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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

3 people found this helpful

Sleep Disorder

MBBS, MD - Pulmonary Medicine, DNB - Pulmonary Medicine, MD - Internal Medicine, Diploma in Tuberculosis and Chest Diseases (DTCD)
Pulmonologist, Delhi
Play video

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.

2546 people found this helpful

Ayurveda For Stress And Sleep Disorder

BAMS
Ayurveda, Faridabad
Ayurveda For Stress And Sleep Disorder

Are you suffering from stress and sleep disorders (Insomnia)? Are you looking for Ayurvedic remedies for improving your sleep? The principles of Ayurveda state that sufficient sleep along with a proper diet, and wise utilization of energy are important for maintaining good health.

Ayurvedic Consideration:

According to ayurveda, the vitiation of the three doshas either taken all together or individually may result in to insomnia. All factors, that are responsible for aggravation of vata and pitta ,along with environmental and dietary factors play an important role in sleep disturbances. High vata type of insomnia is caused by Vaata imbalance or mental stress. People, who toss and turn, unable to fall asleep because their mind is spinning, have this disorder. It results with anxiety, worry, and rushed activity during the day. Where as in pitta imbalance there is intermittent awakening. You may fall asleep quickly but wake up frequently with palpitation, body pains, and emotional disturbances such as fear, anger, and sadness. Another pattern is that you wake up before dawn and find it difficult to go back to sleep.

There are certain health principles and ways that you should follow for improving quality of sleep, getting rid of stress and boosting your body’s immune system. They are as follows:

  1. Maintain a disciplined sleep schedule- You should be very disciplined regarding your sleep. Try to sleep early which gives you the time to sleep throughout the night. Wake up early the next morning. Your mind  is stable, slow and dull from 6pm to 10pm. This is a perfect time for getting good sleep.
  2. Mindful eating- It is recommended for you to have your dinner early between 6.30 to 7 pm. The digestive fire starts cooling down after the sun sets. You can improve your digestion by eating light, early meals. This is beneficial for your sleep quality. While eating, you should avoid doing other activities such as reading books, watching television, or involving yourself in conversations. 
  3. Oil massage- Oil massage therapy is a primary part of  Ayurvedic treatment for stress and sleep disorder. Oil massages on your feet are important for improved sleep. There are nerve endings in your feet, which are nourished because of oil massage. Massaging helps in stress relief, makes you feel relaxed, and improves your blood circulation. As a result of all these, your sleep gets drastically improved. You can choose from several herbal oils for massage. 
  4. Pranayama- Pranayama is considered to be very important for improving sleep disorders and stress. Several rounds of alternate nostril breathing or “naadi shodhana pranayama” should be undertaken on a regular basis. This is effective for the mind, and calms down your nervous system. You are bound to get deeper, and longer sleep of high quality. 
  5. Practice self-compassion- You wellness and health depend considerably on a balance among your  mind, body and soul. It is important for you to keep away from negative vibes and always try to be present in a positive environment. You should be mindful over who you talk to right before going to sleep. Ideally, you should switch off your mobile, computer, television, and social media activities, two hours before going to sleep. 
  6. Regular exercise- Regular exercise is very important for you to stay healthy and fit physically, which in turn helps you to maintain a healthy state of mind. This is vital for improving sleep disorder and eliminating stress. Keep away from all types of stimulants during the evening so that your sleep is not affected. 

Ayurvedic Herbs for Insomnia

The useful herbs for the treatment of insomnia are:-

  1. Brahmi: It is a powerful brain tonic, which supports and improves all aspects of mental functioning. It is a calming and tranquillising herb. A cup of brahmi tea or powder or any other preparation with brahmi, taken at bedtime, will induce a peaceful sleep and its regular use will help to cure insomnia.
  2. Vacha: (Acorus calamus) has been used in Ayurvedic medicine for the treatment of various ailments, such as epilepsy, headache,insomnia etc. it can be taken along with Amla, Brahmi powder at bed time.
  3. Aswagandha: This is an overall tonic for greater vitality and longevity. It enhances coordination between the mind and senses which, according to Ayurveda, is essential for good sleep. The recommended dose is half teaspoonful of powder taken at night along with sugar+ ghee or warm milk.
  4. Jatamansi: It has been found to increase levels of neurotransmitters like serotonin. It is a sedative, anti-depressant, and anti-epileptic cardio-tonic and is regarded as one of the most effective remedies for neurosis. 
  5. Valerian: Indian valerian, also known as tagar in Hindi, works on the nerve channels by clearing out toxins from the blood, joints, tissues, colon and nerves. Its basic role is to rejuvenate. However, valerian should not be taken on its own. For, it can have a somewhat dulling effect. It is best used as part of some herbal preparation. If you wish to discuss about any specific problem, you can consult an ayurveda.
3009 people found this helpful

Homeopathic Remedies for Sleep Disorders

BHMS
Homeopath, Surat
Homeopathic Remedies for Sleep Disorders

Sleep disorder 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. 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:

  • Sleep apnea
  • Restless leg syndrome
  • Loss of sleep due to excessive snoring
  • Insomnia and sleep deprivation

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.

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:

  • Falling asleep during the day and during work
  • Irritable sensation all throughout the day
  • Loss of patience during work
  • Loss of concentration during the day

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:

  • Chamomilla: People suffering from sleeplessness due to pain and irritation prefer this.
  • 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.
  • 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 doctor and ask a free question.
3321 people found this helpful

Sleep Disorders and Homeopathy

DGO, MBBS
Gynaecologist, Delhi
Sleep Disorders and Homeopathy

Sleep disorders are problems in the pattern of sleep of an individual, often leading to a serious mental, physical and psychological strain. The most common types of sleep disorders are:

  1. Insomnia: People suffering from insomnia usually display symptoms like difficulty in falling asleep, waking up in the middle of the night and being unable to get back to sleep or waking up feeling tired.
  2. Sleepwalking: People suffering from this disorder get up and walk around, being asleep all this time.
  3. Narcolepsy: People suffering from narcolepsy usually complain of overwhelming drowsiness after waking up and the drowsiness persists throughout the day.
  4. Obstructive sleep apnea: Patients suffering from this, generally experience a state where their breathing pauses for a while and resumes after few seconds. This usually happens when throat muscles block the airway and create problems.

