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January 22, 2011 By Dr Mélanie DesChâtelets, ND

Top 5 solutions to improve your sleep!

Sleep is something everybody needs but not everybody gets it!  Sleeplessness affects 30-50% of the population and can lead to debilitating daytime drowsiness, poor concentration and difficulty with memory.  The in ability to fall asleep, frequent awakening from sleep, inability to maintain sleep and early morning awakening are all considered types of insomnia.

Sleep hygiene can play a monumental role in your effectiveness to sleep.

Solution #1: The environment

Bedroom environment

A proper assessment for a bed and pillow that allow you to sleep ergonomically may help in ensuring you are sleeping comfortably.  It is also important to assess the room for temperature and humidity.  The hot and humid of tropical weather is not desirable in your room.  Adjust if necessary.

Black out shades

 

Our sleep-wake cycle is regulated by our pineal gland.  The pineal gland secretes melatonin in response to darkness.  It is our body’s way of telling us “time for bed”.  With the advent of lighting on demand, our circadian sleep-wake cycle can be disrupted.  Avoiding light after sunset is not very practical or realistic.  Ensuring you use black out shades and ensuring your room is as dark as possible during the night can improve sleep.

 

Ear plugs

Many cringe at the thought of buying ear plugs.  Please give them a chance.  They come in various sizes and materials and thus the bad memory of “hear plugs” is most likely a biased one.  Check online, you can purchase a variety pack of ear plugs for approximately $10.  These will allow you to explore and decide what you like before investing in more expensive ones.  This is certainly worth the investment if you are a light sleeper.  Word of caution, make sure you can still hear the alarm clock and the fire/carbon monoxide alarm.  Some noises are worth waking up for!  This should however alleviate the snoring partner, the tap dancer upstairs and the soothing sound of the garbage truck outside.

Solution #2: The diet

Some individuals are more sensitive to certain substances than others.  Substances such as nicotine, caffeine and alcohol can negatively affect sleep.  Avoidance of caffeine and alcohol for at least a period of time is necessary to assess the degree to which it is contributing to your insomnia.  Eliminate it for 1 w eek.  The next time you consume these products make a sleep diary in order to analyze the impact it has on your sleep.  If you consume nicotine products consult with your primary care giver to start a smoking cessation program.  At the very least, avoidance of caffeine products after noon is a good idea.  Some individuals are slower caffeine metabolizers than others thus noon may not be early enough.  Also remember that chocolate is also a source of stimulation.

Solution #3:  Exercise

 

Lack of exercise can contribute to insomnia.  Ensure you are at the very least obtaining your minimal recommended 150 minutes a week, ideally 20 minutes a day.  Avoid exercise in the late evening, as this can be very stimulating.  Exercise can also decrease anxiety and improve mood and relaxation.  These are all positive contributors to promoting sleep.

Solution #4: The habit

 

Having a nightly routine can help, especially one that involves relaxing activities.  Working up until the very last minute before bed is certainly not the best way to decrease anxiety.

Write it down.  If something isn’t done before you go to bed make a task list or write it in your time management calendar.  Once written down, it is easier to forget about it for the next few sleepy-time hours.

Get up in the morning despite being tired and avoids naps.

Do not eat, work, read or watch TV in your room.  Allow your room to be a serenity retreat  associated with sleeping.  As you conquer your insomnia it may be possible at a later time to reintroduce certain things such as reading before bed in your bedroom.

If you can’t fall asleep get up and do something relaxing in another room.

If anxiety is contributing to your insomnia explore various relaxation therapies that work for you.  Perhaps a relaxing yoga posture, meditation, breathing exercises or writing exercises such as a gratitude journal.

Solution #5:  The underlying medical condition

Medications, acute crisis, depression, anxiety, hormonal pregnancy and menopause are some of many underlying causes that may be contributing to your insomnia.  If you have tried these tips and are still experiencing insomnia, go see your primary care provider as it could be an indicator of an underlying medical condition.  For chronic insomniacs, there are also naturopathic solutions that can support you to retrain your circadian rhythm while you get back on track.  Sleep is a restorative process and crucial to overall wellbeing.

Take a deep breath consider these tips and sleep on it!

____

Photo: Arvind Balaraman

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Filed Under: Conditions, Insomnia, Naturopathic Articles, Sleep & Insomnia

January 9, 2011 By Dr Mélanie DesChâtelets, ND

5 Tips To Reduce Jet Lag And Enjoy Your Travels Sooner

More individuals are flying now than ever before and jet lag is often an associated experience.  Complete avoidance of jet lag is sometimes unavoidable due to the extent of eastern or western bound travel. Nonetheless, the period of adaptation to the new time zone can be significantly improved.  Follow these simple tips on your next big trip and you will be enjoying your destination sooner than later.

 

What is jet lag?

Jet travel across multiple time zones produces a misalignment between the new actual time and your circadian “internal” clock.  Your circadian clock is responsible for producing certain hormones that control temperature, sleep and various other processes.  You are more susceptible to jet lag when crossing many time zones in one day (usually at least five time zone) and jet lag tends to be worse when travelling in an eastern direction.

