sleep Archives - Page 2 of 2

Jet Lag and Sleep

Posted on May 2, 2017 by Xavia Malcolm

Jet lag can profoundly affect sleep and alertness. This sleep disorder occurs when your body’s internal clock (circadian rhythms), which tells you when to sleep, becomes imbalanced after traveling to different time zones.

According to the National Sleep Foundation, when a person travels to a new time zone their “circadian rhythms are slow to adjust and remain on their original biological schedule for several days. This results in our bodies telling us it is time to sleep, when it’s actually the middle of the afternoon, or it makes us want to stay awake when it is late at night.”

Jet lag can lead to daytime fatigue, gastrointestinal problems, mood changes, a general unwell feeling, headaches, mild depression, insomnia and difficulty staying alert and concentrating. These symptoms generally appear within a day or two of travel and can worsen the longer you travel and the more time zones you cross.

There are several ways to combat or minimize the effects of jet lag. Here are a few you can try:

Avoid alcohol the day before your flight and during your flight.
Get plenty of rest before you fly.
Avoid caffeine or other caffeinated beverages before or while traveling.
Drink lots of water.
Wear sunglasses during your flight.
Move around the plane on long flights.
Adapt immediately to the schedule of your destination. While it may be tempting to sleep during the day after your arrival, it is advised that you stay up and active and expose your body to sunlight.
Avoid heavy meals upon arrival to your destination.

Symptoms of jet lag are mostly temporary and typically last a few days; however, if you are a frequent flyer they may become more severe. You can speak with your doctor or a sleep specialist who may recommend treatments such as light therapy, melatonin supplements or prescription medication.

To schedule an appointment with a sleep specialist at Jamaica Hospital Medical Center, please call 718- 206-5916.

All content of this newsletter is intended for general information purposes only and is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Please consult a medical professional before adopting any of the suggestions on this page. You must never disregard professional medical advice or delay seeking medical treatment based upon any content of this newsletter. PROMPTLY CONSULT YOUR PHYSICIAN OR CALL 911 IF YOU BELIEVE YOU HAVE A MEDICAL EMERGENCY.

Dr’s Tips- Snoring and Solutions

Posted on February 28, 2017 by Xavia Malcolm

Here is a wake-up call for snorers; did you know that snoring affects approximately 90 million adults living in the United States? “Although snoring is common and many of us have learned to live with it, the truth is snoring is not normal and should not be ignored,” states Dr. Mayank Shukla; sleep specialist at Jamaica Hospital Medical Center.

Snoring occurs when air flow through the nose or mouth is physically obstructed while sleeping. This can be the result of several factors including nasal congestion, excessive throat and nasal tissue, sleep deprivation or a tongue muscle that has become too relaxed during sleep.

Snoring on occasion does not raise cause for great concern. People who snore occasionally could try the following solutions recommended by Dr. Shukla to help them or their loved ones to get a restful night’s sleep:

Avoid sleeping on your back
Use a humidifier if the air in your room is dry
Adjust your pillows to keep your head elevated
Open nasal passages by using steam , nasal strips or salt water rinse
Reduce consumption of alcohol or other sedatives
Stay hydrated
Get your recommended amount of sleep

However, if you are a frequent snorer, these solutions may not benefit you as there may be serious health conditions such as stroke, heart disease or hypertension connected to your chronic snoring. Dr. Shukla suggests that you consult your physician as soon as possible if you are experiencing the following symptoms:

Frequent waking from sleep
Chronic headaches
Daytime sleepiness
Irritability
Difficulty concentrating
Gasping for air or choking while snoring

These symptoms are commonly associated with Obstructive Sleep Apnea (OSA), a disorder which causes a person to stop breathing for short periods of time during sleep. OSA can lead to complications such as heart disease, stroke and in severe cases, death. A sleep study may be required to diagnose OSA.

There are several treatments your doctor may recommend; the most common is a CPAP (continuous positive airway pressure) machine. Additional methods of treatment may include medication, oral appliances, surgery, or lifestyle adjustments such as losing weight or quitting smoking.

Jamaica Hospital’s state- of-the-art Sleep Center provides several testing options to diagnose and treat sleep disorders such as obstructive sleep apnea. Our staff consists of highly skilled, board-certified sleep specialists and respiratory therapists. We also boast an impressive 2:1 technician patient ratio, which provides our patients with the optimal attention they need during their sleep study. To schedule an appointment with Dr. Mayank Shuklah or other sleep specialists at Jamaica Hospital, please call, 718-206-5916.

