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Overview

Sleep Disorders: Treatment, Procedure, Cost and Side Effects

What is the treatment?

Sleep disorder or sleep problem can be of several types. They are known as insomnia, narcolepsy, restless leg syndrome and obstructive sleep apnea (OSA). Other less prevalent problems of sleep disorder include Circadian Rhythm Disorders, snoring, night terrors or nightmares etc.

How is the treatment done?

Sleep disorders or problem while sleeping are a group of conditions that frequently affects and impacts the ability of a person to sleep well on a regular basis. Sleep disorders are becoming increasingly common nowadays and can be caused due to many reasons, of which health problem and over stress are common. Depending on the type of sleep disorder, people may face difficulties with the time of falling asleep and because of lack of sufficient sleep my also feel extremely tired throughout the day. The lack of sleep can, thus, have a negative impact on energy, mood, concentration, and overall health.

In most cases, sleep disorders are caused due to an underlying health problem. But, there can also be other reasons which cause sleep disorders. They are allergies and respiratory problems which make it difficult to breathe at night or while lying flat, nocturia (urinating at night), chronic pain and illness, any kind of stress, anxiety, tension etc.

The main types of sleep disorders are insomnia, sleep apnea, parasomnias, restless leg syndrome, etc. Insomnia is the inability of a person to fall asleep or to remain asleep. It can be caused due to jet lag, stress and anxiety, hormones, or digestive problems and can become very annoying and irritating to the person. It can cause depression, lack of concentration, weight gain etc. Sleep apnea is mainly characterized by pauses in breathing while sleeping. This is a very serious medical condition where the body takes in less oxygen than minimum. Thus, it causes the person to wake up during the night. Parasomnias are noted with the abnormal movements and behaviors during sleep which include sleep walking, nightmares, sleep talking, bed wetting etc. Restless leg syndrome (RLS) involves an overwhelming need to move the legs while sleeping.

Symptoms of sleep disorder can differ from person to person depending on the severity and type of this disorder. The most common symptoms of sleep disorders noted in people include difficulty either in falling or staying asleep, daytime fatigue, strong urge to take naps during the day (caused due to weakness), irritability or anxiety, lack of concentration and depression.

Treatment of sleep disorder depends on person to person on the type of disorder noted. It varies and may include better sleeping habits, medication or devices. Medical treatment for sleep disturbances require the person to intake sleeping pills, allergy or cold medication, melatonin supplements, necessary medications for any underlying health issues. For sleep apnea, patients may be provided with aiding breathing machines or surgical operations to get rid of the issue. Most important treatment method of sleep disorder is to change the life style and habits. Maintaining a healthy and routine life style can improve sleeping conditions.

Who is eligible for the treatment? (When is the treatment done?)

The doctor will first perform a physical exam on the patient and gather information about the symptoms and medical history. They may also prescribe various tests to diagnose the exact cause of sleep disorder. One of these tests is polysomnography. It is a sleep study that evaluates the oxygen levels, body movements, and brain waves in order to know how they cause disturbances while sleeping. Another test is called the electroencephalogram where electrical activity in the brain is assessed and associated problems are noted. The third test is genetic blood testing which is used to diagnose narcolepsy and other underlying health conditions that might be causing sleeping problems.

The four foremost important methods of treating sleep disorder are use of medications, cognitive behavioral therapy (CBT), sleep hygiene and sleep routines, and relaxation and exercises. These are the most commonly opted methods. But each individual type of sleep disorder can be treated differently and have their own methods of treatment. Insomnia can be treated with change in the daily habits. These will include trying to sleep on time, avoiding caffeine and fast or junk foods, regular exercises etc. In cases of jet lag when the body timer changes, treatment depends on the specific type of circadian rhythm disorder. These may include adjustment of bedtimes and rise times, appropriately timed melatonin use, and bright light therapy. Patients with sleep apnea may be provided a CPAP or continuous positive airway pressure. A mask is worn while sleeping which helps to keep the airway more open for extra oxygen and thus facilitate better sleep. There are also several types of surgery available for sleep apnea. Cutting down on caffeine when facing sleep disorder due to restless leg syndrome may help. Sleep disorder may also be treated with medicated drugs. Prescription medicines that might help to solve the problem include carbidopa-levodopa (Sinemet), gabapentin enacarbil (Horizant), gabapentin (Neurontin), pramipexole (Mirapex), rotigotine (Neupro) etc.

