Tag: insomnia

  • Daily Habits For A Restful Sleep

    SELF-CARE CORNER

    Clock sitting on night stand.

    Your habits during the day have a significant influence on how well you sleep. From the moment you open your eyes in the morning, the choices you make determine whether your body will be ready to rest at bedtime.

    Creating a sleep-minded daily routine will set the stage for a good night’s rest. If you’re struggling to fall asleep or stay asleep, it’s time to reset your daily rhythm so you wake up refreshed and ready to go.

    Get up at the same time each day

    A consistent sleep schedule lets your body know when to be alert and when to settle down for bed. Getting up at the same time each day is essential to establish a sleep rhythm.

    Think of getting up in the morning as step one of your sleep schedule. If step one is consistent, then all the other steps can fall into place. If you’re tired, it’s better to go to bed early than sleep in late.

    Spend time outside

    Natural light is a signal to the body that it’s time to be awake and alert. Being outdoors stimulates hormones related to your circadian rhythm. These hormones help determine how energetic you feel during the day and how well you sleep at night.

    Exposure to early morning sunlight is ideal for regulating your sleep/wake pattern. If you are unable to get outside, use bright lights early in the day to simulate sunlight.

    Exercise in the morning

    Being physically active first thing in the morning can give you a boost of energy. The more active and energetic you feel during the day, the more likely you will wind down at night.

    If exercising first thing isn’t possible, make sure to get your exercise in as early in the day as you can. Avoid exercising within a few hours of bedtime as it may make you too energized to fall asleep.

    Eat consistent meals

    The timing of your meals is an important part of your sleep cycle. When you eat, you are communicating the time of day to your body. Consistent meals also provide energy so you can be alert and productive during your waking hours.

    Avoid skipping meals or snacking late at night. Eating or drinking close to bedtime sends the wrong signal. At night, you want your energy levels to drop and your body to focus on repair and rest.

    Source: National Heart, Lung, and Blood Institute

    © American Institute for Preventive Medicine

  • Insomnia 3

    SleepWell® Program

    Week 1

    Image of male in bed awake.

    Insomnia includes problems falling asleep, staying asleep, or waking up too early. It is normal to have a bad night of sleep every now and then. Occasional poor sleep becomes insomnia when this pattern continues for several weeks AND fatigue or feeling drowsy during the day occurs due to lack of sleep.

    There are many causes of insomnia. Too much caffeine, travel, taking care of an ill loved one, or stress can affect your sleep. Quite often, insomnia is a result of conditioning your body to be awake in bed, even if you feel tired or know you need sleep. Having trouble sleeping over several nights may lead to worrying about being able to fall asleep or expecting to lie awake for hours.

    Whether your sleep issues are transient (come and go) or chronic (occur all the time), this guide can help to improve your ability to fall asleep and stay asleep.

    Sleep Problems & Health Conditions

    If you have trouble sleeping or have daytime sleepiness for longer than three weeks, consult your doctor.

    Any condition, illness, injury, or surgery that interrupts sleep due to pain, discomfort, or waking to urinate can cause sleep problems. Health conditions that affect sleep include: arthritis, asthma, COPD, fibromyalgia, narcolepsy, and thyroid disorders. Sleep problems are also linked to many mental illnesses. These include anxiety, depression, bipolar disorder, PTSD, and substance abuse. Over-the-counter medicines, such as decongestants and diet pills can affect sleep, too.

    Sleep Apnea Signs:

    *  Loud snorting sounds while sleeping on the back

    *  Repeated periods when breathing stops for 10 or more seconds during sleep

    *  Waking up many times during the night and excessive daytime sleepiness

    *  Exhaustion and having a hard time concentrating during the day

    Periodic Limb Movements in Sleep (PLMS) and Restless Leg Syndrome Signs:

    *  Creeping, crawling, pulling and/or painful feelings in one or both legs

    *  Jerking or bending leg movements that you can’t control during sleep

    © American Institute for Preventive Medicine

  • Insomnia 4

    Sleep Well

    Image of woman in bed awake at 2:40am.

    Do You Have Insomnia?

