Snoring, Mouth-Breathing, and SleepI used to think that snoring babies were absolutely adorable. After all, what better indicator is there that your baby is fast asleep and getting the rest they need than the sound of them purring away in their crib? As a mother, the sight of your baby sleeping means they’re relaxed, feeling safe, and content with everything around them. I always get that “I’m a good mom” feeling when I look at my babies sleeping peacefully, and a little snore seemed harmless and cute. Unfortunately, that sense of peace and serenity I used to get at the sound of a snoring baby turned out to be misconstrued. After conducting some research, I quickly discovered that snoring and mouth breathing were both signs that something wasn’t quite right, indicating that I probably needed to take some action. That might sound inflammatory, but I assure you, I’m not fear-mongering here. Now, anyone who has ever taken a meditation class, dabbled in yoga, or trained for an athletic challenge of any kind will tell you that proper breathing has incredible benefits, and that proper breathing, by definition, is done through the nose. There are a few reasons why nose-breathing is better for you than mouth-breathing, and they’re not minor benefits. Breathing through your nose increases the amount of oxygen that reaches your lungs, expels more carbon dioxide, lowers your heart rate, enhances lymphatic flow, and reduces stress on the heart. It also produces nitric oxide, which helps expand blood vessels and increase blood flow. Additionally, the hairs and mucus in the sinuses help filter out impurities from the air. Mouth breathing, on the other hand, has some pretty nasty downsides. Again, this is for real. I’m making up exactly none of this, even though it sounds like a bad Facebook post your conspiracy theory-loving uncle might share. Long-term, chronic mouth breathing in children can actually affect their facial growth, mess with their teeth, cause gum disease, throat infections, stunted growth, and, a little closer to my heart, lack of quality sleep. So, again, I’m not trying to make anyone paranoid by writing this. Still, out of all the conversations I’ve had with parents, I would have to say that mouth-breathing ranks somewhere below “abducted by aliens” on the list of parental concerns, so I wanted to call some attention to it. Facial deformities and TMJ disorder aren’t really my area of expertise, but when it comes to sleep, I know my stuff, so allow me to expand a little on why snoring can ruin an otherwise wonderful, rejuvenating night. As you probably already know, we all sleep in cycles. We transition from a very light sleep into deeper sleep, then deeper still, and finally into the dreaming stage, commonly known as REM sleep. During that first stage of light sleep, as well as in the REM stage, we’re very easily woken up. The cat jumped on the bed, your partner rolling over, or involuntary muscle twitches can startle us out of our glorious snoozing session, and then we’re back to the starting line, trying to get back to sleep. In adults, these cycles last around 90 - 110 minutes, but in babies, they’re closer to 45, so the opportunity for them to wake up occurs more frequently throughout the night. (Which, I’m sure, isn’t news to anyone reading this. Every parent knows all too well how often babies tend to wake up during the night. Most delivery drivers probably know it as well, given how many mothers they’ve seen with the death- stare in their eyes after ringing the doorbell at the wrong time.) And what causes baby to wake up in those light stages of sleep? More than anything else, noise. Barking dogs, garbage trucks, washing machines getting thrown off balance during the spin cycle, and quite often, the sound of their own snoring. That’s not the only reason for waking up, mind you. If their airway is obstructed to the point where they temporarily stop breathing, what’s known as obstructive apnea, the body tends to startle itself out of sleep. (And I’m sure we’re all happy for that little fail-safe, even if it does lead to nighttime wake-ups.) Now, I could rehash all the points I’ve made in my blog posts about the benefits of solid, consolidated sleep, as well as the detriments of sleep deprivation, but I’ll leave it to the National Institutes of Health and their extensive study on the subject if you need a refresher. Suffice it to say, your baby needs a lot of sleep, and it’s bad for them in a whole lot of ways if they don’t get it. Therefore, if your baby (regardless of age) is snoring, you should take immediate action. That brings us to the question that every person who has ever slept next to a snorer has asked themselves. “How on earth do I stop this person from snoring?” The first thing you should do is grab your phone and record your little one breathing while they sleep. The second step is to take that recording to your pediatrician and play it for them. Just going to the doctor and telling them your baby’s snoring might not spark a lot of concern on their part, but being able to demonstrate the severity of the issue can light a little fire under their butts and prompt them to refer you to a respiratory specialist. Removal of the tonsils and/or adenoids is often the next logical step if their airways are significantly blocked. Don’t panic, though. The process isn’t nearly as intense as it might sound and is performed over half a million times a year in the US alone. If your little one’s snoring isn’t severe enough to warrant surgery, however, you might benefit from some nasal strips, which you’ve probably seen advertised. They’re just thin strips of metal in a cotton sheath with adhesive on the back that sticks to the outside of the nose, gently pulling open the nasal passageways. It’s not the most elegant solution, but it does solve the problem temporarily. Just a final note to add here. If your baby is sick or congested, don’t jump to the conclusion that their snoring is permanent. A slight nasal congestion due to illness can cause baby to snore, but it should clear up when they recover. Try using a nasal bulb to suck the ickiness out of their nose and then a saline solution to clear up the passageways.
I know that, as mothers, we’ve got plenty to worry about without throwing unnecessary concerns into the mix. Still, if your baby’s snoring, it can have some serious consequences, and you should take it seriously. It’s preventable, and a better night’s sleep is waiting on the other side of the solution for your baby as well as the rest of your family. - Erin Neri, B.A. Psychology, Certified Pediatric Sleep Consultant, Infant Mental Health, Integrated Feeding Specialist Most of us consider snoring just a normal part of life. Maybe we have a partner who snores, or a Grandpa who falls asleep in his easy chair and snores so loud it’s hard on carry on a conversation in the room. We think of it as a common condition, and while it might be irritating trying to sleep beside a snorer, it usually isn’t anything to worry about.
Snoring in kids can be caused by:
What is sleep apnea About 3 percent of all children between the ages of 1 through 9 have sleep apnea or upper airway resistance syndrome, which can be a more serious issue. So much so that in 2002, the American Academy of Pediatrics recommended that all children be screened for snoring to see if it’s associated with sleep apnea. Approximately 1 to 3 percent of children suffer from breathing problems while they sleep. When snoring is accompanied by gasps or pauses in breathing, the child may have sleep apnea. This occurs when kid’s muscles, which are usually relaxed during sleep, become so relaxed that the airway becomes obstructed and the child can’t breathe properly, creating a pause that can last anywhere from a few seconds to a full minute. The brain then alerts the body that it’s not breathing properly and the child will usually gasp or snort and start to breathe again. This can be exhausting for a child’s body, and because of all the waking in the night it can seriously affect quality of sleep and make for cranky kids who have trouble focusing. The American College of Chest Physicians claims that children who snore loudly are twice as likely to have learning problems. It only makes sense, tired kids are way more likely to have trouble concentrating and tend to be overtired and hyperactive. There are treatments for sleep apnea that can solve the problem. Often, simply removing the child’s tonsils or adenoids may take care of the issue. Some kids might need to use a machine that will blow air into their nose via a nose mask to keep the airway open and unobstructed. Having a child who snores regularly isn’t necessarily cause for alarm, but make sure you take your child in to your family physician to rule out any underlying conditions that might be affecting sleep quality. This will help ensure a lifetime of sweet (and quiet) dreams. If you If you’re running into trouble applying these suggestions, please feel free to set up a free sleep evaluation, I’d love to hear more about what’s going on your little one (as sleep can be extremely complex) and see if there are any more pointers I can give you!
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