Some words about Insomnia?
Insomnia is a sleep disorder that is characterized by difficulty in falling or staying asleep and waking up frequently during the night and difficulty going back to sleep. So, Insomnia is difficulty in getting to sleep or staying asleep long enough to feel refreshed the next morning, even if you’ve had enough opportunity to sleep. That’s why the Important Insomnia Symptoms are much helpful.
Main Types of Insomnia
Insomnia can be described by following types.
A brief episode of sleep problems. Acute insomnia is usually caused by a traumatic event, such as a stressful change in one’s work, receiving bad news, in the case of some shock or travel. Often acute type without ringing treatment.
A pattern of long-term sleep problems. It is usually considered chronic when a person has trouble falling asleep or staying asleep at least three nights a week for three months or longer than that. Some people with chronic insomnia have a long history of sleep problems. Chronic insomnia can have many causes.
This type occurs with another disorder. Psychiatric symptoms such as anxiety and depression, which are known to changes in sleep. Certain disorders can either insomnia or a person uncomfortable night (like arthritis and back pain, which can make it difficult to sleep.
Difficult falls asleep at the beginning of the night.
The inability to remain asleep. People with this type wake up during the night and have trouble turning back to sleep.
Causes of Insomnia
It is due to multiple causes, and some Important Insomnia Symptoms can be caused by psychiatric and medical disorders, unhealthy sleep patterns, specific substances, and / or certain biological factors. Recently, researchers have begun to think about it as a problem of the brain being unable to stop being awake. It is important to first understand what might be causing your sleep problems.
Medically related Causes of insomnia
There are many disorders , which may lead to insomnia. In some cases, a medical condition itself causes insomnia, while in other cases, the symptoms of the condition which can cause discomfort to sleep it difficult for a person.
Examples of medical conditions are:
- Nasal / sinus allergies
- Gastrointestinal problems such as reflux
- Endocrine problems, such as hyperthyroidism
- Neurological disorders such as Parkinson’s disease
- Chronic pain
- Previous thoracic surgery.
- Heart Disease.
- Deviated nasal septum and nocturnal respiratory disorders.
- Restless leg syndrome can cause sleep onset insomnia felt because of the annoying sensations and the need to relieve the legs or other body parts to these sensations.
- Periodic limb movement disorder
- Low back pain
- Medications, such as those taken for the common cold, and nasal allergies, hypertension, coronary heart disease, thyroid disease, contraception, asthma, and depression may also lead to insomnia.
If you have trouble sleeping on a regular basis, its the one of Important Insomnia Symptoms, it’s a good idea to review your health and think about whether any underlying medical problems or sleep disorders may be contributing to your sleep problems. In some cases, there are simple steps that can be taken to improve sleep (such as avoiding bright lights, while phasing out and try to minimize potential distractions such as TV, computer, or pets). While in other cases it is important to talk to your doctor to figure out a course of action. You should not just accept poor sleep as a way of life-talk with your doctor or a sleep specialist for assistance.
Insomnia and depression
Insomnia can be due to psychiatric disorders such as depression. Psychological battle it can be difficult to sleep, insomnia can lead to changes in mood and changes in hormones and physiology may lead to both mental health problems and insomnia simultaneously.
Sleep problems may represent a symptom of depression and the risk of severe insomnia much higher in patients with depressive disorders. Studies show that insomnia can also cause or worsen depression.
It is important to know that the symptoms of depression (such as low energy, loss of interest or motivation, feelings of sadness or hopelessness) and insomnia may be linked, and one can make the other worse. The good news is that both treatable, whichever came first.
Insomnia & Anxiety
Most adults have some trouble sleeping because they are worried or was nervous, but for some it is a pattern that interferes with sleep on a regular basis. Anxiety symptoms that can lead to insomnia:
- Entangled hit in thoughts about past events
- Excessive worrying about future events
- Feeling overwhelmed by responsibilities
- A general feeling of many touring or overstimulated
- It is not difficult to see why these symptoms of general anxiety it difficult to sleep can make. Anxiety may be associated with the onset insomnia (difficulty in falling asleep), or maintenance insomnia. In both cases, the rest and inactivity of the night often brings stressful thoughts and even fear that keep a person awake.
When this happens for many nights (or several months), you could start with fear, anxiety or panic feeling exactly at the prospect of not sleeping. This is how anxiety and insomnia may feed each other and become a cycle that must be interrupted by the treatment. There are cognitive and mind-body techniques that help people with anxiety settle into sleep, and overall healthy sleep practices that can improve sleep for many people with anxiety and insomnia.