    Answer these questions:

    1. Do you have trouble falling asleep?

    2. Do you have problems staying asleep?

    3. Do you wake up too early and can’t get back to sleep?

    4. Do any of these problems last at least 3 weeks?

    If you answered yes to number 4, answer these questions about problems that occur when you are awake:

    5. Do you feel like you do not get enough refreshing sleep?

    6. Do you yawn and feel tired?

    7. Do you lack energy or have fatigue?

    8. Do you have a hard time concentrating?

    9. Do you feel depressed and/or cranky?

    If you answered yes to question number 4 and yes to any question from number 5 through 9, you could have insomnia.

    Why You Need Sleep

    Getting enough sleep and good quality sleep helps you maintain good health and function your best during the day. You need sleep to:

    *  Have energy.

    *  Think clearly.

    *  React quickly.

    *  Be productive.

    *  Learn and remember things.

    *  Help your immune system fight infections.

    According to the National Sleep Foundation, about 50% of adults in the U.S. have problems with sleep at least a few nights a week. And recent studies find that the average person gets less than 6 hours of sleep per night. (On average, adults need at least 7 to 8 hours of sleep each night.)

    A lack of sleep or getting poor quality sleep can lead to a wide range of health problems.

    Health Problems from a Lack of Sleep

    *  Anxiety, depression, and alcohol abuse.

    *  Obesity.

    *  Heart disease.

    *  High blood pressure.

    *  Diabetes.

    *  Stroke.

    *  Gum disease.

    *  Accidents and an increased risk for injury and death. About 20% of all serious car crashes are linked to driver sleepiness. Also, workers with severe insomnia make 2½ times more serious work errors than persons who get proper sleep.

    Getting enough, quality sleep is as vital to good heath and long life as are healthy eating and regular exercise.

    Do’s & Don’ts for Insomnia

    Do’s

    *  Do regular exercise daily. Physical activity releases muscle tension, relieves anger, and improves mood.

    *  Do mild exercises four or more hours before bedtime.

    *  Do relaxation exercises as needed throughout the day and before you go to bed.

    *  Follow a regular daily schedule for meals and snacks.

    *  Choose larger meals at breakfast and lunch than at dinner. At each meal, have complex carbohydrate foods, such as whole-grain breads and cereals, fruits and vegetables.

    *  Limit caffeine to 300 milligrams (mgs.) a day. More than 500 to 600 mgs. a day may cause you to be anxious, nervous, and makes it harder to sleep well.

    *  Cut down on caffeine gradually. Daily usage of caffeine can result in physical dependence. If caffeine is stopped abruptly, withdrawal symptoms can occur. These include headache, feeling down, having a hard time concentrating, and fatigue.

    Don’ts

    *  Don’t do vigorous exercise within six hours of going to bed.

    *  Don’t have large meals near bedtime. These may keep you awake, especially if you have heartburn or a similar problem.

    *  Don’t have caffeine for 6 hours before bedtime.

    HealthyLife SleepWell by the American Institute for Preventive Medicine. www.HealthyLife.com. All rights reserved.

    © American Institute for Preventive Medicine

  • Sleep Disorders & Snoring 2

    Sleep Well

    Not getting enough sleep can cause you to be sleepy during the day. It can make you less able to function. Snoring and sleep disorders can cause these problems, too.

    Insomnia

    Signs & Symptoms

    *  Having trouble falling asleep. Waking up in the middle of the night. Waking up too early and not being able to get back to sleep.

    *  Feeling like you didn’t get enough sleep.

    Causes

    *  Too much caffeine. Drinking alcohol and/or smoking before bedtime.

    *  Too much noise when falling asleep.

    *  Emotional stress. Depression. Anxiety. The manic phase of bipolar disorder.

    *  Fibromyalgia.

    *  Over active thyroid gland.

    *  Any condition, illness, injury, or surgery that causes enough pain or discomfort to interrupt sleep. Heart or lung conditions that cause shortness of breath when lying down. Side effects of some medicines, such as over-the-counter diet pills or decongestants.

    *  Changes in sleep/wake schedules, such as with work shift changes and jet lag.

    *  In children, nightmares or bed-wetting.

