Snoring in sleep in women, men and children

A snoring person is a scourge for others, especially those living with him under the same roof. Heroic snoring (medical term - rochnopathy) can wake up even those sleeping in the next room, especially in our not too large apartments.

People who snore are angry, they laugh at them, but they usually do not seriously attach much importance to this. But in vain! Snoring in a dream is often a warning that you need to pay attention to the health status of a snoring person, since such a feature can be a harbinger of the development of a life-threatening syndrome and sudden death during a night's rest. [1]

What is the danger of snoring in a dream?

This sound phenomenon is almost always much more worried about people living side by side with the "snorer", because it does not allow them to fully sleep. They try to flip the snoring person onto its side, push it aside, and place pillows under the head, but this usually does not bring relief. The person sleeps soundly, mutters something, sometimes obeys and turns, but literally a few minutes later, powerful snoring is heard again. For those around them, this is fraught with lack of sleep, but for the snoring person himself, apparently asleep, an annoyingly sound sleep, it can even turn into death.

Heroic snoring is one of the main symptoms of obstructive sleep apnea (obstructio, Latin - an obstacle, in our case - air flow). The danger of this condition lies in the high probability of a complete and sufficiently long cessation of the activity of the respiratory system for a lethal cessation of breathing in a sleeping person. [2]

Snoring does not kill itself, it simply indicates the possibility of apnea, which also often leads not to immediate death, but to the development of oxygen starvation of organs and tissues, which can result in hypertension, dysfunction of the myocardium and cerebral vessels, pathological changes in others organs. [3]

Epidemiology

Statistics show that, on average, 20% of the world's population, over the age of thirty, snore constantly in their sleep. With age, the number of people snoring in their sleep increases. Of the three elderly people, only one does not snore, and almost all snoring over 65 years old with varying frequency of sleep apnea. [4]

According to medical statistics, respiratory arrest during sleep suffers, on average, from five to seven percent of the world's population aged 30 years and older (yet there are fewer of them than snoring people). No more than two percent of them have severe obstructive sleep apnea syndrome. [5]

Women in general are less likely to experience this respiratory pathology than men, but this also applies to fertile age. According to some reports, among the elderly, the number of snoring men and women is approximately the same. [6]

Causes snoring in sleep

The vibrating movements of the soft tissues of the larynx and nasopharynx caused by the flow of inhaled air, accompanied by a rattling sound of low frequency and different intensity, can occur in a sleeping person under the influence of various factors. This is facilitated by an uncomfortable posture in which a person fell asleep, for example, on his back with his head thrown back, a runny nose, the presence of inflammation of the respiratory organs. These are temporary reasons - when the posture changes or after recovery, the person stops snoring.

When a person is awake, he does not snore, therefore sleep and relaxation at this time of the muscle fibers of the upper respiratory tract, in particular, the soft palate, is the main etiological factor in the appearance of snoring, since all other anatomical and physiological features are constantly present. The source of the emitted sound is the vibration of the relaxed soft tissues, "fluttering" when the air flow passes through the lumen of the respiratory canal.

In chronic snorers, anatomical anomalies in the structure of the nasopharynx are most often detected, leading to a narrowing of the respiratory tract. These include deformation of the nasal septum, genetically determined narrow nasal passages and pharyngeal ring, underdevelopment of the upper or lower jaw, a longer than usual palatine uvula. The presence of inflammatory and hyperplastic processes - chronic rhinitis, tonsillitis, adenoiditis, polyposis, also obstructs the air flow, and night snoring occurs.

People who are significantly overweight often snore because fat deposits compress the outside of the upper airways.

