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Depending on the cause of your snoring, in addition to the noise caused by snoring, you may also experience:

• Excessive daytime sleepiness
• Difficulty concentrating
• Sore throat
• Restless sleep
• Gasping or choking at night
• High blood pressure
• Irregular heartbeats

• Your snoring is so loud it's disrupting your partner's sleep
• You wake up choking or gasping

These may indicate your snoring is caused by a more serious condition, such as obstructive sleep apnea.

If your child snores, ask your pediatrician about it. Children can have obstructive sleep apnea too. But, nose and throat problems — such as enlarged tonsils — and obesity often underlie habitual snoring in children. Treating these conditions could help your child sleep better.

©1998-2012 Mayo Foundation for Medical Education and Research (MFMER). Terms of use.
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There are a variety of factors that can lead to snoring, such as the anatomy of your mouth and sinuses, alcohol consumption, allergies, a cold, and your weight.

When you doze off and progress from a light sleep to a deep sleep, the muscles in the roof of your mouth (soft palate), tongue and throat relax. The tissues in your throat can relax enough that they vibrate and may partially obstruct your airway. And, the more narrowed your airway, the more forceful the airflow becomes. This causes tissue vibration to increase, which makes your snoring grows louder.

The following conditions can affect the airway and cause snoring:

• Your mouth anatomy. Having a low, thick soft palate or enlarged tonsils or tissues in the back of your throat (adenoids) can narrow your airway. Likewise, if the triangular piece of tissue hanging from the soft palate (uvula) is elongated, airflow can be obstructed and vibration increased.
• Being overweight. Extra weight can build up in your throat and contribute to narrowing of your airway.
• Alcohol consumption. Snoring can also be brought on by consuming too much alcohol before bedtime. Alcohol relaxes throat muscles and decreases your natural defenses against airway obstruction.
• Nasal problems. Chronic nasal congestion or a crooked partition between your nostrils (deviated nasal septum) may contribute to your snoring.
• Sleep apnea. Snoring may also be associated with obstructive sleep apnea. In this serious condition, your throat tissues obstruct your airway, preventing you from breathing. Sleep apnea is often characterized by loud snoring followed by periods of silence when breathing stops or nearly stops. Sometimes, complete obstruction doesn't occur, but rather, while still snoring, the airway becomes so small that the airflow is inadequate for your needs. Eventually, the lack of oxygen and an increase in carbon dioxide signal you to wake up, forcing your airway open with a loud snort or gasping sound. This pattern may be repeated many times during the night. To be diagnosed with obstructive sleep apnea, these periods when breathing slows or stops must occur at least five times an hour.

©1998-2012 Mayo Foundation for Medical Education and Research (MFMER). Terms of use.
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Risk factors that may contribute to snoring include:

• Being a man. Men are more likely to snore or have sleep apnea than are women.
• Being overweight. People who are overweight or obese are more likely to snore or have obstructive sleep apnea.
• Having a narrow airway. Some people have large tonsils or adenoids, while others may have a long soft palate, which can narrow the airway and cause snoring.
• Drinking alcohol. Alcohol relaxes your throat muscles, increasing the risk of snoring.
• Having nasal problems. If you have a structural defect in your airway, such as a deviated septum, or your nose is chronically stuffed, your risk of snoring is greater.

©1998-2012 Mayo Foundation for Medical Education and Research (MFMER). Terms of use.
Read this article on Mayoclinic.com.

Habitual snoring may be more than just a nuisance. Depending on the cause of your snoring, it may result in:

• Daytime sleepiness
• Relationship problems
• Difficulty concentrating
• A greater risk of high blood pressure, heart failure and stroke
• An increased risk of behavior problems, such as attention-deficit/hyperactivity disorder (ADHD), in children with obstructive sleep apnea
• An increased risk of motor vehicle accidents due to lack of sleep

©1998-2012 Mayo Foundation for Medical Education and Research (MFMER). Terms of use.
Read this article on Mayoclinic.com.

You're likely to first see your family doctor or a general practitioner. However, you may then be referred to a doctor who specializes in treating sleep disorders or an ear, nose and throat specialist (otolaryngologist).

Because appointments can be brief, and there's often a lot of ground to cover, it's a good idea to arrive well prepared. Here's some information to help you get ready for your appointment, and what to expect from your doctor.

