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• Snore- during sleep, the noise produced while breathing through the mouth.
• Snoring is a sound a person makes during sleep when his or her breathing is disrupted.
Snoring originates in the parts of the upper airway which have no rigid support to counteract compression from outside or collapse from inside. This narrowing leads to local acceleration and turbulence of the breathed air. This, in turn, causes vibration of the pharyngeal wall.
The structures concerned are-
• Soft palate
• Base of the tongue
• Pharyngeal muscles and
• Pharyngeal mucosa.
Factors contributing to snoring-
The palate, tongue and pharyngeal muscles play a part in keeping the airway open during the inspiration. If, during the deep sleep phase, and especially during REM sleep, the muscle tone is insufficient, the tongue can fall backward due to gravity, and vibrate against the soft palate, uvula and pharynx. This occurs particularly in the supine position.
Anatomical abnormalities can limit the passage of air in the oropharynx and the hypopharynx. Such abnormalities include-
• Enlarged tonsils and adenoids
• Fatty tissue in the pharynx (due to obesity)
• A relatively large tongue (in the case of retrognathia, micrognathia and acromegaly).
• A narrow nasal passage causes an increase in negative pressure during inspiration, which increases the effect on the flaccid pharyngeal tissue. A particularly long palate and uvula also narrow the nasopharyngeal opening during inspiration. This explains why people who normally do not snore may do so when they have a cold or allergic rhinitis.
• Septal abnormalities, nasal polyps and tumours can also contribute to constriction.
• Hypothyroidism, neurological disorders, alcohol and hypnotics can intensify the overall effect.
Signs and symptoms-
• Unexplained tiredness or sleepiness during the day.
• Disrupted social activities and relationship problems (and even divorce). The snoring noise can sometimes be as loud as 50–70 db, which is similar to the noise of a low-flying jet plane.
• Sometimes, temporarily stopped-breathing (sleep apnoea), which can be very alarming.
Very careful examination of the ear, nose and throat area, particularly the tonsils, palate, uvula and tongue is made. Nasal polyps, swollen turbinates, septal deviation, hyper reactive nasal mucosa, and abnormal anatomy of the lower jaw (relatively too small or recessed) is evaluated. Weighing the patient and blood pressure is next step. If hypothyroidism is suspected, the thyroid stimulating hormone level is checked.
The average snorer is a person more than 40 yrs old. While he inhales or exhales during sleep, the soft palate vibrates noisely. Snoring is usually caused by a condition which hinders breathing such as a cold, an allergy, a nasal polyp, tumor or deviated nasal septum. The cause must be removed to stop snoring. Snoring can also be diminished by reducing weight, stopping smoking and drinking alcohol in evening before sleeping.
If no abnormalities are found on the history or examination, no treatment is required.
If further investigations are found, general measures can be suggested. These include-
• Losing weight if necessary
• Avoiding lying on the back if the snoring is position-dependent and
• As appropriate, discouraging smoking, alcohol consumption and the use of hypnotics.
• Any underlying causes or contributory factors, such as hypothyroidism or allergies are treated.
• Mechanical devices placed in the nose and mouth only reduce snoring to a limited extent.
• If, in the case of habitual snoring, the patient temporarily stops breathing and/or the patient reports that he is sleepy and tired during the day, sleep apnoea syndrome must be considered.
• Snoring can also be cured about 80% by surgery. The operation is called uvulopalato-pharyngoplasty.
Attention to weight, smoking, alcohol and hypnotics, and avoiding sleeping on the back are effective preventive measures. Reassurance is sometimes appropriate, particularly if there are groundless fears about sleep apnoea.
I am suffering from cold & throat infection, How to get relief from cold & throat infection? Please help.
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I am 31 and I have been having trouble going to sleep in the night on time for the last 2 years, and I end up sleeping at a late hour, around 1 a. M. Or so. How can I get into a routine/habit of sorts to ensure that I sleep on time?
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My husband is having pain in ankle. Had injury due to false step one month back. Severe pain, swelling was there all subsided within 5 days. But mild pain persists since then. If he carries weight, walk fast pain is more otherwise pain feeble don't disturb his routine activities. We had not any previous Dr. Consultation regarding this. Kindly advise what to do anything serious to go for surgery.
Hi, I am here to discuss NLP-Neurolinguistic programming and how it helps in so many things, weight loss being one of them.
every one of us are tired of trying various ways to lose weight, most of us have tried 'N' number of diets, exercise regime, supplements, meal replacers etc to lose weight, but somehow it becomes very difficult for all of us to lose or maintain lost weight, we keep on searching endlessly for a solution which will help us get rid of this problem forever. I have a lot of patients coming to me and telling me, we have tried everything but weight doesn't bulge.
Have you all ever thought - the mind can play a big role in helping us tackle our issues concerning weight, or for that matter anything and everything. Mind and body connection is a vast field and has been studied for years to find a link which can help human race succeed in everything.
Let us first look at what is NLP-stands for Neuro-Linguistic Programming, a name that has three most influential components involved in creating human experience neurology, language and programming. The neurological system regulates how our bodies function, language determines how we interface and communicate with other people and our programming determines the kinds of models of the world we create. Neuro-Linguistic Programming describes the fundamental dynamics between mind (neuro and language (linguistic) and how their interplay affects our body and behavior (programming).
Now let us discuss how it can help actually weight loss cannot be achieved with NLP but NLP can help you change habits so you can lose weight easily
It can program your mind in a way that- celery can taste like chocolate or running can feel better than going to pub.
It can help in a way- that it can make ice -cream or your favorite food- which you can't keep yourself away from looking unappealing - in such a way that thinking of if may make you feel yuck I don't want that piece of cake or ice-cream or pizza. - Think if we achieve this how it can help us in losing weight.
In the same way, it can help make healthy foods feel and look appealing for example if you don't like salads-with using NLP you will enjoy eating salads. It can also help you enjoy exercise. Change your beliefs about yourself and change your perception of things. I can help changing your bad habits and create good habits- example- waking up early, exercising etc
Isn't it wonderful and magical. Yes, it is and its possible too. One more thing it helps in is helping you see yourself-visualize yourself, thin- think yourself thin.
For the further understanding of NLP you can contact me I am a certified NLP practitioner, Hypnotherapist and Time-line therapy practitioner. For all those who want holistic weight loss along with using NLP can take a look at my profile.