Who is not eligible for the treatment?

People may face sleeping problems once in a while owing to certain causes. But, when sleeping disability becomes a habit and starts to occur on a regular basis, people should visit a doctor. Also, when lack of adequate sleep impacts daily life negatively with weakness, irritation and lack of concentration, people should seek medical help.

Are there any side effects?

People with properly maintained sleep timings and who face no issues or problems while sleeping need not consult a doctor. When people get adequate sleep and feel fresh after a nap with great overall health, they become ineligible for the treatment of sleep disorders.

What are the post-treatment guidelines?

Sleeping pills used to soothe the nerves and make falling asleep easier can cause side effects if taken for a prolonged time. Over consumption of these medicines can indirectly harm the nerves and its functions. But, these side effects are rare and go away soon on its own if the medicine consumption is checked.

How long does it take to recover?

After medical treatment, patients should be careful about their life style habits and sleeping routines. They should try and maintain the healthy habits so that they do not suffer from sleep disorder again. Also, regular exercises and intake of medicines as prescribed can help people get comfortable sleep.

What is the price of the treatment in India?

Sleep disorder can be treated easily and it does not take long to recover. Use of medications and other methods to control the signs and symptoms of sleep deprivation can bring results in the first week of treatment itself. People start showing improvement right from the first or second week of treatment. People who undergo operation or use machines for sleep disorder condition can also recover very soon.

Are the results of the treatment permanent?

The cost of sleep disorder is not very expensive. It can easily be treated with medicines and change in the life style habit. For people with insomnia and restless leg syndrome, treatment cost may range from Rs 200- Rs 800, inclusive of the consultation fees of the doctor. People with sleep apnea will require a great cost for the machines or surgical operations. Surgical operations or machine may cost around Rs 60,000- Rs 80,000.

What are the alternatives to the treatment?

Treatment of sleep disorders caused due to stress anxiety or work load involve no such standardized methods of treatment. These mainly include changes in the lifestyle and improvement of living conditions. Sleep disorder caused because of these can recur anytime these factors come into play. But, for cases like sleep apnea, where surgical treatment method is an option, or machines can be used, then, the treatment can become permanently effective.

Safety: Common Name Effectiveness: Medium Timeliness: Medium Relative Risk: Medium Side Effects: Low Time For Recovery: Low Price Range:

Rs 200- Rs 80,000/-

Popular Health Tips

Sleep Disorders

MBBS, DPM (Psychiatry)
Psychiatrist, Thrissur
Sleep Disorders

SLEEP DISORDERS {INSOMANIA}

Sleep disorders
A sleep disorder (somnipathy) is a disorder in the sleep patterns of a person or animal. Some sleep disorders can interfere with mental and emotional function. A test commonly ordered for some sleep disorders is the polysomnogram.
Contents
1 Common sleep disorders
2 Broad classifications of sleep disorders
3 Common causes of sleep disorders
4 General Principles of Treatment

The most common sleep disorders include:
Bruxism
: The sufferer involuntarily grinds his or her teeth while sleeping.
Delayed sleep phase syndrome (DSPS): A sleep disorder of circadian rhythm, characterized by the inability to wake up and fall asleep at the desired times, but not by inability to stay asleep.
Hypopnea syndrome: Abnormally shallow breathing or slow respiratory rate while sleeping.
Narcolepsy: The condition of falling asleep spontaneously and unwillingly.
Night terror or Pavor nocturnus or sleep terror disorder: abrupt awakening from sleep with behavior consistent with terror.
Parasomnias: Include a variety of disruptive sleep-related events.
Periodic limb movement disorder (PLMD): Involuntary movement of arms and/or legs during sleep. See also Hypnic jerk, which is not a disorder.
Rapid eye movement behavior disorder (RBD): Acting out violent or dramatic dreams while in REM sleep.
Restless legs syndrome (RLS): An irresistible urge to move legs while sleeping. Often accompanies PLMD.

