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News on Health & Science

Will Sleeping on Your Side Reduce Snoring?

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Snorers are often told to sleep on their sides rather than on their backs. This is because if you are lying on your side, the base of your tongue will not collapse into the back of your throat, obstructing breathing.
…...CLICK & SEE
However, for some snorers, changing sleep position may not make a difference. There are two types of snorers — those who snore when sleeping on their backs, and those who snore in every position.

According to the New York Times:
“… [W]eight plays a major role. In one large study, published in 1997, patients who snored or had breathing abnormalities only while sleeping on their backs were typically thinner, while their nonpositional counterparts usually were heavier … But that study also found that patients who were overweight saw reductions in the severity of their apnea when they lost weight.”

THE BOTTOM LINE :Sleeping on your side can help reduce snoring, though in people who are overweight, it may not make much difference without weight loss.

Resources:
*New York Times April 18, 2011
*Harefuah May 2009; 148(5):304-9, 351, 350
*Chest September 1997; 112(3):629-39

*http://healthmad.com/health/best-ways-that-will-help-you-stop-snoring-3-very-effective-ways/

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Ailmemts & Remedies Pediatric

Adenoids

Alternative Names: :lymph glands or lymph nodes,pharyngeal tonsil, or nasopharyngeal tonsil

Definition:
Adenoids are masses of tissue located high on the posterior wall of the pharynx. They are made up of lymphatic tissue, which trap and destroy pathogens in the air that enter the nasopharynx.

click to see the picture

The adenoids help protect kids from getting sick. They sit high on each side of the throat behind the nose and the roof of the mouth. Although you can easily see your tonsils by standing in front of a mirror and opening your mouth wide, you can’t see your adenoids this way. A doctor has to use a small mirror or a special scope to get a peek at your adenoids.

click to see the picture

Like tonsils, adenoids help keep your body healthy by trapping harmful bacteria and viruses that you breathe in or swallow. Adenoids also contain cells that make antibodies to help your body fight infections. Adenoids do important work as infection fighters for babies and little kids. But they become less important once a kid gets older and the body develops other ways to fight germs.

click to see the picture

Some doctors believe that adenoids may not be important at all after kids reach their third birthday. In fact, adenoids usually shrink after about age 5, and by the teenage years they often practically disappear
Enlarged adenoids refers to swollen lymphatic tissue. The tissue is similar to the tonsils, but found higher up above the throat.

Pathology:
Enlarged adenoids, or adenoid hypertrophy, can become nearly the size of a ping pong ball and completely block airflow through the nasal passages.

Even if enlarged adenoids are not substantial enough to physically block the back of the nose, they can obstruct airflow enough so that breathing through the nose requires an uncomfortable amount of work, and inhalation occurs instead through an open mouth.

Adenoids can also obstruct the nasal airway enough to affect the voice without actually stopping nasal airflow altogether.

Adenoid facies:

Enlargement of adenoids, especially in children, causes an atypical appearance of the face, often referred to as adenoid facies.
click to see the picture
George Catlin, in his humorous and instructive book Breath of Life, published in 1861, illustrates adenoid faces in many engravings and advocates nose-breathing.

Causes of enlargement :
A child may be born with large adenoids, which have developed in the womb.

More commonly, the adenoids become enlarged during the first few years of childhood. Repeated infections of the upper respiratory system cause the adenoids to become chronically inflamed and enlarged. The tonsils are also usually enlarged.

Symptoms:

Swollen or enlarged adenoids are common. When this happens, the tonsils get swollen, too. Swollen or infected adenoids can make it tough for a kid to breathe and cause these problems:
*Bad breath
*Cracked lips
*Dry mouth
*Mouth breathing (mostly at night)
*Mouth open during day (more severe obstruction)
*Persistent runny nose or nasal congestion
*Restlessness while sleeping
*Snoring
*Ear infections (because the drainage tubes from the middle ear may be blocked)
*Disruption of sleep can interfere with a child’s growth.
*Enlarged adenoids can put excessive strain on the heart.

Diagnosis :
The adenoids cannot be seen by looking in the mouth directly, but can be seen with a special mirror or using a flexible endoscope through the nose.

Tests may include:

•X-ray (side view of the throat)
•Sleep apnea studies (severe cases only)

Treatment:
Antibiotics may be used to treat the adenoids when they’re infected but may not have much effect on chronically enlarged adenoids.

