There are numerous people that have an undiagnosed sleep problem. They might feel very sleepy throughout the day. They could have difficulty falling to sleep or staying asleep. Friends or relatives may tell them they look very tired. They could experience mood changes, irritability or become overly emotional. Frequently they have difficulty being attentive, concentrating, or remembering things that are important. These are all symptoms of sleep deprivation, and possibly of a sleep disorder.
A person that has an undiagnosed sleep problem will typically answer the question, “What is the problem with your sleep,” with one of five responses. Those answers will probably be; “I’ve trouble falling asleep,” ” I’ve difficulty remaining awake,” “I can’t get on my feet in the morning,” “I appear to do bizarre things in my sleep” or “I can’t sleep due to my partner.” The actual reply selected can help to narrow down the potential for a specific kind of sleep disorder.
When someone says “I can’t fall asleep” it may denote several things. There could be a problem when first going to bed, after waking up in the middle of the night, or in the early morning hours.
Most people have the challenge of not being able to fall asleep if they go to bed. This known as sleep latency. Sleep latency can be a very serious symptom of certain sleep disorders, including sleep onset insomnia, delayed sleep phase disorder, shift work, restless leg syndrome or paradoxical insomnia. Many times the problem is not being able to stay asleep, which is sleep fragmentation. Frequently a person with this complaint could fall to sleep without difficulty when they go to bed, but wake up often throughout the night. Sleep disorders can include sleep maintenance insomnia, shift work. If someone wakes up very early in the morning and cannot get back to sleep, it could be a sign of advanced sleep phase disorder or sleep maintenance insomnia.
If the answer to the question is “I am unable to stay up” and the individual is falling asleep at inappropriate times there may be a sleep disorder such as narcolepsy , obstructive or central sleep apnea, periodic limb movement disorder, restless leg syndrome, shift work or advanced sleep phase disorder.
People who say “I can not get on my feet in the morning” and take an hour or more to fully wake from their sleep may be afflicted by excessive sleep inertia. They are having trouble making the transition from sleep to being awake. Sleep issues that could be the cause of excessive sleep inertia are sleep apnea and delayed sleep phase disorder.
A person who answers the question with “I do bizarre things in my sleep” might find that their sleep is filled with surprises. Sleepwalking, Sleep terrors, confusional arousals, REM sleep behavior disorder, nightmares, sleep-related eating disorder and bruxism are all types of sleep disorders known as parasomnias.
If a person answers “I am unable to sleep because of my partner” snoring, sleep apnea, bruxism, restless leg syndrome, or periodic limb movement disorder may be the sleep disorder to blame.
How would you answer the question of “What is the issue with your sleep?
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