Shift work sleep disorder (SWSD).
Sleep apnea
: The obstruction of the airway during sleep.
Sleepwalking or somnambulism: Engaging in activities that are normally associated with wakefulness (such as eating or dressing), which may include walking, without the conscious knowledge of the subject.
Snoring: Loud breathing patterns while sleeping, sometimes accompanying sleep apnea.
Broad classifications of sleep disorders
Dysomnias - A broad category of sleep disorders characterized by either hypersomnolence or insomnia. The three major subcategories include intrinsic (i.e., arising from within the body), extrinsic (secondary to environmental conditions or various pathologic conditions), and disturbances of circadian rhythm.
Insomnia
Narcolepsy
Obstructive sleep apnea
Restless leg syndrome
Periodic limb movement disorder
Hypersomnia
Recurrent hypersomnia - including Kleine-Levin syndrome
Posttraumatic hypersomnia
"Healthy" hypersomnia

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Homeopathic Remedies for Sleep Disorders!

DHMS
Homeopath, Rewari
Homeopathic Remedies for Sleep Disorders!

Sleeping disorders or as some people calls it, insomnia, is the condition where a person loses his night sleep completely or is able to sleep only for few hours or minutes. They feel a sudden restlessness when they go to sleep, or they naturally do not get any good sleep. It is a known fact that sleep is a major necessity for any person since the hormone levels and other form of bodily activities are regulated only if the person gets a good night's sleep. The body needs some form of rest after a long day, that is, the normal breaks that a person takes is not sufficient enough to keep him or her healthy, but a proper sleep for atleast 6 to 8 hours is needed to keep oneself fit. 

Forms of sleeping disorders: 
Sleeping disorders can be of various types and they are not just only about the person's inability to fall asleep. Some common types of sleeping disorders are,

These are the very common forms of sleeping disorders that can be seen in a person. All the disorders have one thing in common. They generally make the person feel tired all day long, due to complete or partial loss of sleep. At times, the break in the sleeping pattern can also be brought by jet lag or an uncomfortable travelling schedule. 

Symptoms:
Sleeping disorders cannot be identified from the day one. The slow build up of symptoms are the only clue to the fact that one is suffering from this condition. Some of the very common symptoms that would help the person to identify the problem are: 

  • Loss of concentration during the day
  • Falling asleep during the day and during work
  • Irritable sensation all throughout the day
  • Loss of patience during work
  • Suddenly waking up in the middle of the night

Solution to the problem:
The homeopathic remedies involve the use of natural herbs and their extracts. All these are recommended by the doctors in prescribed dosages. Some of the commonly used homeopathic remedies are: 

  • Coffea: This particular herb is considered to be ideal for coping with sleeping disorders. This is more commonly suggested for people, who find it difficult to fall asleep due to over excitation, or else due to sudden mood swings.
  • Chamomilla: People suffering from sleeplessness due to pain and irritation prefer this.
  • Belladona: This herb is used in cases where the person has trouble falling asleep due to nightmares or headache. 

    If you wish to discuss about any specific problem, you can consult a homeopath.

4665 people found this helpful

How To Cure Sleep Disorders With Homeopathy?

MD, BHMS
Homeopath, Navi Mumbai
How To Cure Sleep Disorders With Homeopathy?

Getting a good night's sleep is crucial for good health. But, we all face insomnia to some degree or other. Homeopathy is a complementary system of medicine that cures almost any disease on earth, including insomnia.

Insomnia is a complex issue with a number of factors. Sometimes the fear of insomnia keeps people awake at night. Other causes are age- older people find it difficult to get sleep due to drop in levels of melatonin , a chemical that induces sleep; gender – women are more blessed with insomnia because of their hormonal fluctuations that happen on a monthly basis plus due to pregnancy and menopause; depression, high BP, seizures, heart problems, anxiety etc. Jetlag, irregular shift work can also give you insomnia.

Homeopathy treats the person as a whole. It means that homeopathic treatment focuses on the patient as a person, as well as his pathological condition. The homeopathic medicines are selected after a full individualizing examination and case-analysis, which includes the medical history of the patient, physical and mental constitution etc. The medicines given below indicate the therapeutic affinity but this is not a complete and definite guide to the treatment of this condition. The symptoms listed against each medicine may not be directly related to this disease because in homeopathy general symptoms and constitutional indications are also taken into account for selecting a remedy. It is always recommended to consult a specialized homeopath before you go for medication. None of these medicines should be taken without professional advice.

Homeopathic medicines that may help you to treat insomnia, are-

  1. Arsenicum Album (Ars): The anxious lot who suffer from sleeplessness will benefit from this one. Those with disturbed, restless sleep will get relief from their tossing and turning.

