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Sleeping Problem Tips

Sleepwalking - Is There A Way To Manage It?

Dr. Shreyas Pendharkar 92% (457 ratings)
MD-Psychiatry, MBBS, Certificate in Medical Neuroscience
Psychiatrist, Akola
Sleepwalking - Is There A Way To Manage It?

Sleep walking is a sleep related disorder that affects many individuals globally. It causes people to get up and start walking even when they are in a deep state of sleep. This condition happens when the patient is going through a state of deep sleep to light sleep, before actually awaking. In most cases, the patients are not aware of their actions and may find themselves in another room or part of the house when they wake up. While this condition usually happens for children between the ages of four to eight, it may even happen for certain adults. Here is everything you need to know about sleep walking from the reasons that cause it, to the ways in which it may be treated.

General causes of sleepwalking: Sleepwalking may be caused by sudden stress or a chaotic sleep pattern. In such cases, it may last only a few weeks and may even come with other symptoms like bedwetting. This is most commonly seen in children. It is also a genetically inherited disorder that can affect people whose parents or siblings have suffered from the same.

Also, if you have a sleep deprivation problem and experience trouble when it comes to falling asleep, then this condition may set in. Many people also walk in their sleep when they are drunk or are known to regularly get drunk. Excessive alcohol consumption may also lead to such sleep disorders. Also, if the patient is taking sedatives that are hypnotic in nature, then they may experience such symptoms as sleep walking.

Medical conditions: There are also a number of medical conditions that may cause this condition. To begin with, sleepwalking may arise as a symptom of heartburn and fever. Also, patients who are suffering from an irregular heartbeat or heart rhythm may end up walking in their sleep. Restless leg syndrome, obstructive sleep apnea, night time seizures and asthma may also cause this condition. Other psychiatric disorders like post-traumatic stress disorder, panic attacks and multiple personality disorder can also cause symptoms such as sleep walking.

Treatment: The method of treatment is usually based on the genetic, environmental or physiological reasons that are behind the actual disorder. While changing the medicines and treating the actual ailment that causes sleep walking as a symptom may be recommended by most doctors, one may also have to undergo therapy. This therapy will help in reaching the root cause of the sleepwalking disorder in case it is a chronic problem that has nothing to do with any other ailment or disease. The doctor may also look for signs of nocturnal seizures and confusion arousal in order to treat the same with proper therapy and medication.

Lack Of Sleep - 6 Ways It Is Affecting You Negatively!

Dr. Tarun Jhamb 92% (18 ratings)
MD - Internal Medicine, MBBS
General Physician, Gurgaon
Lack Of Sleep - 6 Ways It Is Affecting You Negatively!

Sleep is an activity where you do nothing, but rest. You relax your body and mind, you rest your bones and muscles, and you rest your eyes after a long day of physical exertion. It is extremely necessary for you to get ample amount of sleep to stay healthy. 

Sleep has two component: REM sleep and non-REM sleep. Both are required insufficient duration for proper effective sleep. Most effective and healthy sleep time is between 10PM - 3 AM. Going early to bed and rising early helps you maintain a healthy body and mind. Otherwise, there are various problems which you might have to face if you are lacking sleep.

  1. Elevates the risk of stroke: According to study, people who get less sleep are more prone to having strokes than those who get enough sleep. If you sleep for less than 6 hours every day, you multiply the risk of having a stroke four times than ordinary. 
  2. Obesity: Lack of sleep can cause obesity. It usually forces you to take erratic food decisions, leading you to eat a lot of junk food. Less sleep administers certain hormonal changes which make you feel hungrier and believe that you haven't eaten enough food. The production of the hormone ghrelin, which controls your hunger, increases due to less sleep. Hence, it may lead to obesity if you keep eating without keeping a check on what you eat. 
  3. Increases the risk of diabetes: Sleep and the production of insulin are inversely related to each other. Among teenagers, the less you sleep; the more insulin resistant your body becomes. This means the body is not able to use the insulin effectively. 
  4. Increase the risk of hypertension: There is Blood pressure drop in deep sleep which is required for maintaining normal blood pressure. Patients who are hypertensive and not able to sleep properly will have more chances of having increased blood pressure despite taking medicines. 
  5. Results in Poor Memory: Less sleep causes tiredness. When you are extremely tired, you are not able to focus on anything going on around you, you cannot concentrate on your work, and you get forgetful. In fact, consistent lack of sleep can even cause permanent loss of memory. This is because you are not being able to fully utilize the memory boosting ability of sleep. This eventually causes brain deterioration which results in permanent memory loss
  6. Affects your Heart: Lack of sleep can have an extremely negative impact on your heart. Less sleep also causes stress and strain to your body and mind. It results in an increased production of certain chemicals and hormones in the body which is harmful for your heart. According to a study in 2011, people who sleep less than 6 hours every day increase the risk of having heart problems by almost 48%. It is not very healthy to sleep less as it can complicate your daily life activities. Sleep enough and stay healthy.