Chronic Fatigue Syndrome

Posted on January 26, 2017 by Andrew Rubin

Chronic Fatigue Syndrome (CFS) is a chronic illness that is of unknown origin. It typically leaves the patient feeling extremely tired, it may get worse with mental or physical activity, and usually does not improve with rest. There are a few theories as to what causes the condition but none have been proven. Some physicians believe it may be caused by a viral infection or possibly caused by stress.
There are eight signs and symptoms of Chronic Fatigue Syndrome:
• Fatigue
• Loss of memory or concentration
• Sore throat
• Muscle pain that is unexplained
• Enlarged lymph nodes in neck or armpits
• Joint pain without swelling or redness
• Headaches
• Sleep that does not refresh the body
• Extreme exhaustion that lasts more than 24 hours
Some factors that may contribute to Chronic Fatigue Syndrome are:
• Age – Usually affects people in their 40’s and 50’s
• Gender – Affects women more often than men
• Stress – People under a lot of stress may develop the condition more frequently
• Depression
• Lifestyle restrictions – owing to physical disability or being home bound.
It is important to have a thorough check up to make certain that there are no other chronic health issues that may be causing symptoms similar to chronic fatigue syndrome. There is no cure for the condition and treatment options are geared towards the improvement of the symptoms. In some cases antidepressants may be used and sleeping pills which may aid in getting some rest. If you would like to make an appointment with a physician at Jamaica Hospital to discuss unexplained fatigue, please call 718-206-6742.

Is Social Media Making Me Fat?

Posted on March 29, 2016 by Joann Ariola

Have you ever wondered why when you see postings of food on social media that are pleasing to your eyes, you immediately begin to desire that food or think, “Gee, I’m hungry?

The human mind is divided into two parts, the conscious and subconscious mind. The conscious mind works while we are awake, while the subconscious mind is always activated. The subconscious mind regulates everything in our body, our character, our speech and receives and processes information. The food and beverage postings on social media speak directly to our conscious and subconscious mind.

According to researchers, 70 percent of household meals in America are influenced by digital media. Pictures of food and beverages show up on news feeds 63 percent of the time. One popular social media site noted that a widely used food hashtag marked photos of snacks and meals 54 million times on their site alone.

In addition to subliminally causing you to want to eat more food, studies have shown that people who spent two hours or more using a device with LED display, such as a smart phone or tablet, had a corresponding dip in melatonin levels. Melatonin is the chemical that prepares your body for sleep. When we lose sleep, we can pack on extra pounds because there is a link between sleep loss and weight gain. If you are awake for longer periods of time, you may be more inclined to reach for a late night snack or bag of chips.

Some steps you can take to curb your hunger and promote good health are:

Choose fresh, whole foods like fruits, vegetables, and lean meats.
Prepare your meals at home and limit dining out and processed on-the-go meals.
Try to avoid being distracted by TV, work, driving or surfing on your computer, phone or tablet while eating.
Regulate your social media feed, especially if the pictures of food and beverages make your stomach moan.

Obesity is on the rise because many factors, but keep in mind that you are in control and can make healthy choices to live a healthy life. It’s better to eat with your stomach and not with your eyes.

Rare but True: Sleeping Beauty or Kleine Levin Syndrome

Posted on March 15, 2016 by Xavia Malcolm

sleeping -493503106 Kleine Levin Syndrome (KLS) or Sleeping Beauty Syndrome is a rare neurological condition characterized by recurring periods of excess sleep. It is estimated that 1000 people worldwide are diagnosed with the disorder. Adolescent boys are primarily affected but a small percentage of adults and small children (male and female) are also known to suffer from this condition.

KLS symptoms occur in episodes that can last for days, weeks or months. During each episode, an individual can sleep from 12 to 20 hours a day- only waking to eat and use the bathroom. A person can experience anywhere from two to 12 episodes per year. Symptoms that occur during wakefulness include:

Mood changes
Hyper sexuality
Hallucinations
Disorientation
Child-like behavior
Flu-like symptoms
Excessive eating
Hypersensitivity to noise and light

These symptoms prevent individuals from leading a normal life. Most are bed ridden and unable to attend work or school. The frequency of KLS episodes tend to decrease with age, there is a possibility that they can recur later in life.

