Getting a good night s sleep is essential for a healthy lifestyle. When a person is asleep, the body rejuvenates itself. Some people can fall asleep as soon as their head touches the pillow but others can find it hard to sleep. Conditions that affect a person s ability to sleep properly over a long period of time are known as sleep disorders. There are many different types of sleep disorders.

Obstructive Sleep Apnea
Sleep apnea is a very common sleep disorder. This is marked by frequent interruptions in the person s breathing. It may cause the person s breath to become shallow or even stop briefly. In many cases, the person may not be aware of this happening while they sleep. Obstructive sleep apnea is caused by a partial or complete obstruction of the upper airway. This makes the chest muscles and diaphragm work harder to pull air into the lungs.

Insomnia
Insomnia can be described as an inability to fall asleep. Waking up frequently in the middle of the night and finding it difficult to go back to sleep or waking up earlier than planned in the morning are also characteristic signs of insomnia. There are two types of insomnia; primary and secondary insomnia. Primary insomnia refers to the inability to sleep that is not connected to any other disease. If the person s inability to sleep stems from another disease, it is known as secondary insomnia. There are a number of factors that could cause insomnia. This includes life changes such as shifting to a new home, death of a loved one or change of jobs, emotional discomfort, environmental factors such as light or noise, jet lag, stress, etc.

Restless Leg Syndrome
This sleep disorder is also classified as a neurological disorder. It is characterized by an overwhelming urge to move one s legs while sleeping. This may be felt as a scratchy itchy, burning, pulling or throbbing sensation. Massaging the legs or moving it only provides temporary relief. The exact cause of this condition is not known but suffering from an iron deficiency, kidney failure, diabetes, Parkinson s disease or peripheral neuropathy can increase the risk of this sleep disorder.

Narcolepsy
This can be described as the brain s inability to control its sleep cycle. This can make a person fall asleep unexpectedly during the day while falling asleep at night becomes more difficult. In most cases, this sleep disorder is caused by reduced levels of a neurotransmitter known as hypocretin.

So, if you are experiencing any of the above symptoms or have difficulty sleeping, it is advised not to self-medicate and delay the treatment. Seek help from a professional right away and enjoy peaceful sleep.

Sleep Disorder - Know Its Types And Causes!

Sleep apnea is a sleeping disorder in which you experience frequent breathing pauses while sleeping. In case of some, the pauses may last for just a few seconds, while for others, it may continue for a few minutes. Sleep apnea is generally chronic in nature. There are three types of sleep apnea, namely Central, Obstructive and Complex sleep apnea. Central sleep apnea occurs if the brain fails to transmit signals to the muscles responsible for your breathing functions. Obstructive sleep apnea occurs due to relaxation of your throat muscles. Complex sleep apnea refers to a combined condition of both central and obstructive sleep apnea.

Some of the possible causes of sleep apnea are as follows: 
1. Blockage of airway during sleep can cause sleep apnea
2. Putting on weight can cause obstructive sleep apnea
3. In some cases, large tonsil tissues can lead to obstructive sleep apnea in small children
4. Intake of certain medicines like Oxycontin or MS Contin can cause central sleep apnea
5. Male people are more prone to sleep apnea
6. Smoking is also a potent trigger for sleep apnea
7. At times, high blood pressure can induce sleep apnea
8. Suffering from sinus can also lead to sleep apnea
9. Large neck size (more than 16 inches) may cause sleep apnea
In case of some people, sleep apnea might be an inherited condition.

The most common symptoms of sleep apnea are mentioned below:
a. Sometimes, obstructive sleep apnea is accompanied by choking or snorting sounds.
b. You may encounter breathing trouble while sleeping, leading to a disruption of your sleep.
c. Maximum times, sleep apnea is accompanied by snoring.
d. Sleep apnea leads to a dry mouth, which can disturb your sleep.
e. You may feel dizzy during daytime.

Causes and Symptoms of Sleep Apnea

Snoring is something that not only spoils the sleep of your partner but leaves you embarrassed while travelling or any family gatherings. It is more popular among males but these days, women are also facing this issue. The problem only worsens with age and weight. On the other hand, the person suffering from Sleep Apnoea not only affects his and his partner's sleep but puts his life at risk.

Difference Between Sleep Apnoea And Snoring:

There is a huge difference between just Snorers and those suffering from Sleep Apnoea. Sleep Apnoea almost always results in frequent and loud snoring, while disturbing the breathing pattern. This leads the person suffering from Sleep Apnoea to feel tired even after long sleeping hours.

While Sleep Apnoea will almost always lead to loud snoring, snoring alone does not mean that one is suffering from Sleep Apnoea.