In case you have a concern or query you can always consult an expert & get answers to your questions!

4819 people found this helpful

Sleepwalking - What Everybody Should Know About It?

Dr. Omkar Mate 88% (45 ratings)
MBBS, Diploma In Psychological Medicine, Diploma In National Board In Psychiatry
Psychiatrist, Navi Mumbai
Sleepwalking - What Everybody Should Know About It?

Sleepwalking, also known as somnambulism is a type of parasomnia. A parasomnia includes undesired interruption in ones sleep. 

Sleepwalking happens when you get up from your sleep, and walk around your house. You are actually still in a state of sleep when you are sleepwalking around. It can, likewise, include a progression of other complex activities. You are likely to suddenly get up from sleep and sit on your bed, looking around like you are dazed or confused. Another type of sleepwalking involves abruptly rising in the midst of sleep and running away. 

Apparently, the patients feel that there is an acute threat, and they must escape from it by running away. There are more features of sleepwalking. 

Here is a list of facts on sleepwalking which you should know. 

  1. You may talk or yell as you are sleep walking. Your eyes are normally open and have a look of confusion. The eyes also seem to be glassy. You may perform some activities, which are not supposed to be done at night. 
  2. Strange, peculiar and weird actions are carried out while sleepwalking, in inappropriate places. Urinating in a garbage can, rearranging your furniture or jumping out of the window are common weird activities, which can be observed in sleepwalkers. The patient turns very violent and arrogant. 
  3. In uncommon cases, a patient will get into a car and set out for some unknown location. The patient may even choose to get separate for a long duration. Exposure of inappropriate body parts is also observed in sleepwalkers. Grown ups may dream or fantasize while they sleepwalk. 
  4. Some people tend to eat during sleepwalking phase. 
  5. Waking up a sleepwalker is a very difficult thing to do. When a patient finally wakes up, he is in a state of utter fix and confusion. No memory of the events that happened during sleepwalking remain, and a patient cannot recall anything. Adult patients may sometimes recall very few traces of what might have happened. A clear memory of the events is rarely found in sleepwalkers. 
  6. At times, the patient becomes so violent that he may attack anyone who tries to wake him up. This is seen more in men. The sleepwalking may end abruptly, and the patient will find himself in an unknown place. The last memory that he might recall is going to sleep in bed. Some patients return to their beds after a stroll automatically, without waking up. 
  7. Sleepwalking usually occurs in the first or the third part of a person's sleeping phase. 

Sleepwalking may be an unhealthy phenomenon and advice should be sought if you find an adult to be sleepwalking. In case you have a concern or query you can always consult an expert & get answers to your questions!

4607 people found this helpful

Obstructive Sleep Apnea

Dr. Shubham Jaiswal 92% (851 ratings)
MBBS Bachelor of Medicine and Bachelor of Surgery
General Physician, Delhi
Obstructive Sleep Apnea

Surgery is for people who have extra or misshapen tissue that blocks airflow through the nose or throat. For example, a person with a deviated nasal septum, enlarged tonsils and adenoids, or a small lower jaw that causes the throat to be too narrow might benefit from surgery. Doctors usually try other treatments first.
 

