Insomnia is a persistent disorder that can
make it hard to fall asleep, hard to stay asleep or both, despite the opportunity
for adequate sleep. With insomnia, you usually awaken feeling unrefreshed,
which takes a toll on your ability to function during the day. Insomnia can sap
not only your energy level and mood but also your health, work performance and
quality of life.
How much sleep is enough varies from person
to person. Most adults need seven to eight hours a night.
Many adults experience insomnia at some
point, but some people have long-term (chronic) insomnia. Insomnia may be the
primary problem, or it may be secondary due to other causes, such as a disease
or medication.
Symptoms
Insomnia symptoms may include:
- Difficulty falling asleep at night
- Awakening during the night
- Awakening too early
- Not feeling well rested after a night's sleep
- Daytime tiredness or sleepiness
- Irritability, depression or anxiety
- Difficulty paying attention, focusing on tasks or remembering
- Increased errors or accidents
- Tension headaches
- Distress in the stomach and intestines (gastrointestinal tract)
- Ongoing worries about sleep
Someone with insomnia will often take 30
minutes or more to fall asleep and may get only six or fewer hours of sleep for
three or more nights a week over a month or more.
Causes
Common causes of insomnia include:
- Stress. Concerns about work, school, health or family can keep your
mind active at night, making it difficult to sleep. Stressful life events
— such as the death or illness of a loved one, divorce, or a job loss —
may lead to insomnia.
- Anxiety. Everyday anxieties as well as more-serious anxiety disorders,
such as post-traumatic stress disorder, may disrupt your asleep. Worry
about being able to go to sleep can make it harder to fall asleep.
- Depression. You might either sleep too much or
have trouble sleeping if you're depressed. Insomnia often occurs with
other mental health disorders as well.
- Medical conditions. If you have chronic pain,
breathing difficulties or a need to urinate frequently, you might develop
insomnia. Examples of conditions linked with insomnia include arthritis,
cancer, heart failure, lung disease, gastroesophageal reflux disease
(GERD), overactive thyroid, stroke, Parkinson's disease and Alzheimer's
disease.
- Change in your environment or work
schedule. Travel or
working a late or early shift can disrupt your body's circadian rhythms,
making it difficult to sleep. Your circadian rhythms act as an internal
clock, guiding such things as your sleep-wake cycle, metabolism and body
temperature.
- Poor sleep habits. Poor sleep habits include an
irregular sleep schedule, stimulating activities before bed, an
uncomfortable sleep environment, and use of your bed for activities other
than sleep or sex.
- Medications. Many prescription drugs can
interfere with sleep, including some antidepressants, heart and blood
pressure medications, allergy medications, stimulants (such as Ritalin),
and corticosteroids. Many over-the-counter (OTC) medications — including
some pain medication combinations, decongestants and weight-loss products
— contain caffeine and other stimulants.
- Caffeine, nicotine and alcohol. Coffee, tea, cola and other
caffeine-containing drinks are well-known stimulants. Drinking coffee in
the late afternoon and later can keep you from falling asleep at night.
Nicotine in tobacco products is another stimulant that can cause insomnia.
Alcohol is a sedative that may help you fall asleep, but it prevents
deeper stages of sleep and often causes you to awaken in the middle of the
night.
- Eating too much late in the
evening. Having a light
snack before bedtime is OK, but eating too much may cause you to feel
physically uncomfortable while lying down, making it difficult to get to
sleep. Many people also experience heartburn, a backflow of acid and food
from the stomach into the esophagus after eating, which may keep you
awake.
Insomnia
and aging
Insomnia becomes more common with age. As you
get older, you may experience:
- A change in sleep patterns. Sleep often becomes less restful
as you age, and you may find that noise or other changes in your
environment are more likely to wake you. With age, your internal clock
often advances, which means you get tired earlier in the evening and wake
up earlier in the morning. But older people generally still need the same
amount of sleep as younger people do.
- A change in activity. You may be less physically or
socially active. A lack of activity can interfere with a good night's
sleep. Also, the less active you are, the more likely you may be to take a
daily nap, which can interfere with sleep at night.
- A change in health. The chronic pain of conditions
such as arthritis or back problems as well as depression, anxiety and
stress can interfere with sleep. Older men often develop noncancerous
enlargement of the prostate gland (benign prostatic hyperplasia), which
can cause the need to urinate frequently, interrupting sleep. In women,
menopausal hot flashes can be equally disruptive.
Other sleep-related disorders, such as sleep
apnea and restless legs syndrome, also become more common with age. Sleep apnea
causes you to stop breathing periodically throughout the night. Restless legs
syndrome causes unpleasant sensations in your legs and an almost irresistible
desire to move them, which may prevent you from falling asleep.
