Sleep-Wake Disorder is a very uncommon syndrome which causes irregular sleeping patterns without any real schedule.

Causes
Persons with brain malfunctioning and those who do not have a regular routine during the day experience such disorders. People with changing work shifts often experience such disorder. Also, travellers who often move from one country to another with different time zones may also have these symptoms.
There's no cure for this disorder, but treatments, including hormones, medicine, and light therapy, can help get you closer to a normal sleeping pattern.

Symptoms

Symptoms may include any of the following:

Sleeping or napping more than usual during the day
Trouble falling asleep and staying asleep at night
Waking up often during the night
Exams and Tests
A person must have at least three abnormal sleep-wake episodes during a 24-hour period to be diagnosed with this problem. The time between each such episode varies from 1 to 4 hours. The doctor may advise you to go ahead with a device called actigraph in case the diagnosis is unclear. The device looks like a wristwatch, and it can tell when a person is sleeping or awake.

Treatment
Though there is no simple cure for irregular sleep-wake syndrome, however, several therapies and lifestyle changes may help a person return to a normal sleep-wake cycle. These include:

A regular daytime schedule of activities and mealtimes need to be fixed.
You should not stay in bed during the day for long.
Use bright light therapy in the morning like those from computer screens and television. The period of exposure should also be increased. Exposure to blue light should be minimized at night.
You should take melatonin at bedtime. This is a hormone that controls the sleep-wake cycle. By taking doses at the right times, you might be able to shift your body clock earlier or later.
Make sure to make the room dark, quiet, and as comfortable as possible at night.
Also one should try to minimize the amount of noise in the sleep environment.
Add more structure to the patient s day by scheduling social interaction, exercise, and other activities.
Your doctor may prescribe drug to control the timing of the sleep-wake cycle.
Finally, you should take proper care of yourself. Make positive changes in your lifestyle. You can even ask your boss to make your work schedule a bit flexible.

The ultimate goal of these lifestyle changes is to help the person sleep longer at night and make him feel active and awake during the day. Most people have sleep disturbances on occasion. But you need to see your doctor if such sleep disorders occur regularly.


Sleep Wake Disorder - Irregular Sleeping Patterns

Sleep is one such time when people usually are expected to lie down still and get rest. However, we have all heard of sleepwalking, a condition where a person walks during the sleep. Though it may sound strange, there is a deeper explanation for it both from a causative point of view and from managing it.

Things you should know?

Sleepwalking happens when a person moves back from a deep sleep to a light sleep or awakening state.
The person who is sleepwalking is usually not aware of it.
Activities may range from simply getting up and sitting up in bed to walking around the room. They could also open the door and walk out to the neighbourhood. Moving furniture, changing dresses or driving a car, may also be some of the actions Most of these activities happens completely without their knowledge.
Mostly happens in children up to the age of 12, but can be seen in adults also, where it assumes a more severe form.
The person who is sleepwalking has a fixed stare with glassy eyes. They may appear dazed and lost when they are awakened.
They may not respond when they are actually sleepwalking, or respond very slowly
They can be brought back to bed and put back to sleep without being disturbed. Most children would go back to sleeping when this is done
Though the parents can be very worried when they see children sleepwalking, reassurance is required, as it usually disappears as they cross teenage.
There could be chances of small injury like tripping or fall during the sleepwalking episode
Sleepwalkers may be more restless compared to other children during their waking hours
Bedwetting is also quite common in children who sleepwalk
Causes

Inappropriate sleep pattern with lack of sleep for prolonged periods is one of the main reasons for sleepwalking
Stress
Excessive drinking
Medical conditions like heart rhythm problems, acidity, gastric reflux, and seizures
Psychiatric conditions like panic attacks and post-traumatic stress disorder can also lead to sleepwalking
Management

For a parent to see their child walking around in their sleep can be quite disturbing.
Reassurance is required stating that it is just a temporary phase and will not stay beyond the teenage years
Most people do not require any intervention unless accompanied by severe symptoms like going out of the house or driving
Once established, it is advisable to avoid by not drinking too much alcohol, avoiding stress and anxiety and taking precautions like extra-secure locks to prevent sleepwalking and/or other side effects.