  2. Coffea Cruda (Coff): Coffee is also used to treat insomnia when given in the crude form. It relieves symptoms produced by coffee, like sleeplessness due to rapid thoughts and an active mind

  3. Gelsemium Sempervirens (Gels): Sleeplessness from anxiety is treated with this one . It also treats insomnia due to exhaustion.

  4. Ignatia Amara (Ign): Sleeplessness from a recent disappointment or grief is treated using this medicine.

  5. Lycopodium clavatum (Lyc): Are you feeling sleepy all day and sleepless at night from an active mind? Then this is the one for you!

  6. Nux Vomica (Nux-v): Irritability from loss of sleep is treated using this medicine and so is restlessness from the excessive consumption of coffee, alcohol, or drugs.

  7. Passiflora Incarnata (Pass): Restlessness, exhaustion, and sleeplessness, all three are treated. It’s especially useful for aged and infants.

  8. Phosphorus (Phos): Short naps with frequent waking are a symptom treated with this one. It’s very effective for sleeplessness in old people.

  9. Sulphur (Sulph): Disturbed sleep and inability to fall asleep after waking up between 2 – 5am and unable to go back to sleep- If this describes you, then try Sulph.

Pleasant dreams!

5148 people found this helpful

Tips To Prevent Sleep Disorders

M.Sc. in Dietetics and Food Service Management , Post Graduate Diploma In Computer Application, P.G.Diploma in Clinical Nutrition & Dietetics , B.Sc.Clinical Nutrition & Dietetics
Dietitian/Nutritionist, Mumbai
Tips To Prevent Sleep Disorders

1. Maintain a healthy lifestyle such as eating well, drinking water regularly, avoiding stress and maintaining a healthy weight. Frequently, individuals develop sleep disorders due to stress or obesity.

2. Establish a regular schedule for sleep. Wake up and go to bed at the same time everyday, including weekends. Establishing a regular sleep schedule will train your body to sleep soundly on a consistent basis.

3. Avoid taking naps throughout the day. If you take a nap during the day, then you will be less tired at night, be more restless and may not sleep as deeply.

4. Abstain from smoking, drinking alcohol or ingesting caffeine because they can keep you up at night. Even though alcohol makes you sleepy, it obstructs the quality of your sleep.

5. Exercise regularly so that your body will be tired, but do not exercise for 3 to 4 hours before you go to sleep, because it may energize you.

6. Refrain from eating heavy meals for dinner, which can make you feel uncomfortable and will prevent you from sleeping well.

7. Create a bedroom that is quiet, dark and a comfortable temperature, which will promote sleep and avoid disturbances.

8. Sleep on your side with your head slightly elevated to prevent the symptoms of sleep apnea.

9. Construct a bedtime routine such as reading, meditating or bathing. Having a routine will train your body to recognize that you are preparing for sleep, which will help you to fall asleep easier.

10. Use your bedroom for sleep only. Do not work or do any other tasks in your bedroom if possible. If your bedroom is used only for sleep, then you will associate the room with sleep, which will aid in falling asleep faster and sleeping deeply.

11. Get out of bed and engage in a non-stimulating activity, such as reading until you feel sleepy again. Sometimes lying in bed when you are not able to sleep makes it more difficult to feel sleepy.

2 people found this helpful

Sleep Disorder And Snoring

FRHS, Ph.D Neuro , MPT - Neurology Physiotherapy, D.Sp.Med, DPHM (Health Management ), BPTh/BPT
Physiotherapist, Chennai
Sleep Disorder And Snoring

A full-fledged sleep is important for human health. For many years, scientists are researching all of the parameters of sleep, ascertain their significance for the body, deal with the causes of snoring, which sometimes is the main enemy of the quality of sleep.
Without treatment, challenged the dream can lead not only to the constant fatigue, but also a cause of such effects as the occasional bout of drowsiness (gipnolepsiya), myocardial infarction, lowering the protective forces of the organism or violation of the brain.
According to the statistics they snore in sleep 25 % of the people on the earth after thirty years, and this applies to both men and women. Snoring makes it difficult to sleep man, but not prevents sleep so much as sleep apnea, which is the most serious consequence of snoring.