- More medications. Older people typically use more
prescription drugs than younger people do, which increases the chance of
insomnia caused by a medication.
Sleep problems may be a concern for children
and teenagers as well. However, some children and teens simply have trouble
getting to sleep or resist a regular bedtime because their internal clocks are
more delayed. They want to go to bed later and sleep later in the morning.
Remedies
for Insomnia
1. Cumin
Seeds
Cumin is a
culinary spice with medicinal properties that aid in digestion. In
traditional Ayrvedic medicine, it has been used to induce sleep. Cumin oil,
too, has a tranquilizing effect.
- Mix one teaspoon of cumin powder in a
mashed banana and eat it before going to bed. If you do not have the powder,
dry roast and grind cumin seeds to make the powder.
- You can also have cumin tea to ease
tiredness and fatigue; insomnia and fatigue often go hand-in-hand. To
prepare the tea, heat one teaspoon of cumin seeds on low heat for about
five seconds, add one cup of water and bring the mixture to a boil. Turn
off the heat, cover the container and let it sit for about five minutes.
Finally, strain and drink this cumin tea before bedtime.
2. Nutmeg
Nutmeg has
sedative properties and works as a natural sleep aid.
- Add one-eighth teaspoon or just a dash
of nutmeg powder to a cup of warm milk. Drink it before bedtime.
- Alternatively, you can add one-quarter
teaspoon of freshly ground nutmeg to a cup of warm water or any fruit
juice. Drink it before bedtime.
- You can also mix a dash of nutmeg
powder in one tablespoon of Indian gooseberry (amla) juice. Consume this
three times a day. In addition to insomnia, it will also treat indigestion
and depression.
3.
Saffron
Saffron also
has mild sedative properties that help treat insomnia.
Drik
Saffron Tea to Beat Insomnia
- Steep two strands of saffron in a cup
of warm milk.
- Drink it at night before going to bed.
4.
Chamomile Tea
Due to its
long history as a sleeping aid, chamomile tea is a well-known natural home
remedy for insomnia. Though the exact reason is not known, scientific studies
have suggested that the compound called apigenin in chamomile could be
responsible for its sedative effect.
Simply enjoy
a cup of chamomile tea to induce sleep and relaxation. You can also sweeten it
with a pinch of cinnamon and some honey.
5.
Bananas
Eating a
banana can be useful in combating insomnia because it contains an amino acid
called tryptophan that helps raise serotonin levels, which help regulate sleep
patterns. It also will elevate your mood and help regulate your appetite.
Minerals like iron, calcium, and potassium present in this fruit also help with
sleep.
6. Warm
Milk
Warm milk is
an excellent home remedy to relax your mind and body. Moreover, like bananas,
milk contains tryptophan that promotes sleep.
- Mix one-quarter teaspoon of cinnamon
powder in a cup of warm milk.
- Drink it one hour before going to bed.
7.
Fenugreek Juice
Fenugreek
reduces anxiety, insomnia, and dizziness.
- Mix together two teaspoons of juice
extracted from fenugreek leaves and one teaspoon of honey.
- Consume it daily.
8.
Valerian
Valerian is a medicinal herb with sedative and muscle relaxing properties. It induces relaxation and promotes deep sleep.
Valerian is a medicinal herb with sedative and muscle relaxing properties. It induces relaxation and promotes deep sleep.
- Mix one-half teaspoon each of grated
valerian root and nutmeg in two cups of hot water. Let it steep for 15
minutes. Strain and drink it. Do not use this remedy on a regular basis
for more than a few weeks as it may lead to heart problems and withdrawal
symptoms.
- Simply having valerian tea is also
helpful.
- Alternatively, you can dilute half a
teaspoon of valerian tincture in water and then have it. You can
take it up to three times a day.
REMEMBER
Nearly
everyone has an occasional sleepless night. But your risk of insomnia is
greater if:
- You're a woman. Women are
much more likely to experience insomnia. Hormonal shifts during the
menstrual cycle and in menopause may play a role. During menopause, night
sweats and hot flashes often disturb sleep. Insomnia is also common with
pregnancy.
- You're older than age 60. Because
of changes in sleep patterns and health, insomnia increases with age.
- You have a mental health disorder. Many
disorders — including depression, anxiety, bipolar disorder and
post-traumatic stress disorder — disrupt sleep. Early-morning awakening is
a classic symptom of depression.
- You're under a lot of stress. Stressful
events can cause temporary insomnia. And major or long-lasting stress,
such as the death of a loved one or a divorce, can lead to chronic
insomnia. Being poor or unemployed also increases the risk.
- You work night or changing shifts. Working
at night or frequently changing shifts increases your risk of insomnia.
- You travel long distances. Jet lag from traveling across multiple time zones can cause insomnia.