Surgery to remove the adenoids (adenoidectomy) may relieve symptoms or prevent complications in those with frequent ear or sinus infections or fluid behind the ears. It may also be done when ear tubes have not successfully reduced infections. It is done to prevent the long-term complications of airways obstruction, such as heart failure. Surgery may lead to improved growth and development because deep sleep is restored

Prognosis: Full recovery is expected.

Disclaimer: This information is not meant to be a substitute for professional medical advise or help. It is always best to consult with a Physician about serious health concerns. This information is in no way intended to diagnose or prescribe remedies.This is purely for educational purpose.


Resources:

http://kidshealth.org/kid/ill_injure/sick/adenoids.html
http://www.bbc.co.uk/health/physical_health/conditions/adenoids2.shtml
http://www.nlm.nih.gov/medlineplus/ency/article/001649.htm
http://www.nlm.nih.gov/medlineplus/ency/imagepages/19259.htm
http://health.allrefer.com/health/adenoid-removal-adenoid-removal-series-2.html
http://kidshealth.org/kid/ill_injure/sick/adenoids.html#
http://en.wikipedia.org/wiki/Pharyngeal_tonsil

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Featured

Some Surprising Signs You’ll Live to 100 Yrs.

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You’re the life of the party
Outgoing people are 50 percent less likely to develop dementia. Researchers speculate that their more resilient brains may be due to lower levels of cortisol — studies show that oversecretion of this “stress hormone” can inhibit brain cells’ communication.

You run for 40 minutes a day
Middle-aged people who run for a total of about 5 hours per week lived longer and functioned better physically and cognitively as they got older. They didn’t just get less heart disease — they also developed fewer cases of cancer, neurological diseases, and infections.

You like raspberries
Dietary fiber helps reduce total and LDL (“bad”) cholesterol, improve insulin sensitivity, and boost weight loss. Raspberries are high in fiber.

You feel 13 years younger than you are
Feeling youthful is linked to better health and a longer life. It can improve optimism and motivation to overcome challenges, which helps reduce stress and boost your immune system and ultimately lowers your risk of disease.

You embrace techie trends

Learn to Twitter, Facebook, or Skype to help keep brain cells young and healthy. Stay connected to friends, family, and current events, and you feel vital and relevant.

You started menopause after age 52
Studies show that naturally experiencing it later can mean an increased life span. Women who go through menopause late have a much lower risk of heart disease.

You make every calorie count
Men and women who limit their daily calories to 1,400 to 2,000 were literally young at heart — their hearts functioned like those of people 15 years younger

You had a baby later in life
If you got pregnant naturally after age 44, you’re about 15 percent less likely to die during any year after age 50. If your ovaries are healthy and you are capable of having children at that age, that’s a marker that you have genes operating that will help you live longer.

Your pulse beats 15 times in 15 seconds
That equates to 60 beats per minute — or how many times a healthy heart beats at rest. Most people have resting rates between 60 and 100 bpm, and the closer to the lower end of the spectrum, the healthier. A slower pulse means your heart doesn’t have to work as hard and could last longer.

You don’t snore
Snoring is a major sign of obstructive sleep apnea, a disorder that causes you to stop breathing briefly because throat tissue collapses and blocks your airway. In severe cases, this can happen 60 to 70 times per hour. Sleep apnea can cause high blood pressure, memory problems, weight gain, and depression.

You have a (relatively) flat belly after menopause

Women who are too round in the middle are 20 percent more likely to die sooner, even if their body mass index is normal. At midlife, it takes more effort to keep waists trim because shifting hormones cause most extra weight to settle in the middle.

Sources: MSNBC August 14, 2009

Categories
Ailmemts & Remedies

Sleep Eating

Introduction:
Sleep eating is a sleep-related disorder, although some specialists consider it to be a combination of a sleep and an eating disorder. It is a relatively rare and little known condition that is gaining recognition in sleep medicine. Other names for sleep eating are sleep-related eating (disorder), nocturnal sleep-related eating disorder (NS-RED), and sleep-eating syndrome.

