Why does snoring happen?
The NHS explains that snoring is caused by the tongue, mouth, throat or airways in the nose vibrating as you breathe, and lists being overweight, smoking, drinking too much alcohol and sleeping on the back as contributing factors.
What these have in common is that each makes the upper airway narrower or slacker. Excess weight brings fat around the neck that narrows the airway; alcohol and sleeping pills relax the muscles; lying on the back lets the base of the tongue fall backwards. How loud the vibration is relates to how narrow the airway has become — but loudness alone does not establish severity, which is what the next section is about.
A blocked nose is itself one of the causes, which is why people with long-standing nasal allergy or sinus problems snore more often. It is also why an ENT doctor looks directly at the nose and throat: some snoring has a structural explanation that cannot be seen from the outside.
When is it worth worrying about?
The point is not how loud it is but whether anything else comes with it. The NHS names breathing that stops and starts, gasping or choking sounds, and daytime sleepiness as reasons to see a doctor — these point to obstructive sleep apnoea rather than snoring alone.
Most of these signs happen during sleep, where the person cannot observe them. The most useful information therefore comes from whoever shares the room. Where nobody can observe, the degree of daytime sleepiness is the most reliable single clue — particularly the kind that means falling asleep while sitting still.
There is a separate sleep apnoea guide here covering how it is diagnosed, how severity is graded, and one arrangement that matters particularly in Hong Kong: anyone already diagnosed must tell the team before an operation, because both the anaesthetic plan and same-day discharge depend on it.
| What is observed | More like snoring alone | Points to possible sleep apnoea |
|---|---|---|
| Breathing | Continuous, fairly even sound | Repeatedly stops and starts |
| The pattern of sound | No sudden breaks | Punctuated by gasping or choking |
| By day | Rest restores alertness | Heavy sleepiness, falling asleep at rest |
| Waking | Not often | Waking often, morning headaches |
| Next step | Start with the lifestyle measures | See a doctor; a sleep study may be needed |