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Comprehensive Sleep Study Test Insights for Better Rest

Sleep Study (Polysomnogram)

Seep Apnea Tests and Diagnosis

Sleep Study (Polysomnogram), also termed a sleep study, is a thorough examination performed to diagnose sleep disorders. Your blood oxygen levels, pulse rate, breathing rate, and brain waves are all monitored during a polysomnography test.

A sleep center or a hospital sleep disorder unit may perform polysomnography. In order to accommodate shift workers who generally sleep during the day, polysomnography is occasionally performed during the day.

Your doctor might request that you undergo a polysomnogram, or sleep apnea test if you exhibit sleep apnea symptoms (PSG). This could be carried out at home or in a facility for sleep disorders.

A polysomnogram, often known as a sleep study, is a multi-part examination that electronically transmits and records particular physical activities you engage in while you're sleeping. An experienced sleep specialist reviews the recordings to determine whether you have sleep apnea or another sort of sleep problem.

If the test reveals sleep apnea, other sleep tests may be required to determine the best course of action.

Polysomnography may be used to start or modify your treatment plan if you've already been diagnosed with a sleep problem, in addition to aiding in the diagnosis of sleep disorders.

You might occasionally be able to complete the sleep study at home. Obstructive sleep apnea is the main type of sleep apnea that is diagnosed by a minimum number of sensors used in home sleep testing (OSA).

What to Expect During a Sleep Study (Polysomnogram)

If you should continue taking your drugs or stop them altogether before the test, your doctor will advise you. On the day of the test, avoid caffeine and alcohol because they may affect the results. Bring cozy pajamas, a book or magazine, and, if you have a specific pillow, it.

If you're undergoing a sleep center lab, you'll be given a private sleep center or hospital room for the night of your sleep study. There will be a central monitoring station nearby where medical professionals may keep an eye on patients while they are sleeping.

You'll have access to a private restroom; just let the technicians know when you'll be using it so they can disconnect the wires that are connecting you to the monitoring system.

You'll be hooked to equipment that could seem uncomfortable. However, most people have minimal trouble falling asleep.

For home testing, there is also more portable equipment available, particularly for simpler cases or circumstances.

Equipment Frequently Used for a Sleep Study

Surface electrodes will be applied to your face and scalp during a sleep study to transmit recorded electrical signals to the measuring devices. These signals, which are produced by the activity of your muscles and brain, are digitally captured. Your breathing is measured by belts around your chest and abdomen.

Your finger is attached to an oximeter probe that gauges the amount of oxygen in your blood.

Why it's done

In order to determine if, when, and why your sleep patterns are disrupted, polysomnography tracks the stages and cycles of your sleep.

Home sleep apnea testing equipment comes in a variety of designs and configurations. They often keep track of your heart rate, oxygen saturation, breathing rate, and airflow. One technique additionally includes data on blood vessel tone.

Non-rapid eye movement (NREM) sleep is the first stage of the typical sleeping process. Your brain waves significantly slow down during this phase, as shown by electroencephalography (EEG).

In contrast to later stages of sleep, your eyes don't move back and forth rapidly during NREM. After an hour or two of NREM sleep, your brain activity picks up again, and rapid eye movement (REM) sleep begins. Most dreaming occurs during REM sleep.

You normally go through multiple sleep cycles a night, cycling between NREM and REM sleep in about 90 minutes. Sleep disorders can disturb this sleep process.

Your doctor may recommend polysomnography if he or she suspects you have:

Sleep apnea or another sleep-related breathing disorder: In this condition, your breathing repeatedly stops and starts during sleep.

Periodic limb movement disorder: In this sleep disorder, you involuntarily flex and extend your legs while sleeping. This condition is sometimes associated with restless legs syndrome.

Narcolepsy: You experience overwhelming daytime drowsiness and sudden attacks of sleep in this condition.
REM sleep behavior disorder. This sleep disorder involves acting out dreams as you sleep.

Unusual behaviors during sleep: Your doctor may perform this test if you do unusual activities during sleep, such as walking, moving around a lot, or rhythmic movements.

Unexplained chronic insomnia: If you consistently have trouble falling asleep or staying asleep, your doctor may recommend polysomnography.

Risks

Polysomnography is a noninvasive, painless test. The most common side effect is a skin irritation caused by the adhesive used to attach test sensors to your skin.

How you prepare

Before polysomnography, you can be instructed to abstain from alcoholic beverages and caffeinated foods during the afternoon and evening. Both caffeine and alcohol can alter your sleep patterns and may exacerbate the signs of some sleep problems.

It is not advised to take a nap in the afternoon before a sleep study. Before your sleep study, you could be requested to take a shower or a bath. However, avoid using any lotions, gels, colognes, or makeup prior to the test because these can prevent the electrodes from working properly.

You can either pick up the equipment at your doctor's office or have it brought to you for a home sleep apnea test. You'll receive instructions outlining how to operate the tools.

Do you find yourself waking up tired, or maybe with a headache or dry mouth? Obstructive sleep apnea could be to blame. This happens when your breathing is interrupted during sleep, often for more than ten seconds.

