Cataplexy is uncontrollable and is triggered by intense emotions, usually positive ones such as laughter or excitement, but sometimes fear, surprise or anger. For example, when you laugh, your head may droop uncontrollably or your knees may suddenly buckle. Some people with narcolepsy experience only one or two episodes of cataplexy a year, while others have numerous episodes daily. Not everyone with narcolepsy experiences cataplexy. Sleep paralysis. People with narcolepsy often experience a temporary inability to move or speak while falling asleep or upon waking.
These episodes are usually brief — lasting a few seconds or minutes — but can be frightening. You may be aware of the condition and have no difficulty recalling it afterward, even if you had no control over what was happening to you. This sleep paralysis mimics the type of temporary paralysis that normally occurs during a period of sleep called rapid eye movement REM sleep.
This temporary immobility during REM sleep may prevent your body from acting out dream activity. Not everyone with sleep paralysis has narcolepsy, however. Many people without narcolepsy experience some episodes of sleep paralysis. People with narcolepsy may have other sleep disorders, such as obstructive sleep apnea — a condition in which breathing starts and stops throughout the night — restless legs syndrome and even insomnia.
Some people with narcolepsy experience automatic behavior during brief episodes of narcolepsy. For example, you may fall asleep while performing a task you normally perform, such as writing, typing or driving, and you continue to perform that task while asleep. When you awaken, you can't remember what you did, and you probably didn't do it well. See your doctor if you experience excessive daytime sleepiness that disrupts your personal or professional life. The exact cause of narcolepsy is unknown.
People with type 1 narcolepsy have low levels of the chemical hypocretin hi-poe-KREE-tin. Some people with narcolepsy experience paralysis right before falling asleep or immediately after waking up. As you can see, narcolepsy is a complex and individualized sleep disorder. For someone without a sleep disorder, they enter rapid eye movement REM about 60 — 90 minutes after falling asleep.
This is when dreams occur and the brain ensures muscles are relaxed, making sleepwalking nearly impossible otherwise, it is possible a person will physically act out their dreams. Those with narcolepsy enter REM much quicker, oftentimes within 15 minutes of falling asleep.
This means that narcolepsy patients can have that brain-induced muscle weakness while they are awake. It is important to get diagnosed with narcolepsy by a sleep specialist so that treatment can commence—and treatment is available.
Otherwise, undiagnosed and untreated narcolepsy can dramatically get in the way of typical social, cognitive, and psychological function as well as development.
It is possible that every facet of your life will be challenged if narcolepsy is not addressed. In worse case scenarios, narcolepsy can even be life threatening, exacerbating chronic diseases or putting the individual in dangerous situations.
Insomniacs should adhere to a regular awakening time and avoid naps regardless of the amount of nocturnal sleep. Adequate sleep hygiene Sleep Hygiene Almost half of all people in the US report sleep-related problems. Acute emotional stressors eg, job loss, hospitalization can cause insomnia. Symptoms typically remit shortly after the stressors abate; insomnia is usually transient and brief. Nevertheless, if daytime sleepiness and fatigue develop, especially if they interfere with daytime functioning, short-term treatment with hypnotics is warranted.
Persistent anxiety may require specific treatment. Insomnia, regardless of cause, may persist well beyond resolution of precipitating factors, usually because patients feel anticipatory anxiety about the prospect of another sleepless night followed by another day of fatigue. Typically, patients spend hours in bed focusing on and brooding about their sleeplessness, and they have greater difficulty falling asleep in their own bedroom than falling asleep away from home.
Although cognitive-behavioral strategies are more difficult to implement and take longer, effects are longer lasting, up to 2 years after treatment is ended. Hypnotics Hypnotics Almost half of all people in the US report sleep-related problems. These drugs must not be used indefinitely in most cases. Physical disorders may interfere with sleep and cause insomnia and EDS. Disorders that cause pain or discomfort eg, arthritis Osteoarthritis OA Osteoarthritis is a chronic arthropathy characterized by disruption and potential loss of joint cartilage along with other joint changes, including bone hypertrophy osteophyte formation.
Its prominent properties are A lack of differentiation of cells Local invasion of adjoining tissue Metastasis, which is spread to distant sites The tear causes pain due to irritation of sensory nerves in the disk, and Nocturnal seizures can also interfere with sleep. Treatment is directed at the underlying disorder and symptom relief eg, with bedtime analgesics. Most major mental disorders can cause insomnia and EDS.
For narcolepsy : Your healthcare provider likely will recommend a sleep study, encourage changes in behavior, such as strategic napping and caffeine intake. However, you may need prescription medications to help stay awake during the day or improve sleep quality at night. Talking to your family about your condition or working with a counselor or a support group can help a lot. If you feel tired all the time or have trouble staying awake in meetings or at other times during the day, talk to your healthcare provider.
They can help you pinpoint the cause and find a way to treat it. We all feel unusually tired or drained at times, but could your lack of energy be a sign of something else? Learn more about two possibilities: fatigue and narcolepsy.
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