Homeopathy offers several treatments for these disorders and they are:

  1. Using Nux Vomica: This is especially helpful in case of insomnia; it can help in recovering from a general state of sleeplessness.
  2. Using Coffea cruda: Sleep disturbance and waking up in the middle of the night are symptoms for which this medicine proves to be beneficial.
  3. Belladonna: Bad dreams of deep-lying insecurities that don't let the patient sleep are most common symptoms that can be treated by this. Belladonna helps in case of problems of consistent sleep.
  4. Stramomium: It is beneficial for sleepwalking and also proves to be helpful to an extent in case of sleep apnea.
  5. Aconite: Especially, helpful for patients suffering from narcolepsy as it reduces the onset of tiredness brought about by lack of sleep and thus, helps in recovering from the drowsiness and lack of activity that narcolepsy brings.
  6. Phosphorus: Helps in case of sleepwalking and is often beneficial in cases of insomnia too.
  7. Pulsatilla: Beneficial for obstructive sleep apnea by reducing the muscle constriction and for people suffering from acute cases of narcolepsy.
  8. Arsenicum: It helps with better sleep for people suffering from sleeplessness due to anxiety, fear or worry. Acute thirst of water coupled with lack of sleep past midnight and general drowsiness are the symptoms that you need Arsenicum. This works well for sleepwalking patients too.
  9. Valerianna: Especially, beneficial for sleepwalking patients. Patients who are only able to sleep towards the morning are the ones on whom this works well and this can be taken in herbal capsule form as well.
3457 people found this helpful

Popular Questions & Answers

Hi i Am having sleep disorder, I just can't sleep, I know I am tired but still no sleep, can anyone help me here?

Ph.D - Ayurveda, MD - Ayurveda
Ayurveda, Delhi
Stop worrying, this is the main cause for not getting sound and sufficient sleep, are you taking any medicine if so inform. Inform your interest in getting detail regimen of diet, exercise, yogasana and herbal preparations.

I, m having sleeping disorder these days. I feel sleeping all day. What should I do.

PG Hom, London, BHMS
Homeopath, Mumbai
Hello Jasveer, Constant sleepiness can be due to stress, tesnion, anxiety, thyroid disorders or some other pathological condition that moght be present in your body. You need to give away some more details about your condition so that i can find out the cause behind this disorder of yours. Accordingly i can help you with the medications

Hi. I am 23 and I am facing some sleeping disorders. Is there any way that you could help me.

MBBS
General Physician, Mumbai
Take a shower at bedtime for a peaceful sleep and also start with Tablet folvite 5mg once a day for six months and tablet vitamin D3 60000iu once a week for six months

I have sleeping disorder what I have to do without taking any medicine is possible.

C.S.C, D.C.H, M.B.B.S
General Physician, Alappuzha
YOu should ahve described your disorder clearly. Resting at night plays an important role in regulating your daily health and your level of energy throughout a day. Also, not only the quantity but the quality of sleep is also important for a healthy lifestyle. Bedtime habits do play a vital role in shaping up your lifestyle and personality as a whole. Here are many lifestyle habits that can help you to get sound sleep. 1. Make regular and a fixed sleep pattern: Going to sleep and waking up the same time every day helps to maintain an equilibrium in the sleep-wake cycle called diurnal rhythm. If this balance is maintained, then your body will be accustomed to this pattern and as a result, you will feel less tired and fresh throughout the day 2. Maintain a definite dietary regulation: You should also maintain a proper diet plan and observe the consequences/effects of the foods that you are eating and the fluids that you are drinking on your sleep pattern. Taking a good and properly nutritious diet on a daily basis will help you to stay healthy and help your natural sleep-wake cycle. 3. Ensure that your room has mild or dim lighting or darkness if you prefer: The level of light also matters at the time of your sleep. You should definitely make sure that there is a very minimal level of light or darkness around you when you try to sleep. This should be done because the lesser is the light, the more comfortable you are while sleeping. Additionally, the sleep that you will get in a dark room will also be sound and undistorted as it helps keep all the sensory organs calm. 4). Do some relaxing activities before bedtime: Depending on your choice, you should follow simple techniques of relaxation in order to calm down the brain before sleep. Like mediation, Yoga or- deep breathing exercise, muscle relaxing activity, visualizing a peaceful setting/ scenario like a calm garden or beach or mountain area. These activities are just guidelines and you can do anything that helps you to get a relaxing mood and sleep. 5). Avoid daytime naps if you can , But Having short naps of less than one hour is absolutely okay if you are excessively tired during the day or you did not have a sound sleep the previous night. But, if you are consistently having long naps during the day then you are bound to have sleep issues during the night. So it is advisable to sleep early and wake up early for a healthy schedule. 6) Regular exercise: Exercising regularly helps to improve the overall quality of sleep by making you tired at night and sending you to bed more efficiently. Light to mild exercises also helps cure sleep disorders like insomnia.

My mother is suffering from sleep disorder not having sound sleep please help me.

MBBS, MBA (Healthcare)
General Physician, Delhi
avoid day time sleep. avoid tea/coffe/ cola in evening and after. 8 hours sleep is ok . 10 pm 6 am is good timing.

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?
Having issues? Consult a doctor for medical advice