Sleep is known to most as a period of rest and relaxation, but there are multiple disorders which are associated with sleep too. Hypersomnolence or hypersomnia is one of the most common sleep disorders. This is characterised by excessive daytime sleepiness and prolonged periods of sleep at night. They wake up fresh in the morning, but can easily go back to sleep any time of the day without feeling strained or tired. There is again no freshness associated upon waking up. Funny as it may sound, they can doze off even during a meal or in the middle of a conversation.

Causes: This condition is most common in men and in the early adolescent days.

There is no underlying cause that has been identified, though there is a genetic predisposition.
People with history of head trauma are more affected
People with anxiety, depression, bipolar disorders, epilepsy, and other mental disorders are also more likely to be affected
People with sleep apnea often are hypersomnolence
Restless legs syndrome, narcolepsy
Neurodegenerative disorders like Parkinson s and Alzheimer s tend to sleep more.
Symptoms:

Sleeping for longer hours at night time
Excessively sleepy during daytime
Able to doze off anytime during the day
Inappropriate and involuntary sleeping pattern
Having difficulty getting out of bed after waking up, even after prolonged sleep
Feeling of disorientation
Feeling agitated, anxious, lethargic, and irritated
Impaired cognition and memory
All these lead to extreme state of drowsiness
Increased tendency for hallucinations
Reduced appetite and even weight loss in some people
There is restlessness, reduced pace of thinking and speaking
Overall reduced energy levels
Social interactions are affected including work life, social functions, etc.
Diagnostic criteria:

If a person happens to sleep more at night or falls asleep during the day easily for more than 3 times a week, it is usually concerning.
The added feature of no tiring physical activity can also lead to suspicion
In acute cases, these symptoms are present for at least a month and in chronic cases, it could be seen for up to 3 months
It cannot be explained by lack of sleep on a regular basis
One or more of the above conditions could be present, which can help in making the diagnosis
Treatment:
Most cases of hypersomnia would need treatment only to improve their energy levels and improve the quality of life. Very often, treating the underlying condition can lead to improvement of hypersomnia. The tired, lethargic, restless feeling affects the overall performance of a person, leaving them with a lowered self-esteem. Brain stimulating drugs like amphetamines are used to improve daytime alertness and also reduce sleepy feeling during the day.


Hypersomnolence - How It Can Be Managed?

It's International Women s Day yet again. A time to celebrate women s accomplishments- both those of legendary creators including Mother Teresa, Kiran Bedi, Anuradha Koirala   the anti-sex-trafficking activist & Mary Kom to name a few and the women in our lives who mentor and inspire us every day. It s a day to celebrate our journey towards gender equality and women empowerment.

This year s International Women s Day theme is  Time is Now: Rural and urban activists transforming women's lives.  It comes on the heels of unprecedented global movement for women s rights, equality, and justice. The theme has taken the global campaigns and marches on issues ranging from sexual harassment and femicide to equal pay and women s political representation.

Women still have a long way to go to attain equality and non-discrimination from her male counterparts. 2018 International Women s day is an 'iron in the fire opportunity' to bring a call to action to entrust women with what they actually deserve, not only in a particular sector but to every woman who resides in urban as well as rural areas. It is a step to respect and appreciate the women who step out every day for the livelihood of their families and kids - a step to stop casual sexism faced by urban women in the workplace.

Women, experiencing sexual harassment in the workplace, not only bear strained relationships with their counterparts but also are at risk of numerous health problems. Let us know about the health effects of sexual harassment:

Depression: Self-doubt and criticism can lead to depression and loss of interest in work or other activities. Women also experience loss of self-confidence and feelings of failure & powerlessness.
Anxiety: Many women feel anxious about going to work, communicating with co-workers or being involved in social situations.
Insomnia: Sexual harassment trauma can cause nightmares and may lessen the woman's ability to sleep properly.
Post-traumatic stress disorder (PTSD): Studies say that sexual harassment meets the Criteria A1 and A2 of PTSD. The stress of sexual harassment may cause a woman to relive the trauma even when it is not happening, or avoid things or people that remind her of the sexual harassment.
The International Women s Day echoes a word for transforming the lives of women with a bold determination not just on papers but in reality to support the women all around the globe. Many working women have sad tales to tell as they are exploited at a very high level, and they actually lead a stressful life in comparison to their male counterparts.

So, the spotlight this year is to fight against the injustice that most women face every day and to bring about a change that will be remembered for years and will outshine the lives of such women who devote themselves for the livelihood of their families.

Join a campaign, embrace your inner activist and empower the women in your life...

The #TimeisNow To-

Raise your voice
Support each other
Share the workload
Get involved
Educate the next generation
Know your rights

#TimeIsNow - This International Women's Day, Empower The Woman In Your Life! 