    Treatment

    *  Self-care and prevention tips.

    *  Treating the problem.

    *  Prescribed short-acting sleeping pills.

    Self-Care / Prevention

    *  Avoid caffeine for 8 hours before bedtime.

    *  Avoid long naps during the day.

    *  Have no more than 1 alcoholic drink with or after dinner.

    *  Avoid using electronic devices, such as a laptop computer before falling asleep and in the middle of the night. The type of light that emits from these devices makes it hard to fall asleep.

    *  Avoid nicotine. Don’t smoke. Stay away from secondhand smoke.

    *  Get regular exercise, but not within a few hours of going to bed.

    *  Before bedtime, take a warm bath or read a book, etc. Avoid things that hold your attention, such as watching a suspense movie.

    *  Keep your bedroom quiet, dark, and comfortable.

    *  Follow a bedtime routine. Lock or check doors and windows, brush your teeth, etc.

    *  Count sheep! Picture a repeated image. Doing this may bore you to sleep.

    *  Listen to recordings that help promote sleep.

    *  Take over-the- counter sleep aids, (e.g., melatonin, Tylenol PM, etc.) as advised by your doctor. Don’t take anyone else’s sleeping pills.

    *  If you wake up and can’t get back to sleep or can’t fall asleep, after 30 minutes, get out of bed. Read a relaxing book or sit quietly in the dark. In about 20 minutes, go back to bed. Do this as many times as needed.

    Restless Leg Syndrome (RLS) and Periodic Limb Movements in Sleep (PLMS)

    Signs & Symptoms

    *  Creeping, crawling, pulling and/or painful feelings in one or both legs.

    *  Jerking or bending leg movements that you can’t control during sleep.

    Causes

    The cause is not known. These factors play a role:

    *  Family history of RLS.

    *  The last months of a pregnancy.

    *  Chronic diseases, such as kidney failure, diabetes, and rheumatoid arthritis.

    Treatment

    *  Self-care and prevention tips.

    *  Prescribed medicines to control symptoms.

    *  A type of electric nerve stimulation.

    Self-Care / Prevention

    *  Take medications as prescribed. Let your doctor know if the medicine no longer helps.

    *  For relief, move the legs. Walk, rub, or massage them or do knee bends.

    *  Limit or avoid caffeine.

    *  Take a warm bath before bedtime.

    Sleep Apnea

    Signs & Symptoms

    *  Loud snoring and snorting sounds while sleeping on the back.

    *  Repeated periods when breathing stops 10 or more seconds during sleep.

    *  Waking up many times during the night. Excessive daytime sleepiness.

    *  Exhaustion. Hard time concentrating. Acting very cranky. Depression or other mental changes.

    *  Early morning headaches.

    Causes

    *  Too much muscle tissue is in the airway or the tissue relaxes and sags. These things narrow or block the airway. Persons who snore loudly and are overweight are more prone to these problems.

    *  A physical problem in the nose or upper airway.

    Treatment

    The goal is to keep the airway open during sleep. This is done with self-care measures and one of these treatments:

    *  A mouth guard dental device custom made by a dentist. This is worn during sleep. It pushes the lower jaw forward to open the air passage behind the tongue.

    *  A nasal continuous positive airway pressure (CPAP) device. Pressure from an air blower forces air through the nasal passages using a mask worn over the nose during sleep.

    *  Surgery to correct the cause of the airway obstruction.

    Self-Care / Prevention

    *  Lose weight, if you are overweight.

    *  Don’t drink alcohol. Don’t use tobacco products.

    *  Don’t take sleeping pills or sedatives.

    *  Use methods, such as those listed under Self-Care / Prevention – For Snoring to keep from sleeping on your back.

    Snoring

    Signs & Symptoms

    *  Loud sounds. Harsh breathing. Snorting sounds. These occur during sleep.

    Causes

    *  Sleeping on the back. The tongue falls back toward the throat and partly closes the airway.

    *  Nasal congestion from allergies or colds. Smoking. Drinking alcohol. Taking sedatives. Overeating (especially before bedtime).

    *  Sleep apnea or chronic respiratory disease.