What are the symptoms of jet lag?

When travelling east: difficulty falling asleep

When travelling west: difficulty sleeping in

Other symptoms: headaches, upset stomach, fatigue, and difficulty concentrating.  Symptoms usually improve after the first two days.

How to prevent jet lag?

  1. Ensure you remain hydrated, drink lots of water during the flight
  2. Go outside and expose yourself to as much natural light
  3. Before leaving on your trip, for a couple of nights, attempt to: Advance or delay your sleep and wake up time by an hour or two to correspond closer to your new destination time.
  4. Try to adapt your daily routine to the new time schedule as soon as possible: meals, sleep, and other daily routine.
  5. Melatonin can help:

 

Flying East: Phase Advancing

  • 3 mg Melatonin 4.5 hours before sleep and 3 mg  2 hrs before sleep
  • Sunlight in the morning

Flying West: Phase Delaying

  • Bright lights at night
  • Dark in the morning, wear sunglasses if outdoors

Although it is certainly possible to improve your adaptation to jet lag, depending on the extent of travel complete avoidance of jet lag symptoms are not always possible.  Plan according and expect there to a re-adjustment period when your circadian clock re-aligns itself with the new time zone.    Hasta la vista!

—–

[1] Eastman, C., Burgess, H. (2009). How to travel the world without jet lag. Sleep Med Clin. 4: 241-255.


 

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Filed Under: Conditions, Jet Lag, Naturopathic Articles, Sleep & Insomnia

November 20, 2010 By Dr Mélanie DesChâtelets, ND

Neti Pot Sinus Rinse

A recent review article compiled and showcased the scientific evidence supporting the use of nasal irrigation, an Ayurvedic medical tradition that dates back in medical literature to the early 20th century.

What is it?

A mild saline solution in warm water is inserted into one nostril and drains out of the other nostril. This can be administered using a low-pressure device such as a spray or squirt bottle or using a gravity-based pressure such as a netti pot.

How does it work?

The exact mechanism of action has yet to be completely understood. The proposed physiological possibilities are that nasal irrigation improves nasal mucosa function by direct clearing, elimination of inflammatory mediators and improve mucociliary function.

What conditions is nasal irrigation good for?

In preventive studies, nasal saline irrigation was found to be protective with patients having fewer infections, shorter symptom duration, and fewer days of symptoms vs patients who did not perform nasal irrigation.

There is strong evidence that nasal irrigation is effective adjunctive treatment in chronic rhinosinusistis (Runny nose or nasal congestion lasting more than 12 weeks). In a Cochrane review of nasal irrigation demonstrated that daily use was associated with a 64% reduction in overall symptom severity, significant decrease in use of saline sprays, decrease in antibiotics as well as significant improvement in quality of life.

The evidence is limited and less conclusive in the following conditions. Despite these findings it is strongly recommended in consensus guidelines that a trial of nasal irrigation should be performed as the benefit far outweighs the risk as long as you do not have any contra-indications.

  • Rhinitis of pregnancy
  • Acute rhinosinusitis
  • Irritant or allergic rhinitis (reduces histamine and leukotrienes)
  • Upper respiratory tract infection
  • Post operative care after endoscopic sinus surgery
  • Mild to moderate allergies
  • Wegener’s granuloatosis

Minor adverse effect

Fewer than 10% report mild self-limiting adverse effects which include sensation of ear fullness, stinging of the nasal mucosa, and rarely epistaxis (nosebleeds). No serious adverse events have been reported.

If stinging of the nasal mucosa is significant ensure you have prepared the saline solution correctly. A higher concentration than desired can produce these symptoms. All other symptoms can be normal when first initiating the practice of nasal irrigation and should cease after several treatments once the mucous has been thinned and easier movement and flow of the irrigation will result. If these symptoms persist after several treatments you should consider ceasing the practice.

Contraindications

Saline nasal irrigation is strong not recommended:

Incompletely healed facial trauma

Conditions associated with increased risk for aspiration: significant intention tremor or other neurologic or musculoskeletal problems.

______________________________

Harvey, R., Hannan, SA., Badia, L., Scadding, G. (2009). Nasal saline irrigations for the symptoms of chronic rhinosinusitis. Cochrane Database Syst. Rev. 4: 1-44.

Rabago, D., Barrett, B., Marchand, L. (2005). Nasal irrigation to treat acute bacterial rhinosinusitis. Am Fam Physician. 72(9): 1661-1662.

Rabago, D., Zgierska, A. (2009).Saline nasal irrigation for upper respiratory conditions. Am Fam Physician. 80:1117-1119.

Scheid, D., Hamm, R. (2004).Acure bacterial rhinosinusitis in adults: part II. Treatments. Am Fam Physician. 70(9): 1697-704

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Filed Under: Nasal Irrigation, Naturopathic Articles, Netti pot

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