 

Reason for snoring:
1. Excessive weight muscle tone becomes weak, which is the cause of snoring. Even with a mild degree of obesity increases the risk of snoring in 10 times, and syndrome obstruktivnogo sleep apnea are diagnosed by more than half of the cases.

2. Hereditary anatomical differences (the defunct ago chin, little lower jaw - mikrognatiya, large tongue, cleft palate, iskrivlennaya septum nose, tongue)

3. Chronic diseases (adenoids nasal, sinus problems, chronic tonsillitis, allergic rhinitis)

4. Reduced the function of the thyroid gland. The lack of thyroid hormones causing nasal mucous membranes with edema and obesity, i. e. The right to two factors that provoke snoring.

3 people found this helpful

Popular Questions & Answers

Table of Content

What is the treatment?
How is the treatment done?
Who is eligible for the treatment? (When is the treatment done?)
Who is not eligible for the treatment?
Are there any side effects?
What are the post-treatment guidelines?
How long does it take to recover?
What is the price of the treatment in India?
Are the results of the treatment permanent?
What are the alternatives to the treatment?
Play video
Sleep Disorder
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.

If you want to consult us, come to our clinic or contact through Lybrate.
Play video
Insomnia (Sleep Disorder)
Hello friends,

I am Dr Vikas Deshmukh.

I am a psychiatrist and sexologist working in Manovikas Clinic at Vashi, Sector 17.

To aaj hum baat karenge Insomnia ke baare mein, Insomnia yani neend kam aana toh aaj kal mai jo patients dekhta hoon usme every alternate patient mai insomnia ka dekhta hoon neend ki takleef hai. Toh itni takleef ye problem badd gayi hai stress aur tanav ki wajah se jaise ki aajkal is century ko century of insomnia bolne lage hai. So jab neend aapko nahi aane ka koi bada karan nahi hai jaise ki depression, anxiety, or psychosis toh mai neeche jo aapko bata raha hoon us tarike se aapka neend aane ke pattern mein sudhar kar sakte ho. Sabse pahla cheez hai yeh ek fix routine sone ka banana sone ka ek fix timing rakho, uthne ka ek fix timing rakho, bahut sare patient bolte hain ki sir nahi kal raat ko teen baje tak neend nahi hai toh hum nau-dus baje tak sote rahe. Initially aapko thoda taklif hoga jaldi uthna main agar neend late aati hai toh bhi thoda sa aapko thakan lagega lekin do teen din mein agar aap uss fix time pe uthna chalu rakhoge toh dheere dheere neend jaldi aayega, agar aap aisa nahi karte ho aur aap late uthte ho toh aap apna need complete karte ho late tak so ke aur phir aapko neend usi time pe aana chalu hoga ki late sona or late uthna. Toh fix time pe uthna bahut zaroori hai aur fix time pe sona bhi bahut zaroori hai. Dusri cheez sone se pehle ek apna ek fix routine rakna jaise ki thoda sa doodh peena, kisi kisi ko doodh peena achha lagta hai, khana thoda jaldi khana bhi zaroori cheez hai, gungune pani se ya warm water se baath lena, relaxation karna, reading karna ye sab cheeze aap kar sakte ho, dusri cheez hai ki sone se ek ghanta pehle saree light aap dim kar dijiye aapke bedroom ka wagera tv, mobile, gadget koi bhi dekhna band kar dijiye kyunki light agar jab dim hoti hai, andhera jab chane lagta hai toh apna body chemical secrete karta hai apna brain, jisko bolte hain melatonin iska matlab woh apni body ko indication deta hai ki abhi aap ko thakan ho gayi hai abhi aap ka sone ka time ho raha hai, ab sona chahiye. Toh iss hisab se sleep ya neend dena body chalu kar deti hai, lekin agar aap bright light mein kaam karoge toh brain ko aisa indication hota hai ke nahi nahi abhi din hi hai, abhi bhi kaam karne ka time hai aur woh melatonin secrete nahi karta hai aur aapko fresh feel ho sakta hai, energetic feel ho sakta hai aur main aane mein dikkat ho sakti hai, iss cheez ki wajah se ek ghanta pehle saree lights dim karna bahut zaroori hai. Sone se sabse important cheez ki raat mein che baje ke baad chai, coffee, cold drink ya heavy exercise na kare, uski wajah se thoda excitement level barta hai aur aapka neend aane mein takleef ho sakti hai. Bed khali neend ke liye bed sleep and bad association baniye ki bed pe jaana hai matlab sona hai, bed par baith ke aap koi office ka kaam kar rahe hai, koi household work kar rahi hai yeh sab cheeze mat kariye, brain ka aur bed ka association aisa rakiye ki bed pe jana hai matlab sona hai, toh ek habituation ho jata hai woh ek neend ke sath association ho jata hai bed ka ki aane ke baad apne aap brain tyari karta hai sone ki, theek hai baki kaam aap baki jagah pe kijiye bed pe mat kijiye. Third thing sone se jab aap sone ke liye jayenge aur aapko neend nahi aati hai toh baar baar aap watch dekhna band kijiye clock watching stop kijiye theek hai iski jagah thoda sa breathing techniques karna, thoda sa mind relaxation karna, meditation karna, ya koi book padna dim light mein, ya koi jaise aap soothing music sun sakte ho ye sari cheeje aap kar sakte ho, dusri cheez koi bhi drug abuse karna alcohol jyada ye karna ye sab cheeze kum rakhna zaroori hai, temperature jo hai room ka hai woh cool rehna zaroori hai, cooll temperature bahut zaroori hai jab aap sote hain 22 se 25 degree ke beech mein rakhiye kyunki aap sabko pata hai ki sardiyo mein ya jab winter season hai usme humko bahut acche se neend aati hai. Toh ye kuch techniques hai neend thik se aane ke liye, agar iske bawajood bhi aapki neend, ha aur ek cheez hai ki din mein thoda exercise kijiye, exercise generally 30 minutes to 45 minutes 5 days in a week karna chahiye, thoda body mein thakan rahega toh neend bhi aapko bahut acche se aapayegi.