    *  An obstructed airway. This can be due to enlarged tonsils or being overweight.

    *  Changes in hormones, such as during menopause or the last month of pregnancy.

    Treatment

    Self-care treats most cases. Other options are:

    *  Wearing a dental device that holds the jaw in a forward position.

    *  Surgery, if needed, to correct the problem.

    *  Treatment for sleep apnea, if needed.

    Self-Care / Prevention

    *  Sleep on your side. Prop an extra pillow behind your back so you won’t roll over. Sleep on a narrow sofa for a few nights to get used to staying on your side.

    *  Sew a large marble or tennis ball into a pocket on the back of your pajamas. This can help you stay on your side when you sleep.

    *  If you must sleep on your back, raise the head of the bed 6 inches on bricks or blocks. Or buy a wedge that is made to be placed between the mattress and box spring to elevate the head section.

    *  Lose weight, if you are overweight. Excess fatty tissue in the throat can cause snoring. Losing 10% of your body weight will help.

    *  Don’t smoke. If you do, quit. Limit or don’t have alcohol, sedatives, or a heavy meal within 3 hours of bedtime.

    *  To relieve nasal congestion, try a decongestant before you go to bed.

    *  Get rid of allergens in the bedroom. These include dust, down-filled (feathered) pillows, and down-filled bed linen.

    *  Try over-the-counter “nasal strips.” These keep the nostrils open and lift them up. This helps lessen congestion in nasal passages.

    Questions to Ask

    How Much Sleep is Needed?

    *  Adults need between 7 and 9 hours of sleep each night.

    *  Teens need at least 8-1/2 to 9-1/4 hours of sleep each night.

    *  After 6 months of age, most children sleep between 9 and 12 hours at night. Up to age 5, children may also take daytime naps for a total of 1/2 to 2 hours a day.

    Resources

    National Center on Sleep Disorders Research (NCSDR)

    301.435.0199

    www.nhlbi.nih.gov/about/ncsdr

    National Sleep Foundation

    703.243.1697

    www.sleepfoundation.org

    Healthier at Home book by the American Institute for Preventive Medicine. www.HealthyLife.com. All rights reserved.

    © American Institute for Preventive Medicine

  • Insomnia

    Women’s Health

    Insomnia is having trouble falling asleep. It can last from a single night to a few weeks. It can occur from time to time or be a chronic problem.

    Signs & Symptoms

    *  Waking up during the night and not being able to get back to sleep.

    *  Waking up too early.

    *  Not getting enough sleep or getting poor quality sleep.

    *  Fatigue or feeling drowsy during the day because of lack of sleep.

    Causes

    *  Too much caffeine or having it before bedtime.

    *  Changes in sleep/wake schedules, such as work shift changes and jet lag.

    *  Going to bed with a full bladder or any problem that causes you to urinate or have a bowel movement during the night.

    *  Too much noise when you fall asleep. This includes a snoring partner.

    *  Menopausal symptoms, such as hot flashes.

    *  A lack of physical exercise.

    *  Lack of a sex partner.

    *  Side effects of some medicines, such as decongestants, corticosteroids, and stay-awake pills.

    *  Emotional stress. Depression. Anxiety.

    *  Posttraumatic Stress Disorder (PTSD).

    *  Fibromyalgia.

    *  Any condition, illness, injury, or surgery that causes pain and/or discomfort which interrupts sleep.

    *  Asthma, allergies, and early-morning wheezing.

    *  An overactive thyroid gland.

    *  Heart or lung conditions that cause shortness of breath when lying down.

    Treatment

    *  Self-care and prevention measures.

    *  Treating the problem.

    *  Prescribed short-acting sleeping pills.

    Questions to Ask

    Self-Care / Prevention

    *  Avoid caffeine for 8 hours before bedtime. Caffeine is in coffee, tea, chocolate, colas, and some other soft drinks. Check labels for caffeine content in over-the-counter medicines.

    *  Avoid long naps during the day.

    *  Have no more than 1 alcoholic drink with or after dinner. Even though alcohol is a sedative, it can disrupt sleep. Check with your doctor about using any alcohol if you are taking medicines.