Types of surgery
Upper airway stimulator. This device, called inspire, has a small pulse generator that the surgeon places under the skin in your upper chest. A wire leading to the lung detects your natural breathing pattern. Another wire, leading up to the neck, delivers mild stimulation to nerves that control airway muscles, keeping them open.
A doctor can program the device from an external remote. Also, people who have inspire use a remote to turn it on before bed and turn it off when they wake up in the morning.
Somnoplasty. Doctors use radiofrequency energy to tighten the soft palate at the back of the throat.
Uppp, or up3, is a procedure that removes soft tissue in the back of the throat and palate, increasing the width of the airway at the throat opening. (uppp stands for uvulopalatopharyngoplasty, if you were wondering.)
Mandibular/maxillary advancement surgery. The surgeon moves the jaw bone and face bones forward to make more room in the back of the throat. It's an intricate procedure that doctors only do for people who have severe sleep apnea and problems with their head or face.
Nasal surgery. These operations correct obstructions in the nose, such as a deviated septum.

Obstructive sleep apnea 

What is sleep apnea?
When you have this condition, your breath can become very shallow or you may even stop breathing -- briefly -- while you sleep. It can happen many times a night in some people.
Obstructive sleep apnea happens when something partly or completely blocks your upper airway during shut-eye. That makes your diaphragm and chest muscles work harder to open the obstructed airway and pull air into the lungs. Breathing usually resumes with a loud gasp, snort, or body jerk. You may not sleep well, but you probably won't be aware that this is happening.

The condition can also reduce the flow of oxygen to vital organs and cause irregular heart rhythms.

Symptoms
The most common obstructive sleep apnea warning signs include:
* daytime sleepiness or fatigue
* dry mouth or sore throat when you wake up
* headaches in the morning
* trouble concentrating, forgetfulness, depression, or irritability
* night sweats
* restlessness during sleep
* problems with sex
* snoring
* waking up suddenly and feeling like you're gasping or choking
* trouble getting up in the mornings
If you share a bed with someone, they'll probably notice it before you do.

Symptoms in children may not be as obvious. They may include:
* bedwetting
* choking or drooling
* sweating a lot at night
* ribcage moves inward when they exhale
* learning and behavior disorders
* problems at school
* sluggishness or sleepiness (often misinterpreted as laziness in the classroom)
* snoring
* teeth grinding
* restlessness in bed
* pauses or absence of breathing
* unusual sleeping positions, such as sleeping on the hands and knees, or with the neck hyperextended
Talk to your doctor if you notice any of these problems. There are a lot of other possible causes for these symptoms as well.

Who gets obstructive sleep apnea?
It's more likely if you're overweight or obese, have a thick or large neck, or have smaller airways in your nose, throat, or mouth. It can also happen if you have enlarged tonsils or too much tissue at the back of the throat -- the uvula and soft palate -- that hangs down and blocks the windpipe. A larger-than-average tongue can also block the airway in many people as well as a deviated septum in the nose.
The condition is more common among men than women, and it becomes more likely as you get older. But it's not a normal part of aging.
 

Other risk factors include:
* smoking
* diabetes
* high blood pressure
* being at risk for heart failure or stroke

Diagnosis
Your doctor will give you a checkup and ask about your sleep. He may also want to ask people who live with you about your shut-eye habits. You may need to spend a night in a sleep lab or have a sleep study done at your house. You'll wear monitors to measure things such as:
* air flow
* blood oxygen levels
* breathing patterns
* electrical activity of the brain
* eye movements
* heart rate
* muscle activity
The study will track how many times your breathing was impaired during sleep.
 

Treatment
1. Weight loss, if needed. Losing even 10% of your weight can make a difference. Avoid alcohol and sleeping pills, which make the airway more likely to collapse during sleep and lengthen the times when you're not breathing properly. Sleeping on your side, if you only get mild sleep apnea when you sleep on your back.

