Monday, August 9, 2021

Insomnia Explained


 

What is insomnia?

Insomnia is a common sleep disorder. If you have it, you may have trouble falling asleep, staying asleep, or both. As a result, you may get too little sleep or have poor-quality sleep. You may not feel refreshed when you wake up.

What are the types of insomnia?

Insomnia can be acute (short-term) or chronic (ongoing). Acute insomnia is common. Common causes include stress at work, family pressures, or a traumatic event. It usually lasts for days or weeks.

Chronic insomnia lasts for a month or longer. Most cases of chronic insomnia are secondary. This means they are the symptom or side effect of some other problem, such as certain medical conditions, medicines, and other sleep disorders. Substances such as caffeine, tobacco, and alcohol can also be a cause.

Sometimes chronic insomnia is the primary problem. This means that it is not caused by something else. Its cause is not well understood, but long-lasting stress, emotional upset, travel and shift work can be factors. Primary insomnia usually lasts more than one month.

Who is at risk for insomnia?

Insomnia is common. It affects women more often than men. You can get it at any age, but older adults are more likely to have it. You are also at higher risk of insomnia if you

  •      Have a lot of stress
  •      Are depressed or have other emotional distress, such as divorce or death of a spouse
  •      Have a lower income
  •      Work at night or have frequent major shifts in your work hours
  •     Travel long distances with time changes
  •      Have an inactive lifestyle

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 What are the symptoms of insomnia?

  • Symptoms of insomnia include:
  •  Lying awake for a long time before you fall asleep
  •  Sleeping for only short periods
  •  Being awake for much of the night
  •  Feeling as if you haven't slept at all
  •  Waking up too early

 

What other problems can insomnia cause?

Insomnia can cause daytime sleepiness and a lack of energy. It also can make you feel anxious, depressed, or irritable. You may have trouble focusing on tasks, paying attention, learning, and remembering. Insomnia also can cause other serious problems. For example, it could make you may feel drowsy while driving. This could cause you get into a car accident.

How is insomnia diagnosed?

  • To diagnose insomnia, your health care provider
  • Takes your medical history
  •  Asks for your sleep history. Your provider will ask you for details about your sleep habits.
  •  Does a physical exam, to rule out other medical problems that might cause insomnia
  •  May recommend a sleep study. A sleep study measures how well you sleep and how your body responds to sleep problems.


Home care strategies

A number of remedies and tips can help manage insomnia. They involve changes to:

Sleeping habits

When possible, it can help to:

  • Go to bed and wake up at the same times, establishing a routine.
  • Avoid using any device with a screen right before bed.
  • Start winding down an hour before bedtime, for example, by taking a bath.
  • Keep telephones and other devices outside of the bedroom.
  • Ensure that the room is a comfortable temperature before bedtime.
  • Use blackout blinds or curtains to darken the room.

Dietary habits

  • Avoid going to bed hungry. Have a healthy snack before bed, if necessary.
  • However, avoid eating a heavy meal within 2–3 hours of going to bed.
  • Limit caffeine and alcohol intake, especially at night.
  • Have a healthful, varied diet to boost overall well-being.

Other health issues

Anyone with acid reflux or a cough might benefit from raising their upper body with one or more extra pillows.

 

Ask a doctor about ways of managing a cough, pain, and any other symptoms that are affecting sleep.

 

Insomnia isn’t just a nuisance or a small inconvenience. It’s a real sleep disorder, and it can be treated.

 

If you think you have insomnia, talk to your doctor. They can help explore possible causes and develop a safe and appropriate treatment plan based on your healthcare needs.

Well-being and relaxation

  • Exercise regularly, but not within 4 hours of bedtime.
  • Do breathing and relaxation exercises, especially before sleeping.
  • Find something that helps you sleep, such as soothing music or reading.
  • Try not to nap during the day, even if you feel sleepy.
  • Receive medical attention for any mental health issues, such as anxiety.

 

Diagnosing insomnia

A sleep specialist can help Source and treat sleep problems. They may:

  • ask the person about their medical history, sleep patterns, and use of drugs and alcohol
  • do a physical examination
  • test for underlying conditions
  • request an overnight sleep test to record sleep patterns
  • suggest wearing a device that tracks movement and sleep-wake patterns

According to the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition, a doctor may diagnose insomnia if:

  • A person has difficulty falling asleep or staying asleep.
  • This happens at least three nights a week for 3 months, despite sufficient opportunities for sleep.
  • There is a negative impact on daily life.
  • No other issue can explain it.

It can help to record sleep patterns in a diary and show the results to the doctor.

 

Risk factors

Insomnia can occur at any age, but some factors Trusted Source increase the risk. These include:

  • traveling across time zones
  • working in shifts
  • being older
  • using caffeine, medications, drugs, or alcohol
  • having a family history of insomnia
  • experiencing significant life events
  • being pregnant
  • going through menopause
  • having certain physical or mental health conditions
  • being female 

Summary

Insomnia is a common problem. It can result from a range of issues, which may involve physical or mental health. In some cases, they are environmental or relate to lifestyle factors, such as shift work and caffeine or alcohol use.

A lack of sleep can lead to a variety of problems, ranging from mild tiredness to chronic illness.

Anyone who experiences ongoing trouble sleeping and feels that it is affecting their daily life should see a doctor, who can help identify the cause and recommend a solution.

 

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