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  • drgoelmanoj@yahoo.co.in
Dr. Manoj K Goel
Director & Head
Dept of Pulmonology, Critical Care & Sleep Medicine
Fortis Memorial Research Institute,Gurugram(Delhi & NCR)

Q1)What is snoring?

Snoring is the sound you make when your breathing is blocked while you are asleep. The sound is caused by tissues of upper airway that strike each other and vibrate.

 

Q2)What causes snoring?

 

Snoring is common, especially among  people who are overweight.  It is also caused be blockage in the nose caused by a deformed nasal septum and nasal polyps. Structural abnormalities like swollen tonsils, large tongue, abnormalities in the bones of face can cause obstruction to flow and snoring.  Use of sleeping pills, antihistamines, or alcohol at bedtime may cause increase in snoring. Sometimes snoring can be a sign of a serious sleep disorder called sleep apnea.

Q3) What is sleep apnea

Apnea literally means "cessation of breath."  Sleep apnea means you have periods in which you completely or partly stop breathing for more than 10 seconds while you sleep. This state of not breathing can occur up to hundreds of times a night in some people..

Q4) How snoring could be dangerous?

Snoring is the most common symptom of sleep apnoea which causes repeated fall in oxygen content in blood. Sleep apnoea can contribute to serious complications like uncontrolled hypertension, heart attacks, uncontrolled diabetes, cardiac rhythm disturbances, strokes, faster aging, sudden death during sleep and psychosomatic disorders like depression, irritability, impotency, lack of concentration.  As the night time sleep is disturbed, there is excessive daytime sleepiness which causes work place inefficiency and also increased risk of accident while driving.

Q5) Do I need to see a doctor if I am snoring?

Contact your doctor if your snoring is loud and sleep is disturbed by any of the symptoms like choking sensation, pauses in breathing and frequent awakening along with excessive daytime sleepiness at inappropriate times. You may often be unaware of symptoms which are usually noticed by other family members.

 

 

Q6)Is it simple snoring or sleep apnea?

On the basis of detailed clinical history and examination, your doctor will advise a sleep study to determine whether you have simple snoring or sleep apnoea.  Sleep study also called aspolysomnography is a test that records several body functions during sleep, including brain activity, eye movements, oxygen levels, heart rhythm, breathing pattern, the flow of air through your mouth and nose, snoring, body muscle movements, and chest and belly movement.

Q7) How Sleep Study is done?

Sleep study is usually done by a trained sleep lab technician .The studies are usually scheduled for  nightduring the hours you normally sleep in a special  quiet room.  The technician will apply certain sensors in your body with some small amount of glue and tapes.  The technician will be in a separate room checking the recordings.If you have sleep apnea, you may wear a mask that is connected to a continuous positive airway pressure (CPAP) machine. The mask fits over your nose or over both your nose and mouth. The CPAP machine delivers air to keep your upper airway more open for breathing comfortably.

Q7)Is there any treatment for snoring?

Depending on the underlying cause, appropriate treatment for snoring is available.  Life style modification such as weight reduction, avoidance of alcohol, sleeping pills and smoking alongwith correction of sleeping position can help you in reducing snoring and mild sleep apnea. Surgical correction in selected cases like correction of DNS, tonsillectomy, adenoidectomy, removal of enlarged uvula, etc can also be done.CPAP is advised for moderate to severe sleep apnea.

Q8) How CPAP Device Works?

CPAP is a machine that keeps the throat open with gentle air pressure which helps you to breathe normally. CPAP abolishes snoring, improves sleep quality, improves oxygen saturation in blood and is likely to prevent complications of sleep apnea.  As the night time sleep quality improves, you are likely to be active during the day.  CPAP is the most effective nonsurgical treatment for obstructive sleep apnea

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