    *  An hour or two before going to bed, dim the lights in the house.

    *  Before you go to bed, have food items rich in the amino acid L-tryptophan, such as milk, turkey, or tuna fish. Do not take L-tryptophan supplements, though. Eating foods with carbohydrates, such as cereal, breads, and fruits, may help as well.

    *  Do regular exercise, but not within a few hours of going to bed.

    *  Before bedtime, take a warm bath or read a book or do some type of repetitive, calm activity. Avoid things that hold your attention, such as watching a suspense movie.

    *  Keep your bedroom quiet, dark, and comfortable. Use clean, fresh sheets and pillows. Keep the room temperature neither too warm nor too cool.

    *  Ban worry from the bedroom. Don’t rehash the mistakes of the day as you toss and turn.

    *  Follow a regular bedtime routine. Lock or check doors and windows, brush your teeth, etc.

    *  Count sheep! Picturing a repeated image may bore you to sleep.

    *  Listen to recordings that help promote sleep. Look for them at a library or bookstore.

    *  If you’ve tried to fall asleep, but are still awake after 30 minutes, get out of bed. Read a relaxing book or sit quietly in the dark. Do this for about 20 minutes. Then go back to bed. Repeat this as many times as you need to until you are able to fall asleep.

    *  Take over-the-counter sleep aids (e.g., melatonin, Tylenol PM, etc.) as advised by your doctor. Don’t take anyone else’s sleeping pills.

    Resources

    National Center on Sleep Disorders Research

    www.nhlbi.nih.gov/about/ncsdr

    National Sleep Foundation

    www.sleepfoundation.org

    Women's Self-Care book by the American Institute for Preventive Medicine. www.HealthyLife.com. All rights reserved.

    © American Institute for Preventive Medicine

  • Insomnia 2

    General Health Conditions

    Image of woman in bed awake at 2:40am.

    Do You Have Insomnia?

    Answer these questions:

    1. Do you have trouble falling asleep?

    2. Do you have problems staying asleep?

    3. Do you wake up too early and can’t get back to sleep?

    4. Do any of these problems last at least 3 weeks?

    If you answered yes to number 4, answer these questions about problems that occur when you are awake:

    5. Do you feel like you do not get enough refreshing sleep?

    6. Do you yawn and feel tired?

    7. Do you lack energy or have fatigue?

    8. Do you have a hard time concentrating?

    9. Do you feel depressed and/or cranky?

    If you answered yes to question number 4 and yes to any question from number 5 through 9, you could have insomnia.

    Why You Need Sleep

    Getting enough sleep and good quality sleep helps you maintain good health and function your best during the day. You need sleep to:

    *  Have energy.

    *  Think clearly.

    *  React quickly.

    *  Be productive.

    *  Learn and remember things.

    *  Help your immune system fight infections.

    According to the National Sleep Foundation, about 50% of adults in the U.S. have problems with sleep at least a few nights a week. And recent studies find that the average person gets less than 6 hours of sleep per night. (On average, adults need at least 7 to 8 hours of sleep each night.)

    A lack of sleep or getting poor quality sleep can lead to a wide range of health problems.

    Health Problems from a Lack of Sleep

    *  Anxiety, depression, and alcohol abuse.

    *  Obesity.

    *  Heart disease.

    *  High blood pressure.

    *  Diabetes.

    *  Stroke.

    *  Gum disease.

    *  Accidents and an increased risk for injury and death. About 20% of all serious car crashes are linked to driver sleepiness. Also, workers with severe insomnia make 2½ times more serious work errors than persons who get proper sleep.

    Getting enough, quality sleep is as vital to good heath and long life as are healthy eating and regular exercise.

    Do’s & Don’ts for Insomnia

    Do’s

    *  Do regular exercise daily. Physical activity releases muscle tension, relieves anger, and improves mood.

    *  Do mild exercises four or more hours before bedtime.

    *  Do relaxation exercises as needed throughout the day and before you go to bed.

    *  Follow a regular daily schedule for meals and snacks.

    *  Choose larger meals at breakfast and lunch than at dinner. At each meal, have complex carbohydrate foods, such as whole-grain breads and cereals, fruits and vegetables.

