Earlier this month, I learned that I have mild sleep apnea. The path that led to my diagnosis was a bit round-about. If you remember in April, I was dealing with some increased anxiety and depressive symptoms . We increased my antidepressant and I received an as-needed anti-anxiety medication. Both were very helpful.
When my rheumatologist learned of my increased symptoms, which also included extra fatigue and daytime sleepiness, she wanted to discuss the possibility of sleep apnea . My rheumatologist ordered an overnight sleep study. The most common sleep study is the polysomnogram (PSG) which uses sensors (applied to the scalp, face, chest, limbs, and a finger) to record brain activity, eye movements, leg movements, body position, respiratory rate, heart rate, blood pressure, and blood oxygen level while you sleep.
During my night hooked up to the PSG equipment, I experienced 13 instances of apnea and 22 instances of hypopnea. When airflow is ...
In continuation of the discussion of the frustration in diagnosing a child with ADHD, I'd like to comment on the topic of sleepiness. Studies show that close to half of children with ADHD also have problems with sleep. A curious observation repeatedly made when observing how children behave when they haven't slept well is that kids tend to act in ways that are opposite of the ways adults act when they are tired. Specifically, when kids are sleepy and are trying to stay awake, they tend to have poor attention and act in hyperactive ways. If symptoms of ADHD include inattention and hyperactivity and sleepy kids act the same way, how do you tell if a kid is sleepy, has ADHD, or both? The short answer is: slowly, methodically, and with great difficulty. The truth is since ADHD and sleep disorders in children manifest themselves in the same way, it takes a lot of careful assessment to figure out what is going on. A detailed understanding of your child's sleep p...
or tiredness is extremely common in Multiple Sclerosis (MS) and is an important
cause of disability. The mechanism for this symptom is incompletely understood.
Suffice it to say that the complaint is multifactorial and related to
pro-inflammatory chemicals, neuro-hormonal activity and where relevant, muscle
patients with chronic disease have fatigue, particularly those with cancer or
immune disorders. However, in MS the fatigue is often disproportionately
present, i.e. the patient may have little on neurological examination but much
in the way of fatigability.
patients with depression have lethargy. They're sluggish. Indeed, depression
and fatigue in the MS patient can occur concurrently. But the depression may be
lifted through medication though the fatigue may remain.
matter of fatigue needs to be sorted out in more detail via sub-classification,
not only in MS but in any disease. As per my reference above, fatigability can
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