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?

Every person suffering from migraine will agree that -  although medications can control the head-piercing pain that each attack brings with it, preventing the onset of the pain altogether is the best way to deal with it. Follow these three simple strategies and based on the reaction of your body to these, mould your lifestyle to effectively prevent the occurrence of migraine to a good extent.

1. Get adequate amount of exercise
A large majority of people who suffer from migraine steer clear of any highly intensive or strenuous exercise as it is known to be the prime trigger for a severe attack. Having said that, avoiding physical activity altogether can worsen your migraines and thus you should focus on indulging in some light exercises. Activities such as jogging, walking and yoga can reduce the duration of your migraines and also bring down its severity and frequency. Moreover, regular exercise brings down stress levels which are also a major factor for triggering migraine attacks.

2.  Take note of your meal schedule and type of food that precipitates headache
For most patients migraine is triggerred by irregular meal schedule and some foods acts as triggers for migraine like cheese, chocolate, chinese foods. It is very imprtant to maintain a regular meal schedule, avoid skipping meals and take note of the items that precipitate your headache. Items that can precipitate headache is different for every individual and maitaining a headache diary can help you to identify these triggers. Also, note down the occurrence of your migraines, their duration and severity. Having adequate data makes it extremely simple to recognize a recurring pattern and leads you to the main cause behind your migraine attacks.

3. Maintain a stable sleep schedule
Sleep plays a great role in triggering migraine attacks and irregular sleep patterns, not getting adequate sleep, or sleeping more than required – all these habits can lead to a severe attack. Thus, try and create a sleep schedule for yourself keeping your daily routines in mind and follow it without fail.

Top 3 Strategies To Keep Migraine At Bay

Hypopituitarism is defined as a condition in which the pituitary gland is unable to produce enough hormones. Under-secretion of pituitary hormones affects reproduction, body growth and blood pressure. It also results in pre-mature aging.

The pituitary gland is a small bean-shaped gland situated at the base of your brain, behind your nose and between your ears. Despite its size, this gland secretes hormones that influence nearly every part of your body.

In hypopituitarism, you have a short supply of one or more of these pituitary hormones. This deficiency can affect any number of your body's routine functions, such as growth, blood pressure and reproduction.

Few Causes:

Head injury

Tuberculosis

Radiation treatment

Stroke

Brain tumors

Brain surgery

Meningitis (brain infection)

Hypophysitis (autoimmune inflammatory disorder)

Sarcoidosis is an infiltrative (accumulation of cells and tissues in excess of the normal amount) disease which occurs in various organs.

Impaired hormone secretion by the pituitary gland is caused by genetic mutations.

Sheehan s syndrome: It is a condition in which the pituitary gland gets damaged due to severe blood loss during childbirth.

Hypothalamus (a part of the brain which is located above the pituitary gland) diseases wherein the pituitary activities are directly affected by the hypothalamus.

Symptoms:

Fatigue

Reduced sex drive

Decreased appetite

Anemia

Irregular menstruation, pubic hair loss, hot flashes (feverish heat), and inability to breast-feed properly because of low breast milk production).

Dwarfism in children

Weight loss

Increased sensitivity to cold temperature

Infertility

Facial puffiness

Reduction in body hair or facial hair

Treatment Options:

Hormone replacement drugs include:

Corticosteroids: Adrenocorticotropic hormone deficiency leads to low production of adrenal hormones (different kinds of hormones such as cortisol and adrenalin, produced in the endocrine glands). These drugs act as a replacement of adrenal hormones.

Growth hormone: Growth hormone, also known as somatropin, is injected beneath the skin. This treatment method promotes growth, which balances the height in children. Growth hormone deficiency in adults is also cured by these medications to some extent.

Surgery: Surgical procedure is needed if the condition of hypopituitarism is the result of a tumor. The doctor will remove the tumor through surgery, thus resulting in normal growth.

Radiation: Radiation therapy helps in reducing the size of the tumor which causes stunted growth or pre-mature aging.

Hypopituitarism: Causes, Symptoms and Treatment

Cerebral palsy is a neurologic condition that occurs in children, and is due to brain injury that develops before, during, or after childbirth. The condition presents with motor impairment, and therefore there is generalized physical and mental dysfunction. The brain continues to develop for the first two years of life, and so conditions like premature birth, asphyxia at birth, and postnatal meningitis and encephalitis.

The diagnosis could be trigged by the slow motor development, poor muscle tone, and delayed response of the baby. One of the main noticeable feature that becomes evident is the spasticity of the limbs. The child may not be able to voice it out, but pain is a significant disabling factor too. While doctors would advise that physical movement is required to keep the spasticity at bay, the pain keeps the child away from most activities. This further adds to the spasticity and worsening of the condition.

Pain control therefore assumes a significant role and the modes can range from physical therapy to pain killers to injections to surgery. The idea, in addition to pain control, is also to:

Improve range of motion
Improve motor response
Promote good motor development
Reduce and control contractures
Improve overall lifestyle
Improve muscle strength
Improve exercise tolerance
Reduce spasticity
Some of the non-medical ways to control pain are listed below. 

Of course, pain killers and injections are always used when immediate relief is required. A structured physical therapy program that includes medications and exercise is the best way to manage cerebral palsy pain. Though initially difficult, over a period of time, it improves range of motion and improves joint movement.