    *  Limit caffeine to 300 milligrams (mgs.) a day. More than 500 to 600 mgs. a day may cause you to be anxious, nervous, and makes it harder to sleep well.

    *  Cut down on caffeine gradually. Daily usage of caffeine can result in physical dependence. If caffeine is stopped abruptly, withdrawal symptoms can occur. These include headache, feeling down, having a hard time concentrating, and fatigue.

    Don’ts

    *  Don’t do vigorous exercise within six hours of going to bed.

    *  Don’t have large meals near bedtime. These may keep you awake, especially if you have heartburn or a similar problem.

    *  Don’t have caffeine for 6 hours before bedtime.

    HealthyLife SleepWell by the American Institute for Preventive Medicine. www.HealthyLife.com. All rights reserved.

    © American Institute for Preventive Medicine

  • Sleep Disorders & Snoring

    General Health Conditions

    Not getting enough sleep can cause you to be sleepy during the day. It can make you less able to function. Snoring and sleep disorders can cause these problems, too.

    Insomnia

    Signs & Symptoms

    *  Having trouble falling asleep. Waking up in the middle of the night. Waking up too early and not being able to get back to sleep.

    *  Feeling like you didn’t get enough sleep.

    Causes

    *  Too much caffeine. Drinking alcohol and/or smoking before bedtime.

    *  Too much noise when falling asleep.

    *  Emotional stress. Depression. Anxiety. The manic phase of bipolar disorder.

    *  Fibromyalgia.

    *  Over active thyroid gland.

    *  Any condition, illness, injury, or surgery that causes enough pain or discomfort to interrupt sleep. Heart or lung conditions that cause shortness of breath when lying down. Side effects of some medicines, such as over-the-counter diet pills or decongestants.

    *  Changes in sleep/wake schedules, such as with work shift changes and jet lag.

    *  In children, nightmares or bed-wetting.

    Treatment

    *  Self-care and prevention tips.

    *  Treating the problem.

    *  Prescribed short-acting sleeping pills.

    Self-Care / Prevention

    *  Avoid caffeine for 8 hours before bedtime.

    *  Avoid long naps during the day.

    *  Have no more than 1 alcoholic drink with or after dinner.

    *  Avoid using electronic devices, such as a laptop computer before falling asleep and in the middle of the night. The type of light that emits from these devices makes it hard to fall asleep.

    *  Avoid nicotine. Don’t smoke. Stay away from secondhand smoke.

    *  Get regular exercise, but not within a few hours of going to bed.

    *  Before bedtime, take a warm bath or read a book, etc. Avoid things that hold your attention, such as watching a suspense movie.

    *  Keep your bedroom quiet, dark, and comfortable.

    *  Follow a bedtime routine. Lock or check doors and windows, brush your teeth, etc.

    *  Count sheep! Picture a repeated image. Doing this may bore you to sleep.

    *  Listen to recordings that help promote sleep.

    *  Take over-the- counter sleep aids, (e.g., melatonin, Tylenol PM, etc.) as advised by your doctor. Don’t take anyone else’s sleeping pills.

    *  If you wake up and can’t get back to sleep or can’t fall asleep, after 30 minutes, get out of bed. Read a relaxing book or sit quietly in the dark. In about 20 minutes, go back to bed. Do this as many times as needed.

    Restless Leg Syndrome (RLS) and Periodic Limb Movements in Sleep (PLMS)

    Signs & Symptoms

    *  Creeping, crawling, pulling and/or painful feelings in one or both legs.

    *  Jerking or bending leg movements that you can’t control during sleep.

    Causes

    The cause is not known. These factors play a role:

    *  Family history of RLS.

    *  The last months of a pregnancy.

    *  Chronic diseases, such as kidney failure, diabetes, and rheumatoid arthritis.

    Treatment

    *  Self-care and prevention tips.

    *  Prescribed medicines to control symptoms.

    *  A type of electric nerve stimulation.

    Self-Care / Prevention

    *  Take medications as prescribed. Let your doctor know if the medicine no longer helps.

    *  For relief, move the legs. Walk, rub, or massage them or do knee bends.