The Facts About At-home Sleep Tests

They monitor breathing, not actual sleep.

A sleep test measures respiratory characteristics rather than the actual sleep in order to assess a patient for sleep apnea. The duration of your light or deep sleep, for example, won't be measured during the sleep test.

Instead, it will gauge how long it takes you to breathe, how hard you have to work to breathe, and whether your breathing is shallow or deep.

Sleep Study (Polysomnogram)

Your doctor needs to prescribe it:

This isn’t an over-the-counter test. Your primary care physician or a physician at a sleep clinic can order it for you to use at home.

It uses sensors to detect breathing patterns:

One of the sensors has a tiny probe that you wear over your finger to assess oxygen levels. Another mask with tubes will be placed over your ears and placed in your nostrils; it will resemble an oxygen mask.

To measure the rise and fall of your chest and belly while you breathe, additional sensors are attached to them.

It’s a small commitment:

Most at-home sleep tests are used just for one night. It’s also less expensive than a sleep study conducted in a clinic ― anywhere from a third to a fifth of the cost of doing an in-lab study and often covered by insurance.

It’s convenient:

With an at-home study, you’ll be in the comfort of your surroundings, which can mean a more accurate reading of how you sleep.

It doesn’t completely rule out apnea:

Your results will be submitted to your doctor after a sleep technologist has examined them after the test. If your symptoms don't go away, your doctor can suggest an in-lab experiment.

Home tests can occasionally be wrong because, for example, your sensors might stop working in the middle of the night. In a lab, a doctor is present to keep an eye on you.

You might have other sleep issues:

Breathing issues are not a sign of all sleep disorders. You might not have apnea if your symptoms continue to exist. Movement disorders that cause nocturnal restlessness and narcolepsy, a neurological illness that interferes with the body's sleep-wake cycles and results in excessive sleepiness, are two more prevalent sleep problems that do not impact the airways.

Together, you and your doctor can determine the cause.

Other Tests for Sleep Apnea

  • EEG (electroencephalogram) to measure and record brain wave activity
  • EMG (electromyogram) to record muscle activity such as face twitches, teeth grinding, and leg movements, and to look for REM stage sleep. During REM sleep, intense dreams often happen as the brain has heightened activity.
  • EOG (electrooculogram) to record eye movements. These movements are important in determining the different sleep stages, particularly REM stage sleep.
  • EKG (electrocardiogram) to record heart rate and rhythm
  • Nasal airflow sensor to record airflow
  • Snore microphone to record snoring activity

After a Sleep Study

In the morning, the technicians take off the sensors attached to your skin, and you go back to your everyday activities.
It takes the sleep specialist some time to review the study's hundreds of pages of data. They’ll send the results to your doctor. Once your doctor reviews them, you’ll meet to talk about the findings and next steps.

Sleep Study Results

  • The data will include information about your sleep, such as:
  • How long do you spend in each sleep stage
  • How often do you wake up
  • Whether you stop breathing or have trouble breathing
  • Whether you snore
  • Body position
  • Limb movements
  • Unusual brain activity patterns

Note: Do not consider JC SURI Blogs as medical advice. Never delay or disregard seeking professional medical advice from your doctor or other qualified healthcare providers because of something you have read on JC Suri. You should always speak with your doctor before you start, stop, or change any prescribed part of your care plan or treatment. If you think you may have a medical emergency, call your doctor immediately.

How to beat seasonal allergies

HOW TO BEAT SEASONAL ALLERGIES

Summer is lovely, but it’s also  a seasonal allergies season. Millions of hay fever sufferers’ sniffle and sneeze as pollen are released by plants.

There is no cure for summer allergies, but there are things you can do to help, from medication to changing your habits.

Causes of seasonal allergies

Pollen is the most common seasonal allergy cause. To fertilize other plants, trees, grasses, and weeds release these tiny grains into the air. They drive the body’s defenses haywire when they enter into the nose of someone who is allergic to them.
When the immune system misinterprets pollen as a threat, antibodies are released that fight the allergens. Histamines, which are substances, are released into the bloodstream as a result of this.
Pollen has the ability to travel great distances, so it’s not just about the plants in your area.
Trees: Alder, Ash, Aspen Beech, Cottonwood, Oak, Olive, Palm, Pine etc.
Grasses and weeds: Bermuda, Fescue, Johnson, June, Orchard, Perennial rye, etc.

How to beat seasonal allergies

 

How allergies can affect your child’s skin?
If your child comes in contact with an allergen their skin may appear:
• Red
• Itchy
• Scaly
• Bumpy
• Swollen

They can get hives if they come into contact with, inhale, or consume an allergen. These are itchy, raised welts that might grow on their skin.

Eczema is a skin condition that affects some children who have allergies. Even if they haven’t come into contact with an allergen, their skin becomes inflamed, itchy, and irritated as a result of this ailment.

OTHER SYMPTOMS OF ALLERGY
• Dizziness
• Cramps
• Vomiting
• Diarrhea
• Queasiness
• A tingling sensation in their mouth
• Swelling of their tongue or face

HOW CAN YOU PREVENT ALLERGIC REACTIONS?
Avoiding allergens is the most efficient strategy to avoid allergic responses. Ask our doctor how they can avoid the allergens and what medications they need.