In addition, there are functional factors that contribute to snoring. Risk factors such as severe fatigue and lack of sleep, dry air in the bedroom, alcohol intoxication, smoking, overeating just before bedtime, taking sleeping pills, pituitary insufficiency, hypothyroidism, diabetes mellitus, and neuromuscular diseases contribute to the narrowing of the upper respiratory tract and the relaxation of their muscles. It has long been noticed that among people who snore, in general, there are more males. They more often smoke, drink, overeat at night, get pounded in the nose in fights, and excess pounds accumulate in the neck. But with age, gender differences are smoothed out and women catch up with the opposite sex. Why do women snore? What is the reason for this? It turns out to contain estrogen. These hormones maintain muscle elasticity, which is why young women are less likely to snore. And with their lack, associated with the onset of age-related changes in the female body, the muscles lose their tone, including the nasopharyngeal muscles, which leads to the occurrence of this sound phenomenon when the patient falls asleep. [7]

Pathogenesis

The pathogenesis of snoring is associated with the muscle relaxant effect of sleep. In addition, violations of the structure of the respiratory organs lead to the fact that the pharyngeal muscles are not able to maintain a sufficient lumen of its cavity at the moment of inhalation, when negative intracavitary pressure is created. The lumen of the upper respiratory tract is narrowed, partially overlapping them, which leads to an increase in the local air flow rate, the appearance of a rattling sound, vibration of relaxed tissues and snoring. [8]

In a dream, a snoring person may experience such a dangerous complication of snoring as apnea (stopping pulmonary ventilation). During this period, the muscle tone in a person decreases more and more, due to which the walls of the pharynx become mobile. At the time of one of the breaths, the airways completely collapse (overlap) and the lungs stop working. Acute hypoxia is a stress factor for the body; it does not stop and even increases respiratory effort. The sympathoadrenal system is activated, which leads to an increase in blood pressure in the arteries. Ultimately, SOS signals from all organs experiencing hypoxia activate the brain, which restores the muscle tone of the pharynx and the lumen of the respiratory tract opens. It is at this moment that the sleeping person, snoring loudly, deeply inhales the air several times. The oxygen level in organs and tissues returns to normal, the brain, having completed its mission, falls asleep again. The patient can survive up to 400-500 of such respiratory stops during the period of sleep. [9]

Symptoms snoring in sleep

The first signs of snoring are determined by ear. If a person snores, people who live with him, or those who happened to spend the night with him in the same room, will quickly inform him of this.

Snoring by itself is not a diagnosis, but it can provide guidance on the direction of the examination. This sound phenomenon is a symptom of various pathologies of the respiratory system, the greatest danger is constant strong snoring during sleep, since this is the main symptom of obstructive sleep apnea. It is not difficult to establish the presence of the syndrome; you need to observe the sleeping person. He will begin to snore immediately after falling asleep. Soon enough, breathing will suddenly stop, the usual noises accompanying the breathing process will cease to be heard. Snoring and retention will stop, and the cessation of breathing will continue for about a quarter to half a minute. All this time, in the absence of respiratory noises, the patient will experience respiratory efforts, which will be noticeable by the frequent jerky up and down movements in the chest and peritoneum. Then the sleeping person snores noisily and begins to breathe deeply and strongly, then calms down and snores evenly again. Such a person sleeps very restlessly - he constantly changes his body position, can talk in his sleep. The patient cannot sleep well, his sleep is fragmented due to frequent partial awakenings at moments of respiratory arrest, which the patient does not remember, however, they do not allow him to sleep. Therefore, during the day he does not feel cheerful, weakness and drowsiness are characteristic, such patients often accidentally fall asleep during the day, and at night they can suffer from insomnia.

A patient with obstructive sleep apnea syndrome can be easily identified by their physical appearance. This is an overly fat subject with a puffy face that has a red or purple-bluish tint, the whites of his eyes are "decorated" with a noticeable mesh of blood vessels, his voice is usually hoarse. Patients with the syndrome wake up several times at night to empty the bladder. At night, in addition to snoring, they have shortness of breath, belching, sweating and frequent awakenings. In the morning, such a person feels overwhelmed, not slept. Often wakes up with headache and high blood pressure. It is generally higher in such patients in the morning than in the evening.

