Creating Waves of Awareness
© Dr. Rajneesh Kumar Sharma MD (Hom)
Article outline Definitions, Aetiology/pathogenesis, Factors contributing to snoring, Signs and symptoms, Case taking, Examination, Management, Prevention, Snoring and Homoeopathy, Bibliography
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-
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-
Signs and symptoms
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.
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-
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.
Snoring and Homoeopathy
Repertory of Snoring
Clarke J. H., Clinical Repertory (English) - Clinical - S – snoring- op. rat. rheum
Sudarshan S. R., Repertory of non malarial fevers - CONCOMITANTS TO FEVER - respiration – snoring- apis OP.
RESPIRATION - Inspiration – snoring- nux-v. OP. puls. Rheum
RESPIRATION – Snoring- ARN. Bar-c. Bar-i. Bell. calc. Camph. caps. carb-v. CHAM. CHIN. chinin-s. cocc. CUPR. dros. dulc. hep. HYOS. Ign. kali-bi. kali-c. Kali-chl. LACH. laur. lyc. Mag-c. mag-m. mur-ac. NAT-M. nit-ac. nux-v. OP. petr. puls. rheum sep. Sil. Stann. STRAM. SULPH.
COUGH - Concomitants - breathing – snoring- CHIN.
LARYNX AND TRACHEA - Snoring in- cham. chin. hyos. nat-m. stann. sulph.
SLEEP - During sleep - breathing – snoring- Ign. OP.
SLEEP - During sleep – snoring- alum. bell. calc. camph. caps. Cham. CHIN. dros. dulc. HYOS. ign. kali-c. laur. M-ambo. mag-m. mur-ac. NUX-V. OP. petr. puls. Rheum sabin. sep. STRAM. sulph.
CHILL - Chill, etc. - concomitants - sleep - during sleep – snoring- bell. Camph. OP. stram.
HEAT AND FEVER IN GENERAL - Concomitants - sleep - during sleep – snoring- anac. Chin. graph. IGN. Mur-ac. NUX-V. OP. sil. Stram.
SWEAT - Concomitants - sleep - during sleep – snoring- Anac. CHIN. Graph. hyos. Ign. MUR-AC. Nux-v. OP. SIL. stram.
N - Nostrils, alae - motions, flapping - snoring, with- diph.
R - Respiration – snoring- hyos. merc-c. nat-m. op.
S - Sleep - comatose, deep - snoring, with, in children- chin.
Pathogenetic - Snores sleep- plb.
Pathogenetic - Snoring breathing- mur-ac.
Clinical - Snoring chest- kali-i.
Clinical - Snoring respiration- stram.
NERVOUS SYSTEM - Sleep - Snoring, during- chin. laur. Op. sil. stram. tub. Zinc.
RESPIRATION – Snoring- hyos. merc-c. op.
SLEEP - Sleep; during – snoring- op.
MIND - DELIRIUM TREMENS - sopor with snoring- OP.
MIND - UNCONSCIOUSNESS - snoring, involuntary urination and stool; with- amyg. Op.
MIND - UNCONSCIOUSNESS - somnolence, without snoring, eyes being closed; with- ph-ac.
NOSE - PAIN - Posterior nares - snoring; from- des-ac.
RESPIRATION – SNORING- acon. aeth. alco. alum. amp. amyg. Anac. ANT-T. arge-pl. arn. ars. aur-s. bapt. bar-c. bar-i. bell. benz-ac. Brom. bros-gau. calc. Camph. caps. carb-v. Carl. Cham. Chin. chinin-s. chlol. Cic. cinnb. cocc. con. cund. Cupr. cycl. des-ac. dros. dulc. fl-ac. gal-s. glon. Graph. guare. Hep. hydr-ac. hyos. Ign. kali-bi. kali-c. kali-chl. kali-m. Kali-s. LAC-C. Lach. Laur. lyc. m-ambo. mag-c. mag-m. merc-c. merc. mez. morb. mur-ac. nat-m. nit-ac. nux-m. Nux-v. oena. OP. petr. puls. rat. rheum Rhus-t. sabad. sabin. samb. sep. sil. stann. Stram. stry. Sulph. teucr. tub. Zinc.
COUGH - SNORING, with- ant-t. arg-met. bell. caust. Chin. hyos. ip. nat-c. nat-m. nux-v. puls. sep. squil.
SLEEP - COMATOSE - snoring, with- bell. carb-v. laur. Op. rhus-t. Stram.
SLEEP - DEEP - spells of deep sleep with snoring and stertorous breathing- laur.
CHILL - SHAKING - sleep and snoring; with deep- Op.
GENERALS - FAINTNESS - snoring, with- stram.
Prevalence of various miasms in manifestation of snoring