2. Nasal sprays, if sinus problems or nasal congestion make it harder to breathe while you sleep.
Cpap machine. This device includes a mask that you wear over your nose or mouth, or both. An air blower forces constant and continuous air through the nose or mouth. The air pressure is just enough to keep the upper airway tissues from collapsing during sleep. Other types of positive airway pressure devices are also available, including the bpap, which has two levels of air flow that vary with breathing in and out.
Oral devices. For some people with mild sleep apnea, dental appliances or oral" mandibular advancement" devices that prevent the tongue from blocking the throat or advance the lower jaw forward can be made. These devices may help keep the airway open during sleep. A dental expert who is trained in oral health, tmj, and dental occlusion can check on which type of device may be best for you.
Surgery is for people who have extra or misshapen tissue that blocks airflow through the nose or throat. For example, a person with a deviated nasal septum, enlarged tonsils and adenoids, or a small lower jaw that causes the throat to be too narrow might benefit from surgery. Doctors usually try other treatments first.

Types of surgery
Upper airway stimulator. This device, called inspire, has a small pulse generator that the surgeon places under the skin in your upper chest. A wire leading to the lung detects your natural breathing pattern. Another wire, leading up to the neck, delivers mild stimulation to nerves that control airway muscles, keeping them open.
A doctor can program the device from an external remote. Also, people who have inspire use a remote to turn it on before bed and turn it off when they wake up in the morning.
Somnoplasty. Doctors use radiofrequency energy to tighten the soft palate at the back of the throat.
Uppp, or up3, is a procedure that removes soft tissue in the back of the throat and palate, increasing the width of the airway at the throat opening. (uppp stands for uvulopalatopharyngoplasty, if you were wondering.)
Mandibular/maxillary advancement surgery. The surgeon moves the jaw bone and face bones forward to make more room in the back of the throat. It's an intricate procedure that doctors only do for people who have severe sleep apnea and problems with their head or face.
Nasal surgery. These operations correct obstructions in the nose, such as a deviated septum.

1 person found this helpful

Why Browsing Your Phone Excessively Is Harmful For Your Health?

Dr. Vijan Sharan 91% (18 ratings)
MBBS, Doctor of Medicine, Member of the Royal College of Physicians, UK (MRCP UK)
General Physician, Patna
Why Browsing Your Phone Excessively Is Harmful For Your Health?

Browsing on the phone before you sleep can potentially cause serious damage to your health. According to studies the side effects can be far reaching and detrimental for your overall health. It can disrupt your sleep and contributes to several complications like heart diseases, obesity, etc. Following are the bad effects of browsing on the phone before bed:


1. Browsing on the phone till late in the night affects your sleeping pattern and deprives your body from the rest it requires. Loss and lack of sleep significantly contributes to various health problems like poor sleep, depression, stroke, cardiovascular problems, obesity etc.

2. Staring at a bright screen for a long time before sleeping can slow down the activity of neurons that make you sleepy thereby keeping you in a state of wakefulness. Staring at artificial lights suppresses melatonin, the sleep hormone which affects the sleep-wake cycle of your body.

3. Browsing on the phone before sleep also takes a toll on your eyes. It can cause serious damage to your eyes if you make a habit out of it. You can see visible signs if you wake up with dark circles in the morning and feel tired and lousy. Looking at brightly lit screen for a long time especially in the dark puts a lot of strain in your eyes and also affects mental health.

4. Browsing on the phone till late in the night will make it difficult for you to wake up on time. The light on your cell phone affects your sleep which can even trigger insomnia. Lack of sleep affects your alertness and concentration level and makes you feel drowsy and exhausted.
 

1 person found this helpful

Benefits Of Having Proper Sleep

Dr. Bilkish Zardi 86% (10 ratings)
BAMS, Diploma In Naturopathy
Ayurveda, Gulbarga
Benefits Of Having Proper Sleep

What time should you sleep?

Is there a best time to sleep? there is a saying that sleeping early and waking up early is good for your health. How true is that? is it alright to sleep late and wake up late?
You actually have an amazing biological clock ticking inside your body. It is very precise. It helps to regulate your various body functions including your sleeping time.
From 11pm to 3am, most of your blood circulation concentrates in your liver. Your liver gets larger when filled with more blood. This is an important time when your body undergoes detoxification process. Your liver neutralizes and breaks down body toxins accumulated throughout the day.

