Apr
Why do I breathe through my mouth at night?
Nocturnal mouth breathing typically occurs when your nasal passages are blocked due to colds, allergies or anatomical problems. Your body then automatically switches to mouth breathing to get sufficient oxygen during sleep. While this is a natural response, prolonged mouth breathing can cause various health complaints and affect your sleep quality.
What causes mouth breathing during sleep?
The main causes of nocturnal mouth breathing are blocked nasal passages due to colds, allergies or chronic nasal congestion. Your body automatically adapts by switching to mouth breathing when normal nasal breathing is impaired. This is a natural survival response to get sufficient oxygen.
Allergies to dust mites, pollen or pets cause swelling of the nasal mucosa, narrowing the airways. Anatomical factors such as a deviated septum, enlarged adenoids or polyps can also cause chronic nasal congestion.
Your sleeping position also plays a role. Sleeping on your back can cause your tongue to fall backwards, partially blocking the airways. Dry air in the bedroom can dry out and irritate the nasal mucosa, making breathing through the nose difficult.
Why is breathing through your nose at night so important?
Nasal breathing filters, warms and humidifies the inhaled air before it reaches your lungs. Your nose also produces nitric oxide, a substance that improves oxygen uptake and dilates blood vessels for better circulation. This contributes to deeper, more restorative sleep.
The nasal passages contain tiny hairs and mucus that filter dust, bacteria and other harmful particles. This natural filtering protects your airways and lungs from irritation and infections. Nasal breathing also regulates the temperature of inhaled air, so your body needs to use less energy to keep body temperature stable.
Additionally, nasal breathing stimulates saliva production, which helps maintain healthy oral flora and dental health. It ensures a better oxygen-carbon dioxide balance in your blood, which is essential for optimal brain function during sleep.
What health risks does mouth breathing at night carry?
Prolonged nocturnal mouth breathing causes dry mouth, dental problems and sore throat by drying out saliva. Without sufficient saliva, bacteria can multiply more easily, leading to gum inflammation, cavities and bad breath.
Your sleep quality deteriorates because mouth breathing is less efficient than nasal breathing. This can result in restless sleep, snoring and even sleep apnoea. You may wake up more often with a dry throat or headache.
In children, chronic mouth breathing can affect the development of facial structures. It can lead to an elongated face, high palate and dental problems. Concentration problems and behavioural issues can also arise from poor sleep quality.
Adults often experience daytime fatigue, reduced concentration and an increased risk of respiratory infections due to the loss of natural filtering by the nose.
How can you prevent mouth breathing at night?
Improve your sleep environment by keeping humidity between 40 and 60% with a humidifier. Sleep on your side instead of your back to prevent your tongue from blocking the airways. These simple adjustments can already make a big difference.
Rinse your nose with saline solution before bedtime to wash away mucus and irritating substances. This opens the nasal passages and reduces swelling. Use a nasal strip if necessary to keep the nostrils mechanically open.
Practice conscious nasal breathing during the day by calmly breathing in and out through your nose. This helps your body get used to this natural breathing pattern. Treat underlying allergies with antihistamines or by avoiding allergens, such as dust mites, as much as possible.
Seek professional help if mouth breathing persists despite these measures. Chronic nasal congestion may indicate anatomical problems that require medical treatment.
How does chiropractic help with nocturnal mouth breathing?
Chiropractic treatments, specifically cranial facial release (CFR), can improve nasal breathing by optimising skull and facial structures. These techniques help restore the natural position of bones around the nasal passages, promoting breathing through the nose.
CFR treatments focus on gently correcting tensions in the skull and face that can affect the nasal passages. Through these cranial facial release techniques, blockages in the sinuses can be reduced and natural drainage can be restored.
The benefits of CFR treatments for nocturnal mouth breathing include:
- Improvement of nasal breathing through optimisation of nasal passage structures
- Reduction of tension in facial and jaw muscles
- Better drainage of sinuses and less congestion
- Support of natural breathing patterns during sleep
- A holistic approach that addresses underlying causes
At Ruggensteun, we combine these specialised CFR techniques with a comprehensive assessment of your breathing patterns and sleep habits. Our experienced chiropractors can help you identify the causes of nocturnal mouth breathing and develop a personalised treatment plan. Contact us for a comprehensive assessment and discover how cranial facial release can improve your night’s rest.
Frequently Asked Questions
How long does it take before I see results from measures against mouth breathing?
Most people notice improvement within 1-2 weeks with simple measures such as increasing humidity and sleeping on their side. For CFR treatments, initial results can be noticeable after just 2-3 sessions, with full improvement usually occurring within 4-6 weeks, depending on the underlying cause.
Can I use nasal strips every night without side effects?
Nasal strips are safe for daily use, but prolonged use can cause skin irritation. Alternate between different brands or take an occasional night's break. If you still need nasal strips after 2 weeks, it is advisable to consult a specialist for investigation of underlying causes.
What should I do if my child breathes through their mouth at night?
Quick action is important in children because mouth breathing can influence facial development. First check for colds or allergies and ensure an optimal sleep environment. If it persists for longer than 2 weeks, consult a paediatrician or ENT specialist for investigation of enlarged tonsils or adenoids.
Are there specific exercises to train my nasal breathing during the day?
Yes, practice the 'box breathing' technique: breathe in through your nose for 4 counts, hold for 4 counts, breathe out through your nose for 4 counts, and hold for 4 counts. Repeat this 5-10 times, several times a day. Also consciously pinching one nostril and breathing through the other helps keep your nose 'awake'.
When should I seek professional help for my mouth breathing?
Seek help if mouth breathing persists for longer than 3 weeks despite self-care measures, if you remain tired during the day, snore loudly, or have signs of sleep apnoea. Professional evaluation is also necessary for recurring throat infections, chronic headaches or concentration problems.
Can stress or anxiety worsen mouth breathing at night?
Absolutely. Stress and anxiety can lead to shallow chest breathing and increased muscle tension, making nasal breathing difficult. Relaxation techniques such as progressive muscle relaxation or meditation before bedtime can help. Regular physical exercise during the day also reduces stress and improves breathing patterns.
Is it normal to have temporarily more nasal discharge after CFR treatment?
Yes, increased nasal discharge after CFR treatment is a normal reaction indicating that sinus drainage is improving. This usually lasts 24-48 hours and is a sign that the treatment is working. Rinse your nose regularly with saline solution to support the process and increase comfort.

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