Nocturnal Eating Syndrome – A Food Related Sleep Disorder

Nocturnal eating syndrome is a sleep disorder that is more common in women than men. It is one of two eating disorders that are related to sleep. The other is called sleep-related food disorder. Nocturnal eating syndrome and sleep-related food disorder are parasomnias

Nocturnal eating syndrome is a sleep disorder that is characterized by compulsive raids on the refrigerator at night. Usually people with this sleep disorder are very light sleepers. When they awake during the night they have an overly compulsive feeling that they will not be able to fall back to sleep unless they eat something. Once out of bed and at the refrigerator, the compulsion to eat makes them gobble down food. People with nocturnal eating syndrome are fully awake and remember eating the food the next day. This syndrome is a combination of a sleep disorder and an eating disorder. Insomnia is also a factor in nocturnal eating syndrome. Treatment for this disorder is usually received from a mental health professional that specializes in people with eating disorders. Improving sleep hygiene can also help with this disorder.

Sleep-related eating disorder also affects more women then men and is a variation of sleepwalking. During an episode of this sleep disorder, a person will eat during partial arousal form a deep sleep. Often they will eat very unhealthy or strange foods that they normally would not eat when awake. During an episode of sleep-related eating disorder, a person might eat frozen pizza, raw cookie dough, peanut butter on fish and even dog food.

Often they are very careless and sloppy and may get burns or cuts while preparing the food. It is very difficult to wake a person during an episode and they have no memory of it in the morning. There does not seem to be a correlation to hunger during a sleep-related eating disorder episode, even if the person has eaten just before bed, an episode can still occur.

Although the cause of food related sleep disorder is not known, several triggers have been identified. Medications such as lithium, a mood stabilizer, and the benzodiazepine receptor zolpidem are two of those triggers. People with mood and personality disorders or psychological problems such as bulimia are at higher risk of developing one of these food related sleep disorders. People suffering from other sleep disorders including insomnia, sleep apnea, periodic limb movement disorder or narcolepsy are also at higher risk

People with sleep-related eating disorder usually have a history of sleepwalking. Because of this, people suffering from this parasomnina are considered having more of a sleep disorder then an eating disorder. Treatment with prescription medication is often very effective. Antidepressants, dopimine agents, anticonvulsants and opiates are often prescribed. Once sleepwalking is stopped so are the trips to the refrigerator.

Sleep eaters often are overweight because of the high caloric intake at night. The weight gain can lead to other sleep disorders such as obstructive sleep apnea. Seeking treatment, either from a medical or mental health professional is essential for good health in the treatment of sleep eating disorders.

Narcolepsy – A Rare Sleep Disorder

Narcolepsy, a relatively rare sleep disorder, causes people to fall asleep when they do not want to. This is caused by a neurological disorder. The brain sends signals to the body that are sleep inducing; however, they are sent at inappropriate and unpredictable times. Often it happens when a person is involved in a quiet activity, such as watching a movie or during a meeting. Sometimes a person with this sleep disorder falls asleep while driving, which is obviously extremely dangerous. Others fall asleep while they are eating or talking. The overwhelming need to sleep can come at any hour of the day during any activity.

People suffering with narcolepsy often do not realize how sleepy they are, nor how often they fall asleep. It is often a family member, friend or coworker that convinces them that they need to seek medical help for their sleep disorder.

Narcolepsy has five main symptoms. These are excessive daytime sleepiness, insomnia and fragmented sleep, sleep paralysis, cataplexy and hypnagogic hallucinations. Some people with this sleep disorder experience only one symptom but others can experience all five.

Excessive daytime sleepiness is generally the first symptom to appear. Everyone with narcolepsy has this symptom. The feeling of needing to sleep is so strong that sufferers are unable to fend it off, regardless of how hard they try. These sleep attacks, as they are usually called, can happen several times and last for five to ten minutes.

Insomnia and fragmented sleep are a very common symptom of this sleep disorder. People with narcolepsey often have a very difficult time falling asleep at night, even though they fall asleep easily throughout the day. When they do fall asleep at night they wake up often and do not follow a typical REM / non REM sleep pattern.

Sleep paralysis occurs in about half of the people that suffer from this sleep disorder. For several minutes before falling to sleep or waking up, the person with this symptom cannot talk or move.

The loss of muscle function while awake is cataplexy. These episodes are usually very short in length. Over half of the people with narcolepsy experience this symptom of this sleep disorder. They are caused by a part of REM not functioning correctly. Often, episodes are brought on by anger, laughter or any other strong emotion. Sometimes knees buckle, necks and jaws become weak or the person may fall to the ground. Even though the person looks like they are asleep and cannot talk, they are fully awake and aware of what is happening.

A hypnagogic hallucination is experiencing very vivid and often frightening sounds, images or physical sensations. These occur from dreams just before the person is falling asleep or waking up. It is very difficult for a person with this sleep disorder to distinguish between the dream and reality. These hallucinations often have very dangerous themes and are extremely frightening. Often they are accompanied by sleep paralysis.

There are also several lesser symptoms of narcolepsy. These include blurred vision, migraine headaches, memory or concentration problems and automatic behavior. An apostate of automatic behavior can last for several minutes. During that time a person with this sleep disorder will perform a routine task. The task is often done incorrectly, such as placing a turkey in the dishwasher or writing past the end of a page.

Narcolepsy can be diagnosed and treated with various drugs. If left untreated this sleep disorder can ruin a person’s life.