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What Are The 5 Types Of Sleep Disorders

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Causes Of Insomnia: Sleep Hygiene

Medical Minute: Dr. Rasmus of Saltzer Health discusses various types of sleep disorders

Poor sleep hygiene refers to bad habits that interfere with an individual’s ability to fall asleep. For example, drinking coffee or other caffeinated drinks in the evening, smoking, eating heavy foods late in the evening, falling asleep with the lights on and/or leaving the television on, or using a cell phone, computer, or tablet right before bed are bad habits or poor sleep hygiene can lead to insomnia.

How To Sleep Better: Exercise

Regular exercise is another part of a good sleep hygiene program. However, choosing the times of day that you exercise is important. Exercising in the late afternoon can make it easier to fall asleep and stay asleep. However, exercise within a few hours before going to sleep may actually make it more difficult to get a good night’s sleep. People who exercise regularly, in general, have less incidence and risk for insomnia.

Sleep Disorder Diagnosis And Treatment In Denton And Frisco Texas

While one night of not sleeping well wont have dire repercussions, continuously not getting the sleep you need can negatively affect your health in a multitude of ways. Dr. Rani Anbarasu of Star Medical Associates has a wealth of experience treating a variety of sleep disorders and would love to help you. Make an appointment today, and get the quality sleep you need.

To make an appointment, please call 382-6900 in Denton, Texas, or 301-2300 in Frisco, Texas. You can also request an appointment online. We look forward to serving you!

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How Much Sleep Do I Need

The sleeping time needs of individuals are variable, and sleep times vary between kids and adults.

Adults

Some adults can vary in their sleep requirements from about 5 to as many as 10 hours per night. However, several studies have suggested the majority of normal adults average about 7 to 8 hours per night.

Younger People

In general, the younger the person, the more sleep they need. For example, teenagers require about nine hours of sleep while infants require about 16 hours per night.

What Are The Types Of Sleep Disorders A Full List Of Sleep Disorders

Identifying Your Sleeping Disorder: Narcolepsy

The field of sleep medicine is constantly evolving as more research is being conducted to better understand the symptoms, causes, and best treatments for sleep disorders. Organizations such as the American Academy of Sleep Medicine have been at the forefront in advancing the field since 1970.

Throughout the decades as more research and studies were conducted, the amount of sleep disorders being discovered began to rapidly increase. In 1990 The AASM, along with other professional societies including the European Sleep Research Society, The Japanese Society of Sleep Research, and the Latin American Sleep Society published the International Classification of Sleep Disorders , which is a “primary diagnostic, epidemiological, and coding resource for clinicians and researchers in the field of sleep and sleep medicine.”

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Your Bed Partner Might Notice It First

Symptoms of sleep apnoea mainly happen when you sleep, and they include interrupted breathing, making gasping, snorting or choking noises, and snoring loudly. You may also wake up a lot.

As such, you may need to ask someone to watch you while you sleep to spot the symptoms. Sleep apnoea may be noticed more by the bed partner than by the sleeper, said Dr Jun. Your bed partner might notice that your breathing pauses, or they may complain of your loud snoring.

However, note that not all snoring indicates sleep apnoea, and not all sleep apnoea cases snore loudly.

Treatment Of Circadian Rhythm Disorders

Recent clinical practice guidelines for circadian rhythm sleep wake disorders found insufficient evidence to support efficacy of post-awakening light monotherapy as a treatment for DSPD . The guidelines suggested that clinicians treat DSWD with strategically timed melatonin . A study using melatonin 5 mg for 28 days revealed positive results when the dose was timed from 19:0021:00 .

Recent clinical practice guidelines for treatment for circadian rhythm sleep wake disorders suggests that clinicians treat ASPD with evening light therapy and reported little to no evidence to support the use of melatonin or agonists as a treatment for ASWPD . In shift work sleep disorder, consistency of work schedule , consistency of sleep-wake times and use of sunglasses or black-out shades during the daytime when sleep is needed may be helpful strategies.

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Using A Breathing Device Can Make A Big Difference

If you are diagnosed with sleep apnoea, you may be instructed to use a breathing device called a continuous positive airway pressure machine . CPAP pushes air through the nose, thus keeping your throat open while you sleep. Regular use of CPAP has shown to increases wakefulness during the day and improve quality of life. It also lowers blood pressure and blood glucose levels, and reduces the risk of stroke and heart attack.

