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Snoring
What causes snoring?
When we are awake, the
muscles of the throat hold the throat open, so that air passes
in smoothly as we breathe. During sleep, these muscles relax
and the throat sags inwards, causing air turbulence, particularly
as we breathe in. Snoring occurs when the roof of the mouth
(soft palate and uvula – the
uvula is the piece of tissue that dangles at the back of the
throat), and sometimes the base of the tongue as well, starts
to vibrate intermittently as a result of excessive turbulence.
(Interestingly, astronauts hardly ever snore in space, because
without the pull of gravity, the throat and tongue will not
sag in.)

Snoring is particularly likely to happen if you:
- have a small jaw and narrow throat and/or a large uvula
and base of tongue
- drink alcohol or take sleeping pills, because both of these
make the throat muscles very relaxed, and so worsen turbulence
in the throat
- are overweight, particularly if you have a fat neck (collar
size over 43 cm or 17 inches). This is because more muscle
power is needed to hold the throat open if the neck is fat,
and so the throat will become more narrow as the muscles
relax during sleep
- breathe through your mouth rather than your nose. When
you breathe through your mouth the air hits the back of the
throat head-on, increasing turbulence, whereas in nose breathing,
it enters the throat in parallel with it. This is why any
blockage of the nose will cause snoring; we all snore when
we have a cold. Some people have a permanent blockage from
polyps in the nose or because the wall between the two sides
of the nose (nasal septum) is shifted to one side
- smoke, because smoking may cause swelling and inflammation
of the lining of the throat
- sleep on your back, because when the muscles are relaxed,
the throat is particularly narrow in this position
- eat a large meal before bed, because a full stomach presses
upwards on the diaphragm and can lead to laboured breathing
- have relatives who snore as snoring tends to run in families.
- have a round-shaped head rather than a long,
thin head. In round-headed people, the tissue has to fall
back a shorter distance to narrow the throat (Sleep and
Breathing 2001;5:79-91).

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