Risk factors that increase the likelihood of obstructive sleep apnea and complicate the manifestations of the syndrome are chronic obstructive pulmonary disease, cor pulmonale, and respiratory failure. These patients usually have snoring and coughing during sleep.

Night and morning attacks of high blood pressure, body weight index of 35 or more, decreased thyroid function, metabolic disorders should be alarming.

Patients with obstructive sleep apnea are usually irritable, lethargic and depressed, and may fall asleep in any inappropriate places, bursting into snoring.

Snoring and coughing during sleep can be a symptom of acute respiratory tract disease (bronchitis, tracheitis, laryngitis) in people of any age, especially if they have not snored before. This temporary phenomenon usually goes away after the disease is healed.

A symptom such as a sore throat and snoring in a dream can accompany chronic tonsillitis, adenoiditis, sore throat, acute respiratory infection and other inflammatory diseases of structures located near the nasopharynx. Swelling of inflamed organs contributes to the narrowing of the airway lumen and causes snoring during sleep in adults and children.

If the disease has passed, and the person has not stopped snoring, it is necessary to be examined by an otolaryngologist. The consequence of frequent respiratory infections is polyposis, chronic tonsillitis and adenoiditis. [10] Neoplasms and proliferation of the tonsils also contribute to the narrowing of the airway lumen and the occurrence of a sound phenomenon during a night's sleep, when the muscles of the airways are in a relaxed state.

Sleep snoring in women is manifested and caused by the same reasons, except for a lack of estrogen in menopause, artificial or natural, as sleep snoring in men. The main symptom is the appearance of a rattling sound accompanying breathing during a night's sleep. Snoring can be accompanied by hypertension, shortness of breath, headache and weakness in the morning, difficulty falling asleep and severe drowsiness during the day. When such symptoms appear, it is advisable, without delaying "for later", to consult a doctor. Since there can be many reasons for snoring, and the consequences of a "harmless" annoying sound to loved ones at night can be fatal. It is advisable to get rid of this feature.

Snoring is usually done by adults, especially the elderly. Children sleep quietly, and if snoring is detected in a child in a dream, then he should be taken to an appointment with a pediatric otolaryngologist. Such a sound may indicate that the child has grown polyps, enlarged tonsils or adenoids. He could hit his nose, and his nasal septum was twisted. 

Snoring in an infant in a dream may indicate congenital anatomical abnormalities in the development of the upper respiratory tract or jaw structures. It is necessary to show the child to a doctor, because developmental anomalies themselves will not go anywhere, and the child's condition may worsen with age. Sometimes conservative measures are enough to fix minor defects.

Snoring in a child in a dream with a cold is a completely natural phenomenon. Swollen nasopharynx contributes to the appearance of extraneous sounds during sleep-induced muscle relaxation. Usually, after healing, the child stops snoring and breathes quietly during sleep. [11]

However, if snoring persists in a child's sleep after ARVI, then it is worth showing the child to a doctor. Maybe a viral infection was complicated by inflammation of the tonsils, chronic rhinitis, polyps have grown, in addition, sleep apnea syndrome occurs in children. By itself, snoring after ARVI does not indicate the development of a specific pathology, in order to take any measures, it is necessary to examine the child.

Symptoms such as: a child has a fever and snoring during sleep are also characteristic of various acute respiratory diseases. This is how flu, tonsillitis, bronchitis, infectious mononucleosis can begin. It is necessary to call a doctor for a feverish child, even if he does not snore, but the presence of snoring suggests that the temperature is caused by a respiratory pathology.