    *  Limit or avoid caffeine.

    *  Take a warm bath before bedtime.

    Sleep Apnea

    Signs & Symptoms

    *  Loud snoring and snorting sounds while sleeping on the back.

    *  Repeated periods when breathing stops 10 or more seconds during sleep.

    *  Waking up many times during the night. Excessive daytime sleepiness.

    *  Exhaustion. Hard time concentrating. Acting very cranky. Depression or other mental changes.

    *  Early morning headaches.

    Causes

    *  Too much muscle tissue is in the airway or the tissue relaxes and sags. These things narrow or block the airway. Persons who snore loudly and are overweight are more prone to these problems.

    *  A physical problem in the nose or upper airway.

    Treatment

    The goal is to keep the airway open during sleep. This is done with self-care measures and one of these treatments:

    *  A mouth guard dental device custom made by a dentist. This is worn during sleep. It pushes the lower jaw forward to open the air passage behind the tongue.

    *  A nasal continuous positive airway pressure (CPAP) device. Pressure from an air blower forces air through the nasal passages using a mask worn over the nose during sleep.

    *  Surgery to correct the cause of the airway obstruction.

    Self-Care / Prevention

    *  Lose weight, if you are overweight.

    *  Don’t drink alcohol. Don’t use tobacco products.

    *  Don’t take sleeping pills or sedatives.

    *  Use methods, such as those listed under Self-Care / Prevention – For Snoring to keep from sleeping on your back.

    Snoring

    Signs & Symptoms

    *  Loud sounds. Harsh breathing. Snorting sounds. These occur during sleep.

    Causes

    *  Sleeping on the back. The tongue falls back toward the throat and partly closes the airway.

    *  Nasal congestion from allergies or colds. Smoking. Drinking alcohol. Taking sedatives. Overeating (especially before bedtime).

    *  Sleep apnea or chronic respiratory disease.

    *  An obstructed airway. This can be due to enlarged tonsils or being overweight.

    *  Changes in hormones, such as during menopause or the last month of pregnancy.

    Treatment

    Self-care treats most cases. Other options are:

    *  Wearing a dental device that holds the jaw in a forward position.

    *  Surgery, if needed, to correct the problem.

    *  Treatment for sleep apnea, if needed.

    Self-Care / Prevention

    *  Sleep on your side. Prop an extra pillow behind your back so you won’t roll over. Sleep on a narrow sofa for a few nights to get used to staying on your side.

    *  Sew a large marble or tennis ball into a pocket on the back of your pajamas. This can help you stay on your side when you sleep.

    *  If you must sleep on your back, raise the head of the bed 6 inches on bricks or blocks. Or buy a wedge that is made to be placed between the mattress and box spring to elevate the head section.

    *  Lose weight, if you are overweight. Excess fatty tissue in the throat can cause snoring. Losing 10% of your body weight will help.

    *  Don’t smoke. If you do, quit. Limit or don’t have alcohol, sedatives, or a heavy meal within 3 hours of bedtime.

    *  To relieve nasal congestion, try a decongestant before you go to bed.

    *  Get rid of allergens in the bedroom. These include dust, down-filled (feathered) pillows, and down-filled bed linen.

    *  Try over-the-counter “nasal strips.” These keep the nostrils open and lift them up. This helps lessen congestion in nasal passages.

    Questions to Ask

    How Much Sleep is Needed?

    *  Adults need between 7 and 9 hours of sleep each night.

    *  Teens need at least 8-1/2 to 9-1/4 hours of sleep each night.

    *  After 6 months of age, most children sleep between 9 and 12 hours at night. Up to age 5, children may also take daytime naps for a total of 1/2 to 2 hours a day.

    Resources

    National Center on Sleep Disorders Research (NCSDR)

    301.435.0199

    www.nhlbi.nih.gov/about/ncsdr

    National Sleep Foundation

    703.243.1697

    www.sleepfoundation.org

    Healthier at Home book by the American Institute for Preventive Medicine. www.HealthyLife.com. All rights reserved.