The cause of KLS is unknown but it is believed that it may be the result of a malfunction of the hypothalamus and thalamus (the parts of the brain that regulates sleep, body temperature, sex drive and appetite).

There is no cure for KLS but treatment is available to alleviate symptoms. Doctors may prescribe stimulants to reduce excessive sleepiness.

5 Natural Sleep Aids

Posted on February 2, 2016 by Xavia Malcolm

The Centers for Disease Control and Prevention (CDC) recommends that adults should receive between seven to eight hours of sleep each day. However, the National Sleep Council reports that a staggering 48% of people living in the United States do not get enough sleep. Additionally, one- third of our population states that they lay awake a few nights out of each week because they are unable to fall asleep.

These statistics clearly indicate that many of us are having problems falling asleep and getting adequate rest. Without enough sleep, our bodies will not function properly. Sleep is needed to restore parts of the body such as the blood vessels and the heart. It is also needed to promote proper brain function and maintain a healthy balance in hormones.

Trying these natural sleep aids can help you combat sleeplessness and get the rest needed to revitalize your body:

Tart cherries or cherry juice-Tart cherries such as Montmorency cherries contain the amino acid tryptophan, which is essential in producing the hormones serotonin and melatonin. Increased levels of these hormones in the body can create the urge to sleep.
Valerian– Is a natural supplement that is commonly used to ease insomnia. Some studies suggest that it helps people fall asleep faster and improves the quality of sleep.
Hops– Hops are not only known for making beer, this herb is also known for promoting relaxation. Hops are typically boiled and steeped to make a tea. Drinking this a few minutes before bed is said to help in achieving a restful night’s sleep.
Chamomile– This herb is usually ingested in the form of a tea. It contains several compounds such as apigenin and coumarin that are found to have a calming effect on the body.
Melatonin – Melatonin is naturally produced by the body but some people increase their levels by taking supplements. It can be used to help people with disruptive sleep cycles. Physicians recommend that you adhere to taking low dosages (speak to a doctor about which dose is right for you.) This is because taking too much melatonin can cause adverse reactions such as dizziness, headaches and hallucinations.

It is highly recommended that you consult a physician before trying these sleep aids. Although natural, there is the possibility that they can cause side effects. Be certain to inform the doctor of all medications that you are taking, as mixing medications with certain herbs can be hazardous to your health.

How “Annual” Is Your Annual Physical?

Posted on November 30, 2015 by Joann Ariola

A. Yearly

B. Bi-Yearly

C. When I don’t feel good

D. I don’t do doctors

An annual exam is a good way of tracking your health progress. Some of the benefits are:

Primary prevention
To identify risk factors for common chronic diseases
To detect disease that has no apparent symptoms (secondary prevention)
A way for the doctor to counsel people to promote healthy behavior
To update clinical data since your last check-up
To enhance the relationship betweenyou and your doctor

If you are interested in scheduling an exam, Jamaica Hospital Medical Center’s Ambulatory Care Center is centrally located and has convenient hours. Call 718-206-7001 for an appointment.

Rare but True – Alice in Wonderland Syndrome

Posted on August 26, 2015 by Michael Hinck

Alice in Wonderland Syndrome is a rare, but real condition, but it doesn’t involve the Mad Hatter or the Cheshire Cat.

Alice in Wonderland syndrome (AIWS) is a neurological condition where the sufferer has temporary episodes of a distorted perception of their own size and the size of things around them. People with this condition visualize themselves as big as giants or as small as insects. The objects around them also appear abnormally large or small. For instance, someone with AIWS will perceive a teacup either as big as a car or as small as a thimble.

This hallucination-like state typically lasts anywhere from five to 30 minutes. People with AIWS also may experience an impaired sense of space, with objects suddenly seeming very close or far away. In some cases, the sense of touch and sound may also be distorted.

The syndrome references the adventures from the famous novel by Lewis Carroll, where the title character Alice experiences strange events in Wonderland. Many believe that the Carroll himself suffered from this disease and was the inspiration for the story.
The cause of the condition is unknown, although the episodes have been closely associated with the onset of migraine headaches or epilepsy. AIWS can affect anyone, but it is most common in children and young adults. Episodes stop for most over time, but those who experience symptoms are recommended to see a doctor immediately.

Why Do We Snore?