Depending on the stage, snoring is divided into the following types:

• primary snoring is the most harmless form, does not lead to regular sleep deprivation and daytime sleepiness, with this form, there is no oxygen starvation induced by sleep, and it does not cause any inconvenience for the snoring person himself, only for his close environment (at this stage, cope with pathological the feature is easiest, eliminating the cause - perhaps there was a nose injury, polyps have grown, etc.); [12]
• syndrome of increased resistance of the upper respiratory tract - the pathogenesis of obstruction of the air flow is identical to the syndrome of obstructive sleep apnea, however, does not reach its height. They are distinguished by the severity of symptoms and the severity of the clinical consequences for the patient, such as the development of hypertension, persistent disturbances in nighttime sleep and organ failure as a result of regular oxygen starvation. [13]

Complications and consequences

Even primary snoring, not accompanied by respiratory delays, can be complicated by multiple episodes of micro-awakenings, which the patient himself will not remember, but the normal course of sleep will be disturbed. Its deep phases, when complete muscle relaxation occurs and blood pressure decreases, will not be achieved, respectively, in the daytime a person will feel overwhelmed and not rested. Waking up in the morning with headaches and palpitations does not contribute to a good and productive mood.

Can you die from snoring in your sleep? It is impossible from sound, but from stopping breathing, you can. Snoring is just a symptom of sleep apnea. But this is the most dangerous consequence of ignoring it. In some patients, the total duration of the anoxic period per night can be about four hours. Severe forms of the syndrome, which can lead to death, suffer, perhaps, not so many snoring people. But if breathing stops during sleep occur, then it is impossible to predict in advance the likelihood of a lethal outcome. Moreover, the consequences of constant oxygen starvation, which the body experiences, also leads to the development of hypertension, cardiac arrhythmias and insufficiency, chronic cerebrovascular disease, erythrocytosis. The presence of these pathologies significantly increases the risk of heart attack or stroke, which can also significantly reduce the quality of life and lead to premature death. [14]

The increased resistance of the upper respiratory tract, manifested by persistent snoring, negatively affects the secretion of hormones, reducing erectile function, increasing the risk of obesity. [15] An inadequate night's sleep affects concentration and increases the risk of injury during work that requires maximum concentration.

Constant lack of sleep and fatigue leads to the fact that people, trying to get enough sleep, start taking sleeping pills or drinking a drink before bedtime, which contributes to even more relaxation of muscles during sleep and increased snoring. A vicious circle arises, from which it becomes more and more difficult to break out over time.

Diagnostics snoring in sleep

The purpose of the diagnosis is to identify the factors that provoke snoring, and most importantly - the presence of obstructive sleep apnea syndrome and the degree of its severity.

The patient is prescribed blood tests - general, for the content of glucose, thyroid hormones, esradiol and others with suspicions of a specific pathology. You may need to consult a multidisciplinary specialist - a cardiologist, neurologist, endocrinologist, pulmonologist, psychotherapist. 

Instrumental diagnostics is carried out. Various studies can be assigned depending on the detected pathologies. The anatomical features of the upper respiratory tract are studied using special hardware methods: rhinoscopy, rhinopneumomanometry, radiography of the sinus sinuses and nasal bones, echo sinusoscopy, laryngoscopy. Special functional tests are done. [16]

A specific fairly accurate diagnosis that allows you to establish the presence of sleep apnea is polysomnography. The activity of organs and systems is recorded during sleep over a long period of time. The person sleeps, literally entangled in electrodes. [17]

The following indicators are recorded:

• electrical impulses of the brain using electroencephalography;
• work of the heart muscle (electrocardiography);
• eyeball movements (electrooculography);
• chin muscle tone (electromyography);
• air flow through the nose and mouth;
• snore;
• respiratory movements of the sternum and abdominal wall;
• blood oxygenation level;
• limb movements and body position.

Modern devices for polysomnography allow video recording of sleep, synchronized with the recorded indicators. This diagnostic procedure allows you to assess not only the quality of sleep and detect breath holding, but also to determine the risks from the nervous, respiratory and cardiovascular systems. [18]

The study of the breathing function of a sleeping person can be carried out using computer monitoring heart rate monitoring - a continuous recording of the frequency and rhythm of heart contractions and oxygenation of the body. The signals are registered with the help of a computer with an interval of up to one second, their further processing makes it possible to analyze the parameters of blood saturation with oxygen, to reveal the periods of stoppages of its entry into the body. Quantification of the frequency of cessation of oxygen supply (desaturation) makes it possible to identify the frequency of episodes of respiratory arrest.

