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Insomnia is a sleep disorder in which you have trouble falling
and/or staying asleep.
The condition can be short-term (acute) or can last a long time
(chronic). It may also come and go.
Acute insomnia lasts from 1 night to a few weeks. Insomnia is
chronic when it happens at least 3 nights a week for 3 months or
more.
Types of Insomnia
There are two types of insomnia: primary and secondary. Acute
insomnia lasts from 1 night to a few weeks. Insomnia is chronic
when it happens at least 3 nights a week for 3 months or
more.
Mental health issues like depression and anxietyMedications for
colds, allergies, depression, high blood pressure, and asthmaPain
or discomfort at nightCaffeine, tobacco, or alcohol
useHyperthyroidism and other endocrine problemsOther sleep
disorders, like sleep apnea or restless legs syndrome
Insomnia Risk Factors
Insomnia affects women more than men and older people more than
younger ones. Young and middle-age African Americans also have a
higher risk.
Other risk factors include:
Long-term illnessMental health issuesWorking night shifts or shifts
that rotate.
Acute insomnia lasts from 1 night to a few weeks. Insomnia is
chronic when it happens at least 3 nights a week for 3 months or
more.
Types of Insomnia
There are two types of insomnia: primary and secondary.
Primary insomnia: This means your sleep problems aren’t linked to
any other health condition or problem.Secondary insomnia: This
means you have trouble sleeping because of a health condition (like
asthma, depression, arthritis, cancer, or heartburn); pain;
medication; or substance use (like alcohol).
Insomnia Causes
Causes of primary insomniainclude:
Stress related to big life events, like a job loss or change, the
death of a loved one, divorce, or movingThings around you like
noise, light, or temperatureChanges to your sleep schedule like jet
lag, a new shift at work, or bad habits you picked up when you had
other sleep problems.
Causes of secondary insomniainclude:
Mental health issues like depression and anxietyMedications for
colds, allergies, depression, high blood pressure, and asthmaPain
or discomfort at nightCaffeine, tobacco, or alcohol
useHyperthyroidism and other endocrine problemsOther sleep
disorders, like sleep apnea or restless legs syndrome
Insomnia Risk Factors
Insomnia affects women more than men and older people more than
younger ones. Young and middle-age African Americans also have a
higher risk.
Other risk factors include:
Long-term illness Mental health issuesWorking night shifts or
shifts that rotate
Insomnia Symptoms
Symptoms of insomnia include:
Sleepiness during the day Fatigue Grumpiness Problems with
concentration or memory
Insomnia Diagnosis
Your doctor will do a physical ex-am and ask about your medical
history and sleep history.
They might tell you to keep a sleep diary for a week or two,
keeping track of your sleep patterns and how you feel during the
day. They may talk to your bed partner about how much and how well
you’re sleeping. You might also have special tests at a sleep
center.
Insomnia Treatment:-
Acute insomnia may not need treatment.
If it’s hard for you to do everyday activities because you’re
tired, your doctor may prescribe sleeping pills for a short time.
Medicines that work quickly but briefly can help you avoid problems
like drowsiness the next day.
Don’t use over-the-counter sleeping pills for insomnia. They might
have side effects, and they tend to work less well over time.
For chronic insomnia, you’ll need treatment for the conditions or
health problems that are keeping you awake. Your doctor might also
suggest behavioral therapy. This can help you change the things you
do that make insomnia worse and learn what you can do to promote
sleep.
Insomnia Complications:-
Our bodies and brains need sleep so they can repair themselves.
It’s also crucial for learning and keeping memories. If insomnia is
keeping you awake, you could have:
A higher risk of health problems like high blood pressure, obesity,
and depressionA higher risk of falling, if you’re an older
womanTrouble focusingAnxietyGrumpinessSlow reaction time that can
lead to a car crash.
Insomnia Prevention:-
Good sleep habits, also called sleep hygiene, can help you beat
insomnia. Here are some tips:
Go to sleep at the same time each night, and get up at the same
time each morning. Try not to take naps during the day, because
they may make you less sleepy at night.Don’t use phones or e-books
before bed. Their light can make it harder to fall asleep.Avoid
caffeine, nicotine, and alcohol late in the day. Caffeine and
nicotine are stimulants and can keep you from falling asleep.
