Is this your symptom?
- Trouble falling asleep
- Trouble staying asleep (waking up a lot)
- Waking up too early
Some Basics...
- Most healthy adults need 8 hours of sleep each night.
- Some people can do well with as little as 6 hours a night. Other people need 9 or more hours.
Types
Insomnia can be acute (short-term) or chronic (long-term).
- Acute insomnia lasts less than a week or two. Common causes include caffeine, stress, travel, alcohol, and certain medicines.
- Chronic insomnia is an ongoing problem that lasts longer than 2 to 3 weeks. It may last months or years. Causes of long-term insomnia include some medical problems, chronic pain, and depression.
Causes - Environmental
- Eating or exercising just before bedtime
- Jet lag
- Napping during the daytime
- Shift work where a person is working varying shifts or evening/night shifts
- Too much light or noise in the bedroom
- Too warm in the bedroom
Causes - Medical
- Alcohol
: Drinking alcohol can make a person feel sleepy. However, it decreases sleep quality. It causes people to wake up in the middle of the night.
- Breathing problems from any cause (such as asthma, COPD, or heart failure)
- Caffeine: Caffeine is a stimulant. It is a common cause of insomnia. People who have insomnia should avoid drinking anything with caffeine (such as coffee, colas) after 3 PM (within 6 hours of bedtime).
- Drug abuse
- Medicines, over-the-counter: Examples include pseudoephedrine (Sudafed) and diet pills.
- Medicines, prescription: Examples include theophylline, albuterol (Ventolin), and quinidine.
- Medicines, psychiatric: This can occur if there is a new drug or recent change in dose. Drugs called SSRIs can cause sleep problems.
- Nicotine (cigarettes and E-cigarettes)
- Pain from any cause (such as back pain or knee pain)
- Restless legs syndrome
- Sleep apnea
Causes - Emotional and Psychiatric
- Anxiety
- Bedtime worrying
- Depression
- Mania or hypomania
- Stressful life events
When to Call for Insomnia
When to Call for Insomnia
Call Doctor or Seek Care Now
- You feel weak or very sick
- You think you need to be seen, and the problem is urgent
|
Contact Doctor Within 24 Hours
- You think you need to be seen, but the problem is not urgent
Contact Doctor During Office Hours
- Awakened by jerking leg movements
- Restless legs feeling and causes insomnia
- Pain causes insomnia
- Insomnia interferes with work or school
- Insomnia lasts more than 7 days
- Insomnia off and on for weeks or months
- Daytime sleepiness off and on for weeks or months
- Loud snoring off and on for weeks or months
|
Self Care at Home
- Trouble falling to sleep or staying asleep
- Questions about jet lag
- Questions about over-the-counter sleeping pills
|
Call Doctor or Seek Care Now
- You feel weak or very sick
- You think you need to be seen, and the problem is urgent
Contact Doctor Within 24 Hours
- You think you need to be seen, but the problem is not urgent
Contact Doctor During Office Hours
- Awakened by jerking leg movements
- Restless legs feeling and causes insomnia
- Pain causes insomnia
- Insomnia interferes with work or school
- Insomnia lasts more than 7 days
- Insomnia off and on for weeks or months
- Daytime sleepiness off and on for weeks or months
- Loud snoring off and on for weeks or months
Self Care at Home
- Trouble falling to sleep or staying asleep
- Questions about jet lag
- Questions about over-the-counter sleeping pills
Care Advice
- What You Should Know:
- Many people sometimes have trouble sleeping.
- Here is some care advice that should help.
- Tips for Good Sleep - Healthy Habits:
- Use your bed only for sleeping and sex. Do not use your bed for eating, reading or watching TV.
- Regular exercise is good for your body and helps you sleep. However, do not exercise right before bedtime.
- Drink a small glass of warm milk at bedtime.
- Take a warm bath or shower before bedtime.
- Try to go to bed at the same time each night. Even more important, get up at the same time each morning.
- Tips for Good Sleep - Your Bedroom:
- Keep bedroom temperature cool, not warm or cold.
- Keep bedroom quiet and dark.
- Use a comfortable mattress.
- Tips For Good Sleep - When You Can't Fall Asleep:
- If you can't fall asleep after 30 minutes, get out of bed and do something relaxing.
- Read a book or listen to some soothing music.
- When you feel sleepy, go back to bed.
- Repeat these steps as needed.
- Tips For Good Sleep - When Worrying Keeps You Awake:
- Do not use your bed as a place to worry about your problems.
- Get up and write down problems or things that you need to do. Reassure yourself that you can look at this list in the morning.
- Tips For Good Sleep - What To Avoid:
- Avoid caffeine within 6 hours of bedtime.
- Avoid alcohol within 4 hours of bedtime.
- Avoid nicotine within 2 hours of bedtime (cigarettes and E-cigarettes).
- Avoid heavy meals just before bedtime. Eating a light snack is OK.
- Do not drink over 1 glass of liquid at bedtime. If you do you may need to get up to go to the bathroom.
- Call Your Doctor If:
- Sleep problems last more than 2 weeks
- You think you need to be seen
- You get worse
Over-the-Counter Sleeping Medicines
- OTC Sleeping Pills:
- Sleeping pills can sometimes be helpful.
- Sleeping pills can help you fall asleep. However, they may decrease the quality of your sleep. You may feel slightly groggy in the daytime after taking a sleeping pill the night before.
- Therefore, generally, you should avoid taking sleeping pills.
- Warning:
- Most OTC sleeping pills contain an antihistamine medicine, such as diphenhydramine (Benadryl).
- Do not drink, drive, or use dangerous machinery while taking them.
- Do not take these drugs if you have prostate problems.
- Read the instructions and warnings on the package insert for all medicines you take.
- Call Your Doctor If:
- You have more questions
- You think you need to be seen
- You get worse
Jet Lag
- What You Should Know:
- Many people find that crossing time zones disturbs their natural biorhythms. This is called jet lag.
- Symptoms of jet lag include: trouble sleeping and concentrating, upset stomach, and headaches.
- Jet lag is usually worse when traveling eastward than when traveling westward.
- Here is some care advice that should help.
-
Preventing Jet Lag on Brief Roundtrips:
Try to eat and sleep at the same time as you normally would back home.
- Preventing Jet Lag - Preparing For Longer Trips:
- During the couple days before the trip, start moving your meals and sleep time closer to the schedule at your destination.
- For example, if you are heading east, try to get-up and go to bed earlier.
- For example, if you are heading west, try to go to bed later and get up later.
- Tips For Healthy Air Travel:
- Drink plenty of water, 6-8 glasses a day.
- Avoid alcohol and caffeine.
- Expected Course:
- It usually takes one day to adjust for every time zone you cross.
- For example, 2 time zones require 2 days for your body to adjust.
- Call Your Doctor If:
- You have more questions
- You think you need to be seen
- You get worse
And remember, contact your doctor if you develop any of the 'Call Your Doctor' symptoms.
Disclaimer: this health information is for educational purposes only. You, the reader, assume full responsibility for how you choose to use it.
Copyright 2023.