What you can do

• Write down any symptoms you're experiencing, including any that may seem unrelated to the reason for which you scheduled the appointment. Ask your partner to describe what he or she hears or notices at night while you're sleeping. Or, better yet, ask your partner go with you to your appointment so that he or she can talk with your doctor about your symptoms.
• Make a list of all medications, as well as any vitamins or supplements that you're taking.
• Write down questions to ask your doctor.

Your time with your doctor may be limited, so preparing a list of questions can help you make the most of your time together. For snoring, some basic questions to ask your doctor include:

• What makes me snore when I sleep?
• Is my snoring a sign of something more serious, such as sleep apnea?
• What kinds of tests do I need?
• What happens during a night at a sleep lab?
• What treatments are available for snoring, and which do you recommend?
• What types of side effects can I expect from treatment?
• Are there any alternatives to the primary approach that you're suggesting?
• Are there any steps I can take on my own that will help my snoring?
• I have other health conditions. How can I best manage these conditions together?
• Are there any brochures or other printed material that I can take home with me? What websites do you recommend visiting?

In addition to the questions that you've prepared to ask your doctor, don't hesitate to ask questions during your appointment at any time that you don't understand something.

What to expect from your doctor
Your doctor is likely to ask you a number of questions. Being ready to answer them may reserve time to go over any points you want to spend more time on. Your doctor may ask:

• When did you first begin snoring?
• Do you snore every night or only occasionally?
• Do you often wake up during the night?
• Does anything you do seem to improve your symptoms?
• What, if anything, appears to worsen your symptoms?
• Does your bed partner ever tell you that you have pauses or irregularities in your breathing during sleep?

What you can do in the meantime
While you're waiting to see your doctor, here are some tips you can try:

• Don't drink alcohol or take sedatives before bed.
• Try over-the-counter nasal strips.
• Sleep on your side, instead of your back.
• If nasal congestion is an issue, try an over-the-counter decongestant for a day or two.

©1998-2012 Mayo Foundation for Medical Education and Research (MFMER). Terms of use.
Read this article on Mayoclinic.com.

Physical exam
Your doctor likely will perform a physical examination and take a medical history. Your partner may need to answer some questions about when and how you snore to help your doctor assess the severity of the problem. Parents are asked about the severity of a child's snoring.

Imaging
Your doctor may request an imaging test, such as an X-ray, a computerized tomography (CT) scan or magnetic resonance imaging (MRI), to check the structure of your airway for problems, such as a deviated septum.

Sleep study
Depending on the severity of your snoring and other symptoms, your doctor may also want to do a sleep study. This may require that you stay overnight at a sleep center to undergo an in-depth analysis of your sleep habits by a team of specialists, called polysomnography.

Using sensors placed on your head and various parts of your body, polysomnography records your brain waves, blood oxygen level, heart rate and breathing rate, as well as eye and leg movements during sleep.

Sometimes, these tests can be done at home, but the in-center sleep tests tend to be more accurate than those done at home.

©1998-2012 Mayo Foundation for Medical Education and Research (MFMER). Terms of use.
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Your doctor will likely first recommend lifestyle changes, such as losing weight, avoiding alcohol close to bedtime and changing sleeping positions. If lifestyle changes don't eliminate snoring, your doctor may suggest:

• Oral appliances. Oral appliances are form-fitting dental mouthpieces that help advance the position of your tongue and soft palate to keep your air passage open. If you choose to use an oral appliance, visit your dental specialist at least once every six months during the first year, and then at least annually after that, to have the fit checked and to make sure that your condition isn't worsening. Excessive salivation, dry mouth, jaw pain and facial discomfort are possible side effects from wearing these devices.
• Continuous positive airway pressure (CPAP). This approach involves wearing a pressurized mask over your nose while you sleep. The mask is attached to a small pump that forces air through your airway, which keeps it open. CPAP (SEE-pap) eliminates snoring and prevents sleep apnea. Although CPAP is the preferred method of treating obstructive sleep apnea, and it's effective, some people find it uncomfortable or have trouble adjusting to the noise of the machine. If you're having trouble adjusting to the machine, talk with your doctor before giving up. There are adjustments that can be made, such as adding a heated humidifier, that might help make you more comfortable.
• Palatal implants. In this procedure, known as the Pillar procedure, braided strands of polyester filament are injected into your soft palate, which stiffens it and reduces snoring. There aren't any known serious side effects from this procedure; however, the strands sometimes come out on their own.
• Traditional surgery. In a procedure called uvulopalatopharyngoplasty (UPPP), you're given general anesthesia and your surgeon tightens and trims excess tissues — a type of face-lift for your throat. The risks of this procedure include bleeding, infection, pain and nasal congestion.
• Laser surgery. In an outpatient surgery for snoring called laser-assisted uvulopalatoplasty (LAUP), your doctor uses a small hand-held laser beam to shorten the soft palate and remove your uvula. Removing excess tissue enlarges your airway and reduces vibration. You may need more than one session to get your snoring under control. Laser surgery generally isn't recommended for sleep apnea, because it hasn't been proven effective for sleep apnea. Possible risks from this procedure include pain, infection, bleeding and nasal congestion.
• Radiofrequency tissue ablation (somnoplasty). In this type of surgery, doctors use a low-intensity radiofrequency signal to remove part of the soft palate to reduce snoring. It's an outpatient procedure performed during local anesthesia. The effectiveness of this newer procedure needs further study. Generally, this procedure is less painful than other types of snoring surgery.

