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    Snoring, A Simple Guide To The Condition, Treatment And Related Conditions
    Snoring, A Simple Guide To The Condition, Treatment And Related Conditions
    Snoring, A Simple Guide To The Condition, Treatment And Related Conditions
    Ebook102 pages38 minutes

    Snoring, A Simple Guide To The Condition, Treatment And Related Conditions

    By Kenneth Kee

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    About this ebook

    Snoring is the noise produced during sleep by vibrations of the soft tissues at the back of the nose and throat.
    The noise is created by turbulent flow of air through narrowed air passages.
    Snoring is the symptom of spectrum of problems including sleep disorders such as Obstructive Sleep Apnea during which breathing is interrupted during sleep.
    A more serious problem related to snoring can occur when those same soft tissues block the air passages at the back of the throat while you are sleeping.
    This interferes with the ability to breathe.
    This condition is obstructive sleep apnea (OSA), and it can directly affect the health.
    Snoring in most people is due to multiple factors each playing some part in the snoring process:
    1. Inadequate muscle tone of the palate, tongue and pharynx leads to airway collapse during inspiration causing the walls of the airway to vibrate.
    2. Bulky tissue in the upper respiratory airway (adenoids and tonsillar hypertrophy, cysts and tumors) cause narrowing of the airway and result in snoring.
    3. Excessive soft palatial tissue or long uvula can also vibrate during breathing causing snoring.
    4. A backward prolapsing tongue may fall backwards into the throat when sleeping on the back and contribute to snoring
    5. Anatomical abnormalities in the nose(deviated nasal septum, hypertrophied inferior turbinates) or congested nasal passages (allergies, sinusitis, nasal polyps) can cause poor nasal inflow and make the soft tissues of the palate and throat vibrate.
    Systemic disorders:
    1. Hypothyroidism -large tongue
    2. Acromegaly - large tongue
    3. Heartburn resulting in congestion of the throat
    4. Obesity - enlarged tongue or uvula
    Diagnosis of Snoring is by:
    A. Symptoms of snoring, nasal congestion and inadequate sleep
    Signs:
    1. Enlarged nasal turbinates, polyps, and nasal blockage
    2. Enlarged tonsils and adenoids
    3. Long uvula
    4. Large protruding tongue
    B. Sleep study using monitoring devices such as
    a. Electroencephalogram (EEG)
    b. Electro-oculogram (EOG)
    c. 8. Snoring sounds
    Treatment of Snoring is by:
    A. Non Surgical treatment:
    1. Continuous Positive Airway Pressure (CPAP)
    CPAP administered by mask through the nose is the single most effective least invasive treatment for Obstructive Sleep Apnea.
    It can improve all the bad effects of OSA.
    2. Oral appliances that push the mandible forward and prevent it from falling open during sleep
    3. Nasal Congestion treatment:
    Patients with nasal congestion and blockage should be treated with antihistamine and decongestant
    4. Weight reduction:
    Any obese patients should have at least 10% of his weight reduced over a 6 months period
    B. Surgical Treatments:
    1. Surgery on the upper pharyngeal airway (uvula and palate)
    a. Radiofrequency reduction of the palate and uvula shrinks the tissues of these and is indicated in simple snorer or mild OSA.
    b. Uvulopalatopharyngoplasty (UPPP) surgery includes uvulectomy, palatal releasing and shortening incisions.
    2. Surgery of the Tongue base:
    Radiofrequency reduction is done for mild cases.
    Advancement of the tongue, hyoid suspension is done under general anesthesia. All these enlarge the posterior airway space.
    3. Maxillomandibular Advancement:
    This is the most effective surgical procedure for treatment of OSA.
    It causes enlargement of the pharyngeal and hypopharyngeal airway by physically expanding the skeletal framework.

    TABLE OF CONTENT
    Introduction
    Chapter 1 Snoring
    Chapter 2 More Facts about Snoring
    Chapter 3 Treatment of Snoring
    Chapter 4 OSA
    Chapter 5 Narcolepsy
    Chapter 6 Adenoiditis
    Chapter 7 Tonsillitis
    Epilogue

    LanguageEnglish
    PublisherKenneth Kee
    Release dateNov 17, 2016
    ISBN9781311026484
    Snoring, A Simple Guide To The Condition, Treatment And Related Conditions
    Author

    Kenneth Kee

    Medical doctor since 1972.Started Kee Clinic in 1974 at 15 Holland Dr #03-102, relocated to 36 Holland Dr #01-10 in 2009.Did my M.Sc (Health Management ) in 1991 and Ph.D (Healthcare Administration) in 1993.Dr Kenneth Kee is still working as a family doctor at the age of 74However he has reduced his consultation hours to 3 hours in the morning and 2 hours inthe afternoon.He first started writing free blogs on medical disorders seen in the clinic in 2007 on http://kennethkee.blogspot.com.His purpose in writing these simple guides was for the health education of his patients which is also his dissertation for his Ph.D (Healthcare Administration). He then wrote an autobiography account of his journey as a medical student to family doctor on his other blog http://afamilydoctorstale.blogspot.comThis autobiography account “A Family Doctor’s Tale” was combined with his early “A Simple Guide to Medical Disorders” into a new Wordpress Blog “A Family Doctor’s Tale” on http://ken-med.com.From which many free articles from the blog was taken and put together into 1000 eBooks.He apologized for typos and spelling mistakes in his earlier books.He will endeavor to improve the writing in futures.Some people have complained that the simple guides are too simple.For their information they are made simple in order to educate the patients.The later books go into more details of medical disorders.He has published 1000 eBooks on various subjects on health, 1 autobiography of his medical journey, another on the autobiography of a Cancer survivor, 2 children stories and one how to study for his nephew and grand-daughter.The purpose of these simple guides is to educate patient on health disorders and not meant as textbooks.He does not do any night duty since 2000 ever since Dr Tan had his second stroke.His clinic is now relocated to the Buona Vista Community Centre.The 2 units of his original clinic are being demolished to make way for a new Shopping Mall.He is now doing some blogging and internet surfing (bulletin boards since the 1980's) startingwith the Apple computer and going to PC.The entire PC is upgraded by himself from XT to the present Pentium duo core.The present Intel i7 CPU is out of reach at the moment because the CPU is still expensive.He is also into DIY changing his own toilet cistern and other electric appliance.His hunger for knowledge has not abated and he is a lifelong learner.The children have all grown up and there are 2 grandchildren who are even more technically advanced than the grandfather where mobile phones are concerned.This book is taken from some of the many articles in his blog (now with 740 posts) A Family Doctor’s Tale.Dr Kee is the author of:"A Family Doctor's Tale""Life Lessons Learned From The Study And Practice Of Medicine""Case Notes From A Family Doctor"

