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That Loud Snoring Might Be More Than Just Snoring | Dr Sanjeev Mohanty

Somebody in every household has "that snore" the one that gets jokes at family functions, that's become the reason someone ends up on the sofa or in the next room, that's been normal for so many years nobody questions it anymore. It's practically a character trait at this point: "oh, he's always been a loud sleeper," said with a laugh, like it's charming.

But here's the thing Dr. Sanjeev Mohanty wants families to sit with for a moment: loud, habitual snoring isn't always just noise. Sometimes it's your airway quietly asking for help, night after night, while everyone around it just learns to sleep through it.

Dr Sanjeev Mohanty
fig 1. That Loud Snoring Might Be More Than Just Snoring

Normal snoring vs. something more Occasional snoring after a heavy dinner, one too many drinks at a wedding, or a stuffy nose during a cold is common, harmless, and nothing to read into. What's genuinely different is snoring that's loud every single night, and comes paired with pauses in breathing, gasping, or choking sounds during sleep.

That specific combination has a clinical name: obstructive sleep apnea (OSA) and it's far more common than most families realize, often hiding in plain sight for years as "just how he sleeps."

Signs it might be more than "just snoring":

  • Snoring loud enough to be heard through walls or from another room entirely
  • Choking or gasping sounds during sleep, sometimes followed by a brief silence
  • Waking up with a dry mouth, sore throat, or a dull headache most mornings
  • Feeling exhausted even after what should have been a full night's sleep
  • Falling asleep easily during the day — in meetings, in front of the TV, worryingly even while driving
  • A partner noticing actual pauses in breathing, sometimes lying awake themselves, quietly counting the gaps

A pattern worth recognizing Often it's not the person snoring who notices anything is wrong it's the partner. Dr. Mohanty frequently hears a version of the same story: "I've been telling him for years he stops breathing at night, but he just says he's fine because he sleeps through it." That disconnect is exactly the problem. The person with sleep apnea rarely feels the interruptions consciously they just wake up tired, day after day, without connecting it back to their nights.

Signs it might be more than "just snoring"
fig 2. Signs it might be more than "just snoring"

Why this matters beyond sleep Untreated sleep apnea isn't just about feeling tired the next day, though that alone affects work, mood, and relationships more than people admit. Over time, it's linked to high blood pressure, added strain on the heart, and even memory and concentration issues  because the brain and body are being repeatedly starved of oxygen through the night, dozens or even hundreds of times, without the person ever fully waking up to notice it happening.

What's actually causing it? Several things can narrow the airway specifically during sleep, when muscles relax  enlarged tonsils, a deviated septum, excess soft tissue in the throat, or even the natural structure of the jaw. This is exactly why it needs a proper ENT evaluation rather than generic advice like "just lose weight" or "try sleeping on your side," which may genuinely help in some cases but rarely addresses the full underlying picture on their own.

The good news Sleep apnea is highly treatable once it's properly diagnosed  typically through a sleep study combined with an ENT assessment of the airway itself. Treatment options range from simple lifestyle and positional changes, to CPAP therapy for consistent nightly support, to, in select structural cases, surgical correction of the specific issue narrowing the airway. There isn't one universal fix  which is exactly why the diagnosis matters as much as the treatment.

If snoring in your house has become a running joke at dinner, it might genuinely be worth turning it into a real conversation instead for the sake of whoever's sleep, and health, is quietly being affected every single night.

Dr. Sanjeev Mohanty, ENT Specialist, evaluates and treats snoring, sleep apnea, and related airway conditions.

Dr Sanjeev Mohanty

FAQs:

1. Is loud snoring always a sign of sleep apnea?
Not necessarily. Snoring can have many causes, but loud or persistent snoring—especially with pauses in breathing, choking or gasping during sleep—can be a warning sign of sleep apnea.

2. Why is untreated sleep apnea a concern?
Sleep apnea repeatedly interrupts normal breathing and oxygen levels during sleep. Over time, it can contribute to high blood pressure, cardiovascular strain, and problems with memory, concentration, mood, and daytime alertness.

3. What causes sleep apnea?
Several factors can narrow or block the airway during sleep, including enlarged tonsils, a deviated septum, excess soft tissue in the throat, and the natural structure of the jaw. Weight and sleeping position can also play a role.

4. How is sleep apnea diagnosed?
A proper evaluation may include a sleep study to identify breathing interruptions during sleep, along with an ENT assessment to examine the structure and function of the airway.

5. Can sleep apnea be treated without surgery?
Yes. Treatment depends on the underlying cause and severity. Options may include lifestyle or positional changes, CPAP therapy, and—in selected cases—surgery to correct a specific structural airway problem. There is no single treatment that works for everyone.

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