Health & Lifestyle

I’ve snored for years… can surgical procedure treatment me? DR MARTIN SCURR solutions your well being questions

I snore — loudly, apparently — however it’s stay awake apnoea. Twenty years in the past, I attempted septoplasty surgical procedure and that helped, however I crashed my bike and ruined my nostril, so the loud night breathing got here again.

I used to be provided one other operation however was informed it was painful and won’t work. Has something modified within the loud night breathing division since then? I’m 58, 5ft 8in, 11st and actually fairly match — I cycle 15 miles a day.

Grog Fookes, Woking, Surrey.

Snoring is usually brought on by obstructive sleep apnoea, the place the tissues within the throat briefly collapse throughout sleep.

One of the principle danger elements is weight acquire, however at 11st that doesn’t apply to you, and certainly sleep apnoea has been dominated out (which is sweet information, because it’s linked to a raised danger of coronary heart assault or stroke).

Smoking and ingesting an excessive amount of alcohol are additionally recognized to extend the probability of loud night breathing — smoking may cause congestion in nasal passages and alcohol relaxes muscular tissues within the throat — so chopping again on each might help.

Snoring is often caused by obstructive sleep apnoea, where the tissues in the throat temporarily collapse during sleep

Snoring is usually brought on by obstructive sleep apnoea, the place the tissues within the throat briefly collapse throughout sleep

Sleeping in your aspect may be useful, as it may scale back the tendency for the tissue at the back of the roof of the mouth, the taste bud, to break down and trigger intermittent obstruction. The air you breathe out makes the tissue vibrate, inflicting the loud night breathing sound.

The operation you had all these years in the past entails straightening the septum, the bony cartilage that separates the nostrils. A deviated (or crooked) septum is a standard explanation for loud night breathing. While this operation is now not a lot in favour (the proof that bettering the airways in each nostrils might help loud night breathing is missing), the truth that this initially labored for you suggests the inner construction of your nostril could also be an element.

I think the second operation you had been provided was uvulopalatopharyngoplasty (UPPP) surgical procedure, the place tissue in the back of the throat, usually together with a part of the taste bud, is minimize away.

While analysis reveals this may scale back the depth of loud night breathing, long-term research don’t bear this out — the outcomes don’t appear to be everlasting.

Bearing in mind that snoring is common, affecting more than 40 per cent of men and nearly 30 per cent of women between the ages of 30 and 60, is it essential to pursue a resolution?

Bearing in thoughts that loud night breathing is frequent, affecting greater than 40 per cent of males and practically 30 per cent of ladies between the ages of 30 and 60, is it important to pursue a decision?

The potential issues and post-operative ache, which is known, additionally rule in opposition to having this surgical procedure, so my feeling is you had been proper to keep away from it.

There are newer procedures, resembling radiofrequency ablation, which makes use of warmth slightly than a scalpel to cut back the amount of the taste bud.

It has been proven to be a secure and efficient solution to scale back loud night breathing (with much less post-operative ache than UPPP), although it’s not clear how lengthy the advantages final.

Palatal implants contain implanting polyester fibres into the taste bud to stiffen it. While this additionally reduces loud night breathing, the long-term outcomes are once more much less sure.

As you possibly can see, there’s nothing magical or new that may readily resolve your symptom.

Bearing in thoughts that loud night breathing is frequent, affecting greater than 40 per cent of males and practically 30 per cent of ladies between the ages of 30 and 60, is it important to pursue a decision?

As lengthy as sleep apnoea has been dominated out, you might be suggested to just accept the state of affairs.

My pal bashed his head on the tub just lately and has since had blurred imaginative and prescient, is wobbly on his toes and has been vomiting. He refuses to go to hospital — what can I do?

Eloise Few, Notting Hill, London.

Your pal might have a CT scan of his head. The signs you describe — together with fatigue, dizziness, lack of stability, temper modifications and slurred speech — might point out an underlying mind damage.

Even a minor blow to the top may cause issues resembling concussion, an intracranial haematoma (when a blood vessel ruptures and the blood builds up within the tissues) and a cerebral contusion (a localised bruising inside the mind).

Much relies upon upon his age — the mind tissue of the aged is extra vulnerable to wreck from even minor impression.

Your friend may need a CT scan of his head. The symptoms you describe — along with fatigue, dizziness, loss of balance, mood changes and slurred speech — may indicate an underlying brain injury

Your pal might have a CT scan of his head. The signs you describe — together with fatigue, dizziness, lack of stability, temper modifications and slurred speech — might point out an underlying mind damage

If signs persist, notably if his temper modifications or he continues to be unsteady on his toes, then attempt to persuade him to hunt a medical opinion.

I’m practically 80, very match and work within the laundry room of a nursing house. I’m 5ft 2in and have all the time been very slim, however I’m presently round 7st and fear I may be too skinny, as everybody appears to assume I’m unwell.

Madeleine Kelly, East Sussex.

Your physique mass index, a determine that mixes weight and top, is on the decrease finish of the wholesome vary — so I see no trigger for concern.

But there are issues you are able to do when you’re apprehensive.

You say in your longer letter that you simply’ve all the time had a small urge for food and been energetic.

Add to this sarcopenia — the inevitable and gradual lack of muscle over time (after the age of 30, you lose between 3 and 5 per cent of muscle each decade) which can inevitably trigger weight reduction, as muscle is thrice as heavy as fats.

You can minimise this muscle loss by consuming extra protein — meat, fish and eggs — and taking common train. Omega-3 fatty acids additionally stimulate muscle development; oily fish resembling tinned mackerel or sardines are an excellent supply.

In phrases of train, strive lifting weights of round 2kg to 3kg for half-hour thrice every week.

Write to Dr Scurr

Write to Dr Scurr at Good Health, Daily Mail, 9 Derry Street, London W8 5HY or electronic mail: [email protected] — embrace contact particulars. Dr Scurr can not enter into private correspondence. Replies must be taken in a basic context. Consult your personal GP with any well being worries 

In my view… Give tax reduction on charges for seeing non-public GP 

The Prime Minister has been extensively criticised for initially declining to say whether or not he has a non-public GP.

He lastly informed the House of Commons that he does, in truth, have an NHS GP — three days after ducking the query throughout an interview. I actually don’t perceive his reluctance to disclose this.

We’re all entitled to pay for medical care outdoors of the NHS, and plenty of accomplish that — beauty surgical procedure being a first-rate instance.

Margaret Thatcher had no hesitation in utilizing a non-public GP, as did the Pope when he visited the UK in 1982 (that personal physician was me!). In my non-public apply I’ve additionally seen Labour MPs and friends who don’t have any downside stepping outdoors of the NHS, regardless of their proclaimed ideology.

When I used to be a home surgeon at Westminster Hospital in 1972, Marcia Falkender, secretary to Labour chief Harold Wilson, was handled on our unit in a non-public room.

Harold Wilson’s authorities later got down to abolish pay-beds in NHS hospitals.

Whatever his personal place, Rishi Sunak ought to enable tax reduction on the price of seeing a GP privately to cut back stress on the NHS.

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