Tag: Irritability

Sleep Apnea: A Weighty Issue

Sleep apnea is the condition for where there are pauses in breathing during sleep. These are defined by medical terminology when an individual literally stops breathing. There are two types of apneas Central and Obstructive. This is a common problem among the morbidly obese which requires them to wear an oxygen mask so they can breathe since that’s due in part of their weight bearing down on their chest crushing their rib cage and lungs.

According to medical reports the population at risk are obese middle-aged males since physiology doesn’t make women potential sufferers of sleep apnea. The problem is that people who do fall asleep due to sleep apnea will go through brief periods where people think they’re not going to wake up. Keep in mind that this is very serious because if it’s not properly diagnosed it can be life threatening. People with excessive weight usually morbidly obese constantly have to deal with frequent episodes of paused breathing. Snoring is a common problem with the morbidly obese and constant gasping for air while sleeping is another problem. Obstructive sleep apnea can be dangerous to the heart because it’s prolonging and deprivation of oxygen to keep the circulation flowing efficiently.

Other symptoms that are deemed non-specific are headaches, irritability, moodiness, difficulty concentrating, Noctoria (getting up in the middle of the night to urinate), increased urination, decreased sexual drive, increased heart rate, anxiety, depression, esophageal reflux (acid reflux disease), and profuse heavy sweating at night.

Sleep apnea has also been linked to congestive and congenital heart failure usually found in people who are diagnosed as morbidly obese because of the excessive weight on them. This is from severe and prolonged cases meaning the individual(s) were not being treated and had let the condition get to the point that it’s no longer treatable.

Individuals born with Down’s Syndrome are likely to develop obstructive sleep apnea since 50% of the population that has this genetic condition are likely to be diagnosed because of having an enlarged head, adenoids, tonsils, tongue, and narrowing of the nasopharnyx. Pharyngeal flap surgery has also been noted to cause sleep apnea in patients because of the obstruction in the breathing pattern after surgery which if not monitored can be life threatening. There are different treatments for people with sleep apnea and doctors and ENT (Ear Nose and Throat) specialists take the following into consideration for designing a treatment plan for those who are diagnosed with this condition.

The factors that are considered are an individual’s medical history, severity of the disorder, and the specific cause for the obstruction. Some treatments also incorporate a lifestyle change, avoiding alcohol and medications that can relax the nervous system.

Other lifestyle changes is losing weight and quitting smoking, and incorporate things like elevating themselves while sleeping so that they can breathe using slanted pillows. The weight issue is the biggest lifestyle concern because that causes some people to be confined to beds where they can’t move and be active contributing further into a person’s weight gain.

Usually if someone who’s morbidly obese and loses about 50 pounds within a couple months their condition improves, but it’s usually up to a steady support system to get someone on a set routine and healthy eating plan that helps to get their weight down so they can qualify for other treatments to help them maintain weight loss which is either through gastric bypass which has to be strongly enforced since this surgery is irreversible and you have to eat differently and undergo a major lifestyle change.

The other option is lap band, which is reversible, but again to maintain the weight loss to improve sleep and breathing patterns comes with monitoring what one eats and exercise to help improve breathing patterns.

Jet Lag Syndrome

This is the second most popular sleep disorder and usually affects international flights and if it’s domestic if they’re going between time zones. This is what you call knocking your body clock out of synch because when you’re traveling across different time zones especially at the international level because that can throw you off an entire day if you’re coming from the west going east from New York to London or Los Angeles to Tokyo or Sydney which can throw you off since you cross the international date line which is one day ahead and behind.

It seems as if women are more affected than men and according to medical reports its because the natural hormone estrogen and it’s triggered when the body when accustomed to normal daytime and nighttime rhythms therefore you’re upsetting the body’s natural state of corresponding with a specific time of day and it can even interrupt eating patterns as well. It can take up to several days to even a full week to regain some normalcy on the time and place once you’ve had time to sleep yourself into adjustment mode.

The symptoms of jet lag vary by the individual person and symptoms can include or be a combination of dehydration which can trigger minor disorientation, and loss of appetite, headaches and sinus irritations, fatigue, grogginess, nausea and/or vomiting from an upset stomach, irritability, and mild depression. Jet lag is not linked to the length of a flight, but the transmerdian distance traveled. For example if you flew from New York and Los Angeles which is approximately 5 hours you will feel some jet lag crossing the Central and Mountain time zones. Jet lag can be extremely difficult in places like Alaska and Russia because of the fact that Alaska only sees a short amount of daylight and Russia has 11 different time zones and can really throw someone off if they were flying from Copenhagen to Tokyo.

Usually people that are prone to this are often given sedatives by their doctors to help them sleep through the flight and to wake up without the effects of jet lag when they land in their destination.

Ways to recover quicker from jet lag is proper nutrition, exercise, and sleep because you’ll be surprised to know that people who don’t sleep or get enough rest and relaxation will deal with it later when they land and the disorientation sets in. Sunlight according to doctors say can help reset your body’s clock back in synch.

