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Ask Well I love my partner


 

I love my partner, but the rumbling snores keep me awake. Any solutions for people like us?

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Sharing a bed with someone who snores can be a challenge. It's also a common one — up to half of adults in the United States snore regularly, some data suggests, and their partners can suffer. Experts say the first step to getting some rest is understanding what's causing the noise.

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When the muscles that keep your airway open become relaxed while you sleep, your airway can narrow, causing the soft tissues in your throat to vibrate with each breath, said Daniel Vena, an assistant professor of sleep medicine at Harvard Medical School.

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"Those muscles go to sleep when you go to sleep," Dr. Vena said. Also, people who are overweight tend to snore because extra tissues in the tongue and throat can hinder airflow, he said.

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Congestion can also constrict an airway; some people snore because of a cold or allergies, said Dr. Kuljeet K. Gill, a clinical assistant professor of sleep medicine at the Northwestern University Feinberg School of Medicine.

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For partners who snore regularly, the first step is to rule out obstructive sleep apnea. This is a potentially serious condition that occurs when the airway collapses enough during sleep that it blocks airflow, temporarily pausing breathing and causing people to wake up gasping for air. Untreated, sleep apnea can increase the risk for heart disease, Type 2 diabetes and certain cancers.

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Most people with sleep apnea snore, Dr. Vena said. But not all people who snore have sleep apnea, so get a proper diagnosis. A sleep specialist or an ear, nose and throat doctor should be able to help, said Dr. Omar G. Ahmed, an E.N.T. sleep surgeon at Houston Methodist Hospital. Lifestyle changes like losing weight or quitting smoking — or the use of continuous positive airway pressure machines — may also curtail snoring.

in addition, consider these tips:

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DISCOURAGE MOUTH BREATHING

If your partner has a blocked nose, he or she is probably breathing through the mouth instead, Dr. Gill said. That can lead to snoring, she added. To promote nose breathing while sleeping, your partner can apply nasal strips or clear the sinuses with a nasal rinse before bed. If there's a more permanent blockage, like a deviated septum or nasal polyps, surgery might be an option, Dr. Ahmed said.

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PROMOTE SIDE SLEEPING When sleeping on your back, gravity can cause your airway to narrow, which results in snoring, Dr. Vena said. To help your partner, try placing firm pillows behind his or her back, said Heather E. Gunn, an associate professor of psychology at the University of Alabama. Or you can make rolling over uncomfortable by sewing or taping tennis balls or other objects onto the back of a shirt, said Wendy Troxel, a senior behavioral scientist at the RAND Corporation, a think tank whose research includes public health.

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TUNE OUT THE SOUND Covering your ear with a pillow is one way to stifle the noise, but you'd most likely need to adjust it during the night, Dr. Gunn said. Instead, try wearing earplugs, running a fan or playing white noise, she said.

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TRY A SLEEP DIVORCE If all else fails, try sleeping separately from your partner, perhaps in a spare bedroom (if you have one) or on the couch. A "sleep divorce" might seem bad for your relationship at first, Dr. Gunn said. But inadequate rest can also sink a relationship, Dr. Troxel said. Offset the time apart with quality time together during the day.

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Caroline Hopkins Legaspi

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