Differential diagnosis

Differential diagnosis is carried out after all the necessary research and consultations with related specialists. The degree of risk of respiratory arrest, the presence of concomitant pathologies and treatment tactics are determined - some may be helped by conservative measures, others may require surgical correction. The approach to eliminating this problem is strictly individual.

Treatment snoring in sleep

So, we found out that in a snoring person, the quality of life worsens from constant lack of sleep, and vital organs suffer from oxygen starvation. Constant snoring not only brings inconvenience to loved ones, it is dangerous for the very source of annoying sounds. It is necessary to eliminate this feature. What to do?

There are proven methods of fighting snoring that lead to an improvement in the condition, but their implementation will require some effort from the patient, lifestyle changes and habits.

1. First of all, it is recommended to lose weight. Statistics show that people who have lost a tenth of the kilograms they have have, the parameters of respiratory functions improve by half.
2. At the same time, it is necessary to limit the use of alcoholic beverages, or better, just stop drinking them, at least until noticeable results are achieved. Limiting is a very streamlined concept, even a small portion of alcohol drunk in the evening is enough for additional muscle relaxation during sleep.
3. Along with giving up alcohol, it is recommended to quit smoking.
4. And stop taking sleeping pills / sedatives.
5. In addition, you need to monitor the position in which you fall asleep. It is recommended to sleep only on your side, ensuring yourself an elevated position of the upper body, for example, put a sheet of furniture board under the mattress and raise it under your head by 10-15 cm, placing appropriate bars. Alternatively, use an orthopedic pillow. Such measures will not only improve breathing, but also prevent burping, which often accompanies snoring.
6. Try to breathe through your nose, using all the means for this. For colds - rinsing with sea water, nose drops. If breathing difficulties are associated with nasal injuries, neoplasms, or inflammation, you should consult your doctor about the problem.
7. Use a humidifier in the bedroom, as dry air dries out the mucous membrane of the upper respiratory tract and contributes to snoring.
8. Use snoring devices.

• adhesive strips that push apart the lumen of the nasal passages (their disadvantages are that they are disposable, quite expensive and leave imprints on the nose);
• plastic dilators of the lumen of the nasal passages (disadvantages - they create some discomfort from the presence of a foreign body in the nose, but you can get used to it; advantages - reusable, improve respiratory functions, do not leave traces);
• nipples from snoring, fixing the position of the tongue and creating a slight tension of the pharyngeal muscles;
• anti-snoring devices that recognize its sound and force the sleeping person to change the position of the body through the transmission of electrical impulses, for example, the SnorePro SP-600 is worn on the hand like a watch and at a set noise level, acting as a mini electric shock, makes the person change the position of the body without waking up (contraindicated with dermatitis, dermatoses, severe heart disease, expectant mothers);
• the oral apparatus "Extra-ENT" by mechanical action makes the pharyngeal muscles tense during sleep, preventing their vibration (contraindicated in case of structural defects and nasal canal congestion, before use at night, it is recommended to practice using the device during the day).

If strips and dilators can only help in cases of essential snoring, then devices - and in the mild stages of holding the breath during sleep.

