Tag: sleep disorders

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 – A Growing Concern in the United States

Sleep Disorder – A Growing Concern in the United States

In the United States alone, it is estimated that approximately 60 – 80 million people have some form of sleep disorder. This number continues to rise. Several of the reasons for the increasing numbers are the aging of the American population, the change in our lifestyle and the obesity epidemic. Of course there are other factors that can lead to a sleep disorder, such as, stress, shift work, illness or genetics.

There are more than 100 different types of sleep disorders. They range in severity from minor to life threatening. People of any age, from infants to the aged, can be affected by a sleep disorder at any time of their lives.

As sleep disorders increase in the United States, so do the dangers that are associated with them.
Tiredness can lead to slower mental alertness and a slower reaction time. This can be a very dangerous combination. Between 20 – 25% of all serious vehicular accidents involve a tired driver. Many of these drivers suffer from some form of sleep disorder and may not even be aware of it. A large number of accidents that occur at home or at work are also due to people with some type of sleeping problem. Sleep disorder, combined with the cost of the accidents and illnesses it causes, results in the American people and the government spending billions of dollars.

Lack of sleep is directly related to many physical ailments and conditions. People that do not get sufficient sleep generally suffer more form headaches, sore joints and stomach problems. Often a sleep disorder is an underlying cause of heart problems, lung conditions and diabetes. Sleep disorders can also affect the mental well being of people stricken with them. Mood changes, anxiety, eating disorders and depression can result.

Many people still do not think of a sleeping problem as a medical problem. Because of this, many never tell their physician that they are having a problem with sleep. Even if they see their doctor on a regular basis for an illness or condition, they never mention their difficulty sleeping.

As the American public and medical community become more educated and aware of the symptoms, effects and severity of various sleep disorders, more and more cases are being diagnosed. Sufferers are being treated with medication, oxygen, cpap machines and even surgery. There are better screening methods and diagnostic tests which find sleep disorder problems earlier. Overnight sleep centers no longer resemble a hospital room. They are now designed to look more like a hotel room, to make the patient feel more comfortable. In some cases, due to computerization and miniaturization, equipment can be so small that some testing can even be done at home.

Sleep is not an option or a luxury. It is a basic element of living and of good health. If you think you, your partner or your child may be suffering from a sleep disorder see your physician. A sleep disorder is a medical problem that can be helped.

Nightmares and Night Terrors – A Frightening Sleep Disorder

At some time in their childhood almost all children experience the sleep disorder of having a nightmare. They are common in children and can begin as early as two years old. They are most common in children between three and twelve years old and are considered part of the normal developmental process. However, only about 3 percent, experience night terrors, also called sleep terrors. Both of these sleep disorders can be very frightening to a child.

Nightmares are dreams that are so frightening that they wake the person up. Everyone has had nightmares occasionally throughout their life and they usually are not something to worry about.

Nightmares occur several hours after going to sleep during the REM stage of sleep when there is general body paralysis and active dreaming.

A child can remember the nightmare once they awake and they still remember it in the morning. Sometimes this nightmare sleep disorder can become a problem if the child has nightmares very often and becomes afraid to go to sleep or becomes sleep deprived. When a nightmare occurs it is important that the parent remains calm and reassuring.

There are several things that a parent can do to prevent nightmares. Discuss calm and comforting things with your child just before putting then to bed. Reading to them, or telling them a story can also be very comforting. Don’t let a child watch violent or scary shows on television, especially just before going to bed. Maintaining a relaxing bedtime routine is also important. Sometimes, nightmares indicate a more severe emotional problem within your child.

Night terrors usually occur during the first few hours of sleep, during deep non-REM sleep. They often occur at the same time each night. Night terrors are characterized by screaming, crying or moaning. It is not unusual for a child experiencing a night terror to sit straight up in bed and scream. Their heart rate is increased and they experience rapid breathing. An episode of this sleep disorder can last from 10 minutes to over an hour. Although the child’s eyes are open, they are actually still asleep and when they wake up in the morning there is no memory of what happened during the night.

Although night terrors can be frightening, they are not dangerous. They usually are not a sign of any type of mental distress. A parent should not try to wake the child, or comfort them, during a night terror. The best thing for a parent to do when their child is experiencing a night terror is to make sure they are safe. Generally, most children outgrow this sleep disorder after a few months or years.

Several of the factors that can contribute to night terrors include being overly tired, staying up extremely late, eating a heavy meal just before going to bed, and taking certain medications.

Although nightmares and night terrors can seem like a very scary type of sleep disorder to both the parents and the children involved, they are generally harmless.

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?”