..CLICK & SEE THE PICTURES

Sleep eating is characterized by  sleepwalking and excessive nocturnal overeating (compulsive hyperphagia). Sleep eaters are comparable to sleepwalkers in many ways: they are at risk for self-injury during an episode, they may (or may not) experience excessive daytime sleepiness, and they are usually emotionally distressed, tired, angry, or anxious. Sleep eaters are also at risk for the same health complications as compulsive overeaters, with the added dangers of sleepwalking. Common concerns include excessive weight gain, daytime sleepiness, choking while eating, sleep disruption, and injury from cooking or preparing food such as from knives, utensils, or hot cooking surfaces. There is also the potential for starting a fire.

As with sleepwalkers, sleep eaters are unaware and unconscious of their behavior. If there is any memory of the episode, it is usually sketchy. A sleep eater will roam the house, particularly the kitchen, and may eat large quantities of food (as well as non-food items). In the morning, sleep eaters have no recollection of the episode. However, in many cases there are clues to their behavior. One woman woke up with a stomachache and chocolate smeared on her face and hands. Candy wrappers littered the kitchen floor. The next morning her husband informed her that she had been eating during the night. She was shocked and distressed because she had no recollection of the event.

As in the case described above, food consumed by sleep eaters tends to be either high sugar or high fat. Odd combinations of foods, such as potato chips dipped in peanut butter or butter smeared on hotdogs, as well as non-food items, have been reported. Oddly, one person was discovered cutting a bar of soap into slices and then eating it as if it were a slice of cheese!

Sleep eating is classified as a parasomnia. It is a rare version of sleepwalking, which is an arousal disorder. In 1968, Roger Broughton published a paper in Science (159: 1070-1078) that outlined the major features of arousal disorders. They are:

•Abnormal behavior that occurs during an arousal from slow wave sleep;
•The absence of awareness during the episode;
•Automatic and repetitive motor activity;
•Slow reaction time and reduced sensitivity to environment;
•Difficulty in waking despite vigorous attempts;
•No memory of the episode in the morning (retrograde amnesia); and
•No or little dream recall associated with the event.

How Common is Sleep Eating?

The actual number of sleep-eating sufferers is unknown; however, it is estimated that 1 to 3 percent of the population is affected by sleep eating. A higher percentage of persons with eating disorders, as many as 10 to 15 percent, are affected. For this reason, sleep eating is more common in younger women. Symptoms typically begin in the late 20s. Episodes may reoccur, in combination with a stressful situation, or an episode may occur only once or twice. Additionally, many parasomnias seem to run in families, which may indicate that sleep eating is genetically linked.

When Should you See a Doctor?

In many cases, sleep eating is the outward sign of an underlying problem. Many sufferers are overweight and dieting. When their control is diminished by sleep, these individuals binge at night to satisfy their hunger. Some sleep eaters have histories of alcoholism, drug abuse, or a primary sleep disorder, such as sleepwalking, Restless Legs Syndrome, or sleep apnea. An article in Sleep (October 1991: 14(5): 419-431) suggested that sleep eating is directly linked to the onset of another medical problem.

Because sleep eating occurs in people that are usually dieting and emotionally distressed, attempts at weight loss may be unsuccessful and cause even more stress. Compounded with the dangers of sleepwalking, compulsive eating while asleep is a sleep disorder that results in weight gain, disrupted sleep, and daytime sleepiness. As these consequences of sleep eating impact daily living, the necessity of seeing a healthcare professional becomes more important.

Parasomnias are complex and often serious in nature. If you think you suffer from sleep eating, consult with your physician or a healthcare professional who can refer you to a sleep disorders treatment center. It is strongly recommended that a sleep specialist carry out the diagnosis and treatment. Medical or psychological evaluation should also be investigated.

Treatment:

The first step in treating any sleep disorder is to ascertain any underlying causes. As with most parasomnias, sleep eating is usually the result of an underlying problem, which may include another sleep disorder, prescription drug abuse, nicotine withdrawal, chronic autoimmune hepatitis, encephalitis (or hypothalmic injury), or acute stress (Sleep 1991 Oct; 14(5): 419-431).

It is important to keep in mind that throughout life, people experience varying patterns of sleep and nutrition during positive and negative situations. Problems with eating are defined as overeating or not eating enough. Problems with sleeping can be simplified with two symptoms, too much or not enough sleep. Medical attention is required for abnormal behaviors in either or both areas.