However if you don't sleep at this time, your liver cannot carry out this detoxification process smoothly.
· if you sleep at 11pm, you have full 4 hours to detoxify your body.
· if you sleep at 12am, you have 3 hours.
· if you sleep at 1am, you have 2 hours.
· and if you sleep at 2am, you only have 1 hr to detoxify.

What if you sleep after 3am? unfortunately, you won't have any time to actually detoxify your body. If you continue with this sleeping pattern, these toxins will accumulate in your body over time. You know what happens next.

What if you sleep late and wake up late?
Have you tried going to bed very late at night? did you realize you feel very tired the next day no matter how much you sleep?


Sleeping late and waking up late is indeed very bad for your health. Besides not having enough time to detoxify your body, you will miss out other important body functions too.

From 3am to 5am, most blood circulation concentrates in your lung. What should you do at this moment? well, you should exercise and breathe in fresh air. Take in good energy into your body, preferably in a garden. At this time, the air is very fresh with lots of beneficial negative ions.

From 5am to 7am, most blood circulation concentrates in your large intestine. What should you do at this moment? you should poop! pass out all unwanted poop from your large intestine. Prepare your body to absorb more nutrients throughout the day.

From 7am to 9am, most blood circulation concentrates in your stomach. What should you do at this moment? have your breakfast! this is your most important meal in a day. Make sure you have all the required nutrients from your breakfast. Not having breakfast causes lots of health problems for you in the future.

That's the way to start your day

No wonder people living in villages or in farms are healthier. They sleep early and wake up early as they follow their natural biological clock.

If one follows this you're sure to feel fresher and more energetic all day long.

9 people found this helpful

Why Is Good sleep Necessary For Our Health

Dr. Shilpa Chawla 89% (18 ratings)
BSc - Home Science, Diploma In Health & Nutrition, MSc - Dietitics/Nutrition
Dietitian/Nutritionist, Delhi
Why Is Good sleep Necessary For Our Health

Today’s post is about the benefits of good sleep. A good night’s sleep is incredibly important for health. In fact, it is just as important as eating healthy and exercising. Here are some reasons why good sleep is important.

1.    Poor sleep can make you fat: short sleep duration is associated with a drastically increased risk of weight gain and obesity, in both children and adults.

2.    Good sleep can improve concentration and productivity: good sleep can maximize problem solving skills and enhance memory. Poor sleep has been shown to impair brain function.

3.    Sleep improves your immune function: getting at least 8 hours of sleep can improve immune function and help fight the common cold.

4.    Poor sleep is linked to depression and hormonal imbalances: poor sleeping patterns are strongly linked to depression, particularly for those with a sleeping disorder. 

5. Less self control and discipline: interestingly, lack of sleep also has a profound influence over our self control. Those late night fast food dinners are, many times, due to being too tired or having the willpower to resist the temptation. Having good self-control requires a lot of effort, which wilts away when you are sleep deprived. 

6.    Lack of motivation and self drive: lack of sleep causes tiredness and thus in return effect our productivity at work.

The bottom line is that if you want to make being lean and toned a lifestyle, this is one habit that you need to get nailed down.

1 person found this helpful

Sleep Wake Disorder - Causes, Symptoms and Treatment

Mrs. Chhaya Jain 90% (118 ratings)
M.Sc - Applied Psychology, Advanced Diploma In Counselling Psychology
Psychologist, Mumbai
Sleep Wake Disorder - Causes, Symptoms and Treatment

Sleep-Wake Disorder is a very uncommon syndrome which causes irregular sleeping patterns without any real schedule.

Causes
Persons with brain malfunctioning and those who do not have a regular routine during the day experience such disorders. People with changing work shifts often experience such disorder. Also, travellers who often move from one country to another with different time zones may also have these symptoms.
There's no cure for this disorder, but treatments, including hormones, medicine, and light therapy, can help get you closer to a normal sleeping pattern.