Sleepwalking - 11 Things You Must Know!

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.

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

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

Sleep apnea is a disorder that affects nighttime breathing and is caused by either a malfunction in the brain that temporarily stops sending signals to the muscles that control breathing, or by an obstruction in the airway. 

Causes of Sleep Apnea-
It occurs when muscles in the back of your throat relax, tonsillitis, adenoids, obesity, middle-aged, heart disease, stroke, sedative medicines, large neck circumference, large tongue etc.

Symptoms of Sleep Apnea-

Feeling of excessively sleepy during a day
Lack concentration and low memory status
Depression
Short temperament
Irritability
Hyperactive children
Leg swelling
Impotency in males
Insomnia
Frequent waking up for urination in night
Tiresome feeling in morning
Homeopathic  Treatment of Sleep Apnea-
Homeopathy is one of the most popular holistic systems of medicine. The selection of remedy is based upon the theory of individualization and symptoms similarity by using holistic approach. This is the only way through which a state of complete health can be regained by removing all the sign and symptoms from which the patient is suffering. 

The aim of homeopathy is not only to treat sleep apnoea but to address its underlying cause and individual susceptibility. As far as therapeutic medication is concerned, several well-proved medicines are available for sleep apnoea treatment that can be selected on the basis of cause, sensation and modalities of the complaints. For individualized remedy selection and treatment, the patient should consult a qualified homeopathic doctor in person. Some of the most common homeopathic medicines for Sleep Apnea are-

Arsenicum Album: Arsenicum album is often prescribed for individuals who have breathing difficulties at night and is considered for people with a fearful, tense and agitated response to illness. 
Lachesis: Lachesis is a remedy prescribed for conditions that worsen at night. This medicine is designed for people who are typically fearful and anxious, but also prone to jealousy and excessive talking. 
Sulphur: By reputation, sulphur is a commonly prescribed homeopathic remedy, especially for nighttime congestion and sweating. Homeopathic sulphur combats a wheezy cough and congested head, both of which are suffered in sleep apnea. 
Spongia Tosta: This remedy for croup may help congestive sleep apnea sufferers as it treats respiratory symptoms that worsen when lying down. 
Before taking these medications, it is important to visit the doctor who will take a detailed case history of your problem and prescribe the right dosage and combination of medication.


Homeopathic Treatment For Sleep Apnea Problem

What is the best time to sleep?
This is one of those questions which bother many and sundry. Considering the different sleep schedules which different people might develop as a result of their work or other reasons, the correct answer is roughly around 10 p. M. It is good to follow a proper sleeping schedule so that you go to bed and wake up at the same time almost every single day. The body's internal clock or the circadian rhythm is linked to the cycle of the sun. Technically, it is better to wake up with the sun as it has a number of benefits for the human body.

The quality of sleep is known to be influenced by how late you retire for the night. The quality of rem (rapid eye movement) sleep tends to decrease if you go to sleep late. There is another type of sleep which is known as non rem sleep; this is a deeper state of sleep. The non rem sleep helps in revitalizing the body and leaves you energized once you wake up. Sleeping late at night is linked to higher levels of rem sleep, which might not be very beneficial for your physical or mental health.

If you go to bed late at night, you will experience more of the lighter rem sleep. This may lead to fatigue and restlessness the following day. It is also been shown that going to bed late and sleeping less than the usual eight hours is linked with problems in blood sugar levels and decline in cognitive function. It also raises your risks of high blood pressure.

Exposure to radiation from your cellphones or the glare from your computer screen before going to sleep may also affect the quantity and quality of your sleep. Make sure you eat a light dinner consisting of salads. Eating a heavy dinner before going to bed may cause digestive problems, thus impairing your sleep. Also make sure to exercise on a regular basis as it releases various hormones in the body that help in improving your overall wellbeing.

Just What Is the Best Time to Go to Sleep?

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