For some people who have been diagnosed with sleep eating, interventions without the use of medications have proven helpful. Courses on stress management, group or one-on-one counseling with a therapist, or self-confidence training may alleviate the stress and anxiety that leads to nighttime bingeing. Although considered an alternative treatment, hypnosis may be an option for some sleep eaters. A change in diet that includes avoiding certain foods and eating at specified times of the day, as well as reducing the intake of caffeine or alcohol, may be therapeutic. Professional advice may also suggest avoiding certain medications.

If the underlying problem is diagnosed as sleepwalking, medications in the benzodiazepinefamily have had some success. In sleepwalkers, this class of drugs reduces motor activity during sleep. Another class of drug found to be effective for sleep eaters has been the dopaminergic agents such as Sinemet (carbidopa or levodopa) and Mirapex (pramipexole dihydrochloride). Refer to the chart in the Restless Legs section of this website for more information about dopaminergic agents and benzodiazepines.

If the underlying problem is a primary sleep disorder, such as sleep apnea or narcolepsy, check out the sections on this web site devoted to the treatment of these disorders.

Night Eating: Another Disorder of Sleep and Eating:
A similar sleep-related eating disorder has also been clinically described. It is different from sleep eating in that the individual is awake during episodes of nocturnal bingeing. This disorder has many names: nocturnal eating (or drinking) syndrome, nighttime hunger, nocturnal eating, night eating or drinking (syndrome), or the “Dagwood” syndrome. Affected individuals are physically unable to sleep without food intake.

The Merck Manual lists night eating under the heading obesity. It states that the disorder “consists of morning anorexia, excessive ingestion of food in the evening, and insomnia.” Because night eating is associated with increased weight gain as well as insomnia, this may cause the individual stress, anxiety, or depression.

Night eating or drinking may occur once or many times during the night. It is diagnosed when 50% or more of an individual’s diet is consumed between sleeping hours. Unlike sleep eaters, this person will eat foods that are similar to his/her normal diet.

People who are night eaters typically avoid food until noon or later, eat small portions frequently when they do eat, and binge in the evening. They are usually overweight and in adults, overly stressed or anxious. They will also complain of not being able to maintain sleep or not being able to initiate sleep. For night eaters, the urge to eat is an abnormal need, rather than true hunger, according to an article in Sleep by Italian researchers (September 1997; 20(9): 734-738).

Night eaters/drinkers are usually children, although the disorder can occur in adults. For children, eating or drinking at night is a conditioned behavior. This is a common occurrence for babies, but most infants can sleep the entire night by the age of 6 months. Sleep disturbance can persist to an older age if the child is allowed a bottle or drinks throughout the night. An older child may consistently wake up during the night and ask for a drink or something to eat and refuse to return to bed until the snack is consumed. In this case, the caregiver should identify actual need versus repeated requests.

According to the International Classification of Sleep Disorders, night eating is characterized as a dyssomnia (as opposed to sleep eating, which is considered a parasomnia). A dyssomnia is a disorder of sleep or wakefulness in which insomnia or excessive daytime sleepiness daytime sleepiness is a complaint. Within the heading of dyssomnia, night eating is classified as an extrinsic sleep disorder, which means that it originates, develops or is caused by an external source. Eating or drinking at night is usually a conditioned, conscious behavior; although it is a disorder, in many cases night eating is not caused by a psychological or medical condition.

Night eating may arise because of an ulcer, by dieting during the day, by undue stress or by a routine expectation (conditioned behavior). Hypoglycemia, or low blood sugar, has also been proposed as possible cause of nighttime bingeing in some people. This can be determined by a glucose tolerance test.
Click to see:->Night eating syndrome

Source:http://www.talkaboutsleep.com/sleep-disorders/archives/parasomnias_sleepeating.htm

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Health Problems & Solutions

Few Sleep Disorders That Keep You Awake

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Learn some sleep barriers ,discover and find out strategies for getting a good night’s sleep that you deserve most.

INSOMNIA ->
The type of insomnia that causes you to wake through the night or in the early morning hours can be caused by both external and internal factors, explains Dr. Yan-Go, a neurologist and psychiatrist, as well as the medical director of the UCLA Sleep Disorders Center.

While it’s normal to experience an occasional bad night of sleep, if your sleep problems become chronic, it’s time to do something about them.

