(08-15-2016, 12:07 AM)irenek2013 Wrote: with sleep machine my mom has been snoring more this past 6 months & its loud.
Irenek,
I'm off doing tons of research so I can understand and grapple with all the stuff going on in my own life...
That being said, through some of my reading I was directed to this document created in 2013... I'll put up what would be the abstract below the link.. maybe it will help you too... I'm still reading and digesting... there's a lot more to the article than what I put here.
It jumped out at me, your question of
(08-15-2016, 12:07 AM)irenek2013 Wrote: snoring has increased what is wrong?
likely can't be answered with pitching a dart at a balloon covered dart board... it appears there's a plethora of interdependent conditions that all need to be looked at from a complete and complex systematical perspective is likely required to answer your question of
What is Wrong?
I'm certainly not trying to be insensitive or trying to boil the ocean with information, rather, having a glimpse of how some of these interrelated conditions create the "snoring" condition might help see clear a direction of attack...
and yes, for the record, I snore louder than a the turbines of a jet engine at take off!
I always feel so sorry for folks that sit within say 2 seat isles on either side of me in an airplane as I always crash and keep everyone around me wide awake!
I hope the following link helps.
http://www.clevelandclinicmeded.com/medi...breathing/
Sleep-Disordered Breathing
Puneet S. Garcha
Loutfi S. Aboussouan
Omar Minai
Published: January 2013
Contents
Humans spend almost 30% of their lives sleeping. Since the 1970s, physicians have begun to recognize many of the detrimental consequences of sleep disturbances produced by abnormal breathing patterns, or sleep-disordered breathing (SDB). Sleep apnea and other sleep-related breathing disorders constitute the greatest number of sleep disorders seen by sleep medicine, pulmonary, and general practitioners in the outpatient setting. SDB has been associated with considerable morbidity.
SDB comprises a wide spectrum of sleep-related breathing abnormalities; those related to increased upper airway resistance include snoring, upper airway resistance syndrome (UARS), and obstructive sleep apnea-hypopnea syndrome (OSAHS).1 Many clinicians regard SDB as a spectrum of diseases.2 This concept suggests that a person who snores may be exhibiting the first manifestation of SDB and that snoring should not be viewed as normal. A patient can move gradually through the continuum, for example, with weight gain and eventual development of Pickwickian syndrome or with alcohol or sedative use, which can cause a person who snores to turn into a snorer with obstructive sleep apnea (OSA). This concept has support from experimental studies showing increasing airway collapsibility during sleep with progression from normal, snoring, UARS, and OSA. Continuous positive airway pressure (CPAP) can effectively treat apnea, but the patient may be left with continued residual UARS or snoring.3 Therefore, the clinician must recognize that this disease entity represents a continuum and that patients can continue to suffer from symptoms caused by one aspect of SDB while being treated for another aspect.
Snoring
Snoring is one of the most common aspects of SDB and has been described throughout history. In the past, snoring generally had been considered a social nuisance with no consequences for the snorer, only for the suffering bed partner. After sleep apnea syndrome was recognized, snoring began to be viewed as an important clinical symptom. Although it is by far the most common symptom of sleep apnea and is usually the main reason for a patient visit, patients by themselves are generally not disturbed by the snoring. Instead it is at the prompting of the bed partner, whose sleep is disrupted due to snoring that the patient sees a physician. Of course, not all patients who snore have sleep apnea.
Definition
Although the definition of snoring may differ depending on the “ear of the beholder,” it is defined by the Random House Dictionary of the English Language as “breathing during sleep with hoarse or harsh sounds as caused by the vibrating of the soft palate.”4 The International Classification of Sleep Disorders: Diagnostic and Coding Manual defines snoring (ICSD 786.09) as “respiratory sound generated in the upper airway during sleep that typically occurs during inspiration but may also occur in expiration, without episodes of apnea or hypoventilation.”
Prevalence
It is clearly recognized that snoring is common among the general population, but estimates of its prevalence vary widely among different populations. These differences are mainly due to subjective perception, depending on who is reporting the snoring (the snorer or the bed partner), how the question is asked by the clinician, night-to-night variability of snoring can also make the reporting difficult. Overall, snoring is reported to affect 19% to 37% of the general population and more than 50% of middle-aged men. Prevalence of snoring increases with age. Male predominance has been noted in numerous epidemiologic studies of snoring. Possible reasons for male predominance include differences in pharyngeal anatomy and function, hormonal differences and their effects on upper airway muscles, and differences in body fat distribution.
Pathophysiology
Snoring is a result of the changes in the configuration and properties of the upper airway (from the nasopharynx to the laryngopharynx) that occurs during sleep. Any membranous portion of the airway that lacks cartilaginous support, including the soft palate, uvula, and the pharyngeal walls, can produce this sound. Snoring is usually an inspiratory sound, but it can also occur in expiration.7 Snoring can occur during any stage of sleep but is more common during stages 2, 3, and 4. This is because airway elastance and muscle tone due to sympathetic activity and neural output to the upper airway walls are different during rapid eye movement (REM) and non-REM sleep. Multiple predisposing factors can lead to a snoring abnormality, including age (middle or advanced), obesity, weight gain, body posture, use of alcohol and muscle relaxants, retrognathia, nasal blockage, development of asthma, and smoking.
Signs and Symptoms
A primary snorer is usually asymptomatic and does not suffer from cardiovascular disease. Snoring in this population is usually an annoyance to the bed partner, and the snorer might deny any symptoms of daytime somnolence or difficulty with concentration. In contrast, snoring also can occur in conjunction with a disordered sleep pattern and may be associated with a range of symptoms, including overt OSAHS.
Bed partners, family members, or friends who have shared a room with the sleeping patient initially might complain of loud or disruptive noises. Patients themselves sometimes complain of snoring, a feeling of tiredness on waking, excessive sleepiness during the day, poor work performance, and difficulty with concentration.
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