Pain related sleep disruption has affected a large number of people around the globe. Statistics has it that, in India, about 25% of the population suffers from pain-related sleep deprivation. Studies call it  the vicious cycle of pain and sleep  as pain affects your ability to sleep and lack of sleep makes the pain even worse.

Back pain and arthritis are examples of some common pain-related medical disorders. People with these types of chronic pains have reported persistent sleeplessness or have had immense trouble falling asleep.

The following are the primary sleep disorders associated with chronic pain:

Insomnia: It is a medical condition that is characterized by an inability to fall asleep no matter how physically exhausted you are. Insomnia can be acute (lasting for one night to a week) or chronic (that lasts for more than 3 weeks).
Hypersomnia: It is a condition wherein you tend to sleep excessively; in this condition, you will have trouble being awake throughout the day or can fall asleep at any point of time.
Sleep Apnoea: This is a sleep disorder wherein breathing pauses and resumes repeatedly. Risk factors include obesity, age and gender; it is more commonly observed in men. This condition can be chronic with symptoms such as snoring loudly or feeling very tired even after one has had a night s sleep.
Restless leg syndrome: It is a sleep disorder wherein you continuously move your legs while sleeping. However, this condition can also cause you to move your legs even if you aren t sleeping.
Some of the causes of sleep disorders due to chronic pain are:

Pain
Worry and anxiety
Sweating at night
Depression and other mental disorders
Treatment

A pain and sleep disorder should be simultaneous as both the components of it, pain and sleep, are interrelated. Some of the ways people with chronic pain can still have a good night s sleep are:

Limiting caffeine intake
Abstaining from alcohol and smoking, as these disrupt the sleep cycles, thus aggravating the existing pain.
Practicing meditation and other relaxation techniques
Pain killers or sleeping pills can be administered, but only with the doctor s advice.
Hot water fomentation over painful area during night, for better sleep.

Back Pain and Bad Sleep

For most people, the screen of a cell phone is the first thing they see in the morning and the last thing they see before going to bed. Nobody can deny the fact that living without a cell phone today is extremely difficult but must we be so glued to them? Staring into a phone or tablet screen, before going to sleep affects your sleep as well as impacts your health. Here's how:

It is harder to fall asleep

We feel sleepy when the brain releases a hormone called melatonin. This release is determined by the body's circadian rhythm which is controlled by light exposure. The blue light of a cell phone screen interferes with this rhythm and tells the brain not to secrete melatonin. This makes it harder to fall asleep even after you have switched off your phone.

It hampers the quality of your sleep

A direct effect of sleeping late is a reduced amount of sleep. On top, that, using a cell phone before going to bed also hampers the quality of your sleep. When an office email or a text message is the last thing you see before going to sleep, your brain cannot completely shut off. This makes you tense even in your sleep.

It lowers your attention span

When you wake up from a restless night's sleep, your productivity suffers. Not getting enough sleep is known to hamper your decision-making skills, impairs both long term and short term memory and make you distracted. This leads to unnecessary stress and anxiety.

It increases the risk of weight gain

The body is more likely to feel hungry when you don't have enough sleep. This is because sleep-deprived people have a lower metabolism. Thus using a cell phone before sleeping also increases your chances of snacking on something unhealthy to get through the day and in turn you put on weight.

It weakens your immune system

The body's immune system produces antibodies that fight infections while we are asleep. Depriving the body of the sleep it needs weakens the immune system by not giving it enough time to build its forces. Not only does this increase the risk of falling ill it also slows down recovery from illnesses.

It damages your skin

Sleeping late at night and not getting enough sleep can cause dark circles, puffy eyes and fine lines across the face. The blue light of a cell phone screen also tells the body to secrete cortisol which makes the skin less elastic and smooth.

Thus, even if you look at a phone screen for just five minutes every night before going to bed, the side effects last much longer and affect your mental and physical health as well as your looks.

Browsing on the Phone Before Sleep: Effects on Health

Why Sleep Deprivation Can Be Hazardous

Exams, work, parties, stress, worries – there numerous reasons because of which we do not sleep well and begin the next day sleep deprived. At times, this extends to multiple times in a week and before we realize, it poses bigger health health hazards than you can imagine.

10 health hazards sleep deprivation can lead to-

1) Induces Accidents - If you haven’t slept well the night before, you are bound to be drowsy. It is extremely unsafe to drive when sleepy, as this puts you at a high risk of meeting with an accident. Not just while driving, there are known to be more accidents inside the office, when one is sleep deprived.
2) Makes You Dumb - When sleep deprived, our senses are not alert. And when our senses are not alert, our brain slackens. Lack of sleep impairs attention, reasoning, concentration, and reasoning. It takes us time to grasp situations and facts, we tend to be dumb.
3) Poses Serious Health Threats - Sleep disorders are known to cause heart attack, heart disease, heart failure, irregular heartbeat, stroke, diabetes, insomnia and high blood pressure.
4) Dip in Sex Drive - Sleep deprivation depletes one’s energy and increases tension in the mind. This leads to lack of concentration and a massive dip in one’s sex drive. Both men and women are known to express lowered interest in sex when they are sleep deprived.
5) Ages Your Skin - We all know that one sleepless night gives us puffy eyes and sallow skin. However, chronic sleep disorder also results in fine lines, dark circles under the eyes and lackluster skin. Human growth hormones are released while we sleep. So the lesser one sleep, the lesser is the hormone released. And thus affects our skin.
6) Leads To Depression - Depression feeds on insomnia and vice versa. While good sleep at regular intervals is known to calm the senses and helps treat depression, lack of sleep at times aggravates the symptoms of depression.
7) Makes You Forgetful - When sleep deprived, one tends to be forgotten. Not a surprise since due to lack of sleep, one is not alert as it is. Scientifically explained, one needs to be in deep sleep for the sharp wave ripples to occur and sharpen one’s memory.
8) Causes Weight Gain - Studies say that the more one sleeps, the more weight they lose. And in instances of sleep deprivation, exactly the opposite happens. Sleeping less than six hours a day increases your risk to be obese, according to studies.
9) Increases Risk Of Chronic Diseases - Lack of sleep increases the risk of cardiovascular diseases. It is very important to sleep the required amount of hours, every night, to assist all organs to function smoothly.
10) Impairs judgement - Sleep deprivation affects focus and other senses. This in turn impairs judgment as one might find it difficult to focus while taking decisions. You might start sleeping lesser than 7-8 hours and find that your body has adjusted to it, however in the long run, it will start showing adverse effects on your body.

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10 Ways Sleep Deprivation Can Be Hazardous

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!

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?

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