Insomnia v/s Lifestyle
Insomnia can be caused or perpetuated by your behavior and sleep patterns. Unhealthy lifestyle and sleep habits can make insomnia on their own (without any underlying psychiatric or medical problem), or they can make insomnia caused by another problem worse.
Examples of how specific lifestyle and sleep habits can cause insomnia are:
- You work at home in the evenings. This can make it difficult to relax, and it can also make you feel engaged when it is time to sleep. The light from your computer can also alert your brains.
You take naps in the afternoon. Short naps can be helpful for some people, but for others they make it difficult to fall asleep at night.
- You sleep sometimes make good later on lost sleep. This can confuse the clock of your body and make it difficult to fall asleep again the next night.
- You’re a shift worker (which means you work irregular hours). Non-traditional hours, the clock of your body in confusion, especially if you’re trying to sleep during the day, or if your schedule changes regularly.
- Some cases of insomnia begin with an acute episode, but in order to put in a longer-term problem. For example, let’s say a person can not sleep for a night or two after receiving bad news. In this case, if the person starts unhealthy sleep habits like getting up in the middle of the night work or alcohol before bed to compensate take the insomnia can continue and possibly a more serious problem. Instead of passing, it may be chronic.
Once this happens, concerns and thoughts like: “I will never sleep,” to be associated with bedtime, and every time the person can not sleep, it strengthens the pattern.
This is why it is important to pack insomnia, instead of letting it become the norm. If lifestyle and unhealthy sleep habits are the cause of insomnia, there are cognitive behavioral techniques and sleep hygiene tips that can help. If you tried to change your sleeping habits and it has not worked, it is important to take this seriously and talk to your doctor.
Important Insomnia Symptoms Related to Food
Certain substances and activities, including diet, may contribute to insomnia. If you can not sleep, read the following lifestyle factors to see if it would be any affect you:
Alcohol is a sedative. It can make you fall asleep initially, but can disrupt your sleep later in the night.
Caffeine is a stimulant. Most people understand the alarming power of caffeine and use it in the morning to help them start the day and feel productive. Caffeine in moderation is fine for most people, but excessive caffeine can cause insomnia. A National Sleep Foundation poll in 2005 found that people who drank four or more cups / cans of caffeinated beverages per day were more likely than those who drank zero to one cups / cans per day for at least one symptom of insomnia at least a few nights each experienced week.
Caffeine can stay in your system for as long as eight hours, so the effects are long lasting. If you have insomnia, do food or drinks with caffeine too close to bedtime is not consumed.
Nicotine is a stimulant and can lead to insomnia. Smoking cigarettes or tobacco products close to bedtime can make it difficult to fall asleep and to sleep by night. Smoking is harmful to your health. If you smoke, you should quit.
Insomnia & The Brain
In some cases, insomnia caused by certain neurotransmitters in the brains of which is known to be involved sleep and wake.
There are many possible chemical interactions in the brains that can interfere with sleep and can explain why some people are biologically prone to insomnia and seem to struggle with sleep for many years without any apparent cause, even when they follow a sound sleep advice.
Important Insomnia Symptoms
In the United Kingdom, to be one-third of the people are supposed to insomnia at any one time per year. Symptoms may include:
- Daytime sleepiness
- Problems with concentration or memory
- Lie awake for a long time in the evening before bedtime
- Waking up several times during the night
- Waking up early in the morning and can not go back to sleep
- Fatigue and sleep not to work
- Can not function properly during the day, and who find it difficult to focus on
- The difficulty of relationships, including family, friends and carers
- Fatigue or low energy
- Cognitive, such as difficulty concentrating
- Disorder such as irritability
- Behavioral problems, such as the feeling of impulsive or aggressive behavior
- The difficulty at work or school
- General fatigue
Therefore lack of sleep can also affect mood and cause fatigue and tiredness during the day.
How to treat?
It is important to identify or rule out medical and psychological reasons, before deciding on the treatment of insomnia. Cognitive behavioral therapy has been found to be as effective as prescription drugs are for short-term treatment of chronic insomnia. Pharmacological treatments have been used mainly to reduce the symptoms of acute insomnia; their role in the treatment of chronic insomnia remains unclear. A variety of drugs are also effective in the treatment of insomnia.
