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Night Terrors in Children

Night Terrors in Children

Night terrors are a common sleep disorder that can affect children, causing them to experience intense fear and confusion during their sleep. As a parent or caregiver, it can be distressing to witness your child going through night terrors.

What are Night Terrors?

Night terrors, also known as sleep terrors, are episodes of intense fear or terror that occur during sleep. They usually occur within few hours after bedtime. Unlike nightmares, after a night terror a child is not able to remember the dream when he or she awakens in the morning.

Night terrors are more common in children aged 3 to 8 years but can occur at any age. Sometimes, recurring sleep terrors are a symptom of other sleep disorders like obstructive sleep apnea. They affect 2% to 7%of children and usually peak between ages 4 and 7. Most children outgrow them before their teens.

Causes:

The exact causes of night terrors are not fully understood, but several factors can contribute to their occurrence including:

  • Overstimulation: Overtiredness, exhaustion, or disrupted sleep patterns can trigger night terrors.
  • Genetics: A family history of night terrors or other sleep disorders may increase the likelihood of a child experiencing them.
  • Stress or Anxiety: Emotional stress, anxiety, or significant life changes can contribute to night terrors in some children.
  • Fever or Illness: High fevers or certain illnesses may be associated with an increased risk of night terrors.
  • Obstructive Sleep Apnea (OSA) –untreated OSA increases the amount of arousals children have overnight and can increase the risk of night terrors occurring, This should particularly be considered if they are having multiple night terrors a week or in the same night as that would be an abnormal frequency for night terrors alone.

Symptoms:

Recognizing the signs of night terrors can help you differentiate them from other sleep disturbances. Common symptoms include:

  • Sudden awakening from sleep with a look of intense fear
  • Loud screaming or crying that is difficult to console
  • Rapid breathing and increased heart rate
  • Sweating and physical agitation
  • Difficulty recognizing or interacting with others during the episode
  • Limited or no memory of the even upon awakening

Managing Your Child’s Night Terrors:

While they can be distressing, there are several steps you can employ to help your child through a night terror

  1. Maintain a Consistent Sleep Schedule: Establish a regular sleep routine to ensure your child gets enough restful sleep each night. Consistency can help prevent overstimulation and reduce the occurrence of night terrors.
  2. Create a Soothing Bedtime Routine: Implement calming activities before bedtime, such as reading a book or taking a warm bath. This can help your child relax and transition into sleep more easily.
  3. Create a Safe Sleep Environment: Make sure your child’s bedroom is safe and free from any potential hazards. Use a night light if your child feels more comfortable with some light in the room.
  4. Minimize Stress and Anxiety: Encourage open communication with your child and provide reassurance and support during the day. If your child is experiencing stress or anxiety, consider incorporating relaxation techniques, such as deep breathing exercises or visualization, into their daily routine.
  5. Avoid Triggers: Identify and minimize potential triggers for night terrors, such as certain foods, drinks, or activities close to bedtime. Additionally, limit exposure to stimulating media before sleep.
  6. Ensure Safety During Episodes: If your child experiences a night terror, make sure they are safe by gently guiding them back to bed without waking them fully. Attempting to wake or restrain them may prolong the episode or increase distress.
  7. Seek Professional Advice: If night terrors persist or significantly affect your child’s well-being or daily functioning, consider consulting your pediatrician or a sleep medicine professional for further evaluation and guidance.

Night terrors can be unsettling for both children and parents, but with understanding and effective strategies, they can be managed. By creating a consistent sleep routine, providing a supportive environment, and minimizing potential triggers, you can help your child navigate through night terrors and ensure they have a restful night’s sleep.

Our sleep medicine specialists at Comprehensive Sleep Care Center can determine whether these events are night terrors or whether they are symptoms of a more serious sleep disorder like sleep apnea. Our doctors will combine the information they learn from your child’s sleep history, physical exam, and other test, like a sleep study, to make the diagnosis.

Ten Tips to Beat Insomnia

Ten Tips to Beat Insomnia

An estimated forty million Americans deal with insomnia each year. Below we will touch on some tips to help you beat insomnia.

Chronic insomnia can have a negative impact on your health. It can increase your risk of depression and high blood pressure. Insomnia also can lower your quality of life.

