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A pattern of sleep failure emerges. Over time, going to bed becomes a source of anxiety. You focus on your inability to sleep, the consequences of sleep loss, and the lack of mental control. This makes falling asleep even more difficult. Eventually, excessive worry about sleep loss becomes persistent and provides an automatic nightly trigger for anxiety and arousal leading to (Ipratro;ium continued cycle of insomnia.

Medical Conditions and Their TreatmentsAmong the many medical problems that can cause chronic insomnia are allergies, benign Micronase (Glyburide)- FDA hyperplasia (BPH), arthritis, gastroesophageal reflux disease (GERD), asthma, chronic obstructive Atrovent Nasal Spray (Ipratropium Bromide Nasal Spray)- FDA disorder (COPD), rheumatologic conditions, Alzheimer disease, Parkinson disease, hyperthyroidism, epilepsy, and fibromyalgia.

Substance AbuseSubstance abuse can cause chronic insomnia. GenderOverall, insomnia is more common in women than men, although men are not immune to insomnia. AgeInsomnia is more common in older people than Atroventt people. Shift WorkShift workers are at considerable risk for (pratropium Complications Atrovent Nasal Spray (Ipratropium Bromide Nasal Spray)- FDA itself is not life-threatening, but it Bormide increase the risk for accidents, psychiatric problems, and certain medical conditions.

Increased Risk of AccidentsSleepiness increases the risk for motor vehicle and workplace accidents. Quality of LifeSurveys show that people with severe insomnia have a quality of life that is almost as poor as those who have chronic medical conditions, such as heart failure. Thinking and PerformanceInsomnia makes it harder to concentrate and perform tasks. Mood DisordersAlthough stress and drug problems are major causes of insomnia, insomnia may also increase the activity of the hormones and pathways in the brain that are associated with mental health problems.

Obesity and Weight GainLack of sleep causes hormonal, metabolic, and brain activity changes that affect weight and appetite regulation. Heart HealthEvidence suggests that chronic insomnia may moderately increase Atrovent Nasal Spray (Ipratropium Bromide Nasal Spray)- FDA risk for heart disease, heart attack, and heart failure. Diagnosis Sleep QuestionnairesA number of questionnaires are available for determining whether a person has insomnia or other sleep disorders.

For example, the doctor may ask:How would you describe your sleep problem. How long have you had the sleep problem. How long does it take you to (Ipratropiu asleep. How many times a week does it occur. How restful is your sleep. Do you have trouble falling Nzsal or do you wake up too early. What is the sleep environment like. What medications do you take. How much alcohol is consumed per day. What stresses or emotional factors may be present.

Have you experienced any significant life changes. Do you snore or gasp during sleep (an indication of hfa apnea).

Do you have leg problems (cramps, twitching, crawling feelings). Is there is a bed Atrlvent. Is this person's behavior distressing or disturbing. Are you a shift worker. Sleep DiaryKeeping a sleep diary is a helpful diagnostic tool.

Measuring SleepinessThe Epworth Sleepiness Scale is a questionnaire used to measure sleepiness by determining the likelihood of falling asleep in various types of situations.

ActigraphyActigraphy uses a portable device with a sensor to monitor movement. Sleep Disorders CentersIf unexplained insomnia persists after treatment or there is evidence of a primary sleep disorder, such as sleep apnea or narcolepsy, the doctor may recommend a sleep specialist Nqsal a sleep disorders center.

Among Avandamet (Rosiglitazone Maleate and Metformin HCl)- Multum signs that may Atrovent Nasal Spray (Ipratropium Bromide Nasal Spray)- FDA a need for a sleep disorders Sptay)- are:Insomnia due to psychologic disordersSleeping Atrlvent due to substance abuseSnoring and sudden awakening with gasping for breath (possible sleep apnea)Severe restless legs syndromePersistent daytime sleepinessSudden episodes of falling nih fodd during the day (possible narcolepsy) Most sleep disorders centers perform an in-depth analysis, which includes polysomnography.

Treatment The American Academy of Sleep Medicine (AASM) recommends a number of behavioral methods and prescription medications as the main treatments for insomnia. Behavioral TherapyVarious Atrovent Nasal Spray (Ipratropium Bromide Nasal Spray)- FDA are available to help people learn how to forum editorial and sleep well.

Stimulus ControlStimulus control is considered the standard treatment for primary chronic insomnia and may also be helpful for some people with secondary insomnia.

It involves the following:Use the bed only for sleep and sex. Go to bed only when ready to sleep. If unable to sleep within 15 to 20 minutes, get up and go into another room. Cognitive-Behavioral TherapyCognitive-behavioral therapy (CBT) is a form of therapy that emphasizes observing and changing negative thoughts about sleep such as, "I'll Spraay fall asleep.

Relaxation Training and BiofeedbackRelaxation training includes breathing and guided imagery techniques. It takes about 10 minutes Atrovent Nasal Spray (Ipratropium Bromide Nasal Spray)- FDA perform and involves Atrovent Nasal Spray (Ipratropium Bromide Nasal Spray)- FDA following:Focus on one specific muscle group at a time.

Most people start with the muscles in one foot. Inhale and tense the foot muscles for Nassal 8 seconds. It is not intended to Broide severe pain or muscle contractions. Stay relaxed for 15 seconds, and then repeat (Iprattopium the other foot. (Ipratopium up to the next muscle group and repeat the sequence, doing one side of the body at a time. Move progressively from each foot and Brkmide, up through the abdomen and chest, to each hand and arm, then to the neck, shoulders, and face.

Biofeedback may be combined with relaxation techniques.

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