Causes And Symptoms

Snoring

  When a person sleeps, the throat muscles relax and the tongue bends backwards. This narrows down the throat to some extent.
  As the person keeps inhaling and exhaling, the throat muscles vibrate. These vibrations lead to snoring. The narrower the throat becomes, the more are the vibrations and the sound.
  The throat muscles tend to relax more with age. This is why snoring usually increases with age.
  If a person has obstructions in the form of Tonsils, Nasal polyps or Deviated nasal septum, the narrowing gets worse and leads to extensive snoring.
  If there is an inflammation in the throat or nose due to some infection or allergy, the throat may become narrower and result in loud snoring.
  In some people, sleeping positions like sleeping on the back or otherwise may abate snoring.
  Alcohol consumption during evening time may abate throat muscle relaxation and give rise to snoring.

Sleep Apnoea

  It is better described as episodes of pauses in breathing for more than 10 seconds at a time.
  The immediate cause of Sleep Apnoea is extensive narrowing or complete collapse of the upper airway.
  As breathing is paused temporarily, it causes a shortfall of Oxygen in blood. As it happens, the heart works harder to make up for it, even when the person is sleeping. This increases the risk of heart attack and stroke.
  It causes disturbance in the natural sleep cycle.

Treatment

Snoring

  Avoidance of risk factors like various allergies
  Correction of sleeping position with training

Sleep Apnoea

  The most common treatment is CPAP (Continuous Positive Airway Pressure). This is a mask like device worn on the nose before sleep. It keeps the upper airway open with a small positive pressure delivered.
  There is also the option of Uvulopalatopharyngoplasty. This is a surgical intervention to remove excess of soft palate tissue and open up the airway. The remaining tissue becomes stiff and thus minimize vibration.
  If there is a Tonsil or Deviated Nasal Septum or Nasal Polyp, it needs to be resected out in order to minimize obstruction to the airway.

Snoring and Sleep Apnoea are very common issues and can be treated by experienced doctors very easily.

Ways to diagnose snoring and sleep apnoea:

The doctors ask about the allergies you are suffering from, as well as your eating patterns, medicines and drinking and smoking habits. The doctor also examines your throat and nasal passages to ascertain if there are any kind of nasal, dental, mouth jaw, or throat deformities that are triggering your snoring. If your doctor will feel that you may be suffering from sleep apnoea, then your partner may be asked to keep a diary noting your sleeping and snoring patterns.

Polysomnography and CPAP Titration are some other ways through which the doctors diagnose sleep apnoea.

Polysomnography: Polysomnography, also called a sleep study, is a type of test that is conducted to diagnose sleep disorders. In this test, the doctors record the brain waves, the oxygen level in the blood, heart rate and breathing, as well as eye and leg movements of the patient.

CPAP Titration: A CPAP titration study is a type of in-lab sleep study that is carried out to calibrate continuous positive airway pressure (CPAP) therapy. It is a common treatment that is used to manage sleep-related breathing disorders including obstructive sleep apnea, central sleep apnea and hypoventilation and hypoxemia.

In case you find out that you are suffering from snoring or sleep apnoea, you should immediately visit a pulmonologist to get the proper treatment. 

Snoring And Sleep Apnoea - How To Get Rid Of Them?

We're all guilty of making fun of snorers, but sometimes this snoring can be a symptom of sleep apnea. Sleep apnea is a condition where breathing is not continuous and may start and stop many times while asleep. This affects the quality of your sleep and in turn can affect many aspects of your health including your cardiovascular health. Here's how:

High blood pressure
When a sleep apnea patient's breathing stops, the oxygen levels in the blood also suddenly fall. This can increase your blood pressure. High blood pressure means that the heart muscles need to work harder to pump blood through the body.

Cardiomyopathy
As a result of high blood pressure, the heart walls may become thicker and the heart muscles become stiffer. This is known as cardiomyopathy. As this condition worsens, the heart becomes weaker and is unable to maintain a regular rhythm. This can eventually lead to heart failure.

Arrhythmia
An irregular heartbeat is also known as arrhythmia. This may also be related to the changes in the heart's structure that follow the drop in blood oxygen levels. In many cases, arrhythmia has no visible symptoms and can often go undiagnosed. This can result in the formation of blood clots in the atria which can lead to a stroke.

Sleep apnea is easy to diagnose. If the doctor feels that you show symptoms of sleep apnea, you may be asked to stay on the hospital overnight and undergo a sleep evaluation. This tests a variety of body functions including brain activity, eye movements, heart rate, breathing patterns and blood oxygen levels.

Treatment for sleep apnea depends on the causes for this condition. If you are overweight, regular exercise and a change in diet can help you lose the excess weight and cure sleep apnea. Similarly, if your sleep apnea is triggered by an allergy, treating the allergy can help cure the sleep apnea. Other forms of treatment for sleep apnea may include:

Continuous positive airway pressure (cpap)
This is a machine which pumps air into the body through a nasal mask. By keeping the pressure in the machine higher than normal air pressure the upper airway passages are kept open and hence the quality of your sleep is improved. An auto cpap machine can modulate the air pressure such that it is higher when you inhale and lower when you exhale.;

Oral devices
Your doctor may suggest oral devices that allow you to keep your mouth open while you sleep. This is easier to use than cpap machine but less effective. Surgery is the last resort when it comes to treatment for sleep apnea.