SOLUTIONS:
Some 30 million Americans suffer from insomnia. Here, our expert panel provides you with four different solutions for getting some rest:

The sleep specialist. Try behavior changes and proper use of medication. At night, keep away from bright light. In the a.m., open the shades and go out for a walk, to tell your brain, “This is the start of the day.” You can try OTC sleep aids, but if you suffer for more than three weeks, see a doctor. Prescription drugs are safe when used judiciously, and better than the consequences of not sleeping.
— Neil B. Kavey, MD, Director, Sleep Disorders Center, New York-Presbyterian Hospital

The alternative source
. Stress often plays a role in insomnia, so try to change your reaction to it. Don’t exercise or eat at the end of the day, and avoid or limit caffeine, alcohol and nicotine. Enjoying a warm bath can help. Also, try taking 1,000 mg of calcium (it may calm your muscles and nerves, helping you sleep). Ask your doctor about melatonin supplements.
— Gerald Lemole, MD, Associate Medical Director, Christiana Care Center for Heart and Vascular Health, Wilmington, Delaware

The nutritionist. Go to bed and get up at the same time daily. Keep your room dark and quiet, and remove distractions (no working in bed). Have a cup of herbal tea, such as chamomile, to relax your body. And remember, people who eat a healthy diet of whole grains, fruits and vegetables, and low-fat protein feel better and sleep better.
— Lisa Derosimo, MD, Owner, The Weight and Wellness Center, Jupiter, Florida

The mind/body pro. Lying in bed, starting from your legs and moving up to your head, tense your muscles one at a time, then release. Your body will feel more relaxed, like a rubber band after it’s been stretched. And try soothing alternate-nostril breathing. Exhale through one nostril, using your fingers to close the opposite nostril. Breathe in and out; then switch back and forth.
— Sandra McLanahan, MD, Medical Director, Integral Health Center, Buckingham, Virginia

Bottom Line

Don’t underestimate the dangers of insomnia, including accidents from drowsiness. If you’re overweight, sleep apnea could be the cause; even a 5% weight loss can reduce many symptoms. A combination of all the advice here offers the best chance to sleep robustly, but if you’re still counting sheep, see a sleep disorders specialist for a diagnosis and advice on wise use of medications.

 

SLEEP-APNEA->
If you wake in the morning feeling sleepy, irritable, sad, forgetful, and headachy, there’s a good chance that you have sleep apnea, a sleep-related breathing disorder that affects 20 million of us — particularly when we’re pregnant. There are three types of sleep apnea: obstructive, central, and complex

SOLUTIONS:-
•Do you snore loudly? About half of all people who snore loudly have obstructive sleep apnea (OSA). It’s a sign that your airway is partially blocked.

•What’s your neck size?
The size of your neck can be a telltale sign. Women with OSA often have a neck size of more than 16 inches (17 inches for men).

•Are you waking often to take bathroom breaks
? “Most adults who don’t drink lots of water before bed and are not uncontrolled diabetics or on high doses of water pills should not have to wake repetitively to use the bathroom,” says Rochelle Goldberg, M.D., president of the American Sleep Apnea Association.

Block That Snore
There are a variety of treatments available for sleep apnea, but what works for you will depend on the severity of your problem and your commitment to treatment. Making the following lifestyle changes will help you get a good night’s sleep.

Keep that airway toned. Avoid alcohol, sedatives, sleeping pills, and any medication that relaxes the central nervous system, making it more difficult to keep your throat open while sleeping.


Dump pounds.
Work with your doctor on a weight-loss plan if you are overweight. Even a small drop in weight can improve your symptoms. Unfortunately, sleep apnea can make losing weight more difficult because it interferes with leptin and ghrelin, two brain chemicals that signal the body that it’s full.


Quit smoking.
Add sleep apnea to the long list of reasons why you should kick the habit. If you have sleep apnea, your body is hungry for oxygen. Unfortunately, smoking will reduce the amount of oxygen available.

Sleep on your side. You’re more likely to snore loudly when you sleep on your back. Try special pillows that make back sleeping impossible or at least uncomfortable. For example, you can wedge a pillow stuffed with tennis balls behind your back to make rolling over unpleasant.

