How Do You Know if You Have a Sleep Disorder

Many people experience some occasional difficulty sleeping and/or daytime fatigue. But how do you know if your sleep problem is temporary and can be fixed with some simple behavioral changes, or if it is a legitimate disorder such as snoring, sleep apnea, sinusitis or nasal obstruction that should be diagnosed and treated properly?

That is one of the most common questions we get here at Eos Sleep.

The first thing you can do is take an honest look at your lifestyle habits. Are you watching TV or on the computer too close to bedtime? Consuming too much caffeine during the day? Taking a medication with sleep-related side effects? Is there something particularly stressful going on in your life that needs to be addressed?  Are you exercising enough to help relieve tension and anxiety? The good news is that many sleep “issues” can be remedied by making some common sense behavioral changes.

However—and I would be remiss if I didn’t mention it at this point—persistent sleep problems left untreated can lead to myriad health problem, including memory and concentration problems, increased risk of high blood pressure, hypertension, stroke and heart attacks, depression, diabetes and sexual dysfunction. Severe cases of sleep apnea can even be fatal.

Besides these sobering health risks, an untreated sleep disorder can also be the root cause of poor performance at work or school, car accidents and other activities that require focus and concentration.

New research is exposing the societal risk that can result from untreated sleep apnea and other sleep disorders. The National Sleep Foundation’s 2012 “Sleep in America” poll, which focused in on the sleep habits and performance of transportation workers, states that about one in 10 Americans are likely to fall asleep at an inappropriate time and place, such as during a meeting or while driving.

Other results of the study: About one-fourth of polled train operators (26%) and pilots (23%) admit that sleepiness has affected their job performance at least once a week, compared to about one in six non-transportation workers (17%).

Even more concerning: One in five pilots (20%) admit that they have made a serious error and one in six train operators (18%) and truck drivers (14%) say that they have had a “near miss” due to sleepiness.

The numbers are in: Sleep problems are prevalent in our society, and people need to wake up (no pun intended) to the symptoms and risks associated with them. Some common symptoms of sleep disorders include:

•    Trouble falling asleep at night
•    Waking throughout the night
•    Chronic snoring
•    Morning headaches
•    Poor memory
•    Daytime sleepiness/falling asleep during the day/low energy
•    Bad moods/irritability
•    Increased depression
•    Trouble concentrating/driving/making decisions

Keep in mind that symptoms vary between disorders, whether it’s snoring, sleep apnea, insomnia, restless leg syndrome, nasal obstruction, narcolepsy or some other sleep disorder,  so it pays to do some research based on what you are personally experiencing. If you experiencing one or more of the above symptoms on a regular basis—meaning, more than once in a blue moon—it is imperative that you see a qualified sleep doctor, and get diagnosed and treated properly. The good news is there are multiple options and minimally invasive techniques available today to treat your sleep disorder.

Driver Fatigue Brought to Light in NYC Bus Crash Investigation

Driver Fatigue

The tragic bus accident that killed 15 people after it violently crashed on I-95 just outside of the Bronx last week has raised multiple questions for federal investigators. Among the causes being investigated by the National Transportation Safety Board was whether the bus driver was so fatigued he was not capable of driving properly. To determine that, they will be checking surveillance video and room records at Mohegan Sun where the bus traveling from, carrying people back to New York City’s China Town.

Although there are numerous questions as to why the driver, a convicted felon, should have even been behind the wheel of the bus in the first place, there is no question that even if fatigue wasn’t the cause of this crash, it is a major cause of crashes--not just for buses, but for trucks, airplanes, trains and boating accidents as well.

Last fall the American Automobile Association (AAA) Foundation for Traffic Safety polled 2,000 drivers. One-third of them admitted to either nodding off or completely falling asleep while they were driving in the past year. The results were surprising, indicating the problem is much more profound than previously expected.

More than half of those polled by AAA reported they fell asleep on a high-speed highway. Although it might seem more common to doze off during long car rides, 59% said they’d been driving under an hour before they had fallen asleep and only 20% had been driving for more than three hours. Twenty-six percent reported that it happened in the middle of the day, between noon and 5pm.

The National Highway Traffic Safety Administration estimates that drowsy driving “results in 1,550 deaths, 71,000 injuries and more than 100,000 accidents each year” and that fifty-seven percent of  driving crashes caused by fatigue involved the driver drifting into other lanes or even off the road.

The cause in this growing US problem can be contributed to many factors, not the least of which is the link between daytime fatigue and snoring. Results of a Canadian study published a few years ago linked drivers with sleep apnea with more than double the risk of car and truck accidents. Sleep loss, whether it is associated with snoring, insomnia, or simply poor sleep habits, impairs a driver’s reaction time. It causes people to lose the ability to perform important tasks, impedes memory, reasoning, and the ability to learn and perform math. Prolonged sleep loss can also lead to depression and hallucinations, and can cause health problems involving the heart and immune system and be a contributing factor to obesity which leads to further health issues such as diabetes.

If you’re feeling fatigued, it’s best to not get behind the wheel at all. Here are some tips to help stay awake while driving. If you are having trouble getting restful sleep, it is important that you speak to your doctor about it, because it is likely more serious that you think.

Originally published in The Huffington Post, for which Dr. Volpi is a regular contributor.