Sleep Disorder Diagnosis Code

By | March 21, 2017

Natural Cures for Insomnia

Hey guys, Axe here from DrAxe . Oneof the most common things I'll hear from my patients, is they'll say, quot; Axe, I can'tsleep.quot; And if you're one of those people that have trouble falling asleep, or strugglewith insomnia, or you wake up during the night, that's very common. In this tutorial I'm goingto go through the exact steps you need to follow to get better quality of sleep andto help you fall asleep fast. Step number one in overcoming sleep deprivationis to change your diet, surprisingly. And, for a lot of people, their diets are keepingthem from falling asleep. Before you go to bed, you need to really drop your carbohydrateconsumption. If you're consuming too many

sugars and carbs, your body is burning those,it's getting warm. And so, lowering that sugar, and grain intake, and carbohydrate intakebefore bed is important. And get some good quality fats before you go to bed. Somethinglike an avocado is a great food to actually help you fall asleep at night, either avocadoor some organic yogurt. So again, avocado and organic yogurt, are the best foods tohelp you naturally fall asleep. The reason they work is those foods are high in magnesiumand potassium. Magnesium and potassium are two crucial nutrients you need to help relaxthe body and to help you fall asleep at night. So remember avocado and yogurt, the top twofoods you can consume just a little bit here

or there in the evening that will help youfall asleep at night. The second step you need to do to overcomeinsomnia is to reduce stress. And for most people, along with diet, this is the big thingthat's keeping you up at night, is your mind starts racing, you keep thinking and you can'tshut your brain off. And there are several reasons for that. One, is you watched TV upuntil the point that you went to bed. That visual stimulus you're watching constantly,especially the blue light, and that doesn't just include the TV screen, it also includesyour computer, your iPad, or your phone. And that light is blue light, which actually tellsyour pineal gland in your brain that it actually

needs to keep running, so it messes with yourcircadian rhythms and cortisol levels. It keeps you from falling asleep at night whenyou were looking at that bright blue light in the computer screens and TV screens. So,about 30 minutes at least, ideally, an hour, but at least 30 minutes before bed, you needto shut off all electronics, and you need to start reading something that helps yourelax. Or start journaling. So you can get out ajournal and start writing things down. You can look at your schedule for the next dayand write that down. But I really recommend reading a novel that you enjoy, reading adevotional, your Bible, or just something

that helps you relax and wind down at least30 minutes before bed. And that's going to help, and in general reducing stress. And if you have something that's really stressingyou out, that's keeping you from sleeping at night, I recommend you start writing downthose things that stress you out. Work on addressing those the best you can, and thenstart scheduling things into the week that you love to do. It is so important. If you'vehad a great day, and you've been happy all day, it actually creates certain hormonesin your body known as endorphins that actually help you fall asleep at night. So actually,having a good mood throughout the day can

help improve your sleep at night. So stepnumber two, shut down the computers and read a book before bed. As well as just add somejoy into your life. Reduce stress; it's very important for falling asleep at night. Step number three, is take quality supplements,especially a magnesium supplement. And taking a magnesium supplement, about 400 to 500mga night before bed, can help you naturally reduce stress, and really improve sleep. Andso I recommend a high quality magnesium chelate or magnesium citrate before bed. So takinga magnesium supplement can help you fall asleep. Also supplements like melatonin can help,or valerian root. But I don't recommend doing

Obstructive Sleep Apnea versus Central Sleep Apnea

Obstructive sleep apnea is when the airwaybecomes narrowed or obstructed and you're making the effort to breathe but we do notsee any flow in air movement coming from your nose or mouth. Where central sleep apnea occurswhere your brain forgets to tell your body to breathe. If we're looking at it from avery simplistic term and so we do not see the drive to breathe. So the first step isto come into the and be seen by one of our physicians in the sleep medicine .We'll go through a questionnaire and try to determine what risk factors we think you havefor sleep apnea such as obesity, snoring, daytime sleepiness and then if we think thatyou have a high risk for meeting those criteria

then we would set you up for a sleep studyeither in your home to do an overnight sleep study or in our laboratory, depending on yoursituation. The CPAP can be used to treat both conditions and, in some patients, that isenough. However, there are some patients that have more complex types of central sleep apneathat require more complicated types of machines to treat that condition. Obstructive sleepapnea actually has been linked to a lot of other problems such as high blood pressureand then, you know, difficulty functioning during the day. If it goes untreated for along period of time there's an increased risk of early heart problems and those types ofthings.

Narcolepsy Diagnosis and Treatment

Narcolepsy in in most simple terms is basicallya very distinct drive to want to sleep. You're feeling very sleepy all the time, sometimescan fall asleep even without being aware that you're falling asleep. And so somebody canbe in mid sentence talking to somebody and nod off and not even realize they were sleepyenough to be falling asleep. Typically what we see when patients come in is is hypersomniaor over sleepiness is how most patients present. To diagnose narcolepsy we actually need twotypes of sleep studies. We send the patient to the laboratory to get an overnight sleepstudy to look for any other sleep disorders specifically to rule out things like sleepapnea since that can also make you sleepy

during the day. If we do not see any evidenceof abnormalities on the overnight sleep study and a patient has slept well, slept five,six, seven hours, then we go on the next day to do something called an MSLT. And that studyis basically a series of naps that you do the next day in the lab while you're hookedup to our EEG machine so that we can tell whether you're actually truly in sleep ornot. And if you go into REM sleep during those naps after you've just slept a full night'ssleep, there are certain criteria of how many REM episodes you have that leads us to beable to give you a firm diagnosis or not of narcolepsy. There's a lot that actually goesin to the treatment of narcolepsy both from

the physician standpoint as well as the patientstandpoint. So it's very important for somebody that has narcolepsy to get really adequatesleep. We recommend that they get usually between eight and ten hours of sleep a nightand that they have a very consistent sleepwake schedule. We also oftentimes recommend quickdaytime naps, ten to fifteen minute naps in the morning and in the afternoon, which canbe very refreshing for a patient with narcolepsy. And then typically that's also paired witha medication that helps stimulate the brain. There's a thought that narcolepsy probablydoes have some genetic predisposition and some genetic base. It can run in familiesso from that standpoint you probably are you

may be born with it but typically we don'tdiagnose it until the teenage years at least.

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