 

Lung Cancer

What is Lung Cancer ?

Lung Cancer (LC) may be a sort of cancer that starts within the lungs. Cancer starts when cells within the body begin to grow out of control.

Cancer cells develop because of multiple changes in their genes. These changes can have many possible causes.

Lifestyle habits, genes you get from your parents, and being exposed to cancer-causing agents in the environment can all play a role. Many times, there is no obvious cause.

Certain genes control a cell’s life cycle – growth, function, division, and death. When these genes are damaged, the balance between normal cell growth and death is lost.

Cancer cells are caused by DNA damage and out-of-control cell growth.

What is Lung Cancer

WHAT CAUSES LUNG CANCER?

SMOKING- Tobacco usage is by far the most common cause of LC. Around 80% of lung cancer fatalities are caused by smoking, and many more are caused by secondhand smoke exposure.

Although smoking is by far the most significant risk factor for LC, it frequently interacts with other factors.

Smokers are at a significantly greater risk, as are those who are exposed to other known risk factors like radon and asbestos. Because not everyone who smokes develops lung cancer, other factors such as genetics are likely to play a role.

CAUSES IN PEOPLE WHO DON’T SMOKE Lung cancer does not affect everyone who smokes. Many patients with lung cancer have smoked in the past, while many others have never smoked.

Small cell lung cancer (SCLC) can be diagnosed in people who have never smoked, but it does happen.

Exposure to radon, secondhand smoking, pollution, and other factors can cause carcinoma in nonsmokers.

Some persons who don’t smoke can develop carcinoma after being exposed to asbestos, diesel exhaust, or other pollutants at work.

A small percentage of lung cancers arise in patients who have no known risk factors. Some of them could just be random events with no external source, while others could be the result of unknown influences.

Lung cancers in nonsmokers are frequently distinct from those that occur in smokers. They grow in younger persons and frequently have gene modifications that differ from those observed in cancers detected in smokers.

These gene variations can be utilized to guide treatment in some circumstances.

GENES CHANGES THAT MAY LEAD TO LUNG CANCER- Scientists have figured out how some lung cancer risk factors can cause DNA mutations in lung cells.

These modifications may result in aberrant cell development and, in some cases, cancer. Our genes, which determine how our cells work, are made from DNA, a cloth found in our cells. Our DNA, which comes from both parents, has an impact on more than simply our appearance.

It can also increase our chances of contracting certain diseases, such as cancer.

Some genes play a role in determining when cells divide, grow, and die:

Oncogenes are genes that help cells grow, proliferate, or survive.

Tumor suppressor genes help control cell division or induce cells to die at the appropriate moment.

DNA alterations that turn on oncogenes or turn off tumor suppressor genes can cause cancer. Lung cancer is frequently caused by changes in many distinct genes.

TYPES OF LUNGS CANCER

There are 2 main sorts of lung cancer:

NON-SMALL CELL LUNG CANCER(NSCLC)-
NSCLC accounts for about 80% to 85% of lung cancer cases. Adenocarcinoma, squamous cell carcinoma, and giant cell carcinoma are the three primary subtypes of NSCLC.

Because their therapy and prognoses (outlook) are typically similar, these subtypes, which start from distinct types of lung cells, are classed together as NSCLC.

Adenocarcinoma: Adenocarcinomas begin in cells that ordinarily release mucus or other substances. This type of carcinoma is commonest in those that smoke or have smoked within the past, but it’s also the foremost common sort of carcinoma detected in nonsmokers.

It affects more women than males, and it’s more common in younger individuals than other sorts of carcinoma.
Adenocarcinoma is most commonly detected in the lungs’ outer layers, and it is more likely to be discovered before it has spread.

People with adenocarcinoma in situ (formerly called bronchioloalveolar carcinoma), a kind of adenocarcinoma, have a better prognosis than those with other types of lung cancer.

Squamous cell carcinomas begin in squamous cells, which are flat cells that line the liner of the lungs’ airways. They are usually seen within the middle region of the lungs, near a main airway, and are associated to a history of smoking (bronchus)

Large cell carcinoma, also known as undifferentiated carcinoma, can develop in any area of the lungs. It has a tendency to spread and grow quickly, making treatment more difficult. Large cell neuroendocrine carcinoma, a subtype of huge cell carcinoma, may be a fast-growing malignancy that’s remarkably almost like small cell carcinoma.

Other subtypes: Adenosquamous carcinoma and sarcomatoid carcinoma are two other NSCLC subtypes that are far less common.

SMALL CELL LUNG CANCER(SCLC)-

SCLC is a type of lung cancer that accounts for 10% to 15% of all lung malignancies and is also known as oat cell cancer.
This kind of lung cancer grows and spreads more quickly than NSCLC. At the time of diagnosis, almost 70% of those with SCLC will have cancer that has already spread.

Chemotherapy and radiation therapy work well for this cancer because it grows quickly. Unfortunately, the cancer will return for the majority of patients at some point.