Common symptoms of insomnia include:

  • Fatigue
  • Inability to focus or concentrate
  • Poor memory
  • Mood disturbance
  • Daytime sleepiness
  • Low motivation or energy
  • Increased errors or accidents

Insomnia can be a frustrating and challenging condition, but there are several strategies you can try to help manage it.

Here are some tips for dealing with insomnia:

  1. Stick to a regular sleep schedule: Establish a consistent sleep routine by going to bed and waking up at the same time every day, even on weekends. This helps regulate your body’s internal clock and improve your sleep quality over time.
  2. Create a sleep-friendly environment: Make your bedroom conducive to sleep. Keep the room cool, dark, and quiet. Use comfortable bedding and invest in a good mattress and pillow. Consider using earplugs, an eye mask, or a white noise machine if necessary.
  3. Limit exposure to screens before bed: The blue light emitted by electronic devices can interfere with your sleep. Avoid using smartphones, tablets, computers, and TVs at least an hour before bedtime. Instead, engage in relaxing activities like reading a book or taking a warm bath.
  4. Avoid stimulating substances: Reduce or eliminate the consumption of caffeine, nicotine, and alcohol, especially in the evening. These substances can disrupt your sleep patterns and make it harder to fall asleep or stay asleep throughout the night.
  5. Establish a pre-sleep routine: Engage in relaxing activities before bed to signal to your body that it is time to wind down. This could include listening to calming music, practicing relaxation techniques such as deep breathing or meditation, or doing gentle stretches.
  6. Create a comfortable mindset: If racing thoughts or anxiety keep you awake at night, try keeping a journal or writing down your worries before bed. This can help clear your mind and alleviate stress. You may also find it helpful to practice mindfulness or engage in cognitive-behavioral therapy techniques.
  7. Exercise regularly: Regular physical activity can improve sleep quality. However, try to complete your exercise routine at least a few hours before bedtime, as exercising too close to bedtime can have a stimulating effect.
  8. Avoid napping: If you are having trouble sleeping at night, it is best to avoid daytime napping. If you do need to nap, limit it to a short duration (around 20-30 minutes) and schedule it earlier in the day.
  9. Consider your sleep environment: Evaluate your bedroom for factors that may be disrupting your sleep, such as uncomfortable temperatures, noise, or an unsupportive mattress. Make any necessary adjustments to create a more sleep-friendly environment.
  10. Consult a healthcare professional: If your insomnia persists despite your efforts, it may be beneficial to consult a healthcare professional. They can help identify any underlying causes and suggest further treatment options, such as cognitive-behavioral therapy for insomnia (CBT-I) or medication if appropriate.

Remember that everyone’s sleep needs are different, so it may take some time and experimentation to find what works best for you.

If your symptoms continue consult a sleep medicine center that is accredited by the American Academy of Sleep Medicine.

Comprehensive Sleep Care Center has 10 convenient locations.

  • Virginia- Alexandria, Arlington, Chantilly, Dumfries, Fredericksburg, Lansdowne, Manassas, Woodbridge
  • Maryland – Bethesda, Germantown

 

Why am I so tired but I can’t sleep at night?

Why am I so tired but I can’t sleep at night? There can be several reasons why you might be having difficulty sleeping at night.

Here are a few common factors that can contribute to sleep problems:

  1. Stress and Anxiety: Stressful life events, work pressure, or personal issues can make it difficult to relax and fall asleep. Anxiety about the day ahead or general worry can keep your mind active and prevent you from falling asleep easily.
  2. Poor Sleep Habits: Irregular sleep schedule, consuming caffeine or stimulating substances close to bedtime, using electronic devices (such as smartphones or laptops) before bed, or having an uncomfortable sleep environment can disrupt your sleep.
  3. Medical Conditions: Certain medical conditions, such as insomnia, sleep apnea, restless legs syndrome, chronic pain, or psychiatric disorders, can interfere with sleep. If you suspect a medical condition is causing your sleep problems, it’s advisable to consult a sleep medicine professional.
  4. Environmental Factors: External factors like excessive noise, uncomfortable room temperature, or an uncomfortable mattress and pillow can affect your ability to fall asleep and stay asleep.
  5. Poor Sleep Hygiene: Not following good sleep hygiene practices can disrupt your sleep. This includes having an irregular sleep schedule, not maintaining a relaxing bedtime routine, or engaging in stimulating activities before bed.
  6. Medications or Substances: Certain medications, such as antidepressants, can interfere with sleep. Additionally, substances like nicotine, alcohol, and certain stimulants can disrupt your sleep patterns.