©1998-2012 Mayo Foundation for Medical Education and Research (MFMER). Terms of use.
Read this article on Mayoclinic.com.

To prevent or quiet snoring, try these tips:

• If you're overweight, lose weight. Being overweight is a common cause of snoring. Extra bulkiness in the throat narrows your airway.
• Sleep on your side. Lying on your back allows your tongue to fall backward into your throat, narrowing your airway and partially obstructing airflow. Try sleeping on your side. If you find that you always end up on your back in the middle of the night anyway, try sewing a tennis ball in the back of your pajama top. It also may help to raise the head of your bed up by about four inches.
• Nasal strips. Adhesive strips applied to your nose help many people increase the area of their nasal passage, enhancing their breathing. These strips aren't effective for people with sleep apnea, however.
• Treat nasal congestion or obstruction. Having allergies or a deviated septum can limit airflow through your nose. This forces you to breathe through your mouth, increasing the likelihood of snoring. Don't use an oral or spray decongestant for more than three days in a row for acute congestion unless directed to do so by your doctor, because long-term use of these medications can have a rebound effect and actually make your congestion worse. Ask your doctor about a prescription steroid spray if you have chronic congestion. To correct a deviated septum, you may need surgery.
• Limit or avoid alcohol and sedatives. Avoid drinking alcoholic beverages at least two hours before bedtime, and let your doctor know about your snoring before taking sedatives. Sedatives and hypnotics (sleeping pills) and alcohol depress your central nervous system, causing excessive relaxation of muscles, including the tissues in your throat. In addition, if you stop breathing due to obstructive sleep apnea, it may take longer for you to begin breathing again because alcohol and sedatives blunt the brain's ability to arouse from sleep.

©1998-2012 Mayo Foundation for Medical Education and Research (MFMER). Terms of use.
Read this article on Mayoclinic.com.

Because snoring is such a common problem, there are numerous products available, such as nasal sprays or homeopathic therapies. However, most of the products haven't been proven effective in clinical trials. For example, MSM (methylsulfonylmethane) is marketed in a nose drop formula to treat snoring, but there's no evidence it has any effect on snoring.

Therapies that might help ease your snoring include:

• Didgeridoo. Playing the didgeridoo, a musical instrument that produces a droning sound, may help train muscles of the upper airway. A February 2006 British Medical Journal study evaluated use of the instrument by those with sleep apnea who complained about snoring. The research showed that those who played the instrument for about 25 minutes a day most days of the week experienced less daytime sleepiness — a complication of sleep apnea and snoring . However, this research is preliminary and needs more study.
• Singing. Singing can help improve muscle control of the soft palate and upper throat. One preliminary study found some decrease in snoring in participants who sang prescribed singing exercises for 20 minutes a day for three months. These participants all began snoring as adults, had no nasal problems and were not overweight. More study of this technique is needed.

©1998-2012 Mayo Foundation for Medical Education and Research (MFMER). Terms of use.
Read this article on Mayoclinic.com.

If your partner is the one who's snoring, you may sometimes feel frustrated as well as fatigued. Suggest some of the home remedies mentioned, and if those don't help quiet your partner's nocturnal noisemaking, have your partner make a doctor's appointment. In the meantime, earplugs or earphones hooked up to soothing music might help block some of the noise. Or, you could try going to sleep at different times. Maybe if you're already asleep when your partner starts snoring, it might not bother you.

©1998-2012 Mayo Foundation for Medical Education and Research (MFMER). Terms of use.
Read this article on Mayoclinic.com.