Snoring vs sleep apnoea

Snoring is caused by vibration of tissues in the upper airway during sleep. Obstructive sleep apnoea (OSA) is more serious: the airway repeatedly narrows or collapses, briefly interrupting breathing and reducing oxygen. OSA is linked to daytime tiredness and longer-term health risks, so persistent loud snoring is worth assessing.

Symptoms

  • Loud, habitual snoring
  • Witnessed pauses in breathing during sleep
  • Waking unrefreshed; daytime sleepiness
  • Morning headaches; difficulty concentrating
  • Sometimes high blood pressure

Assessment

An ENT specialist examines the nose and throat to find sites of obstruction and may arrange a sleep study (polysomnography) to confirm and grade OSA. This helps distinguish simple snoring from apnoea that needs treatment.

Treatment options

  • Lifestyle measures: weight management, reducing alcohol, sleep position
  • CPAP therapy for moderate-to-severe OSA
  • Treating nasal obstruction (e.g. sinus or septal issues)
  • Surgery in selected cases to address specific obstruction sites
  • Dental devices for suitable patients

When to see a specialist

Persistent loud snoring, witnessed breathing pauses, or significant daytime sleepiness should be assessed — OSA is treatable and treatment can improve energy, focus and long-term health.

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Frequently Asked Questions

No. Many people snore without apnoea, but loud habitual snoring with daytime tiredness or witnessed pauses should be assessed.

It is a test that monitors breathing, oxygen and sleep during the night to diagnose and grade sleep apnoea. It can sometimes be done at home.

No. CPAP and lifestyle measures are first-line for many. Surgery is considered for specific obstruction sites or when other treatments are unsuitable.