Sleep Disorders
Most adults need at least eight hours of sleep every night to be well rested. Not
everyone gets the sleep they need. About 40 million people in the United States suffer from sleep problems every year.
Not getting enough sleep for a long time can cause health problems. For example, it can make problems like diabetes and high blood pressure worse.
Many things can disturb your sleep.
• stress
• a sick child
• working long hours
• light or noise from traffic or TV
• feeling too hot or cold.
• wine, beer, or liquor
What are the different types of
sleep problems?
• insomnia
• feeling sleepy during the day
• snoring
• sleep apnea
Insomnia
Insomnia includes:
• trouble falling asleep,
• having trouble getting back to sleep
• waking up too early.
Most people will have trouble falling asleep from time to time. It is usually nothing to worry about. Stress,
like the loss of a job or a death in the family could cause problems falling asleep. Certain medicines can
make it hard to fall asleep. Drinking alcohol or eating too close to bedtime can keep you awake, too.
Insomnia is called chronic (long-term) when it lasts most nights for a few weeks or more. You should
see your doctor if this happens.
Treatment:
Taking medicine together with some changes to your routine can help most people with insomnia (about 85 percent). Certain drugs work in the brain to help promote sleep.
Tips for Better Sleep
• Go to bed and get up at the same
times each day.
• Avoid caffeine,
nicotine, beer, wine
and liquor
four to six hours
before bedtime.
• Don’t exercise
within two hours
of bedtime.
• Don’t eat large meals
within two hours of bedtime.
• Don’t nap later than 3 p.m.
• Sleep in a dark, quiet room that isn’t too hot or cold for you.
• If you can’t fall asleep within 20 minutes, get up and do something quiet.
• Wind down in the 30 minutes before bedtime by doing something relaxing.
Feeling Sleepy During the Day
Feeling tired every now and then is normal. It is not normal for sleepiness to interfere with your daily life. Watch for signs like:
• slowed thinking
• trouble paying attention
• heavy eyelids
• feeling cranky
Several sleep disorders can make you sleepy during the day. One of these is narcolepsy. People with narcolepsy feel very sleepy even after a full night’s sleep.
It is normal to take between 10 and 20 minutes to fall asleep. People who fall asleep in less than five minutes may have a serious sleep disorder.
Snoring
Snoring is noisy breathing during sleep. It is caused by vibrating in the throat. Some people can make changes that will stop snoring. These include:
• losing weight,
• cutting down on smoking and alcohol, and
• sleeping on your side instead of on your back
Treatment:
You can buy over-the-counter nasal strips to help prevent snoring. You place one over your nose before going to bed to make breathing easier.
Sleep Apnea
Snoring loud and often, together with too much daytime sleepiness, may be signs of sleep
apnea. Sleep apnea is a very common sleep disorder. It is also very dangerous. The most
common type of sleep apnea happens when your breathing stops during sleep. It can stop for
about 10 seconds to as long as a minute. You wake up trying to breathe. This stop-and-start
cycle of waking to breathe can repeat hundreds of times a night. The danger is that some time
you may not wake up to breathe. If this happens, you can die.
You are likely to feel sleepy during the day if you have this problem. People with sleep apnea
tend to be overweight. It is more common among men than women.
Treatment:
• The most common treatment is a device that pushes air through the airway. This device is called a CPAP.
• Avoid beer, wine, liquor, tobacco, and sleeping pills.
• Your doctor may also suggest you lose weight.
• In some cases, you may need surgery to make the airway bigger.