Large Kick Punching
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Odd Sleep Disorders: Why Can't You Sleep?
Just more than 100 years ago, most adults slept nine hours every night. At the turn of the 21st century, however, that figure contracted to seven hours, according to Ronald Kotler, M.D., DABSM, medical director of Pennsylvania Hospital Sleep Disorders Center.
There are many reasons -- from endless artificial lights and electronic stimulants to ubiquitous caffeine drinks -- why most adults do not get the necessary seven to nine hours of shut-eye. And unfortunately for some, simply taking the TV out of the bedroom and steering clear of afternoon coffee does not guarantee a restful night. In the book "365 Ways to Get a Good Night's Sleep," Kotler and co-author Maryann Karinch offer digestible advice for every imaginable sleep problem.
Night Terrors Night terrors are different from nightmares. Nightmares usually occur during the rapid eye movement cycle of sleep, and you often remember them the next morning. Night terrors, on the other hand, usually happen in children, where they may wake up and scream but have no recollection of the episode in the morning.
You should never wake someone having a night terror; instead, just sit tight, says Kotler. Night terrors in adults, on the other hand, require a flag to seek help from a mental health professional. Even more common, says Kotler, are repetitive nightmares, which could be a sign of post-traumatic stress disorder. If you or someone you know is having repetitive nightmares that impact waking hours, you should seek out professional help. REM Sleep Behavior Disorder During the REM stage of sleep, you enter into a natural condition of muscular paralysis, in which you are unable to fully act out what is happening in your dreams.
The occasional kick, punch or mumble is completely normal, but if that paralysis is totally lost, you may thrash about and even jump out of bed. The disorder can be disturbing to your sleep partner and even dangerous for yourself. Kotler says anyone with this problem should see a sleep specialist and neurologist because about 50 percent of people with the disorder go on to develop Parkinson's disease.
Sleep-Related Eating Disorder Plenty of us snack late at night and regret it in the morning, but some adults get out of bed in the middle of the night to eat and then go back to sleep and will wake up without even knowing what happened. Some even eat non-food items. While this is rare, it could be the sign of an underlying psychiatric disorder.
Sleepwalking Sleepwalking is much more common in children than in adults. "The important thing is a safe environment," says Kotler. That could mean locking windows, putting a bell on the bedroom door. As with night terrors, you never want to wake a sleepwalker but rather guide him gently back to bed. Sleepwalking can also be triggered by sleep deprivation, so a regular sleep schedule is important.
The condition is rare in adults, however, so if someone is showing symptoms, he should be evaluated, according to Kotler. Nighttime Headaches "You can have what's known as cluster headaches that happen at a similar time at night and in particular around one eye," Kotler says. "What we generally say is that any significant headaches should be evaluated when you're awake or asleep." Beyond disrupting sleep, headaches could be caused by an underlying problem, including disrupted breathing. Obstructive Sleep Apnea Sleep apnea, unlike other sleep disorders, is all too common. More than 12 million Americans have the dangerous disorder, according to the National Institute of Health.
Sleep apnea is linked to a range of health issues, including high blood pressure and obesity, and can cause someone to stop breathing at night. "Ninety percent of sufferers that have it don't know it," says Kotler. "If you snore loudly, and you wake up after a full night's sleep and are still sleepy, you should get evaluated."
Sleep apnea is also closely linked to obesity. But you do not have to be overweight to suffer from the condition: People with small jaws or large tonsils are also likely to develop it. Sleep apnea does not just put the patient at risk but also everyone around her, as sleep deprivation is responsible for 100,000 car accidents every year, according to Kotler. Sleep-Related Sexual Behavior Even more rare than sleep walking as an adult, sleep related sexual behavior is an infrequent, but real, disorder.
"We can conclude that if we can do unusual things like walking and eating, then some people can make sexual advances," Kotler says. The condition has been described in medical literature, but Kotler says he has never treated a case first hand. Restless Leg Syndrome Restless Leg Syndrome (RLS) is "very real," says Kotler. It is a neurological condition that occurs when the patient has an irresistible urge to move their legs, particularly in the evening.
"It's not a pain," he notes, "but more of a creepy crawly sensation." Simple leg cramps at bedtime are not necessarily RLS. It is associated with iron deficiency as well as kidney failure. Kotler finds that while there are many other leg conditions, RLS is under diagnosed, particularly in young women who may have the condition because of iron loss due to menstruation. He urges anyone with symptoms to be evaluated by a neurologist.
More on Sleep Disorders Night Sweats Insomnia Sleepwalking and Parasomnia Search here
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