Insomnia

INSOMNIA

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Insomnia is the inability to fall asleep, or the inability to get enough sleep.  The amount of sleep a person requires is age related.  Babies and children need more sleep than the elderly.  The amount of sleep needed by the aged varies from 4-5 hours compared to a younger person who needs about 8 hours.

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Symptoms
Causes
What You Can Do
What the Doctor Can Do


Symptoms

v Difficulty in falling asleep.
v Broken or restless sleep.
v Waking up many times during the night.
v Getting up during the early hours of the morning and being unable to go back to sleep.
v Being tired, drowsy and irritable during the day.

Causes

v Stress and worry
v Uncomfortable environment not conducive to sleep – e.g. noisy and dirty, cold or hot.
v New environment – e.g. shifting to new house.
v Nocturia – common in older person due to illness like prostate gland disease or weakness     of the bladder muscles.
v Pain in certain types of illness.
v Drug induced e.g. alcohol will quickly induce short sleep, but there is rebound insomnia.
v Withdrawal of certain drugs e.g. hypnotics. 

What You Can Do

v Make the sleeping environment more comfortable.
v Have a regular time for sleeping.
v Avoid too much excitement before sleeping.
v Avoid catnaps during the day.
v Avoid alcohol or caffeine containing drinks before going to bed.  Instead, take a milky drink.
v Exercise regularly during the day 3-5 times a week but avoid exercise before bedtime.
v If you do not sleep in 20 minutes, get out of bed and sit in another room till you feel sleepy.
v Read a boring book.
v Listen to soft music.
v Consult your doctor, if this problem lasts for many days or affects your daily activities.
v Take medication, such as hypnotics, for insomnia only as and when prescribed by a doctor

What the Doctor Can Do

v Examine you and identify the cause of the problem.
v Treat according to the findings.
v Prescribe medication – sleeping tablets, if necessary.
v Refer for further investigation, if necessary, to a psychiatrist.

Live a healthy lifestyle and do not lose sleep over not being able to sleep!

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