Acupuncture: Triggering specific points via needles is believed to stimulate the nerve endings and help in pain control
Alternating ice and heat therapy: This is also believed to improve pain control, blood circulation, and muscle movement.
Positioning in bed: A well-positioned child in bed may have less pain compared to another child who is not. Special equipment may be used also to keep the child in place, once the most comfortable situation is located.
Muscle massage: The affected muscles need to be massaged repeatedly so that blood flow improves, joint movement is better, and pain is controlled.
Botox is successfully used to pain control, as it paralyzes the specific muscles along with providing pain control.
Medications are used regularly, which are mainly anticholinergic and anti-spastic medications. They reduce stiffness, control pain, and help in pain control too.
Surgery is the last option and needs to be explored with the doctor.

Pain Management Of Spasticity With Cerebral Palsy!

Autism in children is a condition that is characterized by limiting social intelligence, unequal skill development across sectors, and repetitive behavioural patterns. These children may show awkwardness when dealing or speaking with people, as they seem to fail to understand what other people feel. Hence, they are unable to deal out emotional responses in kind. They themselves are very troubled, sometimes, by stimuli that are considered normal by other people, including certain visions, touches, smells and sounds.

The skill set of an autistic child forms and develops unequally. While they are not very social, they sometimes gain intense intellectual abilities in the field of math, music, chess, art and related matters which require the brain to visualize and function.

There are further ways to diagnose underlying autism in a child, and diagnosis is extremely necessary for early treatment and cure. These warning signs are-

  An autistic child will shy away from both tactile and non-tactile contact. Some children may naturally be scared of being touched by a stranger, but autistic children will not even look or smile at you when you are feeding them. They cannot maintain eye contact, and neither will they show signs of affection like small smiles or cuddles, or loving glances.

  Lack of auditory communication - This is another area of communication where an autistic child will be found lacking. Even above and beyond not responding to visual and tactile stimuli, she/he will completely forego aural communication as well. They will not respond to familiar sounds around and go even to the extent of not recognizing or being able to respond to their own name.

  If you point at things in the distance, there is a lack of communication with your child as well. These children do not have the ability to maintain a connection long enough to follow your hand and record what it is gesturing at. Either the child does not feel enough of a connection to you to actually feel your stimulus worth pursuing, or she/he does not have the power or attention span to keep following with eyes the trail your fingers have created.

  The child does not use a lot of aural communication her/himself as well too. She/he does not call out often or call you by acronyms like mother and does not make small whimpering noises like most infants do, in search for some warmth and affection.

She/he does not seem to have a natural affinity for physical touch and love and does not seem to be able to show very much love her/himself through cuddles or disappointment expressed if you get sick.

Autism is a disease that has now spread to a whole range of behavioural peculiarities, termed collectively as the Autism Spectrum Disorder. If diagnosed sufficiently early, this condition can be helped to a great extent. Make sure to monitor your child for the above signs, and contact a doctor immediately if you see cause for concern.

The Ways You Can Identify An Autistic Child!

There are two primary factors that are more likely to cause a stroke in a person i.e age and a family history. While both are inevitable, this necessarily doesn t have to be the fate of a person. Brain stroke is entirely preventable as with the case of other diseases. By working on the potential health risk factors, a stroke can be prevented. Here is a list of few such steps which, when followed can pay rich dividends to a person facing the risk of a brain stroke:

Blood Pressure: Blood pressure is the single most important factor that can increase the chance of a brain stroke. If a perfect blood pressure reading seems too difficult to achieve, a more realistic blood pressure target of 140/190 should be aimed for. Some of the common steps in order to achieve an acceptable blood pressure figure include reducing salt in the diet, exercising on a daily basis, regular intake of fresh fruits & vegetables and fast processed food containing processed fats. Finally, quitting drinking and smoking goes a long way in ensuring that a person is safe from strokes.

Losing Weight: Obesity increases the risk of diabetes and blood pressure subsequently increasing the risk of a stroke. Being overweight, therefore greatly increases the odds of a stroke. A BMI of 25 should be maintained by engaging in activities such as walking, running and playing on a daily basis.

Regular Exercise: Exercise is a clear mandate for people facing an increased risk of brain strokes. A moderate intensity exercise schedule for a minimum of 5 days per week is necessary. Some simple steps in order to achieve this include taking the stairs while climbing, joining a fitness club, 30 minutes of daily walk in a day etc.

Moderate Drink: Surprising as it may sound, moderate drinking on a daily basis can dramatically reduce the risk of a brain stroke. Red wine should be the choice of preference in this case. It should be ensured that the level of drinking does not surpass more than a glass. Regular drinking in excessive quantity can increase the chance of brain stroke.

Check For Atrial Fibrillation: This is a disease that is related to the heart due to an irregular heartbeat. There is a possibility of the clots travelling to the brain causing a brain stroke. Certain possible symptoms of this disease such as palpitation of heart and shortness of breath should be checked with a doctor to negate the chance of brain stroke. Certain blood thinners like warfarin and aspirin can shield against atrial fibrillation. A doctor has to be consulted before starting any medication related to the heart.

Top Ways To Prevent A Brain Stroke

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