Condition Info - BotMed Application

ConditionName

Snoring

ConditionDescription

Symptoms

Witnessed breathing pauses during sleep;
Excessive daytime sleepiness;
Difficulty concentrating;
Morning headaches;
Sore throat upon awakening;
Restless sleep;
Gasping or choking at night;
Chest pain at night;
Your snoring is so loud it's disrupting your partner's sleep;
In children, poor attention span, behavioral issues or poor performance in school;

PhysicalFindings

HTN;
Hight/weight (BMI ≥ 35 kg/m2);
Head exam:
- Nasal polyps and engorged turbinates;
- A high, narrow arched palate;
- Enlargement of the tongue, tonsils, soft palate, lateral pharyngeal walls, or uvula;
- A small or posteriorly displaced mandible (retrognathia);

ClinicalTests

Sleep study;

RiskFactors

Male sex; 
Overweight -> obstructive sleep apnea;
Narrow airway (eg, large tonsils, a deviated nasal septum, nasal polyps, macroglossia, an enlarged soft palate, lateral pharyngeal narrowing);
Drinking alcohol or using other sedatives. Alcohol relaxes your throat muscles;
Having nasal problems: deviated septum;
Having a family history of snoring or obstructive sleep apnea;
Postmenopausal status;
Pregnancy;

IsRedFlag

IsNPLEX

Consequence

Daytime sleepiness;
Frequent frustration or anger;
Difficulty concentrating;
HTN;
CVD;
Stroke;
Behavior problems: aggression or learning problems;
Risk of motor vehicle accidents due to lack of sleep;

ProgressionFromCondition

Your mouth anatomy: low, thick soft palate can narrow your airway; Overweight;
Alcohol consumption;
Nasal problems: chronic nasal congestion or a crooked partition between your nostrils (deviated nasal septum) may contribute to your snoring;
Sleep deprivation: Not getting enough sleep can lead to further throat relaxation;
Sleep position;

TreatmentOptions

Treat underline condition; 

Avoiding alcohol and sedating drugs for several hours before bedtime;
Sleeping with the head elevated (best accomplished by using bed- or body-positioning devices such as wedges);
Losing weight;
Treating any nasal congestion (eg, with decongestant and/or corticosteroid sprays);

Oral appliances are worn only during sleep:
- Mandibular advancement devices;
- Tongue-retaining devices;

Surgery;

PharmOptions

WebLink

https://www.merckmanuals.com/en-ca/professional/neurologic-disorders/sleep-and-wakefulness-disorders/snoring