All Posts Tagged: insomnia

Why can’t I get to sleep?

In an article from the American Sleep Association they recommend some of the basics to start with such as avoiding caffeine for several hours before bedtime. They report that brainwave patterns during can continue to show effects of a double espresso coffee 16 hours after it was consumed! In the same study, the measurable level of caffeine spit showed the caffeine to be gone.

Caffeine is reported to be the most widely consumed psychoactive drug in the world. It’s followed by tea, pop, and energy drinks.

If you are having problems with insomnia, try to stop all caffeine by lunch-time for a couple weeks and see if your insomnia improves. Caffeine can also act by arousing you out of deeper sleep which may be noticed as you not feeling rested despite having slept for 7 or more hours without consciously waking up.

Besides caffeine, sleep breathing disorders (snoring, sleep apnea, Upper Airway Resistance) also affect sleep quality and depth. It can also leave you feeling unrested in the morning on a consistent basis. UARS is especially prevalent in pre-menopause and menopause. Hormones are protective against airway collapse and as they decrease, sleep breathing disorders tend to show up.

Typically sleep apnea is reported by bedpartners as loud snoring, pauses in breathing – sometimes with a gasp, jerks while sleeping, lack of dreaming, among other signs and symptoms. Women with UARS rarely snore or aren’t aware of waking throughout the night; they just feel unrested.

Atrial Fibrillation (A-Fib, an abnormal heart rhythm) is associated with sleep apnea due to the interruptions in oxygen that irritate the heart muscle/blood flow. Drug resistant hypertension (high blood pressure) is also associated with sleep breathing disorders, especially in a single drug is ineffective at controlling your hypertension.

There is no identifiable reason or genetic link for sleep that can be found. Our bodies decay daily and our creator made a complex biochemical self-reboot mechanism to refresh our brains, bodies, and every system needed for being awake in every creature. It’s fascinating to learn about the small details of what sleep does and, the differences between men and women in some aspects of sleep.

If you’re having trouble with sleep, ask your physician about a sleep study, or see a sleep specialist. Dentists such as myself who are credentialed in Dental Sleep medicine work closely with physicians to get people screened and treated for their sleep disorders. Oral Appliance Therapy (OAT) is an effective and easy option for the treatment of Sleep Apnea at any level of severity as well as some other sleep breathing disorders for those who don’t want to use CPAP.

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Dehydration, Nighttime Urination, Bedwetting and How It Relates to Obstructive Sleep Apnea

Dehydrated? Get more sleep….Tired? Drink more water….it’s all connected.

This article reviews what we already know about proper sleep time and quality: if your sleep is disrupted it affects our entire body chemistry. Kidney function is also impacted by Sleep Apnea and other sleep breathing problems.

Proper length and depth of sleep is known to affect judgment, executive functioning, attention, mood, as well as a significantly affect our heart health, blood pressure, and increases risk for type 2 diabetes.

It’s been known for decades that children who bed-wet and adults who need to urinate 2-3 times at night likely have Sleep Apnea or one of a couple sleep-breathing problems.

Rosinger & colleagues analyzed 2 large database studies from China, looking at over 20,000 healthy young adults. Sleeping (16-59% more likely) less than 6 hours was correlated with dehydration by symptoms (thirsty) and measuring urine concentration and amount.

What’s the relationship?

Disturbed or shortened sleep disrupts the release of vasopressin, a hormone released at night when sleep quality and duration is normal. This hormone is released later in the sleep cycle in greater quantities and with increasing frequency the longer you sleep. WHY???? Without vasopressin, our kidneys would continue to “fill” throughout the night, causing us to wake up and urinate 2-3 times over a normal 8-hour sleep period. Vasopressin is released throughout the lateral stages of sleep and, with increasing release later in the sleep cycle. This makes sense…if you’re sleeping a “normal” 8 hours and entering all the stages of sleep such as REM and Stage lll, the body releases Vasopressin in those deeper sleep stages to slow the kidneys from filling up and causing you to wake up, go to the bathroom and, have to go back through the sleep stages…it’s disruptive to the body/brain repair sequence as we sleep.

Children with enlarged adenoids and tonsils can’t breathe well in deep sleep, so the body makes them restless and deprives their brain of REM sleep…all the while allowing their kidneys to fill. The result: bedwetting.

Adults who snore, have sleep apnea or women with sleep anxiety or frequent waking also don’t release as much Vasopressin, causing us to wake 2-3 times to urinate. Typically the 1st waking is just after midnight…

By morning, the body has dehydrated itself by the continued water loss and can cause long term dehydration symptoms such as muscle weakness, headaches, fatigue (similar symptoms as sleep apnea contribute to)…

Amazing how our physiology is so intricately designed!

Sleep Deprivation May Cause Dehydration

Published Wednesday 7 November 2018,  

Medical News Today

By Ana Sandoiu

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