Alcohol can make you wake up in the middle of the night and hurt
your sleep quality.Get regular exercise. Try not to work out close
to bedtime, because it may make it hard to fall asleep. Experts
suggest exercising at least 3 to 4 hours before bed.Don't eat a
heavy meal late in the day. But a light snack before bedtime may
help you sleep.Make your bedroom comfortable: dark, quiet, and not
too warm or too cold. If light is a problem, use a sleeping mask.
To cover up sounds, try earplugs, a fan, or a white noise
machine.Follow a routine to relax before bed. Read a book, listen
to music, or take a bath.Don’t use your bed for anything other than
sleep and sex. If you can't fall asleep and aren’t drowsy, get up
and do something calming, like reading until you feel sleepy.If you
tend to lie awake and worry about things, make a to-do list before
you go to bed. This may help you put your concerns aside for the
night.
2) Stress is a normal reaction the body has when changes occur.
It can respond to these changes physically, mentally, or
emotionally.
Stress is the body's reaction to any change that requires an
adjustment or response. The body reacts to these changes with
physical, mental, and emotional responses. Stress is a normal part
of life. You can experience stress from your environment, your
body, and your thoughts. Even positive life changes such as a
promotion, a mortgage, or the birth of a child produce
stress.
How does stress affect health?
The human body is designed to experience stress and react to it.
Stress can be positive, keeping us alert, motivated, and ready to
avoid danger. Stress becomes negative when a person faces
continuous challenges without relief or relaxation between
stressors. As a result, the person becomes overworked, and
stress-related tension builds. The body's autonomic nervous system
has a built-in stress response that causes physiological changes to
allow the body to combat stressful situations. This stress
response, also known as the "fight or flight response", is
activated in case of an emergency. However, this response can
become chronically activated during prolonged periods of stress.
Prolonged activation of the stress response causes wear and tear on
the body – both physical and emotional.
Stress that continues without relief can lead to a condition called
distress – a negative stress reaction. Distress can disturb the
body's internal balance or equilibrium, leading to physical
symptoms such as headaches, an upset stomach, elevated blood
pressure, chest pain, sexual dysfunction, and problems sleeping.
Emotional problems can also result from distress. These problems
include depression, panic attacks, or other forms of anxiety and
worry. Research suggests that stress also can bring on or worsen
certain symptoms or diseases. Stress is linked to 6 of the leading
causes of death: heart disease, cancer, lung ailments, accidents,
cirrhosis of the liver, and suicide.
Stress also becomes harmful when people engage in the compulsive
use of substances or behaviors to try to relieve their stress.
These substances or behaviors include food, alcohol, tobacco,
drugs, gambling, sex, shopping, and the Internet. Rather than
relieving the stress and returning the body to a relaxed state,
these substances and compulsive behaviors tend to keep the body in
a stressed state and cause more problems. The distressed person
becomes trapped in a vicious circle.
What are the warning signs of stress?
Chronic stress can wear down the body's natural defenses, leading
to a variety of physical symptoms, including the following:
Dizziness or a general feeling of "being out of it."General aches
and pains.Grinding teeth, clenched jaw.Headaches.Indigestion or
acid reflux symptoms.Increase in or loss of appetite.Muscle tension
in neck, face or shoulders.Problems sleeping.Racing heart.Cold and
sweaty palms.Tiredness, exhaustion.Trembling/shaking.Weight gain or
loss.Upset stomach, diarrhea.Sexual difficulties.
Tips for reducing stress
People can learn to manage stress and lead happier, healthier
lives. You may want to begin with the following tips:
Keep a positive attitude.Accept that there are events that you
cannot control.Be assertive instead of aggressive. Assert your
feelings, opinions, or beliefs instead of becoming angry,
defensive, or passive.Learn and practice relaxation techniques; try
meditation, yoga, or tai-chi.Exercise regularly. Your body can
fight stress better when it is fit.Eat healthy, well-balanced
meals.Learn to manage your time more effectively.Set limits
appropriately and say no to requests that would create excessive
stress in your life.Make time for hobbies and interests.Get enough
rest and sleep. Your body needs time to recover from stressful
events.Don't rely on alcohol, drugs, or compulsive behaviors to
reduce stress.Seek out social support. Spend enough time with those
you love.Seek treatment with a psychologist or other mental health
professional trained in stress management or biofeedback techniques
to learn more healthy ways of dealing with the stress in your
life.