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Who Is More Prone To Insomnia

Sleep Wake Disorders Part 2: Breathing Related and Circadian Rhythm Sleep Disorders

A certain group of people are more likely to develop insomnia. The people who are at a higher risk of insomnia include:

  • People whose work involves varied shifts that may even change abruptly
  • People who travel across different time zones.
  • Elderly people are at a higher risk of developing insomnia
  • People who indulge in excessive caffeine, drugs, medicines, and alcohol.
  • People who have experienced significant life events in the past or present.
  • People who have a family history of insomnia.
  • Females in general are at a higher risk of developing insomnia. However, pregnant women or the women going through menopause are comparatively more prone to insomnia
  • People who have adverse mental or physical health conditions are also more likely to develop insomnia.

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Snoring And Sleep Apnea

Snoring may seem harmless, other than keeping your bed partner awake. However, you snore because your throat is closing while you sleep. If it’s bad enough to cut off breathing for a few seconds, then it becomes snoring’s more serious cousinsleep apnea, which is a chronic and potentially serious medical condition.

With sleep apnea, you may stop breathing multiple times per hour for 10 seconds or longer at a time. That makes the oxygen levels in your blood drop, and when your body senses that, it pulls you out of deep sleep to get you breathing again.

Breathing interruptions, or apneas, can be caused by:

  • Obstructive sleep apnea , a condition in which an obstruction of the upper airway interrupts breathing
  • Central sleep apnea , a serious condition caused by brain dysfunction

The effects of sleep apnea can cause and worsen other medical conditions, including hypertension, heart failure, and diabetes. Over time, it can also contribute to the risk of serious consequences such as a heart attack or heart failure, stroke, and sudden death.

Who Gets Sleep Apnea

The common risk factors for sleep apnea include being overweight, over age 65, male, Hispanic, African-American, and of Pacific Island descent. Also, individuals who smoke, use alcohol, sedatives and/or tranquilizers, and individuals with nasal congestion, heart disorders, strokes, or brain tumors are also at higher risk for sleep apnea. Occasionally, individuals who have some blockage of their airway are also at risk of developing sleep apnea.

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How Are Sleep Disorders Diagnosed

If you suspect that you may have a sleep disorder, discuss your symptoms with your healthcare provider. He or she can perform a physical exam and help you identify the difficulties you are having with sleep. Keeping a sleep diary for two weeks may be helpful to your healthcare provider. Some illnesses can cause disturbed sleep, so your healthcare provider may order tests to rule out other conditions.

If your healthcare provider suspects that you have a sleep disorder, he or she may refer you to a sleep disorder clinic. A sleep specialist will review your symptoms and may suggest that you undergo a sleep study.

A sleep study or polysomnogram is a test that electronically transmits and records specific physical activities while you sleep. A sleep study can be done at home for select patients. The recordings become data that is analyzed by a qualified healthcare provider to determine whether or not you have a sleep disorder.

In order to determine if you have a sleep disorder, it is important to pay attention to your sleep habits by keeping a sleep diary and discussing patterns and characteristics of your sleep with your healthcare provider. Many common sleep problems can be treated with behavioral treatments and an increased attention to proper sleep hygiene. Consult your healthcare provider if you have any concerns about your sleep patterns.

How To Manage Sleep Disorders

The 5 Types of Insomnia &  Its Treatment, Home Remedies

Sleep disorders can have a dreadful impact on your life if you do not manage them appropriately. While certain pharmaceutical sleeping pills with melatonin as a component and other medical approaches are available to help you manage these disorders, you can also opt for a variety of self-help techniques. One study reported an 84% success when behavioral methods were used to target sleep disorders amongst a young group of patients without pharmaceutical interventions.

Use of relaxation techniques can also be very beneficial for your overall sleeping habits. Different herbal remedies and relaxation techniques can yield positive results in improving symptoms associated with insomnia and other sleep disorders. These relaxation techniques include:

  • Autogenic training

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But Not Everyone With Sleep Apnoea Is Obese

Sleep apnoea occurs in about 3 percent of normal weight individuals and over 20 percent of obese people. It generally affects men more than women, but the risk increases after menopause. Research has also shown that sleep apnoea is associated with higher risks of diabetes, independent of obesity, and that it can increase blood sugar levels.