See a sleep specialist. If your apnea is moderate to severe or you’ve made lifestyle changes and you still have symptoms of sleep apnea, then you need to see a sleep specialist who can observe and evaluate your sleep and help you find the best solution for you and your problem. A sleep doctor will check your mouth, nose, and throat and make a recording of what happens with your breathing while you sleep. This may require an overnight stay at a sleep center.

SLEEP-EATING->
If you’re gaining weight and discovering a mess in the kitchen every morning, talk to your doctor about whether or not you might have Sleep-Related Eating Disorder.
SOLUTIONS:

Out of Control
Sometimes the only clue you have to SRED is the trail of bread crumbs you leave behind. You wake up on the groggy side, feeling stuffed and a little anorexic, walk to the kitchen, and there you find the remnants of a midnight snack — usually high-fat, high-calorie foods. There are probably no fruits or vegetables, but there may well be such oddities as buttered cigarettes, dog food, salt sandwiches, even eggshells, and — dangerously — kitchen cleaners.

The out-of-control eating occurs almost nightly, sometimes more than once a night. It begins after a period of sleep. The next morning the sleep eater may be able to recall vague images of what she did. Or not.

Scientists are just beginning to unravel the complicated brain circuitry that connects eating and sleeping. But they have been able to figure out that SRED is sometimes associated with sleep disorders such as restless legs, narcolepsy, or obstructive sleep apnea and can be triggered by medications such as zolpidem (Ambien), triazolam (Halcion), and lithium (Lithobid). It can also apparently be triggered by major relationship stress, by dieting, and by the cessation of cigarette smoking, alcohol, and recreational drugs.

SRED, or sleep-related eating disorder, is a serious problem. It not only can make you gain serious amounts of weight and disrupt your sleep, it may also cause you to inadvertently eat toxic substances or foods to which you’re allergic. Here’s how to get a handle on it.

See your doctor. If you’re gaining weight and discovering a mess in the kitchen every morning, talk to your doctor about whether or not you might have SRED. Tell her about any medications you’re taking that she might not know about, including any recreational drugs or alcohol. Tell her about your eating habits, relationships, and any recent dieting. Even if she can’t find the precise cause of your eating, there are medications she can prescribe that will help you control the disorder.

Stay off diets. Dieting is a natural response to the weight gain you’re experiencing, but it may be counterproductive. In fact, it may be exacerbating your problem. Run any low-calorie eating plans by your doctor.

Rebuild relationships. If a close relationship with a parent or partner is stressing you out, see a therapist pronto. You could be paying the price of a nonfunctional relationship with your health.

Frisk your home. Get everything out of your home that would be harmful if you ate it. That means kitchen cleaners, bathroom cleaners, paint, lamp oil, whatever. Leave medication at the office or with a trusted friend — anywhere you can get it when you need it, but not at home while you’re sleep eating.


JET-LAG->

There are 15 million of us who fly across multiple time zones every year, with 500,000 of us in the air at any given moment. And for those of us who fly more than a couple of time zones from home—particularly those who fly eastward around the globe—jet lag can be a serious challenge. It takes away our edge, makes us groggy, and disrupts our sleep.

SOLUTIONS:-> You may click to see some ways to get rid of it

 

MENOPAUSE->

Unfortunately, the closer women get to menopause itself, the less they sleep. According to a 2007 National Sleep Foundation poll, by the time women actually stop menstruating, somewhere between the ages of 45 and 51, a full 61 percent will report that they can’t get to sleep or stay asleep several nights each and every week.
SOLUTIONS:->Click to see Menopause & Sleep Problems

 

NARCOLEPSY->
Narcolepsy is thought to be caused by a genetic glitch that prevents the body from either absorbing or producing enough of the neurochemical hypocretin. In either case the brain’s sleep/wake switch behaves erratically, and those with the condition unexpectedly fall asleep multiple times throughout the day and, conversely, wake up unexpectedly throughout the night.
SOLUTIONS:->Click to see  Narcolepsy Symptoms and Strategies

 

RESTLESS  LEGS->
Restless legs syndrome is a condition that ranges from a creepy-crawly sensation that runs up and down your legs to quivers, jerks, pins and needles, numbness, pain, or a burning sensation. It affects millions of individuals every day, and their chief complaint is difficulty falling asleep — and staying asleep.

SOLUTIONS:->Click to learn how to get rid of it

Source: The Reader’s Digest