A sufficiently effective and modern means of combating rochnopathy at the height of obstructive sleep apnea syndrome is additional hardware ventilation of the sleeping person's lungs using a device with a compressor that creates constant positive pressure by supplying an air flow through an elastic tube and a mask attached to the nose (CPAP therapy). The effect is achieved immediately. In severe cases of sleep apnea, the device is used every night, in milder forms - periodically. Sleep snoring sleep mask is available in a variety of variations. You can choose the most convenient one for yourself. All masks are universal and fit the compressor apparatus. There are no absolute contraindications to the procedure, but in case of severe respiratory and cardiac pathologies, frequent nosebleeds, infectious eye diseases, the apparatus is used under the supervision of medical personnel. [19]

However, for uncomplicated snoring, CPAP therapy is not recommended; the devices described above or pharmacological agents for snoring during sleep, produced in the form of a spray, drops or tablets, are used. [20]

Spray Asonor is positioned by manufacturers as an effective and safe drug that can be used even by pregnant women. It does not have a systemic effect, lubricates, moisturizes the epithelium of the larynx and has a tonic effect on the pharyngeal muscles, preventing narrowing of the lumen of the respiratory canal, contributing to the free passage of air flow. The solution contains: polysorbate 80 - a surfactant based on olive oil, glycerin 85% - a well-known emollient, sodium chloride - table salt, sodium edetate - a detoxifier, purified water, potassium sorbate 0.15% - a safe natural preservative.

The drug is injected into each nasal canal four to six times until you feel it entering the throat. The procedure is carried out once a day just before bedtime after the last meal and evening dress. The effect should be felt immediately, however, for some, it occurs within the first two weeks. If, after this time, the spray does not work, you should consult a doctor, since other means are needed for inflammatory processes, anatomical defects and obstructive sleep apnea syndrome.

Spray Slipex in the composition contains oils of gaultria and peppermint, eucalyptol and menthol, as well as glycerin, purified water and other auxiliary substances. The active ingredients of the drug tone the muscles of the pharynx, moisturize the mucous membrane and prevent the occurrence of rochnopathy, in addition, they provide anti-inflammatory and antispasmodic effects, moderate local anesthesia and disinfecting effect. It can be used for inflammatory processes of the upper respiratory tract. Suitable for long-term use. The back of the pharynx is treated by pressing the dispenser twice or three times before going to bed. After processing, do not eat, drink or brush your teeth. All this must be done in advance. It is ineffective for organic pathologies and sleep apnea syndrome.

Snoresan Spray is also recommended as a remedy for snoring. It contains only natural ingredients: oils - olive, sunflower, sesame, almond, essential oils - mint, sage, eucalyptus, glycerin. All these components moisturize the pharyngeal mucosa, contribute to its sanitation, eliminate catarrhal symptoms and increase the protective reaction against the penetration of various microbes with the air stream. The spray contains vitamins E (a powerful antioxidant) and B6 - stabilizing the nervous system, improving the process of falling asleep and the quality of sleep. The spray, through its complex action, increases the tone of the muscles of the upper respiratory tract, helps to reduce and often eliminate the vibration of the muscles of the larynx and the sound produced during this, normalizes the acid-base balance of the mucous membranes of the upper respiratory organs. Designed for long-term use. Spray it immediately before bedtime after eating and evening dressing of the oral cavity, irrigating the posterior palatine wall three times.

All of these funds can cause allergic reactions to their components, therefore, before using them according to the instructions, you can make a test by applying a small amount of the solution to the inner surface of the cheek.

Naturally, in the therapy of snoring, the treatment of diseases that contribute to the development of such a feature of sleep is of great importance. In case of hypothyroidism, replacement therapy with levothyroxine is prescribed, diabetes mellitus is also compensated with the help of appropriate means, depending on the type, inflammation of the respiratory organs is eliminated and anatomical features are corrected.

For chronic inflammation of the tonsils, pharyngitis, rhinitis, physiotherapy is used. In otolaryngology, almost all types of influences are used: electrical and magnetic, thermal and light.

Directly during snoring, in combination with the correction of weight, lifestyle and nutrition, body position in a dream, simple exercises to strengthen the muscles of the nasopharynx have proven themselves well. Their regular implementation brings the first results within ten days.