It’s difficult to pinpoint the severity of jet lag because it affects people differently and usually people who travel on international flights are less likely to deal with jet lag because they’re used to the constant change. And have manage to adapt to those changes since some travel monthly for business and usually it’s business travelers who deal with jet lag more than those who go for vacations.

Business travelers fly at odd times which can throw someone off because they’re flying out super early or catching the red eye somewhere to arrive the next day.

How to Tell If You Have a Sleep Disorder

There are many people that have an undiagnosed sleep disorder. They may feel very sleepy during the day. They may have trouble falling to sleep or staying asleep. Friends or relatives may tell them they look very tired. They may experience mood changes, irritability or become overly emotional. Often they have difficulty paying attention, concentrating, or remembering things that are important. These are all symptoms of sleep deprivation, and possibly of a sleep disorder.

A person that has an undiagnosed sleep disorder will usually answer the question, “What is the problem with your sleep,” with one of five answers. Those answers will be; “I have trouble falling asleep,” ” I have trouble staying awake,” “I can’t get up in the morning,” “I seem to do strange things in my sleep” or “I can’t sleep because of my partner.” The particular answer chosen helps to narrow down the possibility of a specific type of sleep disorder.

When someone says “I can’t fall asleep” it can mean several things. There could be a problem when first going to bed, after waking up in the middle of the night, or in the early morning hours.
Many people have the problem of not being able to fall asleep when they go to bed. This is called sleep latency. Sleep latency can be a very serious symptom of certain sleep disorders, including sleep onset insomnia, delayed sleep phase disorder, shift work, restless leg syndrome or paradoxical insomnia. Many times the problem is not being able to stay asleep, which is sleep fragmentation. Often a person with this complaint can fall to sleep easily when they go to bed, but wake up often throughout the night. Sleep disorders may include sleep maintenance insomnia, shift work. If a person wakes up very early in the morning and cannot get back to sleep, it could be a sign of advanced sleep phase disorder or sleep maintenance insomnia.

If the answer to the question is “I can’t stay awake” and the person is falling asleep at inappropriate times there may be a sleep disorder such as narcolepsy , obstructive or central sleep apnea, periodic limb movement disorder, restless leg syndrome, shift work or advanced sleep phase disorder.

Those that say “I can’t get up in the morning” and take an hour or more to fully wake from their sleep may suffer from excessive sleep inertia. They are having difficulty making the transition from sleep to being awake. Sleep disorders that could be responsible for excessive sleep inertia are sleep apnea and delayed sleep phase disorder.

A person that answers the question with “I do strange things in my sleep” may find that their sleep is full of surprises. Sleepwalking, Sleep terrors, confusional arousals, REM sleep behavior disorder, nightmares, sleep-related eating disorder and bruxism are all types of sleep disorders known as parasomnias.

If a person answers “I can’t sleep because of my partner” snoring, sleep apnea, bruxism, restless leg syndrome, or periodic limb movement disorder may be the sleep disorder to blame.

How would you answer the question of “What is the problem with your sleep?”

Links Between Chronic Back Pain and Clinical Depression

Chronic back pain is defined as pain that lasts for up to 12 weeks or more and is often associated with traumatic or degenerative conditions of the spinal bones. Like with ordinary back pain, the causes that arise in chronic back pain are often undetermined since the anatomical causes are quite hard to distinguish, even with the use of x-rays.

Chronic back pain is difficult to deal with in itself. Unfortunately, majority of chronic attacks give room for the development of clinical depression. It is by far the most widespread emotional resultant. Clinical depression goes beyond the normal sadness felt by everyone and it persists for longer than a few weeks.

To help us acknowledge the truth behind clinical depression, here are some symptoms that generally occurs on clinically depressed individuals:

A prevalent mood that is sad, depressed, blue, low, hopeless, and irritable, trhat often include periods of crying spells.

Significant weight loss and poor appetite or the reverse

Sleep problems such as hyosomnia and hypersomnia

Restlessness and unnecessary fatigue

Loss of interest on previously pleasurable activities.

Feeling of guilt or worthlessness

Problems with memory and concentration

Thoughts of death and suicide

Decreased interest on generally everything

Clinical depression is often observed on suffers of chronic back pain rather than those experiencing only acute pain for which the condition is felt only for shorter periods. The issue on how clinical depression is developed through chronic back pain may be traced via the following conditions that arise during chronic pain attacks. These include:

The sufferer usually experience irritability and fatigue due to lack of sufficient sleep that is often hampered by the pain felt at night.

Lack of productive activities and isolation during the day since the pain impedes the person from doing things the normal ways. He always has to move slower and more carefully to avoid more severe pain attacks.

Financial difficulties may arise due to inability to work profitably.

Beyond the pain, gastrointestinal distresses may arise as side effects to anti-inflammatory drugs. Mental dullness may also be felt since some pain medications and relievers may induce the brain to function inefficiently.

The person may be distracted with the frequent concentration difficulties and memory lapses.

As it may be understood, these symptoms logically lead to frustration and despair that are normally the starting point for most major depression.