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Very often I get up from sleep and find my arm get numb and then I change positions and after some time it becomes normal. What should I do to correct this. I am a male aged 58 and I take medication for BP, i, e One tab of Cresar 40 mg and one tab of Amloguard daily in the night.
Im 23 year old girl, recently my mother got mild heart attack so she is bit tensed. Doc told one nerve blockage is there. Is it she will be perfectly fine in some days?
The link between sleep and hypertension is well-known. Studies have examined the effects of sleep deprivation on healthy volunteers and have examined the sleep patterns of people with hypertension, producing data that suggest adequate sleep may reduce risk. good cardiovascular health. Data from several studies show that people who sleep less than six hours each night are 20% more likely to develop high blood pressure.
One night of inadequate sleep in patients with hypertension has been shown to result in elevated blood pressure throughout the next day.
Average sleep times have declined
Our modern society runs 24 hours a day, and many of us curtail sleep time to keep up. From an average sleep duration of 8 to 9 hours in 1960, our national sleep duration has dropped to 6.9 to 7 hours. Many people try to get by on five to six hours of sleep nightly, a habit that may be contributing to serious long-term health conditions.
What happens when you sleep?
Sleep is restorative, most people agree. We usually don’t question why, but the fact is that the circadian rhythms of sleep regulate our nervous system and the hypothalamic-pituitary-adrenal axis, two critical body systems that keep our bodies in healthy balance. During sleep, normal people should experience a drop in blood pressure of about 15 points, on average. This reduces the work of your heart.
The Autonomic Nervous System and “Fight or Flight” Response
Sleep regulates the autonomic nervous system, that part of the nervous system that modulates the “fight or flight response.” This evolutionary response causes changes in many bodily functions that at one time were useful to provide an edge against predators.A constant state of preparedness from inappropriate activation of this response results in harmful stress on the body.
When the sympathetic nervous system is stimulated, blood vessels are constricted to deliver blood to vital organs like the brain and heart, increasing blood pressure. The “fight or flight” response is also associated with changes in glucose metabolism and an increased risk of insulin-resistant diabetes.
Cortisol, Adrenaline, and the Hypothalamic-Pituitary Axis
The primary hormones regulated by the pituitary and hypothalamus during sleep are adrenaline and cortisol, released by the adrenal gland. Adrenaline is a potent hormone that has a direct effect on blood pressure, mediated by constriction of the arteries. When your adrenaline levels remain high during the night, it can result in sustained hypertension.
Cortisol is a “stress hormone” that is highest in the morning and reaches a nadir between midnight and four AM. Lack of sleep can result in significant disruption of the cycle, subjecting your body to unnecessary stress responses and fatigue that are as damaging to your health as poor diet or lack of exercise.
When you awaken in the morning, your body typically experiences a 50% rise in cortisol level as your body prepares for the stress of a new day. Studies show that waking up early in the morning increases the cortisol response, an effect that is pronounced in people who are facing chronic stress and worry. Cortisol levels usually decline throughout the day, but in people who suffer from sleep loss, cortisol levels increase in the early evening, preventing natural recovery from the day and preparation for a restful night. In addition to lowered immunity, impaired glucose tolerance, and increased craving for carbohydrates, sleep deprivation is associated with elevated estrogen levels, decreased alertness, and poor concentration.
Sleep and Thyroid Hormone
Sleep loss also increases the amount of thyroid hormone in people who are not getting enough rest. People with elevated thyroid hormone have both increased blood pressure and cardiac output, putting unneeded stress on the heart.
Sleep, Obesity, and Hypertension
Sleep deprivation increases appetite by disturbing the regulation of leptin and ghrelin, two hormones that modulate appetite. Sleep deprivation alters your body’s ability to regulate the need for calories, resulting in over-eating and obesity, also linked to increased risk of hypertension.
Caffeine and Hypertension
Many of us use caffeine to remain alert when we haven’t slept well, a habit that causes dramatic increases in blood pressure. The mechanism for elevation of blood pressure after drinking a caffeinated beverage is not completely understood. Some researchers think caffeine may stimulate the adrenal gland to release adrenaline, a hormone with direct effects on blood pressure. It may block hormones that keep the arteries relaxed.
Obstructive Sleep Apnea
People who have obstructive sleep apnea (OSA) have multiple episodes during the night in which they stop and restart breathing. This disorder usually affects middle-age to older adults, but it can occur in patients of any age, particularly people who are overweight. People with OSA typically have high blood pressure, particularly on awakening, when their blood pressure should be at its lowest point. Symptoms of OSA include daytime sleepiness, loud snoring, morning headache, and difficulty concentrating during the day. They may be observed gasping suddenly during the night before returning to sleep.
Are You Getting Enough Sleep?
