Assessment
Causes of snoring include obesity, alcohol, smoking, nasal congestion, large tonsils, receding mandible.
Please see link in the right panel to calculate the Epworth score .
Management
Weight loss may help, also less alcohol.
Referral
It is helpful to include in your referral letter the Epworth score, body mass index and thyroid function result. Please attach the completed Epworth questionnaire.
Treatment restrictions
Surgery for snoring without Obstructive Sleep Apnoea (OSA) is NOT routinely funded
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Rugby & South Warwickshire Guidance 
Refer to ENT only if nasal obstruction. Refer to sleep clinic if abnormal Epworth Score or other clinical indication of Obstructive Sleep Apnoea (OSA).
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Coventry
North Warwickshire
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