Sleep Apnea and Its Link to Heart Failure

We always think of wearing something cosy to bed to get a good night's sleep. We even dress up kids to be comfortable and bundled up so they can get a sound sleep. Studies have shown that contrary to popular belief, sleeping nude is the best way to a sound sleep. In addition to good sleep, there are other benefits that have been identified too, as listed below:

1) Improves sleep quality: While most of us think of keeping ourselves cosy in our nightwear leads to good sleep, science believes otherwise. A reduced core body temperature is what leads to better sleep. This happens when you sleep with no extra layers of clothes to keep you warm. Research conducted showed better depth of sleep and reduced number of awakenings when there are no extra clothing layers.

2) Better skin and hair health: Melatonin and growth hormone are essential for anti-aging and they are released when the body temperature is cooler, which happens when sleeping in the nude. Growth hormone is essential for bone mineralization, improved immunity, and muscle mass building. Melatonin is a good hormone regulator, and manages the functioning of other hormones essential for our body. The armpits and groin area are always covered, and sleeping without clothes can help these areas breathe and feel fresher. The chances of yeast infection are also reduced.

3) Reduced stress levels: The stress hormone cortisol is also optimal, both in release and function, when the body gets a good sleep. This is essential for better immunity and cognitive function, better sugar regulation. Reduced stress leads to reduced chances of heart disease, stroke, diabetes, etc. Therefore, sleeping without clothes helps to better equip you with fighting stress.

4) Weight loss: Our body has two types of fat, both brown and white. While fat helps to keep the body warm, sleeping without clothes burns more of this fat and thereby, increases weight loss. Another mechanism is the  good sleep that you get when sleeping without clothes helps improve metabolism, reduce fat and sugar cravings, thereby further adding to weight loss.

5) Improved relationships: Needless to say, getting into the habit of sleeping without clothes will help your sex life. The science behind it is the improved release of oxytocin, which is the cuddle hormone.

6) Better sperm quality: The testes produce better sperm quality when body temperature is cooler, thereby improving male fertility. Warm clothes at night also has a bad effect on testosterone, which is essential for boosting libido and other male sexual features.

There you go, a lot of valid scientifically proven reasons to drop those night suits and pajamas off  what is more, there is also a cost saving here!

Sleep NAKED to Be Healthier and Happier

You might have a wonderful morning routine to keep you healthy. However, do you know what really determines health is also your bed time routine? Each night you end one day and stand at the brink of starting a new one. It is therefore crucial how you organize your bed time.

Here are 7 things to adopt for your bed time- 

1) Plan for next day: Preparing in advance always gives you more time and leaves you stress free. Things like looking for keys, deciding what to wear etc make you late and add to your morning stress. Prepare also for breakfast or what to cook the next day. Planning at night doesnt take much time and makes your next day start on a good note.

2) Shut out the buzz: Most of us say goodnight to family and head to bed only to spend the next hour checking Facebook and social media. Or you end up watching a funny video or movie late into the night. If you keep yourself distracted, you can't go off to sleep early or get quality sleep. The light from your gadget's screen can be harmful and stress inducing. It is best to give yourself an hour away from your mobile phone or other gadgets before you sleep.

3) Write a 'Thank-You' Diary: There are many ways to become a more positive person and the best is to have appreciation. Try finding out that 1 thing (more is better) that you are thankful for. Do it everyday. This practice right ahead of your sleep time calms you down, makes you feel happy, satisfied and goes on a long way in contributing to a heathy lifestyle.

4) Stretch it out: Like most people do you also have a job where you keep sitting for long hours? Stretching really works, it helps lengthen tendons and muscles and can reduce the frequency and severity of cramps ensuring you get a better night's sleep.

5) Try meditating: Our work life has become ever so demanding, we are constantly bombarded with information via the television, social media, the internet, friends and work which results in stress and anxiety! Few minutes of meditation before bed, slows down your brain activity which results in a deeper and more peaceful sleep. You will wake up feeling well-rested, energized and ready to take on the day!

6) Book by your side: Reading before bed is has amazing benefits. Firstly, it calms the nerves by eliminating excess sound and vision stimulus (exactly the opposite of what you get from watching television!). It helps you to wind down and sleep better, it also improves brain function, your memory and the thinking process overall.

7) Sleep is crucial: Foremost is to simply make sleep a priority. It is not as simple as it sounds. Sleep deficiency directly relates to increased stress, weight gain and productivity loss. Going to bed late and managing with 5 or 6 hours sleep sets a bad tone for your day.

Your happiness and general wellbeing is controlled by how relaxing you make your bed time.

Click on Consult Privately to ask me a private question on this topic or a related one.

From Lybrate: If you found this tip useful, please thank the doctor by clicking on the heart icon below. Also, spread good health by sharing this tip with your loved ones.

Dr. Sapna Zarwal Tells You How To Improve Your Bed-time Routine

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