With the times we live in, getting a good night rest is starting to elude us. We tend to be disturbed most of the times, and often we end up getting minimal sleep. Worse, in most cases, there is a complete lack of sleep, and we are left sleep deprived. Often these conditions lead to restlessness, depression, weakness and an inability to do any activity vigorously. There is a special branch of study and medicine that is designed to test our sleep patterns and the way our body behaves when we sleep. This is called as the Polysomnography test. Often called a sleep study, it is a test that electronically transmits and records some physical activities while you are sleeping. With the data that is got, the doctors can identify if you have a sleep disorder and can suggest the alternative treatment plans to suit your needs. The treatment is also given as a part of the package when you have a psychological disorder. These tests are usually given across for older people who are trouble sleeping, but with the conditions, we are facing in the day to day lives; the treatment is also suggested for the younger lot nowadays.
As the name suggests, the sleep test is done while you sleep. You would be asked to stay overnight in the medical center or a hospital. You would be taken to a quiet room, and before you sleep, some equipment that monitors your heartbeat and pulses are attached to your body. There are several kinds of study the doctor performs. The most common being your breathing patterns, oxygen supply to your blood and limb movements when you sleep. There are four types of the sleep study, and depending on your needs each one of them is performed. Diagnostic Overnight (PSG) is the general monitoring of the sleep patterns. This is the most common form of test that is advised. Diagnostic daytime multiple sleep latency tests (MSLT) is the second type and is used to check your sleep patterns during day time and the frequency in which you sleep across in a calm daytime environment. Two-night evaluation is a combination of sleep test that can test your general status on one day and on the second day the same pattern would be repeated with artificially induced agents like oxygen masks, fabricators, etc. Split – night PSG with CPAP titration is the last type and can be done when you have severe sleep disorder patterns or sleep apnea. These treatments are extremely safe, and if you have any concerns, you can check with your physician.
Almost everyone who has trouble sleeping or having sleep disorders can undergo these procedures. These can be experienced irrespective of age or gender and in some cases can actively be done as a part of psychological evaluation treatment. Medications can take care of most of the sleep disorder patterns. In some cases when the nature of the disorder is not clear, these tests are prescribed.
The treatment and tests can be carried out everyone. Instead of sleeping in a familiar place you would be asked to sleep in the sleep centers or the hospitals to monitor your patterns. The tests can be performed on people of all ages.
No, there are no side effects to these treatments. You would sleep in a medical center or a hospital with the equipment like electrodes and wires attached to your body. Though it looks uncomfortable at first, most people do not have any issues in sleeping and in displaying their regular sleep patterns. The next day the electrodes can get sticky, and you might need to wash the glue off.
Post the treatment the doctor would come to remove the electrodes and wires attached to you. They can be a bit sticky, and you can wash them off. After which you can get back home and carry on your routine. Later when the results come, you can consult with your doctor regarding your sleep pattern and the various changes that need to be made. The medications needed and the changes to the lifestyle may be discussed at this point.
There is no need of a recovery as the test is painless and you can get back to your routine work from next day. You will not be feeling any delusion or any side effects as you would not be injected with any medication during the test. Polysomnography implies records your sleep patterns and the way your body reacts when you sleep.
In India, the treatment costs depend on the type of medical center you are undergoing the treatment. On an average, it might cost about INR 1000 for an overnight stay, and the consultation fees and the medications post the test can be additional.
The results of the test are not permanent. You can get back to your routine post the treatment, and you would be consulting with your doctor later when the results arrive. Based on the reports the doctor would advise you upon the changes needed and the medications that need to be followed. A sleep disorder can occur at any stage of life and can depend on a number of situations. Hence one form of treatment may not be beneficial for all.
As an alternative to the treatment, you can identify what is causing you the stress and can try to minimize on your own. You can indulge in regular workouts and exercises to keep your body fit and healthy. Also, you might opt for yoga and meditations so that you can have more control over your sleep patterns.
Do you have any symptoms like snoring, interrupted sleep, unrefreshened sleep, morning headaches, daytime sleepiness etc, if yes it further supports the diagnosis.
It is a condition characterised by obstruction of upper airway especially during sleep due to lax airway and narrowing of airway due to obesity.
Basically, obstruction of upper airway leads to temporary stoppage of respiration, increased sympathetic drive and increased pulse rate. Also, other reason for pulse rate rise is deconditioning as you are not accustomed to activities.
ENT examination if you have any symptoms of nasal stuffiness, recurrent tonsillitis to rule nasal causes of obstruction.
Thyroid function test
Lipid profile and sugar, hba1c
Polysomnography which is sleep study to confirm the diagnosis and extent of disease, pressure of cpap needed.
In treatment, first thing weight loss. You need to have low fat, calorie diet in order to loose weight. Cure for this is weight loss.
Secondly, cpap which is mask and device, and pressure during inspiration and expiration during sleep in order keep your airways patent and avoid this from happening.
Also, regular exercises is very important. Chest physiotherapy and yoga will be helpful.
Good morning I am DR Rajput, Pulmonologist. I deal with the respiratory disease which include Asthma, COPD and sleep apnea. The sleep disorder, sleep apnea is very common these days. People snore and they do not know that they have a disease.
I am going to talk about, "Why do people snore and how it affects your health?"
You know the structure. We breath through nose and we eat through mouth. There is a pasaage in the neck behind the tongue where the food and the air we inhale pass through it. But when we sleep, our posture changes due to which muscles get relaxed and makes the passage narrow. Then the tongue drops and makes it further narrow. If you are over weight, due to the neck fat, the passage gets further narrow. So, when the air passes through the narrow passage, it produces snoring. The stage beyond snoring when the two valves in the neck meet each other, the air flow stops and cause Apnea. When the air flow stops, the oxygen level in the body goes down, the brain gets aroused and sends the signal to these muscles and then you ultimately snot and this snotting opens the passage a bit. So, this repeatedly occur in the night and this results in oxidative stress. BEcause 1/3rd of your life, you are sleeping, i.e, 8 hours out of 24 hours.
So, during sleep, if the air flow is less which is called Hypopnea, the air flow stops is called Apnea. This leads to Endothelial dysfunction, which leads to High blood pressure, diabetes, cardiac problems.
So, it is important to know about Sleep Apnea and its relation to lifestyle diseases like hypertension, diabetes, cardio vascular diseases.
The diagnosis is very simple these days which is Polysomnography. It is a sleep study in which we record the brain EEG, EOG, EMG, air flow, snoring, oxygen saturation ECG. This gives an index which is called Apnea Hypopnea Index. If the Index is more than 5 than you have to be treated.
The commonest treatment which is available these days is the CPAP Therapy. CPAP is a very simple therapy. There is a mask which fits on the nose and it is connected to a hose pipe to a machine. The machine gives pressure to the air and this pressure splints this air way and the air flow is maintained. Oxygenation maintains, snoring stops and oxidative stress dissapears. This helps in controlling blood pressure, the diabetes become normal and the risk of cardio vacular problems decreases.
Thank you very much for listening to me.
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