Staying up late at night intentionally is not insomnia. If you find it difficult to fall asleep, or cannot sleep soundly for long, then it is indeed a case of insomnia. The inability to sleep can have terrible repercussions on your physical and psychological health.

A number of reasons could cause insomnia. Understanding the causes could help you identify your sleeplessness as insomnia and seek treatment right away.

What Health Issues cause Insomnia?

Here are some health problems of both the mind and body that can keep you awake  

  Stress Chronic stress and worry born out of our tense lives is a direct cause of insomnia. Long-term anxiety, panic disorders, as well as PTSD can induce sleeplessness.

  Irregular Sleep Patterns Your body would hate it if you deviate from the Circadian Rhythm   the body clock. It regulates the functions of your body, including your sleep patterns. But if you defy your body clock by sleeping at irregular hours   suppose you are staying up late to get some extra work done, or you may have opted for a night shift, or if you are experiencing a jet lag   then you will notice that when it is finally time for you to hit the bed, sleep will be elusive.

  Depression Depression is a horrific psychological disorder that makes a person lose interest in life itself. And one of the indicators of depression is loss of sleep. It is not just depression, but also other illnesses that cause psychological turbulence such as bipolar disorder and obsessive-compulsive disorders, triggering insomnia.

  Breathing Issues Sleep apnoea is a dangerous disorder that stops your breathing multiple times every night and will wake you up every time. Yet you will possibly not even remember waking up. However, this does disturb the quality of your sleep and affects your health adversely.

  Dementia Dementia is accompanied by a gradual loss of memory. But sometimes people who are suffering from dementia display anxiety, restlessness or even aggressive behaviour when it is time for them to go to bed. This is called the sundown syndrome and it might even keep them up all night.

  Pain Pain is one of the commonest reasons for losing sleep. Pain can originate due to any number of reasons   arthritis, a sprained joint, an injury, or if you are undergoing chemotherapy or radiotherapy, then it may keep you awake at night. This is actually a vicious circle because the inability to sleep will aggravate your pain. Talk to your doctor who will prescribe the appropriate pain medication.

  Parkinson s disease This disease is another reason behind insomnia. Parkinson s disease interferes with your nerve signals and this might cause disruption in your sleep.

  Menopause When a woman inches closer to her menopause, her body reduces the production of oestrogen and progesterone. This imbalance of hormones can trigger sleep loss.

How long can you go without sleeping?

There is no data on how long a human can function without sleep. The longest someone stayed awake is 11 days. Usually, the body cannot last that long without some sound shut-eye. Your brain flushes out the waste matter its cells produce during sleep. That is why even 24 hours without sleep can make your brain sluggish and disoriented. If you stay awake for more than 48 hours at a stretch, your cognitive abilities will start failing you. Sleep is instrumental to a healthy mind and body. If you are experiencing insomnia, talk to a doctor immediately or look up some remedies.

Health Problems That Keep You Awake!

Depression is a clinical, mental and emotional condition that may give rise to feelings of hopelessness and chronic sadness. It slows down the way people process everyday activities and leads the patient to a sense of constant gloom and doom. It is a disabling mental condition as per who and may be caused due to reasons like genetics, changes in the balance of hormones, stress, grief, trauma and prolonged, chronic physical ailments.

Symptoms of depression are:

    Sleep irregularity: It relates to either insomnia or oversleeping that is, either you sleep too much or do not sleep at all. This could be because of work or other stress in your personal or professional life.
    Irritation or unnecessarily getting angry: You start losing your temper easily and that too for silly reasons. You think you are losing control.
    Feeling hopeless and sad: The first signal or symptom is the feeling of hopelessness. In this, case the patient loses the hope in everything. They feel like being trapped in some kind of cage, from which they are not able to come out.
    Lack of interest in anything: Everything seems to be of no use or interest, even your daily work. You don't want to do anything; even the things, which you loved to do like your hobbies and passions, which you no longer find interesting.

Here is a comprehensive list of homeopathic medicines which most doctors are likely to recommend for treating depression:

    Sepia: This medicine is beneficial to women suffering from post-partum depression (sadness or emotional conflict after giving birth) and menopause. Feeling of solitude and hopelessness with no energy to continue with life are some common symptoms that can be reduced with Sepia.
    Arsenicum album: This medicine is prescribed to control the symptoms like diarrhea, gastric problems, indigestion which patients often suffer from as a result of intense anxiety. Patients, appropriate for this medicine tend to be fastidious and restless. It is made of white arsenic and should be taken in prescribed potency because an overdose can cause gastroenteritis.

The above mentioned medicines are just some of the medicines, which should only be taken only after consulting your doctor, as causes and symptoms differ for each person.

Can Sleep Irregularity be a Sign of Depression?