Each night millions of people in the U.S. struggle to fall asleep or stay asleep. For some, this is only a brief problem. For others, it can be insomnia.

If you’re consistently having trouble falling asleep or staying asleep help is available:

  • Talk to your doctor about any ongoing sleep problems. Ask about the sleep-related side effects of your medications.
  • Contact a sleep disorders center that is accredited by the American Academy of Sleep Medicine.

Here are 8 tips to better sleep.

What is a CPAP and why do you need one?

What is a CPAP and why do you need one?

U.S. President Joe Biden has begun using a continuous positive airway pressure machine, or CPAP, to treat his sleep apnea and improve his sleep quality White House officials said on Wednesday.
So, what exactly is a CPAP?

A CPAP (Continuous Positive Airway Pressure) machine is a medical device used primarily to treat sleep apnea. Sleep apnea is a sleep disorder characterized by repeated pauses in breathing or shallow breaths during sleep. These pauses in breathing can disrupt sleep and lead to other health issues.

 

How does a CPAP work?

The CPAP machine works by delivering a constant flow of air pressure to the person’s airways through a mask worn over the nose or both the nose and mouth. The increased air pressure helps to keep the airways open, preventing them from collapsing or becoming blocked during sleep. By maintaining open airways, the CPAP machine ensures a continuous and uninterrupted flow of oxygen, allowing the person to breathe normally while asleep.

Obstructive Sleep Apnea

Who needs a CPAP?

The primary purpose of CPAP therapy is to alleviate the symptoms of sleep apnea, which include excessive snoring, daytime fatigue, morning headaches, and poor concentration. It can also help reduce the risk of associated health problems such as cardiovascular diseases, high blood pressure, and diabetes. CPAP therapy is usually prescribed after a sleep study or a diagnosis of sleep apnea by a medical professional.

It is important to note that CPAP machines are prescribed and monitored by healthcare professionals. They can provide different settings and pressures tailored to individual needs. Regular usage of the CPAP machine during sleep is essential to get its full benefits and improve overall sleep quality and health.

If you think you might be suffering from sleep apnea, our sleep medicine specialists at Comprehensive Sleep Care Center are here to help. We have ten convenient locations in Alexandria, Arlington, Bethesda, Chantilly, Dumfries, Germantown, Fredericksburg, Lansdowne, Manassas, and Woodbridge. Visit out website or give us a call at 703-729-3420 for more information on sleep apnea and its various treatment options.

Drowsy driving – Do you know the dangers?

Drowsy driving – Do you know the dangers?

Drowsy driving can be just as dangerous as driving under the influence. It is the dangerous combination of driving when sleepy. This usually happens when a driver has not slept enough, but it can also happen because of untreated sleep disorders like Sleep Apnea. People with undiagnosed or untreated sleep disorders are 7 times more likely to fall asleep at the wheel. Prescription and over-the-counter medications can also cause drowsiness, and alcohol can interact with sleepiness to increase both impairment and drowsiness.

Nearly 30 percent of American drivers have admitted to falling asleep at the wheel, according to a recent National Sleep Foundation poll, and more than half said they have driven while drowsy.

Maybe it has happened to you. You end up at your destination and don’t even remember much of the drive. You jerk awake when you hear the rumble strips and realize the vehicle was drifting toward the shoulder. Drowsy driving is impaired driving. It affects your ability to drive safely, even if you do not fall asleep at the wheel.

Drowsy driving can:

  • Slow down your reaction time
  • Decrease awareness
  • Impair judgment
  • Decrease eye hand coordination
  • Increase your risk of crashing

Whenever you are getting ready to drive, ask yourself, “Am I alert enough to operate a 3,000-pound moving machine on public roads?”

Drowsy Driving = Impaired Driving

Being awake for 17- 19 hours is comparable to having a blood alcohol content of 0.05%. After longer periods without sleep, performance reached levels equivalent to a BAC of 0.1%.

Who is most at risk?

