Sleep Disorder Clinics

 There are numerous sleep disorder clinics designed to specifically diagnose and provide ways for you to overcome your insomnia. If you are put off by the thought of many people watching you go to sleep, you should know that sleep disorder centers are set up to help people with sleep disorder, so you will get solutions to your sleep problems.

If you are not sure if you need to go to sleep disorder clinics, these are some of the symptoms which indicates a need for sleep disorder center:

-insomnia due to psychological disorders
-sleeping problems due to substance abuse
-snoring and sudden awakening with gasping for breath (possible sleep apnea)
-severe restless legs syndrome
-Excessive and persistent daytime sleepiness
-Narcolepsy or sudden “sleep attack” during the day 

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What can you expect in the sleep clinic?

You will be tested with polysomnogram to record your physical state during various stages of sleep and wakefulness. This provides data to help evaluate changes during sleep, such as blood oxygen levels, respiratory events, muscle tone, heart rate, the extend of snoring and sleep behaviour.

Usually you will make an appointment for your visit, which will take place at night. The sleep center may send you forms requesting your medical and sleep history prior to your appointment with the doctor. The form may ask for your bed partner's responses to some of these questions, since you may not be aware that you snore, stop breathing (sleep apnea) or kick your legs when you sleep. It also may provide tips and some special instructions for your sleep test.

Before your sleep test, you may meet with a physician or sleep specialist, who will go over your medical and sleep history. You may participate in a "split-night" test, in which half the night will be used to diagnose your sleep problem, and the other half will be used to treat the problem. This is sometimes done with patients who are being tested for sleep apnea.

After your arrival at the sleep center, you may be asked to complete a questionnaire on your sleep the night before. Many sleep centers offer a video or other information about the sleep study or specific disorders such as sleep apnea, since a significant percentage of those who have sleep tests are suspected to have sleep apnea. The video may also address what you should expect during the sleep test to ease any fears that you may have. Then you will be asked to change into nightclothes.

After changing, a polysomographic technician will connect you to the electrodes that will record your brain waves and muscle movements throughout the night. The electrodes are placed in specific areas and applied with water-soluble glue and tape. The electrodes record brain waves, muscle movement, rapid eye movement (REM), air intake, and periodic limb movement.

A microphone attached to your neck records snoring, and two belt-like straps around the chest and lower abdomen monitor muscle movement during breathing. Despite all of the equipment, most people say it doesn't disrupt their sleep.

After settling into bed, your technician may go to a monitoring room and ask you over an intercom to perform certain tasks that will show the electrodes are recording properly. You will be observed on a television monitor during the night, but that is to allow the technician to note your body movements during sleep.

When everything is working properly, the lights will be turned off and you can go to sleep. Many patients are so chronically tired that they have no problem falling asleep. While you are sleeping, your brain waves will be recorded to determine when you are awake or in Stage 1, 2, 3, 4 or REM sleep. You will be awakened in the morning and the electrodes will be removed. Since they are applied with water-soluble glue or tape, removal isn't painful.

You will need to make an appointment with a sleep specialist to review the results of your study. You might be asked to complete a questionnaire concerning your sleep the previous night, and then you can go home.

Based on the results of your sleep study, you may be given treatment for a specific sleep disorder. For example, patients with sleep apnea may be prescribed Continuous Positive Airway Pressure or CPAP, which is a device that gently blows air into your nasal passages to keep the airway open while you are asleep.

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Here are some things you need to bring along with you for your sleep test:

• Nightgown, pajamas or any comfortable sleep wear, preferably with a button-down front.
• Your favorite pillow or blanket. Sleep centers provide bedding including sheets, blankets and pillows, but yours may help you sleep better.
• Toiletries such as a toothbrush, toothpaste, hairbrush or comb.
• Clothes for the following day.
• Any needed medications.
• A book or other reading material.
  
  On the day of your test, wash and dry your hair. Try not to use any hair products, such as gels, hairsprays or heavy conditioners, because it may prevent the electrodes from sticking to your scalp.
  
  Remove nail polish and/or artificial nails from at least two fingers. The oximeter that is placed on your finger to monitor blood oxygen levels reads this information through the nail, so any polish or acrylic will not provide an accurate reading.
  
  Do not wear make-up. Some electrodes are on the face, so this area must be clean in order to get a good connection.
  
  Generally, you are asked to obtain a normal night's sleep before the test, unless instructed otherwise by your doctor. Continue to take your regular medications and limit caffeine intake the day of your test.
  
  Once you have the diagnosis of insomnia, you might be wondering what you can do to overcome it. With the help of your doctor or sleep specialist, you can work together to overcome your sleeplessness. You should also be aware of the information you can do yourself or ask your doctor about in treatment of this disorder.