Do you snore?
If you do - you are not
Habitual and intermittent snoring is reported to affect
34% of the adult population.
should you be concerned?
you also suffer from some of the following symptoms.
You maybe also
suffering a Sleep Disordered Breathing Condition called
Obstructive Sleep Apnea
·Do you snore loudly.
·Do you snore
·Have you or
your partner moved to another bedroom.
·Do you suffer
excessive daytime sleepiness.
dosed off while driving.
·Do you fall
asleep at meetings, reading or watching TV.
drowsy in the afternoon.
·Do you feel
tired after lunchtime.
·Do you choke
or gasp during sleep.
·Have you been
told you hold your breath during sleep.
woken short of breath during the night.
restless during sleep.
·Do you have
toilet visits during the night.
·Do you suffer
heart burn (indigestion) at night..
·Are you tired
upon waking. (lethargic, no energy)
·Do you suffer
irritable on waking in the morning.
·Do you suffer
from High Blood Pressure.
If in addition to snoring you suffer some
of the above quality of life, medical
You are not only noisy at night and disturb others,
but your health may also be suffering from your snoring.
Habitual Snorers have now been shown
to have a higher incidence of High Blood Pressure and an increased
risk of suffering a stroke.
You should discuss your problems
with your Doctor or Dentist. There are now simple non invasive
medically / scientifically proven treatments
Your Doctor or Dentist may refer you to a Respiratory Sleep
Physician who specializes in Sleep related disorders. Over the last
10-15 years medical research into sleep has received increasing
and monitoring equipment have been developed to determine the
quality of a persons sleep patterns.
With these developments it has now been found that people are
suffering daytime quality of life problems and medical conditions
that are being caused by their sleep patterns and need medical
What causes snoring?
Snoring is a noise generated by vibration of the soft or floppy
parts at the back of the throat, on breathing in, while
as you fall asleep, as you relax, your throat relaxes and as you
relax more, or if you are lying on your back, the airway becomes
smaller and the airflow becomes turbulent causing vibration
primarily of the uvula and soft palate.
throat that collapses diring the night and blocks
Often people who suffer intermittent snoring episodes can
control the problem by;
increase in weight. People gain weight on the inside as well as
outside, particularly around the neck which can narrow the
Alcohol. Alcohol causes greater muscle relaxation of airways
during sleep than normally happens.
sleeping body position. Sleep on the side. Sleeping on the back
can restrict the airways of the throat.
treat colds or allergies that can cause “stuffiness” leading to
There are some
people who have structural variations to their jaw, throat, face or
nose that can affect the upper airways and cause
can also affect people as they get older especially the male as he
gets older the testosterone levels drop and the estrogen take over
and causes loss of muscle tone in the throat causing collapse when
they relax during sleep.
Intermittent snoring usually only causes
partial obstruction to airflow (50% obstruction is called an
hypopnea). But even this can affect the amount of
blood/oxygen the body is getting during sleep, leading to
morning headaches and daytime sleepiness.
snoring can lead to complete block to breathing during sleep,
evidenced by choking or gasping during sleep.
called OBSTRUCTIVE SLEEP APNEA (OSA).
OBSTRUCTIVE SLEEP APNEA
OSA is characterized by repetitive episodes of upper airway
obstruction that occurs during sleep, usually associated with a
reduction in blood oxygen.
(the brain is deprived of oxygen)
OSA syndrome is an important medical disorder that warrants active
investigation by means of a clinical evaluation and polysomnography
sleep study. Treatment is essential, not only to improve the
symptoms that include snoring and sleepiness, but also to prevent
the development of cardiovascular complications.
The main problem with OSA is the effect on
blood oxygen levels in the body. If we cannot inhale air, oxygen
levels are reduced. The brain while we are asleep senses the lack
of oxygen and stimulates the body to wake up (called an arousal).
Breathing returns to normal till the next blockage.
In people with severe OSA these arousal’s can happen up to 400
times per night. The nights sleep is very disrupted, resulting in
excessive daytime sleepiness, confused states, headaches etc the
Often the problem is first noticed by the
person’s sleeping partner who notices that in addition to snoring
the sufferer has periods of non breathing and lie awake fearful
that breathing will not start again.
Unfortunately the sufferer
normally does not wake long enough to remember in the morning they
have had the events. All they know is that they awake tired
This continual arousal pattern ever night has an adverse effect on
the sufferer’s day time activity levels and quality of life and
often leads to cardiac and blood pressure problems.
Chronic Daytime Sleepiness is
really a medical condition and can lead to increased car accidents,
work accidents and sick days.
Not to mention the affect
on the sleeping or non sleeping partner and others in the
in addition to OBSTRUCTIVE SLEEP
APNEA there is CENTRAL SLEEP APNEA.
OBSTRUCTIVE SLEEP APNEA -CENTRAL SLEEP
Obstructive sleep apnoea is the more common type of sleep
apnoea, earning its name because it's characterized by an
In central sleep apnoea, which
is more difficult to treat, the airway isn't blocked. Instead, your
brain periodically fails to trigger your body's normal breathing
reflex, resulting in breathing stoppages. (CPAP or BiPAP are the
only treatments for this type of condition)
Some people may have mixed
apnea — a combination of obstructive sleep apnoea and central sleep
apnea. In all these types, breathing is interrupted, usually
between 10 and 30 seconds at a time, until you rouse to a lighter
level of sleep or brief wakefulness. Breathing resumes, but after
you again fall asleep, the cycle continues.
Sleep apnoea is
most common after middle age — and particularly among those who are
overweight — but it can also affect children. Many people may be
unaware of their condition.
“Snoring is more than a
SURGERY Surgery should always be a last resort in
your effort to stop snoring. Being invasive there is always the
chance of post complications and pain. While in the short term it
may reduce the sound of snoring it will not help underlying
Obstructive Sleep Apnea symptoms. There are several surgical
procedures available for snorers. Uvulopalathopharyngoplasty
involves removing excess throat tissues such as tonsils and parts
of the soft palate to expand the airway. There is also
laser-assisted uvuloplatoplasty (LAUP), which uses a laser to
remove part of the uvula and palate. More than one session may be
needed with LAUP.Another relatively new surgical procedure,
somnoplasty, shrinks excess tissue via very low levels of
radiofrequency energy. The tissue is then naturally reabsorbed by
the body. Performed under local anesthesia in less than 10 minutes,
somnoplasty is designed to minimize the bleeding and pain
associated with other techniques.An even newer type of procedure
using radiofrequency energy is called coblation-channeling. Unlike
somnoplasty and others which heats or shrinks tissue,
coblation-channeling clears blocked airways by both shrinking and
removing tissue. Doctors can also inject sclerosing liquid into
soft palate tissue to cause irritation and scarring. This tightens
the soft palate, making it less likely to rub against the tongue or
tonsils and cause snoring. ·If snoring stems from the nose, nasal
surgery to remove obstructions in the nose or to correct a deviated
septum may also help you stop snoring."The drawback is that
although in the short term (surgical procedures) may be very
effective, overtime , most people are snoring again,"