Proper rest and a sound sleep are prerequisites for keeping the physical and mental health in good shape. Difficulty to fall asleep or having a disturbed and interrupted sleep day after day can be a nightmare. In addition to the immense physical exhaustion and fatigue, insomnia can leave a person stressed out mentally which is bound to have an impact on their professional as well as personal lives and commitments. Over the last few years, incidences of insomnia have been rising at an alarming rate.

Insomnia does not always exhibit similar symptoms in all the affected individuals. In some, the condition may be short-term, lasting for a few days or weeks (Transient Insomnia). In some, the problem may appear on and off (Intermittent Insomnia). In extreme cases, insomnia and the associated discomfort may continue for months (Chronic Insomnia). In some instances, insomnia appears as a symptom associated with health conditions such as diabetes, Alzheimer's disease, Parkinson's disease, heart ailments, GERD, to name a few. Severe stress and anxiety along with unhealthy dietary and lifestyle habits are also known to play a pivotal role resulting in insomnia.

The goodness of Unani in treating Insomnia
Unani is one of the ancient forms of medications that has gained immense worldwide appreciation due to its effectiveness in treating various threatening and complicated health conditions including insomnia. In case of Insomnia, the Unani treatment involves a combination of Dietotherapy, Regimental Therapy, and Pharmacotherapy. The main aim of the Unani treatment is to treat insomnia by restoring the balance between the four humors namely, Blood (Dum), Yellow bile (Safra), Phlegm (Balgham), and Black bile (Sauda). It is these four humors that not only nourish the body and the vital organs but also keeps the various health conditions at bay.

With Dietotherapy or Ilaj Bil Ghiza, the aim is to bring the necessary dietary changes to deal with insomnia. The daily intake of banana, walnuts, kale, lettuce leaves, sweet potatoes, herbal tea (especially Chamomile), grapefruits, turkey and red meat (in moderation), whole grains, go a long way to improve the condition of insomnia. People with insomnia should, however, try and avoid processed foods, cheese, pork, aerated, caffeinated and alcoholic drinks, as much as possible. Unani also suggests that the dinner should be light and taken at least 2-3 hours before going to sleep.

Pharmacotherapy or Ilaj Bil Dawa involves the use of Unani medicine to alleviate the discomfort. Some of the medicines often used in treating insomnia includes:

Rogan Kaddo
Rogan Badaam
Hareera Magaz Badaam
To treat insomnia, a Unani specialist will also carry out a detoxification of the body, known as Regimental Therapy or Ilaj Bil Tadbeer, the detoxification is brought about through

Exercise (Riyazat)
Massages (Dalk)
Leeching (Taleeq-e-Alaq)
Venesection (Fasd)
Turkish bath (Hammam)

Role Of Unani Medication In Insomnia Treatment

After a hard day the only relief one has is to get a good night s rest and drift off to the world of sweet sleep. You might find yourself wide awake at night, even when your body is extremely tired. This difficulty to fall asleep naturally is called insomnia. If this inability to sleep continues for a long time, it becomes a sleep disorder and can cause many physical and health issues.

Reasons behind Insomnia  

The lifestyle of the twenty first century can be very demanding. A disorder like Insomnia can be easily triggered with various factors they include:

1. Emotional stress: The rollercoaster of emotions that one deals with had a huge effect on their sleep cycle. A stressed mindset will find it hard to be put to rest and as this unwanted stress continues each day.

2. Fluctuating hormones in a woman s body: Women tend to be the victims of insomnia more often than their male counterparts. These changes may include conditions such as PMS, menstruation, pregnancy and menopause.

3. Use of caffeine and anti depressants:  Excessive coffee drinkers might find it difficult to relax their brain, since the caffeine in tea and coffee keeps one brain alert, hence too much of caffeine consumption can be a cause of insomnia. Even smokers might face the same problem since the nicotine acts as an alerting agent.

4. Systemic disorders: Disorders like Asthma and Hyperthyroidism and other various medical conditions such as high blood pressure, heart disease, asthma, arthritis, allergies, hyperthyroidism and Parkinson s disease can do the same.

Treating insomnia with homeopathy

The reason why Insomnia can be treated the best way through homeopathy is because this treatment is both free from any side effects and is quick in its effects as well in comparison to other conventional methods which induce artificial sleep that can have harrowing effects.  On the contrary, homeopathy is a completely natural treatment that doesn t include any artificial drugs and its small doses work just the right way.

Medications

1. Coffea Cruda is a homeopathic medicine that is most often used for treating insomnia of acute origin or when the disorder only lasts for a brief moment of time.  As the name suggests it is made from coffee beans.

2. Nux Vomica is more suited when insomnia is due to the abuse of stimulants like too much of alcohol, coffee or nicotine. Other medicines such as opium, aconite, arsenic are also recommended by a specialized homeopath. 

It is always recommended to consult a specialized homeopath before taking any medication.

Understanding Insomnia and its Treatment Through Homeopathy

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