What Are The Symptoms Of Sleep Disorders

The symptoms of sleep disorders depend on the specific disorder. Some signs that you may have a sleep disorder include that:

  • You regularly take more than 30 minutes each night to fall asleep
  • You regularly wake up several times each night and then have trouble falling back to sleep, or you wake up too early in the morning
  • You often feel sleepy during the day, take frequent naps, or fall asleep at the wrong times during the day
  • Your bed partner says that when you sleep, you snore loudly, snort, gasp, make choking sounds, or stop breathing for short periods
  • You have creeping, tingling, or crawling feelings in your legs or arms that are relieved by moving or massaging them, especially in the evening and when trying to fall asleep
  • Your bed partner notices that your legs or arms jerk often during sleep
  • You have vivid, dreamlike experiences while falling asleep or dozing
  • You have episodes of sudden muscle weakness when you are angry or fearful, or when you laugh
  • You feel as though you cannot move when you first wake up

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Circadian Rhythm Sleep Wake Disorders

Circadian rhythm sleep disorders result in misalignment of the timing of the sleep period relative to the desired bed and rise times, resulting in concurrent insomnia and hypersomnia symptoms despite normal total sleep time. The most common circadian rhythm disturbances are actually exogenous influences on the patient and his/her circadian axis, which in these cases is functioning normally but is unable to adjust rapidly enough to the required new temporal milieu. These exogenous disorders include jet lag disorder and shift work disorder, resulting either from imposed transmeridian travel or alternating work shifts, respectively, that disturb the patients environmental entraining cues and homeostatic drives for sleep and wakefulness, thereby resulting in misalignment of the patients endogenous biological sleep drive and typical sleep schedule to the clock time and environment to which they must rapidly adapt.

A. Culebras, in, 2008

How Much Sleep Is Necessary

Understanding Circadian Rhythm Sleep Disorders

Experts generally recommend that adults sleep at least seven to nine hours per night, although some people require more and others require less.

A recent National Sleep Foundation Sleep in America poll found that adults sleep an average of 6.4 hours per night on weekdays and 7.7 hours on weekends. The poll showed a downward trend in sleep time over the past several years. People sleeping less hours tend to use the internet at night or bring work home from the office.

The National Sleep Foundation also reported that older adults average seven hours of sleep on weekdays and 7.1 hours on weekends. Sleep is most often disturbed by the need to use the bathroom and physical pain or discomfort in older adults.

A downward trend in sleep time has also been observed in children. Optimal sleep time varies by age. An earlier Sleep in America poll found a discrepancy between recommended and actual sleep time in children, with actual sleep time 1.5 to two hours less than recommended. Caffeine consumption caused a loss of three to five hours of sleep and having a television in the bedroom contributed to a loss of two hours of sleep each week in children.

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There Are Two Types Of Sleep Apnoea

There are two kinds of sleep apnoea – obstructive sleep apnoea, which is the most common, and central sleep apnoea.

Obstructive sleep apnoea happens when your airways are obstructed by relaxed muscles so that you can’t breathe through your nose or mouth, although you try to. In central sleep apnoea, on the other hand, the brain does not correctly trigger your breathing muscles to work.

Sleep Disturbance Scale For Children

The Sleep Disturbance Scale for Children is a 26-item inventory rated on a 5-point Likert-type scale. The instrument’s purpose is to categorize sleep disorders in children and preadolescents of 615 years old. SDSC uses six subdomains: disorders of initiating and maintaining sleep, sleep breathing disorders, disorders of arousal/nightmares, sleepwake transition disorders, disorders of excessive somnolence, and sleep hyperhidrosis. Bruni and colleagues conducted a psychometric evaluation of the SDSC and found an internal consistency ranging from 0.71 to 0.79, a testretest reliability of 0.71, a diagnostic accuracy of 0.91.119

