"Nightcaps (Drinking alcohol before bed) give you the worst sleep ever!

Any alcoholic beverage (generally brandy, wine, beer, bourbon etc) consumed before bedtime is known as a nightcap. You may have a nightcap thinking you’ll get better sleep, but did you know that it’s actually responsible for giving you a disrupted sleep pattern? Nightcaps may gradually start interfering with your sleeping quality, causing you to wake up sooner than you want.

How do nightcaps adversely affect your sleeping pattern?

Recently, a study conducted by the University of Melbourne revealed the fact that alcohol before bedtime can give you the worst sleep ever. In this study, several volunteering adults were neurologically monitored in a lab for a few days. Half of them were asked to have nightcaps, while the other half was instructed to drink non-alcoholic beverages. After completing their observation, the researchers reached the conclusion that though alcohol resulted in greater number of sleeping hours, it left the participants feeling dehydrated and less refreshed in the morning due to fragmented sleep. This is because the sleep induced by nightcaps is very shallow, and having nightcaps regularly can result in less restorative sleep. 

The side-effects of nightcaps

Ruining your sleep is not the only ill effect nightcaps have on your health. Nightcaps give rise to other issues too, like snoring and night sweats. Moreover, consuming alcohol before falling asleep also weakens your immune system, damages your memory, speeds up the ageing process, results in nightmares, and causes headaches and insomnia. In fact, regular nightcaps are bad for your heart too. 

4 ways how you can prevent alcohol from affecting your sleep pattern

Nonetheless, if you want to include a bit of alcohol to your dinner, it can be done in the correct way to ensure that it doesn’t affect the quality of your sleep. You can follow these simple rules to minimise the ill effects of nightcaps:

1. Stick to the three hour rule: Ensure that you drink alcohol at least 3 hours prior to sleeping.

2. Limit yourself to a fixed amount: Always consume alcoholic beverages in moderation and try to limit yourself to only one or two drinks every day.

3. Sleep early: Try to avoid staying awake longer than you usually do as this adds up to alcohol’s abilities of disturbing your sleep.

4. Increase your water intake: Prevent your body from getting dehydrated by the effect of alcohol by consuming at least one glass of water for each glass of alcohol. Additionally, don’t forget to sip a few glasses of water after waking up in the morning.

Sleep is important for your overall well being, so try not to compromise with it by consuming nightcaps regularly, especially after knowing about its devastating effects.



Do You Know Nightcaps (Drinking Alcohol Before Bed) Give You the Worst Sleep!

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

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?

Sleep is the normal physiological process of our body which is as important as respiration and digestion. Sleep is vital for maintaining our physical and mental health. Normal adults require 8 hours of sleep every day, whereas it 14 to 15 hours of sleep is recommended for for infants and toddlers.

What are the different stages of Sleep

Every human has a natural circadian clock in their body, which is responsible for maintaining our sleep - wake homeostasis. The different stages of sleep include REM and NREM that is rapid eye movement sleep and non rapid eye movement sleep respectively. REM is the deep sleep stage in which it is very difficult to wake up the person as this stage includes the sensory inhibition and all voluntary muscles along with almost all interactions with the surroundings are inhibited. Therefore, a person s physical stress and tiredness also gets relieved during this stage of sleep. NREM sleep is the stage between REM and awakening and here the person may have sensory connection with his or her surroundings, but may not respond.

Sleep and its benefits
Sleep and stress have a very strong connection with each other. The best way to relieve stress and any other mental disturbance is sleep. It is essential to have knowledge about sleep psychiatry for almost all physicians as they face many sleep deprived patients in their day to day practice.

    Sleep is not only responsible for relieving mental stress and depression, but has other benefits as well
    Sleep is also essential for the normal physiological growth in early infancy and it is vital for development of normal alertness, attention and knowledge
    It also relaxes our voluntary muscles and thereby, relieves us from physical stress
    Sleep disturbance may also aggravate diseases in our body. Sleep is also the state of recovery and healing.

Sleep psychiatry also insist on meditation and ensures that people have normal pattern of sleep, in order to maintain the mental health of the person in a normal state.