Toh yeh saare tips mai aap ko dena chahta tha acchi neend ke liye uske alawa agar aapko jyada problem hai aur jyada information chahiye toh please mujhe contact kijiye lybrate.com se.

Thank you very much for your patient listening.
Play video
Pulmonary Disorder: Obstructive Sleep Apnea
Good afternoon friends,

I am Dr Hemant Kalra, I am a pulmonologist.

Today I will talk about a very-very important topic that is Obstructive Sleep Apnea which is widely prevalent in our country but very-very underdiagnose and awareness is very-very less. So what is obstructive sleep apnea, those patients who snore very-very heavily, who feel tired or feel sleepy during the daytime they may have Obstructive Sleep Apnea. So what is normal breathing, normal breathing is when our upper airways they allow free air to go inside the lungs and out of the lungs, this is normal breathing. So what are the obstructive airways, obstructive airways is then these upper airways collapse and this collapse of upper airways causes snoring and sensation in breathing, this is abnormal breathing or obstructive breathing at night time when we sleep? So what are the symptoms, symptoms can be nighttime symptoms can be there or daytime symptoms can be there. Night time symptoms are frequent visits to bathroom, weakness, sensation in breathing, choking or gasping for air or loud a persistent snoring or restless sleep, these 5 can be there in the night time symptoms and daytime symptoms are early morning headache, lethargy, and poor concentration, poor memory, feeling asleep during and routine activities and daytime somnolence or daytime sleepiness, these are daytime symptoms. So what kinds of patients are prone to have obstructive sleep apnea. Those patients who are obese with a short and thick neck with large tongue or hypothyroidism such patients if they snore heavily or feel tired or sleepy during the daytime or if they have night time or daytime and symptoms they must be investigated for obstructive sleep apnea. So how to diagnose obstructive sleep apnea, there is a very small test called polysomnography that can be done at a house or in hospitals. That is conducted in two parts, one is diagnostic, one is titration in diagnostic. We diagnose, whether a patient is having obstructive episodes in the night or not, or in another part, if an obstruction is there what is the pressure required to eliminate those obstructions in the night time. So obstructive diagnostic and titration component one night sleep steady is more than enough. Once we diagnose obstructive sleep apnea then we have to treat it also. There are so many treatments available but gold standard till now is CPAP therapy Continuous Positive Airway Pressure therapy is the most appropriate therapy to treat obstructive sleep apnea and once you treated you will feel that next day if you get up you will feel very-very energetic and if you do not treat obstructive sleep apnea then you may have heart problems, rythm problems, your BP may not be controlled, your sugar may not be control, you may have strokes in future also. So, if you treat obstructive sleep apnea with CPAP therapy, it is a gold standard therapy in India it is widely available in our country but lack of awareness is there. It is a very important disorder you must be treated as early as possible.

