Early pregnancy symptoms, PMS, and the start of the menstrual period all have common signs and symptoms like mood swings, back pain, and breast pain. Moreover, there are symptoms that only occur if you are pregnant. These three conditions also share other similar signs and symptoms, but there are unique differences between each. The most common signs and symptoms of early pregnancy, PMS, and the start of your period include mood swings, back pain, increased urination, and tender breasts. Many women have difficulty figuring out if they are pregnant, have PMS, or are about to start their period. Exercise in the late afternoon or early evening (6 hours before bedtime) can promote sleep.To avoid large meals right before bedtime.To avoid caffeinated beverages in the late afternoon or evening.Patients are advised to do the following: Devices:įDA-approved prescription devices can be used in patients with insomnia. Sedative- hypnotic drugs, sedating antidepressants, antihistamines, and other drugs may be prescribed by a physician. Hence, it is advised for adults to limit sleep time to around 5-7 hours. Sleep-restriction therapy: This is based on the fact that excessive time in bed can lead to insomnia.Stimulus-control therapy: This works by associating the bed with only sleepiness and when it is time to sleep.Acupressure and massage therapies can help in relaxation and reducing chronic pain. Cognitive therapy and relaxation therapy: This involves inculcating correct sleep beliefs, reducing stress and anxiety, relaxation exercises, and meditation.Sleep hygiene education: This addresses behavior that is incompatible with sleep such as caffeine or alcohol use, environmental noise, inappropriate room temperature, and watching TV in bed.The four treatment options include the following: 1. The treatment usually includes a combination of more than one treatment modality and uses a multi-disciplinary approach. BIC combined type: This is a combination of both BIC subtypes.BIC limit-setting: This occurs due to the child's refusal to go to bed.It occurs due to negative associations with sleep, such as needing to go to sleep by being rocked or nursed or watching TV while going to bed. BIC sleep-onset: It can usually be resolved with a few behavioral changes such as creating a healthy sleep routine or learning self-soothing or relaxation techniques.Asthma and other respiratory conditionsīehavioral insomnia of childhood (BIC) can usually be managed with appropriate behavioral therapy.Some medical conditions that may cause maintenance insomnia are as follows: Maintenance insomnia may be caused by chronic medical conditions or psychological conditions such as depression, anxiety, or stress. Maintenance insomnia is when the patient has difficulty staying asleep or waking up too early and difficulty going back to sleep. Some symptoms of onset insomnia include the following: Onset insomnia includes trouble initiating sleep. Change in environment and unfamiliarity.CNS stimulants such as nicotine and excessive caffeine.This type of insomnia may be short-term or chronic. Onset insomnia is difficulty initiating sleep.Age (Insomnia becomes more common with age).Lifestyle factors such as frequent travel causing jet lag, constantly rotating shift work, irregular naps, and sleep timings.The central nervous system (CNS) or brain stimulants such as nicotine and excessive caffeine.
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