Tag: Sleep Disorder

Are There Any Chronic Fatigue Treatments?

There is no specific treatment for chronic fatigue syndrome but a combination of treatments is being used by the doctors to alleviate the symptoms and signs. Chronic fatigue syndrome, or CFS, is characterized by neurological problems, having flu-like symptoms, and debilitating fatigue, often experienced as poor stamina and extreme exhaustion. There are various core symptoms such as general pain, mental fogginess, excessive fatigue and gastro-intestinal problems, headaches, sleep disorder, sore throat, and abnormal temperature.

Display of symptoms varies among the patients. The degree of their severity varies, which can be between getting easily fatigued after stressful activity, being completely bedridden, and totally disabled. Should the symptoms not indicative of other serious health problems they should wane and disappear over time. For some patients, the chronic fatigue illness starts suddenly with a flu that does not go away completely while for other patients it gradually appears over a period of time. For many patients, the illness is often triggered after involving in high stress circumstance.

The combination is taken from the following treatments:

Cognitive behavior treatment. This is a therapy combined with the gradual exercise and wherein the patient is treated by dealing with their mental health. The aim is to classify behaviors and negative beliefs that cause delay of recovery and eventually replace with positive, healthy behaviors.

Moderating daily activities. The patient is encouraged to avoid or reduce excessive psychological and physical stress; however, it is not encouraged to take too much rest. In this treatment, the objective is to gently enhance the stamina and maintain moderate activity level.

Gradual/steady exercise. This is a kind of exercise program where the patient relies on the help of physical therapist. It aims to increase gradually the level of exercise to improve chronic fatigue symptoms.

Depression treatment. Depression is treated with serotonin re-uptake inhibitor and tricyclic anti-depressants. The anti-depressant does not only help treat depression but it can also relieve pain and improve sleep.

Pain treatment. Like depression, pain is medically treated by administering non-steroidal anti-inflammatory drug, like ibuprofen or aspirin, or acetaminophen. These medicines can also aid in lowering the fever and pain.

Allergy-like treatment. Medical treatment used is antihistamines, like cetirizine, decongestants, and fexofenadine. These drugs help relieve allergy symptoms like runny nose.

Hypotension treatment. The low blood pressure is treated with drugs like atenolol, midodrine, and fludrocortisones. These are useful when people suffer from chronic fatigue.

Poor nervous system treatment. Clonazepam is used to treat symptoms like skin tenderness and dizziness while anxiety is treated with alprazolam and lorazepam.

There are experimental therapies that experts continue to research with the aim of finding treatments for the syndrome. These therapies include the following:

Acupuncture
Anti-viral drugs
D-ribose
Methylphenidate
Immune globulins
Cholinesterase inhibitors
Corticosteroids

The Food Diet

In addition to the above mentioned treatments, health experts advise patients to be careful with their diet. They recommend avoiding diet rich in toxins or those unhealthy foods. Patients should be careful with foods containing carcinogens, aspartame, additives, mono sodium glutamate, amalgam, fluoride, sugar, among others.

Unhealthy foods such as table or refined salt, margarine, hydrogenated fats, chlorinated water, refined oils, junk foods, fried and smoked foods, soft drinks, baking powder, and alcohol drinks can aggravate chronic fatigue symptoms so they must be avoided at most times.

What to Expect at a Sleep Disorder Overnight Sleep Center

What to Expect at a Sleep Disorder Overnight Sleep Center

I f you think you may have a sleep disorder, your primary doctor or a doctor that specializes in sleep disorders may send you to a sleep center for diagnosis. There are a large number of sleep centers located across the United States and their numbers are increasing. Sleep centers in the United States must be accredited by the American Academy of Sleep Medicine.

When a person goes to a sleep center, it is usually for an overnight stay. Costs involved for most sleep study tests range from one to three thousand dollars and many need to be repeated twice. The first visit to diagnose the sleep disorder and the second to get accurate settings for any PAP machines that may be needed. Health insurance generally pays all or most of the cost of the tests needed to diagnose a sleep disorder.

Once an appointment has been made, many sleep centers send a sleep diary to the patient. The information from the sleep diary is used by the doctors to understand general sleeping patterns.
It is also recommended that no caffeine or alcohol be consumed after 12:00 p.m. on the day of the scheduled test.

Generally the patient packs an overnight bag just as if they were going to stay at a hotel overnight. During the sleep study you wear your own nightclothes and you can use a favorite pillow from home. You can bring a book or magazine if you like to read before falling to sleep. Most sleep centers resemble a hotel room and have a television to watch if that is what the patient usually does before going to sleep at home. Once you are relaxed the sleep center technician starts preparation for the equipment needed to record your patterns of sleep.

Diagnosis from a sleep center study is made using polysomnography which records a continual record of your sleep. In order to take a specific reading slightly more than two dozen small thin electrodes are pasted to specific parts of your body. They are placed under your chin, on your scalp, near your eyes and nose, on your finger, chest and legs, and also over the rib muscles and on the abdomen. These electrodes then record various types of readings during the night. Often an audio and video tape are also made to monitor sleep noises and movement.