  • Young people, especially males under age 26
  • Shift workers and people with long work hours
  • Commercial and long-haul drivers
  • People with undiagnosed or untreated sleep disorders
  • Business travelers who spend many hours driving or may be jet lagged

Just like drunk, drugged, and distracted driving, drowsy driving is a real public health issue. According to the AAA Foundation for Traffic Safety, drowsy driving has caused thousands of car crashes each year killing an estimated 6,400 people in the U.S. alone. The National Highway Traffic Safety Administration reports an estimated 100,000 crashes each year are caused primarily by drowsy driving, resulting in more than 71,000 injuries and $12.5 million in damages.

8 Drowsy Driving Warning Signs to Watch for:

  1. Finding it hard to focus on the road, frequent blinking, or heavy eyelids
  2. Starting to daydream, wandering eyes, and having disconnected thoughts
  3. Having trouble remembering the last few miles you’ve driven
  4. Missing an exit or ignoring traffic signs
  5. Yawning repeatedly or rubbing your eyes
  6. Finding it hard to keep your head up or nodding off
  7. Drifting from your lane or hitting a shoulder rumble strip
  8. Restlessness, irritability, and aggressiveness including tailgating

If you notice these warning signs for drowsy driving, pull over to a safe place and get some rest.  Get out and stretch your legs or drink a caffeinated beverage. Simply turning up the radio or opening a window are not effective ways to keep you alert. Resume driving once you feel more alert and refreshed.

 Be Proactive

 Falling asleep at the wheel is preventable! Here are some things you can do before hitting the road:

  • Plan your long trips with a companion.
  • Schedule regular stops for your trip, every 100 miles or two hours.
  • Avoid alcohol and be aware of any medications that may cause drowsiness.

 Get the sleep you need to be alert and refreshed when you drive

 Consult one of our sleep medicine specialists here at Comprehensive Sleep Care Center if you are experiencing frequent daytime sleepiness or often have difficulty staying awake while driving.  Call our office and make an appointment with one of our sleep medicine professionals. Let us help you to Say Hello to Sleep Again.

Comprehensive Sleep Care Center has 10 locations in Virginia and Maryland (AlexandriaArlingtonBethesdaChantillyDumfries, FredericksburgGermantownLansdowneManassasWoodbridge).

 

 

 

 

Can a Dirty CPAP Make You Sick?

Can a Dirty CPAP Make You Sick?

Why keeping your CPAP clean is important

Do CPAP machines really get dirty? Yes! A dirty CPAP machine can harbor germs and make you sick if they are not cleaned regularly.

Over time, bacteria and oils on a dirty mask may give you a rash or infection on the skin. If the water tank is not cleaned regularly there is the potential for bacteria or mold to grow.

If you are frequently sick or experience any of the following symptoms a dirty CPAP machine could be the problem.

  • Congestion
  • Runny nose
  • Sinus infections
  • Sneezing
  • Sore throat
  • Skin irritation
  • Airway/lung irritation
  • Respiratory infection

Regularly cleaning your CPAP (Continuous Positive Airway Pressure) machine is essential for several reasons:

  1. Hygiene: Cleaning your CPAP machine helps maintain good hygiene by removing bacteria, mold, and other potential contaminants. The warm and moist environment inside the CPAP machine provides an ideal breeding ground for these microorganisms, which can lead to respiratory infections and other health issues if inhaled.
  2. Preventing Allergies: Dust, pollen, and other allergens can accumulate in the CPAP machine over time. If not cleaned regularly, these particles can be released into the air you breathe, potentially triggering allergies and exacerbating respiratory conditions such as asthma.
  3. Prolonging Machine Lifespan: Proper maintenance and cleaning can help extend the lifespan of your CPAP machine. Dust and dirt buildup can cause clogs and reduce the effectiveness of the machine. Regular cleaning ensures that the components function optimally and reduces the risk of mechanical failures.
  4. Maintaining Efficacy: A clean CPAP machine delivers the prescribed air pressure effectively. If the mask, tubing, or filters are dirty, the airflow may be obstructed, reducing the therapeutic benefits of CPAP therapy. Cleaning the machine regularly helps maintain consistent and adequate air pressure, ensuring optimal treatment for sleep apnea or other respiratory conditions.

Remember a dirty CPAP can make you sick. So, with regular care, maintenance, and cleaning your CPAP will provide a more pleasant sleep experience and help you breathe easier.

Check out our CPAP Cleaning Instructions Here.