Many insomniacs rely on sleeping tablets and other sedatives to get rest. In some places, drugs are prescribed cases more than 95% of Insomniac. The percentage of adults with the aid of a recipe sleep aid increases with age. As an alternative to taking prescription drugs, some evidence shows that an average person can find short-term relief assistance of taking over-the-counter antihistamines, such as diphenhydramine or doxylamine. Certain classes of sedatives such as benzodiazepines and newer nonbenzodiazepine drugs can also lead to physical dependence, which manifests in withdrawal symptoms if the drug is not carefully tapered down. The benzodiazepine and nonbenzodiazepine hypnotic medications also have some side effects, such as daytime fatigue, motor vehicle crashes, cognitive impairment and falls and fractures. Drugs that may prove more effective and safer than existing drugs for insomnia, is an area of active research.
The antihistamine diphenhydramine is widely used in nonprescription sleep aids such as Benadryl. The antihistamine doxylamine is used in nonprescription sleep aids such as Unisom Unisom and 2. In some countries, including Australia, it is marketed under the names Restavit and Dozile. It is the most effective over-the-counter sedative currently available in the United States and more than some prescription sedative hypnotics.
Although the two above-mentioned medicinal products available over the counter in most countries, the efficacy of these agents decrease time, and the incidence of sedation next day is higher than for most of the newer medications.
Normison (temazepam) is a benzodiazepine prescribed for insomnia and other sleep disorders.
The most commonly used class of hypnotics prescribed for insomnia are the benzodiazepines. Benzodiazepines unselectively all bind to the GABAA receptor. However, some benzodiazepines are significantly higher activity in the α1 subunit of the GABA A receptor when compared to other benzodiazepines (e.g., triazolam and temazepam considerably higher activity at the α1 subunit in comparison with alprazolam and diazepam, which makes them superior sedative-hypnotics – alprazolam and diazepam, in turn higher activity at the α2 subunit compared triazolam and temazepam, which makes them superior anxiolytics). Modulation of the α1 subunit is associated with sedation, motor impairment, respiratory depression, amnesia, ataxia, and reinforcing behaviors (drug-seeking behavior). Modulation of the α2 subunit is associated with anxiolytic activity and disinhibition. Therefore, certain benzodiazepines are better for insomnia than others. Hypnotic benzodiazepines include drugs such as temazepam, clonazepam, lorazepam, oxazepam, diazepam, flunitrazepam, triazolam, flurazepam, midazolam, nitrazepam, and quazepam.
Nonbenzodiazepine sedative-hypnotic drugs such as zolpidem (Ambien), zaleplon, zopiclone (Imovane) and eszopiclone (Lunesta) are a class of hypnotic drugs indicated for mild to moderate insomnia. Their effectiveness on improving the time to sleep is small.
Suvorexant is a recently FDA approved treatment for insomnia characterized by difficulty in falling asleep and / or sleep maintenance. It exerts its therapeutic effect on insomnia by antagonism of orexin receptors. The neuropeptide orexin signaling is a key promoter of vigilance. Blocking the binding of wake-promoting neuropeptides orexin A and orexin B to receptors orexin receptor type 1 and type 2 orexin receptor is thought to suppress driving wake. Two other dual orexin antagonists currently in clinical trials are Filorexant and SB-649 868.
Some antidepressants such as amitriptyline, doxepin, mirtazapine and trazodone may have a calming effect, and are prescribed to treat insomnia. Amitriptyline and doxepin during both having antihistaminic, anticholinergic, and anti-adrenergic properties, which contribute to their side effect profile, mirtazapine The side effects are mainly antihistaminergic trazadone and side effects are mainly antiadrenergische. Some also alter sleep architecture. As with benzodiazepines, the use of antidepressants in the treatment of insomnia can lead to withdrawal symptoms; withdrawal can cause rebound insomnia.
Mirtazapine is known to reduce sleep latency promote sleep efficiency and increase the total sleep time in people with both depression and insomnia.
Melatonin is a hormone synthesized by the pineal gland, secreted through the bloodstream in the dark or often at night, so that regulate the sleep cycle. It is available in some countries labeled “food supplement”.
The use of antipsychotics for insomnia, while common, is not recommended, because the evidence does not demonstrate a benefit and the risk of adverse effects is significant. Concerns about side effects is higher in the elderly.
Some insomniacs use herbs such as valerian, chamomile, lavender, cannabis, hops, Ashwagandha and passion-flower. L-Arginine L-aspartate, S-adenosyl-L-homocysteine, and delta-sleep-inducing peptide (DSIP), can also be useful in alleviating insomnia.