Posted on August 12, 2015 by Michael Hinck

hat do half of all Americans do, but very few admit to, partly because they are unaware that they are doing it? The answer is snore.

Snoring occurs when the flow of air is partially obstructed in some way while we sleep. As air flows past relaxed tissue in the throat, the resulting vibrating sound is snoring. Snoring can take place for a variety of reasons, including:

• The anatomy of your mouth – Having an elongated soft palate or uvula can narrow the opening from the nose to the throat

• Being overweight – Those who are overweight have extra, bulky throat tissue that may narrow the airways

• Obstructed nasal airways – Allergies, a nasal infection or a deviated septum can all contribute to snoring

• Alcohol consumption – Drinking alcohol before bed can relax muscles in the tongue and throat can obstruct the airways

• Sleep apnea – This is a serious condition when your throat tissues partially or completely block your airway, preventing your from breathing

Unless you have an upset spouse inform you that you are snoring, you may be unaware that you have a problem. Look out for the following symptoms if you suspect you are snoring:

• Excessive daytime sleepiness
• Difficulty concentrating
• Sore throat
• Restless sleep
• Chest pain at night
• High blood pressure

To determine the cause of your snoring, your doctor will review your signs and symptoms, review your medical history, and perform an examination. Your doctor may request an x-ray or other imaging tests to check the structure of your airway. To determine is sleep apnea is the reason for your snoring, a sleep study to monitor brain waves, breathing and heart rate, and blood oxygen levels may also be ordered.

Lifestyle changes including losing weight, avoiding consuming alcohol before bed and changing your sleep position by either raising your head or sleeping on your side can reduce the liklihood of snoring. Other aids, such as nasal strips, form fitting mouth pieces, and short term decongestants for allergies or infections can also be helpful.

If these efforts prove unsuccessful, there are a variety of surgical and non-surgical interventions that your doctor could recommend. One of the most common therapies is continuous positive airway pressure (CPAP), which involves wearing a pressurized mask that pumps air through your airways while you sleep.

The Dangers of Sleep Apnea

Posted on March 26, 2015 by Michael Hinck

Sleep apnea is a serious disorder that occurs when a person’s breathing is interrupted during sleep.

Being overweight, over 40, or having a history of sleep apnea in your family are all factors that can increase your risk of developing this condition. Men are more likely to develop sleep apnea than women. Other health factors that can lead to sleep apnea include: reflux, GERD, sinus issues, allergies, or a nasal obstruction due to a deviated septum.
If left untreated, sleep apnea can result in a growing number of health problems, including:

• High blood pressure
• Stroke
• Heart failure, irregular heartbeat, and heart attack
• Diabetes

Symptoms of sleep apnea include loud snoring, restless sleep, frequently waking up while you are sleeping (sometimes with a choking sensation), and waking up with a sore throat. Those who suffer from sleep apnea also feel tired and lack energy while they are awake, experience mood changes, have lapses in concentration, and are forgetful. These waking symptoms can result in decreased productivity at work or school and can lead to potentially dangerous situations, especially while driving.

If sleep apnea is suspected, your doctor may recommend a sleep apnea study called a polysomnogram, which is a test administered by a qualified sleep specialist in a designated sleep center. While at the sleep center, you are assigned a private room where special equipment is used to monitor you. This equipment transmits and records specific physical activities while you sleep. Special technicians determine if you have sleep apnea. If sleep apnea is diagnosed, you may be asked to do further sleep testing in order to determine the best treatment option.

The most common form of treatment is Continuous Positive Airway Pressure (CPAP). This is a treatment in which a mask is worn over the nose and/or mouth while you sleep. The mask is connected to a machine that delivers a continuous flow of air into the nose. This air flow helps keep the airways open so that breathing is regular. Another treatment option is the utilization of dental devices designed to help keep the airway open. Some might benefit from surgery if their sleep apnea is caused by a deviated septum, enlarged tonsils, or a small lower jaw with an overbite.

There are things that people with sleep apnea can do to improve their condition including losing weight, avoiding alcohol and sleeping pills, and quit smoking. Other things that can potentially help are changing sleep positions to improve breathing and avoid sleeping on your back.

If you think you have sleep apnea, speak with your doctor about a sleep apnea test. Jamaica Hospital recently opened a state-of-the-art sleep center for those in need. For more information or to schedule an appointment, please call 718-206-5916.