In a study to assess the psychometric properties of the SDSC, the questionnaire was administered to 601 Italian children with age range 36 years. SDSC showed a good level of internal consistency and factor analysis showed that parasomnias, difficulty in initiating and maintaining sleep, sleep disordered breathing, disorders of excessive somnolence, sleep hyperhidrosis, and nonrestorative sleep are good predictors of sleep quality.120 Validity and reliability of SDSC were documented in other studies.121,122

Rick D. Kellerman MD, inConn’s Current Therapy 2021, 2021

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Common Sleep Disorders In Children

KEVIN A. CARTER, DO, Martin Army Community Hospital, Fort Benning, Georgia

NATHANAEL E. HATHAWAY, MD, SHAPE Healthcare Facility, Mons, Belgium

CHRISTINE F. LETTIERI, MD, Uniformed Services University of the Health Sciences, Bethesda, Maryland

Am Fam Physician. 2014 Mar 1 89:368-377.

Sleep is one of the most commonly discussed topics during well-child visits.1 It is important for primary care physicians to be familiar with normal childhood sleep patterns and common sleep disorders. Epidemiologic studies indicate that up to 50% of children experience a sleep problem,24 and about 4% have a formal sleep disorder diagnosis.5

SORT: KEY RECOMMENDATIONS FOR PRACTICE

Sleep disorders should be considered in children presenting with irritability, behavioral problems, learning difficulties, and poor academic performance.

Clinical recommendationEvidence ratingReferences

Adenotonsillectomy is the primary treatment for children with obstructive sleep apnea.

Sleep or sedating medications have no role in the treatment of behavioral insomnia of childhood.

If restless legs syndrome is suspected in a child, management should include a workup for iron deficiency and avoidance of triggers.

SORT: KEY RECOMMENDATIONS FOR PRACTICE

Sleep disorders should be considered in children presenting with irritability, behavioral problems, learning difficulties, and poor academic performance.

What Are The 5 Types Of Sleep Disorders

5 Types Of Sleep Disorders Than Can Keep You Awake

Sleep disorders are conditions that affect the ability to sleep well. The term sleep disorder is used in contradistinction to the term sleep deprivation. They affect the quality of sleep. And can cause problems such as difficulty falling asleep, staying asleep, or feeling tired during the day. They often result in a lack of energy. Generally, they are caused by either the environment or by a health problem. They may also be due to using too much alcohol, caffeine, and other drugs.

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The Most Common Serious Sleep Disorder: Sleep Apnea

Obstructive sleep apnea syndrome causes your airway to close while youre sleeping. You dont wake up, but your throat closes off as the tongue and soft tissues at the back of your upper palate relax and mash together.

Eventually, your brain realizes something is wrong and triggers a startle response. Youll jerk with a snore, snort, or gasp and resume a normal breathing pattern. If this happens multiple times every hour and lasts for stretches of 10 seconds or longer, you have sleep apnea.

Many people dont realize theyre having episodes until their bed partner complains about snoring and snorting. Even if you dont wake up, theyre likely to. If your partner mentions this behavior being chronic, you should have yourself checked for a sleep disorder.

Eczema And Sleep Disturbances

A recent observational study of a large population-based sample involving more than 5000 adults from 20052008 showed that adults with atopic dermatitis have higher odds of sleep disturbances, including difficulty sleeping and short sleep duration . Children with eczema can experience intense pruritus impacting their sleep quality and quantity . This has been demonstrated by objective evidence of decreased sleep efficiency measured by polysomnography and actigraphy . Some data have shown that the duration of scratching episodes remains consistent in all the stages of sleep, but is more frequent in stages 1 and 2 than stage 3 of sleep . A number of studies have shown that actigraphy could be a viable mode of assessment of sleep in children with eczema. Actigraphic measures have been shown to be correlated with itching and quality of life in patients with eczema .

Various mechanisms have been postulated linking sleep disturbances and eczema, including increases in markers of systemic inflammatory cytokines and T-cell activation . Interleukin-1 induced inflammation is increased in the nighttime which may play a role in enhancing nocturnal itching . Furthermore, data has shown that nocturnal itching is correlated with peaks in night-time 1L-2 . One of the first studies measuring actigraphic measures correlated the objective clinical scores and plasma chemokine levels in children with atopic dermatitis . Table 1 demonstrates studies associating sleep disorders and eczema.

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