Symptoms

Symptoms may include any of the following:

  1. Sleeping or napping more than usual during the day
  2. Trouble falling asleep and staying asleep at night
  3. Waking up often during the night

Exams and Tests
A person must have at least three abnormal sleep-wake episodes during a 24-hour period to be diagnosed with this problem. The time between each such episode varies from 1 to 4 hours. The doctor may advise you to go ahead with a device called actigraph in case the diagnosis is unclear. The device looks like a wristwatch, and it can tell when a person is sleeping or awake.

Treatment
Though there is no simple cure for irregular sleep-wake syndrome, however, several therapies and lifestyle changes may help a person return to a normal sleep-wake cycle. These include:

  1. A regular daytime schedule of activities and mealtimes need to be fixed.
  2. You should not stay in bed during the day for long.
  3. Use bright light therapy in the morning like those from computer screens and television. The period of exposure should also be increased. Exposure to blue light should be minimized at night.
  4. You should take melatonin at bedtime. This is a hormone that controls the sleep-wake cycle. By taking doses at the right times, you might be able to shift your body clock earlier or later.
  5. Make sure to make the room dark, quiet, and as comfortable as possible at night.
  6. Also one should try to minimize the amount of noise in the sleep environment.
  7. Add more structure to the patient’s day by scheduling social interaction, exercise, and other activities.
  8. Your doctor may prescribe drug to control the timing of the sleep-wake cycle.

Finally, you should take proper care of yourself. Make positive changes in your lifestyle. You can even ask your boss to make your work schedule a bit flexible.

The ultimate goal of these lifestyle changes is to help the person sleep longer at night and make him feel active and awake during the day. Most people have sleep disturbances on occasion. But you need to see your doctor if such sleep disorders occur regularly.

In case you have a concern or query you can always consult an expert & get answers to your questions!

2693 people found this helpful

Insomnia - Know Its Homeopathic Treatment!

Dr. Sanket Gupta 91% (85 ratings)
BHMS, MD-Homeopathy, PGPC - Preventive Cardiology
Homeopath, Delhi
Insomnia - Know Its Homeopathic Treatment!

Insomnia is a mental condition, which is characterized by a difficulty in falling asleep, even when you have the chance to do so. The causes of insomnia include stress, emotional or physical discomfort; environmental factors like noise, light or extreme temperature that interferes with sleep; and depression or anxiety.

The visible symptoms of insomnia are inability to fall asleep no matter what, irritability, depression, lack of concentration and enthusiasm, and distressed stomach and intestine. Complications associated with insomnia can cause psychiatric problems, obesity, increased risk of long-term diseases or conditions like high blood pressure, heart disease and diabetes.

Insomnia can be classified in the following ways -

  1. Secondary insomnia: it stands for sleep problems that may be caused by health conditions, medications, pain or any other causes.
  2. Acute insomnia: it is also known as short-term insomnia and usually lasts for a night or a few weeks.
  3. Primary insomnia: it refers to sleep problems which aren't directly related with any health condition.
  4. Chronic insomnia: insomnia is described as long-term or chronic if you suffer from it for about 3 nights a week for 1 month or longer.

Homeopathy is a boon towards treating insomnia.

  1. Efficiency - The efficiency of homeopathic medicines in curing the several problems associated with insomnia is unquestionable. Plus, targets at providing long-term cure for insomnia instead of just temporary relief. The approach that homeopathy adopts includes getting at the root cause of the problem, and weeding it out so that there's never a relapse of your condition.
  2. Safety - Homeopathic medication are far safer therefore, it is preferable and highly recommended. It serves invaluably during insomnia and does not involve any side effects.

In case you have a concern or query you can always consult an expert & get answers to your questions!

6738 people found this helpful

Improve Your Sleep

Dt. Aastha Singhal 90% (345 ratings)
BSc - Food & Applied Nutrition, MSc - Food & Applied Nutrition
Dietitian/Nutritionist, Faridabad
Improve Your Sleep
  • Falling asleep may seem like an impossible dream when you’re awake at 3 a.m., but good sleep is more under your control than you might think. Following healthy sleep habits can make the difference between restlessness and restful slumber.
  • I have always heard from my clients that they have problem to fall asleep. So today's post is for those who want to improve their sleep patterns.
3 people found this helpful
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