The most effective are only three:

• pull the tongue out of the mouth as much as possible and lock in for two seconds, trying to touch the tip to the chin - straight, left and right, ten times in each direction (while tension should be felt at the base of the tongue);
• sing the “and” sound in every way, whenever and wherever;
• grip a pen or pencil in your teeth and hold it for about five minutes, periodically straining and relaxing all the muscles involved.

Additionally, you can move the lower jaw back and forth, resisting the movement of the hand. Do 30 motor cycles twice a day.

Acupuncture massage, yoga, qigong practices can help with snoring. Changing your lifestyle, improving your body, controlling its functions give a very quick and positive result when done with a positive attitude. You can get rid of the pernicious feature without resorting to any other means. Learn to enjoy self-improvement activities.

Alternative remedies for snoring during sleep

A tennis ball fixed between the shoulder blades of the snarer can prevent a change in position in a dream. It will not allow you to roll over onto your back, prevent the soft tissues of the pharynx from sinking.

In case of disturbances in nasal breathing due to a runny nose, before bedtime, you can rinse the nasal canals with a solution of sea salt, soda, homemade sea water.

To facilitate nasal breathing, it is recommended to instill one to three drops of sea buckthorn oil in each nostril.

You can gargle with olive oil overnight, until the oil lightens. You need very little of it - one tablespoon.

Drink white cabbage juice with honey before going to bed, literally two or three sips. It has an effect no worse than pharmacy sprays. Do not eat, drink or brush your teeth after use.

You can make a smoothie in a blender with an apple, carrot, a quarter of a lemon, a small ginger root. The apple and carrot must be large, otherwise you need to take two units of each fruit. The mixture can be diluted with water or drunk undiluted two to three hours before bedtime. Such vitamin fresh will saturate the body with vitamins and improve the condition of the nasopharynx, eliminating the primary rochnopathy.

In the presence of chronic inflammation of the respiratory organs, herbal treatment is used. They are insisted and boiled, then inhaled, rinsed, drunk according to the schemes. The herbs are used differently, depending on the desired action. These are chamomile, calendula, sage, oak bark, horsetail, saber.

It is also recommended to just drink a lot (2-2.5 liters per day) of clean water, as well as to fast once a week. With this technique, snoring disappears quickly enough. At the very least, it will definitely help you lose weight, especially if you do not eat buns and cakes the next day for fasting.

Homeopathy

Snoring and the pathologies that cause it respond well to individual homeopathic treatment with constitutional remedies. In this case, it will be possible to get rid of many concomitant diseases. Homeopathy is unlikely to correct the nasal septum and other surgical pathologies, but polyps, enlarged tonsils and adenoids, chronic rhinitis, vasomotor allergic reactions respond well to homeopathic treatment. With the help of homeopathy, you can recover in a short time after suffering a sore throat, flu, other acute diseases, and prevent the development of complications.

The symptomatic remedies for snoring are Calcium muriaticum, Chamomilla, China, Stramonium, Sulfur, anyone can be prescribed as a constitutional remedy. This is usually the most effective prescription and allows you to get rid of many health problems. [21]

Pharmacy homeopathic remedies can also help cope with primary snoring. For example, Snor Stop tablets. They include a whole range of remedies in homeopathic dilutions. They are intended for long-term use and have practically no contraindications.

The active ingredients of the drug have the following properties:

Belladonna (Atropa belladonna) is a constitutional drug for people of the Pickwick type, symptomatically used in diseases of the respiratory organs, has the ability to normalize muscle tone.

Ephedra vulgaris (Ephedra vulgaris) - normalizes respiratory functions, additionally has a positive effect on the cardiovascular system and neck muscles.

Canadian Goldenroot (Hydrastis canadensis) - catarrhal phenomena, suffocation, venous insufficiency of the nasopharyngeal veins, cough.

Potassium bichromate (Kali bichromicum) - constitutionally can be prescribed to overweight people with a thick short neck and a puffy pale face, symptomatically - with sinusitis, viscous sputum, with deterioration of health in cold weather.