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      Book preview

      Snoring, A Simple Guide To The Condition, Treatment And Related Conditions - Kenneth Kee

      Snoring,

      A

      Simple

      Guide

      To

      The Condition,

      Treatment

      And

      Related Conditions

      By

      Dr Kenneth Kee

      M.B., B.S. (Singapore)

      Ph.D (Healthcare Administration)

      Copyright Kenneth Kee 2014 Smashwords Edition

      Published By Kenneth Kee at Smashwords.com

      Dedication

      This book is dedicated

      To my wife Dorothy

      And my children

      Carolyn, Grace

      And Kelvin

      This book describes the Snoring, treatment and Other Related Diseases such as which are seen in some of my patients in my Family Clinic.

      This eBook is licensed for your personal enjoyment only. This eBook may not be re-sold or given away to other people. If you would like to share this book with another person, please purchase an additional copy for each reader.

      If you’re reading this book and did not purchase it, or it was not purchased for your use only, then please return to Smashwords.com and purchase your own copy.

      Thank you for respecting the hard work of this author.

      Introduction

      Ode to Snoring

      Snoring is vibration of the tissues lining the air passages

      It occurs mainly during sleep in all ages

      The tongue may be large and backward protruding

      It may block the air passage and cause snoring

      Other causes may be adenoids, deviated nasal septum

      Inadequate muscle tone of the palate and tongue

      Large tonsils and uvula are causes of snoring

      The narrowed passages vibrate during breathing

      Systemic causes are hypothyroidism with large tongue

      Or acromegaly, obesity and acid reflux with heart burn

      There may be morning headaches, irritability or depression

      The sleep is un-refreshed and there is poor concentration

      Treatment is the use of Continuous Positive Airway Pressure

      Weight reduction helps improve air breathing measures

      Sometime removal of adenoids and tonsils may be necessary

      To increase the air space and treat snoring with surgery

      -An original poem by Kenneth Kee

      Interesting Tips about the Snoring

      A Healthy Lifestyle

      1. Take a well Balanced Diet

      2. Treatment

      A. Non Surgical treatment:

      a. Continuous Positive Airway Pressure (CPAP)

      CPAP administered by mask through the nose is the single most effective least invasive treatment for Obstructive Sleep Apnea.

      b. Oral appliances that pushes the mandible forward and prevent it from falling open during sleep

      c. Nasal Congestion treatment:

      Patients with nasal congestion and blockage should be treated with antihistamine and decongestant

      d. Weight reduction:

      Any obese patients should have at least 10% of his weight reduced over a 6 months period

      B. Surgical Treatments:

      a. Surgery on the upper pharyngeal airway (uvula and palate)

      b. Radiofrequency reduction of the palate and uvula shrinks the tissues of these and is indicated in simple snorer or mild OSA.

      b. Uvulopalatopharyngoplasty (UPPP) surgery includes uvulectomy, palatal releasing and shortening incisions.

      c. Surgery of the Tongue base Radiofrequency reduction is done for mild cases

      d. Maxillomandibular Advancement is the best surgical treatment for snoring

      3. Keep bones and body strong

      Bone marrow produces our blood

      Eat foods rich in calcium like yogurt, cheese, milk, and dark green vegetables.

      Eat foods rich in Vitamin D, like eggs, fatty fish, cereal, and fortified milk.

      Eat food rich in Vitamins B and C such as green vegetables and fruits

      Zinc and other minerals are important to the body

      4. Get enough rest and Sleep

      Avoid stress and tension

      5. Exercise and stay active.

      It is best to do weight-bearing exercise such as walking, jogging, stair climbing, dancing, or lifting weights for 2½ hours a week.

      One way to do this is to be active 30 minutes a day at least 5 days a week.

      Begin slowly especially if a person has not been active.

      6. Do not drink more than 2 alcohol drinks a day for a man or 1 alcohol drink a day for a woman.

      Alcohol use also increases the chance of falling and breaking a bone.

      Alcohol can affect the neurons and brain cells.

      Alcohol can irritate the eye.

      7. Stop or do not begin smoking.

      It also interferes with blood supply and healing.

      Chapter 1

      Snoring

      What is Snoring?

      Snoring is the noise produced during sleep by vibrations of the soft tissues at the back of the nose and throat.

      The noise is created by turbulent flow of air through narrowed air passages.

      Snoring is the symptom of spectrum of problems including sleep disorders such as Obstructive Sleep Apnea during which breathing is interrupted during sleep.

      A more serious problem related to snoring can occur when those same soft tissues block the air passages at the back of the throat while you are sleeping.

      This interferes with the ability to breathe.

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