Once all the equipment is in place the sleep technician leaves you alone to fall asleep. Even with all the equipment it is not uncomfortable. It is easy to move or turn onto your side. Each bedroom in a sleep center also has an automatic intercom so it is easy to call the technician if needed for such things as a bathroom break. When the sleep study is completed, the technician may wake you. Most studies that are used to diagnose a sleep disorder take seven to eight hours.

The reading are collected on a computer file called a polysonagram and are monitored and analyzed by the sleep technician during the night. The results are then sent for further readings to determine if there is a sleep disorder.

Although a sleep study may not sound comfortable, it is very important to determine and treat any sleep disorder.

Sleep Disorder and Teenagers

There is a sleep disorder that affects between seven to ten percent of teenagers called Delayed Sleep Phase Disorder, also known as DNS. Most teenagers outgrow this disorder by the time they reach young adulthood. Less then one percent of adults are believed to have DSP. Often people mistake this sleep disorder for insomnia.

Left on their own, people with delayed sleep phase disorder would stay up until very late, sometimes until 4 or 5 a.m. They like to get up very late in the morning or early afternoon. Often they are referred to as night owls.

Many teenagers like to stay up late and sleep late in the morning. Sometimes this is because they want to socialize at that time of the day. However, it can also be due to the natural delay in the circadian sleep / wake rhythm at their age of development.

Teenagers with this sleep disorder often have a very hard time getting up in the morning for school. Even if they go to sleep at a regular time, such as 11 p.m., they toss and turn for hours like someone with insomnia. They difference is, unlike an insomniac, people with delayed sleep phase disorder have no difficulty staying asleep. They do have a very difficult time getting up early in the morning. Teenagers with this sleep disorder are very tired during the day and may even fall asleep in the classroom. The exact cause of this sleep disorder is not known. It is known for certain that it is a circadian rhythm problem.

Treatment for this sleep disorder is available for people that need to get onto a more traditional sleep / wake schedule. The types of treatment include, bright light, chronotherapy, melatonin and over- the-counter prescribed sleeping pills.

Bright light treatment for delayed sleep phase disorder uses bright light to trick the brain’s circadian clock . Exposure to bright light shifts the circadian rhythm if it is administered within a few hours of the body’s lowest temperature at night.

Using chronotherapy as a treatment for someone with delayed sleep phase disorder requires a block of time one week long. Each day bedtime is delayed by three hours successively. For example, for someone that falls asleep at 2 a.m. but wants to fall asleep at 11. p.m., their bedtime would move to 5 a.m. on the first day. The next day it would move to 8 a.m. and continue this cycle for a week. A teenager suffering with delayed sleep phase disorder would need a week off from school in order to complete this therapy. Once the desired bed time is reached it is very important to keep a consistent wake up time.

There are several treatments involving various drugs that are used to treat delayed sleep phase disorder. Melatonin has been successful in changing the sleep cycle of people with this sleep disorder. Prescription medication such as Ramelteon, and other sleeping pills, have been successful in treating teenagers and adults with delayed sleep phase disorder.

If your teenager has trouble falling asleep and always wants to stay up late, be aware of the possibility that a sleep disorder may be present.

Sleep Disorder Affecting Shift Workers

This is a fairly common form of sleeping disorder among medical professionals, police officers, and fireman. This is attributed mostly to people who change their work schedules and sleeping times around frequently. You’ll find this often in college students when they’re changing semesters and quarters when they get new schedules and can sometimes throw sleep patterns off.

Meaning if you were used to getting up early one semester and then you get to sleep late on another it can throw your sleeping patterns off, which can make you feel disoriented and confused which is the main cause for why people get up and retire late, and are late for their jobs and classes because they’re not giving themselves enough time to adjust between schedule changes.

This is why when a job or school schedules changes it’s ideal to give yourself adequate time to make the adjustment so that it doesn’t throw you off physically, so you’re able to wake up and retire at a reasonable time so you can make it to work and school on time.

This is why it’s not always wise to constantly change your schedule whenever possible because if you do it too much you’re going to confuse yourself on whether you’re coming or going. There are some people who’s jobs switch their schedules around so much that it can throw someone completely out of synch because the hours start to get rather conflicted when they’re coming and going and not making time for other things like having a life or maintaining their priorities outside of their job and school.

This also can happen if you’re running between more than one job and school because if you’re going to a job during the day and then running to another job at night it can throw you off as well. People are advised to give themselves so much time between things in order to make the full transition into the new schedule or time frame so they’re not feeling overwhelmed and stressed out since stress can play a huge thing in work related insomnia. The stress comes from having to make so many drastic changes too fast and at one time.

This is why people get burned out quickly and dealing with the physical things like indigestion and other things because they’re pushing themselves too hard and sometimes forcing themselves to do things that isn’t even normal and is considered unhealthy.

College students who are like this tending to gain or lose weight because of the stress they’re under to switch from one thing to another and not giving themselves a chance to really adjust fully to a schedule or lifestyle change. Even people who work as nurses and doctors occasionally go through this. Because hours are rather strange, and that can throw off the pattern your body has become custom to when to rise and sleep.

If you interfere with that, it can make you feel weird which can also affect appetite and mental focus and concentration which most people deal with the disorientation of switching things around too fast.