5
sleep problems nobody talks about By Meghan Rabbitt Published June 04, 2015.
You
drift off at night like a newborn baby yet can't recall the last time you woke
up truly refreshed. It may not seem that weird: "People tend to assume
that because our modern lives are so hectic, nobody feels rested," said
Dr. Meir Kryger, a professor at the Yale School of Medicine. But the reality
is, you might have a sleep disorder and not even know it. There are a handful
of problems that can cheat you out of quality slumber, leaving you more tired
in the morning than you were when you went to bed. Find out what could be going
on between your sheets and how to catch more restorative z's, starting tonight.
. 1: You snore like a saw Those snuffle-snorts mean that your slack
tongue and throat muscles are narrowing your airway, possibly due to the shape
of your soft palate or any extra weight you're carrying. Although you're
likely to wake up if you get short of breath, it may not be for long enough to
remember. Some people wake dozens or even hundreds of times a night-a disorder
known as sleep apnea that increases the risk of heart disease, stroke and
possibly osteoporosis, according to a new study in the Journal of Bone and
Mineral Research. "Those repeated awakenings are as disruptive as someone
pinching you every two minutes all night long," said Dr. Safwan Badr,
chief of the division of pulmonary, critical care and sleep medicine at Wayne
State University School of Medicine in Detroit. Sleep aid: If you rarely wake
up feeling bright-eyed, see a specialist to get checked for sleep apnea. (Three
to 9 percent of women between the ages of 30 and 70 suffer from it.) If you
have the condition, a CPAP machine and mask can help by keeping your pharynx
open with a steady stream of air. To quiet your snore, avoid rolling onto your
back-a position that makes your airway more likely to collapse. Dr. Rachel
Salas, associate professor of neurology at Johns Hopkins University School of
Medicine, suggested this little trick: Sew a tennis ball into the pocket of a
sweatshirt and wear it backward to bed. 2: You grind your teeth Do you
wake up with a sore jaw or get chronic headaches? If so, you may be gnashing
your ivories overnight. All that clenching can cause enough pain to interfere
with your shut-eye (not to mention wear down your enamel). Experts believe that
teeth grinding, which about 16 percent of us do, is associated with
anxiety-though an abnormal bite and antidepressants can also play a role. Sleep
aid: A dentist will fit you with a mouth guard. If you're clamping down because
you're overwhelmed and overloaded, find a healthier way to manage stress, urged
Michael A. Grandner, an instructor in psychiatry at the Perelman School of
Medicine at the University of Pennsylvania. "It's also crucial to spend
plenty of time winding down before bed so you drift off in a calm, relaxed
state," he added. 3: Your body clock is off Not even drowsy until
the wee hours? Delayed sleep-phase syndrome (DSPS) is the technical term for
this disorder, which afflicts 10 percent of people who seek help for insomnia.
It involves a biological glitch that prevents your body from making melatonin
(the sleep hormone) until 12 a.m. or later. A prime sign you've got DSPS:
You've been a night owl since high school. The syndrome is common among
teenagers and sometimes persists into adulthood. If you're not squeezing in at
least seven hours of z's a night, you're at greater risk of high blood pressure
and diabetes. What's more, a recent study published in Cognitive Therapy and
Research found that people who nod off late (and get less sleep as a result)
tend to experience more negative thoughts. Sleep aid: Begin by improving your
sleep hygiene. Cut back on caffeine. Avoid tech and television starting 90
minutes before bedtime. Create a soothing wind-down routine. And get some sun
first thing in the morning to help reset your body's 24-hour rhythm. "In
80 percent of cases, these strategies lead people to conk out earlier,"
Badr said. If they don't do the trick, a specialist may prescribe synthetic
melatonin, as well as light therapy with a medical lamp to use in the morning.
4: Your legs feel jittery at night That creepy-crawly feeling-aptly
called Restless Legs Syndrome (RLS)-troubles as many as 1 in 10 people and is
thought to be linked to a dysfunction in the way the brain processes the neurotransmitter
dopamine. However, in some cases it suggests a nutritional deficiency, Kryger
noted: "With people who have low iron, there seems to be overactivity in
parts of the brain that results in an urge to move the legs. Sleep aid: Ice
packs, warm packs, massages, a bath-any of these remedies might help, said Dr.
David N. Neubauer, associate professor of psychiatry at Johns Hopkins
University School of Medicine: "Different things seem to work for
different people. Also, talk to a sleep doc about trying an RLS drug. Be sure
to mention your current prescriptions because some meds (including certain
antidepressants) reduce dopamine activity. Get your iron levels checked, too,
Gardner advised: "Sometimes a supplement is the only treatment necessary.
5: You sleepwalk-and even sleep eat For reasons that aren't completely
understood, somnambulists are partially aroused in the night-often from the
deepest stage of slumber (called slow-wave)-and proceed to wander around the
house. The behavior, which may affect up to 4 percent of the population,
appears to run in families and is more likely to occur with sleep deprivation.
Another trigger: taking zolpidem (one of the most popular sedatives.)
" Additionally, 1 to 3 percent of people who experience such a
zombie-like state actually raid the kitchen. Called sleep-related eating
disorder, this condition often strikes women on a diet, who go to bed hungry.
Sleep aid: Benzodiazepines (aka tranquilizers) can sometimes help, and so does
getting more sleep. As long as your nocturnal adventures don't involve anything
risky (like, for example, baking cookies), you may not need medication,
Rosenberg said: "Just make sure you safety-proof your home by clearing out
clutter and stowing away sharp objects. If you're a nighttime roamer, let your
partner know that the ideal approach is to gently lead you back to bed.
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