A member asked:

I need to stop snoring i have a problem with snoring, i have tried the following...i only drink water after dinner, i don't smoke before bed, and i am currently using the nasal strips but my relationship with my girlfriend is falling apart because i snore

6 doctors weighed in across 4 answers
Dr. G Funari answered

Specializes in Oral and Maxillofacial Surgery

Snoring, : Snoring, though frequently associated with sleep apnea, is not always amenable to treatment by an oral appliance. Snoring is frequently due to elongation of the soft palate (roof of mouth) or due to the loss of tone of this tissue. Most treatments are aimed at shortening or stiffing the soft palate. Oral appliances are usually designed to position the lower jaw forward to open the lower airway and typically do not address the tissues of the roof of the mouth. An assessment by a obstructive sleep apnea team should be performed to rule out the presence of sleep apnea which sometimes is associated with snoring. These teams are usually affiliated with a regional medical center / hospital. They will perform a history and physical to determine if there are any medical / pharmacological causes for your symptoms. You will be asked to undergo a sleep study to determine the presence of sleep apnea and to determine its severity and to further rule out causes. An apnea / hypopnea index will be determined. Depending upon the severity of the sleep apnea you will be offered treatment solutions by this team. Usually a trial of CPAP is encouraged. Occasionally an oral appliance or surgery may be recommended. There are many types of oral sleep apnea appliances, each having their proponents. Typically, if an oral appliance is required, it is custom fabricated by either a dentist or oral and maxillofacial surgeon. You should seek care from a dentist / oral and maxillofacial surgeon who is board certified by their respective specialties and has an affiliation with your sleep apnea team.

Answered 10/3/2016

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Dr. Teresa Jacobs answered

Specializes in Internal Medicine

Reducing : Reducing tobacco is a good first step to help snoring. Tobacco smoke inflames the tissues in the back of the throat, but you may have to avoid it longer than just "before bed" to really have an effect. Alcohol within 3 hours of bedtime can worsen snoring as well. But regular, loud snoring can be more than an annoyance; it can be a sign of a serious medical condition called obstructive sleep apnea (osa). Osa is a condition where the structures in the throat relax and briefly block the airway. These are the same structures that can vibrate and cause snoring. The most worrisome risks are heart attack and stroke, but there are a lot of other possible negative effects on your health. Breathing pauses are not always observed by a bed partner, so evaluation by a sleep specialist or ear, nose, and throat surgeon would be a good idea. Usually a sleep test is necessary to tell the difference between loud snoring and snoring associated with sleep apnea, but many snorers can be tested at home over night with a simple self-applied device. Treatment of sleep apnea falls into 5 broad categories: weight loss, throat surgery, a dental device that holds the jaw forward, provent devices applied to the nostrils that hold the airway open with pressure from exhaling, and positive airway pressure devices that use a mask to deliver air pressure to the throat. The right treatment for you depends on how severe your apnea is and which treatment you are willing to use; you can best be guided by a sleep specialist who is familiar with these options. Any treatment that works on apnea will control your snoring.

Answered 10/4/2016

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Dr. David May answered

Specializes in Dentistry

Positional therapy: This involves making sure you stay off of your back all night. This along with what you are doing are the home remedies. You need to find out if your are a primary snorer, or if you have osa. Primary snoring is easily treated with an oral appliance. It would also be one of the primary choices for mild or moderate osa.

Answered 12/9/2013

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Dr. Stephen Gordon answered

Specializes in

If it's Just snoring: See your dentist for an oral appliance that advances the position of your lower jaw or the aveo tsd (moves tongue forward) to open the air passage to reduce or eliminate snoring. Note, often moderate or more weight reduction is the best treatment for snoring reduction as well as overall health improvement. If overweight, consider take shape for life (easy to do, lose 2 - 5 lbs per week).

Answered 12/9/2013

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