and obstruct your airway. In some patients, sleeping on the side, or slightly propped up can reduce this collapse and relieve symptoms.
Ensuring that the pillow and mattress is of the right height and consistency can help with side sleeping. Positional therapy devices such a tennis ball or pillow strapped to the back of the shirt may help maintain side sleeping.
However not all patients respond to positional therapy, nor can everyone maintain side or propped up sleeping positions. Thus, patients should still seek evaluation if they symptoms and follow up with their healthcare provider to monitor for symptom response to positional changes.
Myofunctional therapy is a set of exercises designed to strengthen the muscles of the tongue and throat. These exercises are thought to improve muscle tone and thus reduce collapse due to muscle weakness of the tongue and the throat in some people.
Though response to myofunctional therapy varies from individual to individual, the exercises can be done safely and easily.
As a snorer, be considerate to your partner!
If you snore, these small steps may ease your partner’s sleep:
If YOU are the affected partner, this is how to use ear plugs effectively:
How to differentiate snoring from obstructive sleep apnoea (OSA)?
Consult your physician if you have loud snoring. Your physician may then refer you to a Sleep Centre for a thorough evaluation of your problem.
Evaluation of obstructive sleep apnoea includes a:
Thorough sleep history.
Physical examination and sleep study.
Good history consisting of sleep patterns and presence of any snoring or day time sleepiness.
Examination of the airway via an endoscope to assess for any narrowing of the airway.
Evaluation usually involves an overnight sleep study. Here, there are two options: an inpatient overnight diagnostic polysomnography (PSG) test in a sleep laboratory, or a portable home sleep test (HST).
Given the possible long-term complications of obstructive sleep apnoea, it is important for you to follow-up with appropriate treatment once diagnosed.
The management of obstructive sleep apnoea is multidisciplinary in nature, and may involve specialists from medical specialties such as otolaryngology and respiratory medicine to dental specialties such as oral and maxillofacial surgery and orthodontics.
Click this link for common causes of snoring and how to identify if it's a sleep disorder.
Click this link for conditions related to sleep apnoea and snoring treatments.
Ref: G25 (ed)