Sleep is critical for maintenance of your health. If you work shifts or curtail your sleep to accomplish multiple tasks, you are at risk for hypertension that can be difficult to treat. Measure your blood pressure in the morning. It should be at its lowest level and if it’s elevated, you should see your doctor in addition to consideration of lifestyle changes to prevent progression of medical problems associated with hypertension and sleeplessness. If you have symptoms of obstructive sleep apnea, there are effective treatments available.
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My son is 3 years old. He speaks only words. He can ask for water, food,Toys whenever required. He knows alphabet, colors and numbers. For things he does not know he will use his own words. He can tell few objects. He can hear also very well. If crow makes sound he will hear that and tell us crow. He can hear bus or car and tell us it is bus or car. He is good in physical activities. He has does not form sentences yet. If you speak to him in sentences he will repeat a word from it. He cannot say full. Is it normal for 3 years old kid to speak in words only? I visited a NGO and they said he has mild autism. Its hard to believe this. But I would like to confirm if these are symptoms of ASD or is it normal for my child to speak in words. I am really worried when my child will speak properly. What is the age by then they speak properly?
I am suffering from epilepsy and get attacks minimum twice a month. I am not getting a good result from the medicine prescribed to me currently. What can I do to get cured?
Symptoms of Autism
Hi! Good morning! This is Dr. Rakesh Jain. I’m a Pediatric Neurologist working at Fortis Hospital, Gurgaon.
Today, I’m going to talk briefly about autism which is very commonly seen nowadays, in children. I would like to tell you what are the common symptoms and how would you identify autism in the early childhood.
A child at the age of one year who doesn’t do finger pointing, who doesn’t have good eye contact, doesn’t start uttering a single word, doesn’t have a joint attention or there are some other concern like child doesn’t mix up with the children of his own age, then, you must suspect either, there is some problem in hearing and accordingly you should go to a pediatrician to get him checked.
So, first of all, pediatrician would ask you to do a hearing test. If the hearing test is normal, then, we must think about the diagnosis of autism. It is called autistic spectrum disorder. It could be mild, moderate, severe. It may be associated with some other problems like some behavior problems, hyperactivity, poor attention, poor memory, epilepsy, so on and so forth. So, it is really important to diagnose this disorder as early as we can so that we can identify the cause of it and we can try to mend it accordingly.
And, there is no cure as such for autism. That’s the scary thing that there is no cure but having diagnosed it properly, early in life, we could do so many things, lots of therapies, for example, occupational therapy, speech therapy, sensory integration, psychological support and there are some medication as well to help with the comorbidities, not to treat the disorder as a core treatment .
If you want to know any further about it, and if your child is having any of the symptoms please, do contact your local pediatrician for basic screening and if you want to reach me, you could either visit me or you could connect me through Lybrate.
Thank you very much for your kind attention!
The word epilepsy brings to mind visions of people frothing at the mouth and rolling on the ground. However, epilepsy affects each patient in a different way. This can make it hard to recognize at times. In the more serious cases of epilepsy, an epileptic attack can make a patient injure himself or develop other life threatening conditions. In rare cases, epilepsy can even cause death. Thus it becomes imperative to understand how to deal with epilepsy.
Treatment options for epilepsy can be categorized as medication, surgical procedures and dietary changes.
Medication for epilepsy is prescribed on the basis of the symptoms presented and the type of epilepsy the patient is suffering from. In most cases, seizures can be controlled with a single type of medication, but in others, the doctor may need to prescribe a combination of medicines to control epilepsy. These forms of medication do have side effects and hence any reactions to the medication must be immediately brought to the doctor's notice. The dosage for epilepsy medication may need to be varied with time. An epileptic patient should never discontinue medication on their own.
Depending on the type of seizures and the area of the brain affected, a doctor may advise surgery in cases of severe epilepsy. Surgery can help reduce the number of seizures experienced or completely stop them. Surgery to treat epilepsy is of many types. Some of the common procedures are:
1. Surgery to remove tumor of any such conditions that may be triggering the epileptic attacks
2. Surgery to remove a small section of the brain from where a seizure originates. This may also be referred to as a lobectomy.
3. Multiple subpial transaction or a surgery that involves making a series of cuts in the brain to prevent the seizures from spreading to other parts of the brain.
4. Surgery to sever the neural connections between the right and left hemispheres of the brain.
5. Surgery to remove half the brain's cortex or outer layer
A diet rich in fats and low in carbohydrates can help reduce seizures. This is known as a ketogenic diet and aims at making the body break down fats instead of carbohydrates. It can cause a buildup of uric acid in the body and thus should be practiced only under the guidance of a dietician. In cases where epileptic attacks are triggered by malnutrition and birth defects, taking vitamin supplements can help lower the frequency of seizures.
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Epilepsy is a very common in general population. It can start at any age but its curable in most of the cases. The most important thing is proper diagnosis and proper treatment. It's important for the family members to make a video of the event when somebody's getting attack.