Thank you.
Play video
Know More About Lifestyle Disorders
Namaste, I am Dr. Surjeet Kaur Baba, practicing Ayurveda physician, cosmetologist, skin anesthetic trichologist and nutritionist. Today we will talk on lifestyle disorders and how we can handle it with Ayurveda. Our lifestyle has taken a lot of toll on our health giving rise to many diseases like diabetes, hypertension, obesity and also depression. So how can we make changes in our lifestyle to handle it. It is very simple.

We need to incorporate more walk in our daily life, eat less or eat in a smaller plate.
We need to include diet like seasonal vegetables and fruits, have whole meals, have whole grains in your meals.
Let's incorporate yoga and pranayama.
Try to take maximum walk during the day.
Take the stairs in case if you are going to your office or your home.
Meditation plays imporatnat role in the improvement but sounds difficult. It's very difficult to meditate if you just start on your own but Ayurveda has a way to do it. It helps you through shirodhara. A stream of warm oil flows on to the center of the forehead. It's also known as a third eye. This stimulates the pituitary gland and gives you a very blissful experience. You should experience it in order to understand.
There are few medications available to help you in your weight loss. Medicines like Garcinia, Gogol, triphala, Nishod etc also help in losing weight and also helps in removing toxins from the body.
Last but not the least you need to grab good amount of sleep. A minimum of six to eight hours of sleep is essential for a sound health.Friends don't forget, you need not sleep during day time as it is totally contraindicated in Ayurveda. One can also relax by taking a Birmingham treatment in an ear by clinic.
Let us incorporate the Ayurveda way of lifestyle for sound health. For more information please visit www.lybrate.com. Thank you.

Play video
Know More About Depressive Disorders
I am Dr. Keerti Sachdeva. I am a psychologist counsellor. I have done PhD in psychology. In my clinic, Positive Vibrations, there is psychological counseling, testing and therapy that takes place. Today I am going to talk about depressive disorders or commonly known as depression.

What is these depressive disorder? Depressive disorder is a psychological disorder which comes under neurotic category and the symptoms are that person feels rejected, that person has got feeling of suicide, person feels lonely, worthless, hopeless and has got sleep problems, eating problems and have got no focus for concentration in work.

Now what are the types of depressive disorders? There are three types-

Diathermic depression
Clinical depression
Bipolar disorder.
Now, bipolar disorder is found more commonly with ladies and adolescence.

Now let us talk about the second type, which is the diathermic depression. It is a long rooted depression which may be present in a person for a long time and person may not come to know about it unless and until the person goes to a professional. It can also be treated with medicines and counseling as well as the other disorders which can also be very beautifully treated with medicine and counseling.

The third type which is most commonly found in ladies and adolescence is also called as clinical depression. Now clinical depression has also got the same symptoms as we discussed in the beginning. The symptoms are that first person feels low, depressed, lonely, dejected and has got sleep problems and eating problems. Person may also have suicidal tendencies and this can also be dealed nicely by taking counseling and with the help of psychiatric medicine.

Now how can depression be dealed and in what way people should you know take care about it? They should first in fact seek the help of a psychologist who will take the first hand diagnosis. If that depression is beyond borderline cases, then the first psychologists will ask you to take help from a psychiatrist, who will give medicine and alongside counseling will also happen. Now this counseling can be taken by a professional counselor who actually should be a psychologist by profession. Meaning that person must have taken a higher degree in the field of psychology who is a professional in the field of mind and behavior.

Now what a counselor do? The person has got in depth knowledge about what are the various therapies used in dealing with various kinds of disorders. When we talk about depressive disorders, the most important therapy, which is used is cognitive and behavioral therapy. Sometimes people also use rational emotive therapy which people may not know about but cognitive therapy actually talks about dealing with your intellectual side and in what way you can change your thought process, perception, observation, analysis and in what way you can implement these changes in your behavior. Even reducing your emotions which is a rational emotive side of the therapy works very well with people when it comes to depressive disorders and they can actually have become perfectly all right when they take counseling and medicine both put together.

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