Cat's marjoram (Teucrium marum) - irritability, insomnia, headache, respiratory dysfunctions, dry throat.

Histamine (Histaminum hydrochloricum) - allergic lesions, muscle contractures, dry mucous membranes and urinary disorders.

Vomit nut (Nux vomisa) - has a beneficial effect on the neuromuscular, digestive and cardiovascular systems.

The complex action of the drug eliminates the causes of uncomplicated snoring. Not recommended for minors, pregnant and lactating women, patients with obstructive sleep apnea syndrome.

The tablets are taken sublingually before bedtime, one or two pieces every evening. After achieving a noticeable therapeutic effect in the form of reducing the intensity of snoring, you can take the tablets every other day. The number of tablets in a single dose depends on the body weight: one is intended for patients with a weight not exceeding 72 kg, two - with a large one.

In some cases, Angin-Heel, Bronhalis-Heel, Girel can help get rid of snoring if the snoring was caused by inflammatory diseases of the upper respiratory tract or their consequences. The drugs activate the body's own defenses and stabilize the impaired respiratory functions due to their constituent components. They are available in the form of tablets, which must be dissolved under the tongue until completely dissolved. For small children, the required dose is ground into powder and diluted with water. Dose drugs according to the doctor's prescription or the attached instructions.

Other Heel brand drugs can also help with snoring caused by certain pathological processes in the body. The drugs can be combined with each other. A doctor who is familiar with the principles of their action should prescribe treatment.

Surgery

In some cases, only surgery can help, for example, with defects in the bones or cartilage of the nose, curvature of the nasal septum, neglected inflammation of the tonsils that cannot be treated with conservative treatment, etc.

The most progressive direction is laser treatment. It is even called laser therapy, not surgery, although with the help of a directed beam of laser beams, "excess" tissues of the elongated uvula, palatine arches, tonsils, nasal polyps are removed by evaporation. Indications for treatment are severe rochnopathy provoked by poor airway patency. [22]

Laser correction is not done for children, patients with anatomically reduced oral cavity and strong gag reflex, people whose profession is related to the use of voice and respiratory tract (musicians playing wind instruments), since temporary changes in the respiratory organs are possible. [23]

Laser equipment and specialists who know it well are not available in all medical institutions, in addition, the cost of the procedure is quite high. Operations with the use of endoscopic equipment are also the currently preferred method. Often, classic surgeries are performed to remove excess tissue using a surgical loop. Methods such as cryodestruction (removal of tissue with liquid nitrogen) or thermal destruction are also used to remove visible excess tissue. [24]

Prevention

Snoring is an undesirable phenomenon both for others and for the snoring person himself, for him - even dangerous. Therefore, the question arises: how to avoid its appearance? After all, it is easier to prevent than to cure.

The temporary appearance of snoring due to severe fatigue, positional inconvenience, one-time alcoholic and gastronomic excesses do not count. Acute respiratory illness should be treated at home and not carried on your feet. This will help avoid complications and chronicity.

Congenital and traumatic defects, in most cases, are amenable to surgical correction.

What's left? The weight. This is one of the most important factors. It's easier not to type it. An active lifestyle, proper nutrition, a positive attitude, certain vocal exercises, the [25]absence of bad habits, in particular, and the use of sleeping pills, will help here . 

Snoring can appear with age. Elderly people snore more often, two out of three, however, the one who does not snore does not seem to be overweight, it is highly likely that he does not smoke or drink, and so on. Conclusions suggest themselves...

Forecast

1-2% of the snoring population suffers from severe sleep apnea. And in this case, you can fight - exercises for training the muscles of the nasopharynx can be done by everyone, make efforts to normalize weight, and say goodbye to bad habits will also be useful to everyone. CPAP therapy, after all, is effective and has no contraindications. So snoring in a dream is not a sentence. A lot depends on the person himself.