Sleep Pyschiatry: Its Stages and Benefits

Sleep apnea is a disorder which is characterized as interruptions in breathing when you are sleeping. These interruptions or pauses in breathing usually last for about 10 to 20 seconds and may be repeated over 100 times alongside the duration of your sleep. This condition leads to poor sleep resulting in drowsiness, fatigue and poor concentration throughout the day.

Sleep apnea can be classified as:
1. Central sleep apnea: Central sleep apnea impairs the central nervous system wherein the brain fails to control muscles which regulate breathing while you sleep.
2. Obstructive sleep apnea: This type of sleep apnea occurs when the soft tissues present in the back of the throat block the airway and thus resulting in loud snoring.

Signs and symptoms
The various signs and symptoms of sleep apnea are
1. Loud and chronic snoring during sleeping
2. Interruptions in breathing
3. Shortness of breath during sleep
4. Fatigue during the day
5. Choking and gasping during sleep
6. Extreme irritability and drowsiness
7. Experiencing headaches in the morning
8. impaired concentration and forgetfulness
9. Chronic sore throat and dry mouth
10. Depression

The various risk factors for sleep apnea are:
1. If you are overweight
2. If you are male
3. If you are over the age of 40
4. If you have a large tongue and tonsils
5. If someone in your family has sleep apnea
6. Nasal obstruction due to sinus problems

There are certain prevention measures to control sleep apnea, they are:
1. Limit smoking: Smoking may cause you to retain fluid in the throat which contributes to sleep apnea.
2. Exercise: You should exercise regularly to keep off weight as being overweight increases the chances of getting affected by sleep apnea.
3. Schedule your sleep: You should get enough sleep every day so that your body is refreshed and revitalized. Getting enough sleep, thus helps in preventing sleep apnea.

Risk Factors Associated with Sleep Apnea

Even though you might feel it is impossible to sleep without pillows, you will be surprised to know that sleeping without a pillow is a good way of preventing neck, back, and shoulder pain. Remember when you were a child, you would fall asleep at any place without waiting for a pillow? The human body can thus adapt to any situation owing to its resilience. And as we age, we are still able to rest our body comfortably without needing a pillow or any other form of support.

The Many Benefits Of Sleeping Without A Pillow-
If you have already encountered some signs and symptoms of sleep deprivation, you will need to find the root of the problem. In doing this, you may find that all these health issues may stem from the pillow you sleep on. If you, like many others, believe that pillows are an indispensable part of your sleep, you may be wrong. Your soft and cozy pillow may do you harm without leaving any scope of suspicion. Here are some of the most compelling advantages of not using a pillow while sleeping:

Neck and Shoulder Benefits: When you don t have a pillow while sleeping, your back, neck and shoulder muscles will extend naturally without causing any aches or sprains. When you sleep on a pillow that is very soft, it will strain the muscles on the neck while also decreasing the flow of blood to the head. When your head is tilted downwards on any pillow that is not able to provide optimum support for the head, the airflow to the respiratory system is much reduced. If you are already suffering from neck and shoulder pain, you may try sleeping a night without any support to see if the pain subsides.
Spinal benefits: Sleeping on your back without a pillow allows the spine to rest completely with the natural curves of the body. Sleeping with a thick pillow can displace your spine.
Sleep Benefits: When you are not having any neck and head support while sleeping, your body would be able to rest optimally. When you sleep on pillows that do not offer good support, your body starts compensating by engaging the back and neck muscles. This causes more strain when the body is supposed to be resting to overcome everyday stress.
Facial Benefits: Many people tend to bury their face in the pillow while sleeping. This will prevent your face from being able to breathe and perspire. The pores on the skin surface will not have any access to air. This leads to the formation of oil and grease on the face, and it will give way to blackheads as the added dust and impurities on the surface of the pillow will come in contact with your face.
For all these compelling reasons, you can try to forgo your pillows and observe improvement in your general health.

In case you have a concern or query you can always consult an expert & get answers to your questions!

Sleeping With A Pillow- Is It Good Or Bad For You?

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