    © American Institute for Preventive Medicine

  • Get Better Sleep Starting Tonight

    SELF-CARE CORNER

    Image of man feeling sleepy at his desk.

    After a long and exhausting day, you probably just want to get some much needed rest. And, there may be some simple things you can begin doing today to ensure you wake up feeling refreshed and energized. Try these tips to start getting the sleep your body needs:

    *  Don’t stay up too late. Waiting until you are overtired can make it harder to wind down. Try to go to bed when you first feel drowsy, not when you’re exhausted. Turn down those late-night activities with friends and “turn in” a little earlier.

    *  Skip your nap. If you are having trouble with nighttime sleep, you may be tempted to make up for it by napping during the day. Daytime naps, even short ones, can interfere with your quality of sleep at night. Try eliminating them for a few days to see if your nighttime sleep improves.

    *  Turn off your phone, computer and other devices. The light emitted from computer and smartphone screens can keep you awake. It can trick the body into thinking it is daytime, rather than bedtime. Allow at least one hour before bedtime as “screen-free” time. Take a bath, a relaxing walk or read a book instead.

    *  Don’t drink alcohol. Although a drink seems relaxing and may make you feel sleepy, it can actually make your sleep worse by waking up through the night.

    *  Eat dinner earlier. Eat dinner at least three hours before bed. If you’re hungry, have a light snack, such as small portion of yogurt or oatmeal, about 45 minutes before bedtime.

    *  Turn down the temperature. Most people sleep better if their room is between 60-67 degrees. A hot room makes it difficult for the body’s temperature to drop, which tells it to go to sleep.

    If these tips don’t help, talk to your doctor about your sleep problems. Sleep is an important part of overall good health and your doctor can help you find solutions to get the rest you need.

    Sources: American Academy of Sleep Medicine, National Sleep Foundation

    © American Institute for Preventive Medicine

  • Sleep, But How?

    MEDICAL NEWS

    Image of man awake in bed.

    “We know that how much you sleep and the quality of your sleep can have a tremendous impact on your overall health,” said Dr. David J. Earnest, professor at the Texas A&M Health Science Center College of Medicine, who studies circadian rhythms-the human body’s master clock.

    “We’re starting to recognize that sleep deprivation and disorders are more prevalent than any other health disorder that affects Americans,” he said.

    If you feel like there’s a deeper cause to your sleep woes, you may be like 1 in 10 Americans who suffer from insomnia or other sleep disorders, including these:

    Delayed Sleep Phase Disorder (DSPD)-a tendency to go to bed later (around 2 or 4 in the morning) and to sleep until the early afternoon. This kind of disorder can interfere with a normal work or school schedule.

    Advanced Sleep Phase Disorder (ASPD)-the tendency to go to bed earlier (6 or 8 in the evening) and to wake earlier than most people (around 3 or 5 in the morning). While this kind of disorder doesn’t typically interfere with a normal work or school schedule, it can pose a challenge for social activities or events that occur later in the evening.

    Non-24-Hour Sleep-Wake Syndrome-a circadian rhythm that is 25 hours or longer, which leads to sleep and wake times becoming gradually later.

    Jet Lag-one of the most common and usually occasional sleep disorders that occurs when your internal clock is out of synch with a new time zone. After traveling to a new time zone, you may find it difficult to fall and stay asleep during suitable times.

    Shift Work-with constantly changing shifts, it can be difficult for workers to adjust to their new sleep schedules. Shift work has been linked with a higher risk of developing metabolic or cardiovascular diseases.

    Sleep Apnea-breathing temporarily stops due to a blockage of the upper airways during sleep. Most people with sleep apnea do not know that they have it. Symptoms include daytime sleepiness, irritability, depression, and fatigue the next day, because their sleep lacks quality.

    Narcolepsy-extreme sleepiness during the day, usually resulting in suddenly falling asleep. It’s caused by a dysfunction in the brain mechanism that controls sleeping and waking.

    Restless Leg Syndrome (RLS)-itching, tingling, or burning in the lower legs, that makes it difficult to get comfortable and fall asleep.

    If you think you might have a sleep disorder, discuss your symptoms with your doctor or a sleep specialist.

    © American Institute for Preventive Medicine