Tag: Sleep

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.

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.

Medications Used for the Sleep Disorder of Chronic Insomnia

People that suffer from the sleep disorder of chronic insomnia must decide whether or not they are going to take a sleep medication. This decision is usually made with their physician. Many people decide to take a sleeping pill because it offers relief from the symptoms of their sleep disorder and the extreme sleepiness they are always feeling. Taking a pill can improve how they fell and also the quality of their life.

However, many people worry about the side effects and health risks that come with taking sleeping pills. Sleeping pills are among the most widely used drugs in the United States, and their use continues to increase.

The types of sleep medications that are available to people with insomnia fall into two categories, prescription and over-the-counter medications. Each sleep medication affects the body differently. The effectiveness of the sleeping pill is a major factor when dealing with sufferers of this sleep disorder. How quickly the pill will take effect and how long the effect will last are very important. The effect should match the individual’s sleep problem.

The fast acting drugs would benefit a person who has difficulty falling asleep while a longer lasting pill would better benefit someone who has difficulty staying asleep.

Other important factors concerning medications for people with this sleep disorder include the impact the medication has on sleep quality, the tolerance that a person has for the drug, the possibility of developing a dependence on the drug, and the side effects associated with the drug. Each of these points has to be considered when deciding to take sleep medication for chronic insomnia.

Many over-the-counter sleep medications contain some type of antihistamine as a primary active ingredient. Antihistamines are widely used to treat allergies and they are also effective in helping people fall asleep. However, there has been little research done on their long-term effectiveness or safety.

Prescription medications for the sleep disorder of chronic insomnia are classified into four general groups: benzodiazepine receptor agonists, antidepressants, melatonin receptor agonists, and barbiturates. Each one of these drug groups has specific benefits in regards to treating insomnia. However, it is very important that the right type of for chronic insomnia medication is prescribed for each individual person with this sleep disorder.

Before choosing a sleeping medication, it is very important to determine the source of the insomnia. For example, perhaps the source of the insomnia is the result of another treatable illness, or a side effect of a medication that is taken. The insomnia is then called secondary insomnia. The focus on medication should then be on the primary illness. Often the insomnia will disappear once the underlying cause is treated.

The decision of whether or not to take sleep mediation for chronic insomnia has to be a personal decision. There is no right or wrong decision. However, it is important, if the choice is to take a medication for this sleep disorder, to become as educated as possible about the medication prescribed.

Insomnia – The Most Prevalent Form of Sleep Disorder

Insomnia, a most common sleep disorder, affects about one third of the American population and is classified two different ways. It can be classified by how long it lasts. Transient insomnia lasts for only a few days, short term lasts for a few weeks and chronic lasts for more then three weeks. The other way insomnia is classified is by its source. The main two classifications of this sleep disorder by source are primary and secondary.

Transient insomnia is experienced by most people at some time throughout their lives. It can be caused by stress such as worrying about the first day school or an illness in the family. Sometimes this sleep disorder occurs due to a disruption of their circadian cycle, which is a persons natural sleep cycle, caused by jet lag or a shift change at work. Transient insomnia goes away one the stress issue has passed. Short term insomnia is often caused by similar stressors as transient insomnia. If the sufferer of this sleep disorder cannot break the cycle of poor sleep, it often develops into chronic insomnia.

Primary insomnia develops without any obvious cause. Sometimes it starts as early as infancy.
Often it is the result of high metabolic rates or an overactive nervous system.

Secondary insomnia is the direct result of another cause. This sleep disorder can come from illness, medication, drugs or alcohol. Addressing the underlying cause of secondary insomnia often gives the sufferer relief. For example, if arthritis pain keeps you from sleeping, then treating the arthritis is the best way to cope with the sleep disorder.

Insomnia is not a single disorder. It is a general symptom and could have many potential causes. In order to qualify as a sleep disorder, insomnia has to meet three specific requirements. First, the person has to experience poor sleep in general, or have a problem falling or staying asleep. Second, if given the proper sleep environment and an adequate opportunity to sleep, the problem still occurs. Third, the result of the poor sleep causes some type of impairment while awake. Examples of an impairment are; fatigue, body aches and pains, inability to concentrate, mood changes, lack of energy, poor concentration, or developing an unnatural amount of worry about sleep.

Often insomnia is treated with medication, such as sleeping pills. These can be prescription medication or bought over the counter.

However, there are several other methods of treatment for this sleep disorder. Behavioral treatments include meditation, progressive muscle relaxation, deep breathing, visualization, biofeedback, sleep hygiene, cognitive behavioral therapy and reconditioning sleep restriction. These methods are often very successful.

Some sufferers of this sleep disorder choose holistic, or alternative, treatment. This method involves the use of herbal supplements which are not usually FDA approved. Others seek acupuncture as a way to relieve their insomnia. Passive body heating, which is the use of hot baths, is another method used.

Understanding this sleep disorder is the first step to breaking the cycle of insomnia.