What to know about your spouse's snoring

Snoring happens when airflow makes tissues in the nose or throat vibrate during sleep. Nasal congestion from Allergic Rhinitis or Chronic Sinusitis can make this worse. Alcohol near bedtime, sleeping on the back, smoking and some medicines may also contribute. Obesity can narrow the upper airway, although body size alone does not establish a diagnosis.

A partner may notice breathing pauses, choking sounds, restless sleep or repeated awakenings before the sleeper does. These features can occur with Obstructive Sleep Apnoea, which may leave someone unrefreshed, irritable or sleepy during the day.

Ask your spouse whether the snoring is new, nightly or changing, and describe any pauses or gasps they do not remember. Side sleeping, treating nasal congestion as advised, avoiding alcohol close to bedtime and keeping a regular sleep routine may help. Do not use another person's prescription or rely on untested mouth devices. If weight is a relevant factor, discuss a structured Weight Management Programme rather than pursuing a rapid unsupervised plan.

Arrange a GP review for persistent disruptive snoring, witnessed breathing pauses, morning headaches, dry mouth, poor concentration or daytime sleepiness. Seek urgent help if breathing difficulty continues while awake, there is chest pain, blue or grey colouring, confusion or collapse. Until assessed, avoid driving if sleepiness makes staying alert difficult.

Could nasal blockage or sinus disease be contributing? Do the pauses and gasps suggest sleep apnoea? Would a sleep assessment help? Which treatments are suitable, and could any current medicine worsen drowsiness?