Causes of Insomnia
It should be noted that insomnia may be acute or chronic. So that acute insomnia lasts for a period of several days or a few weeks and usually results from exposure to psychological stress or traumatic events, as for chronic insomnia, it lasts for a month or more, and in general, insomnia may be a basic problem in itself, or it may be related to health conditions In fact, many different reasons may lead to suffering from insomnia, we explain some of them as follows:
- Many wrong life practices may lead to suffering from insomnia, and here are some of them:
- Tension and psychological distress: Exposure to a traumatic event may lead to life. Such as the death of a loved one, loss of a job, or illness, to suffering from insomnia, in addition to the psychological pressure resulting from the study, work, and financial circumstances, which leads to excessive thinking when lying down to sleep, and difficulty sleeping.
- Travel or the nature of work: The biological clock or what is known as the circadian rhythm regulates the sleep cycle, and many vital processes in the body, so its disorder may lead to suffering from insomnia, and this disorder may be related to travel, work until late at night, or follow a routine Lips in action.
- Bad sleep habits: such as using the bed outside of bedtime to work or watching TV, adopting an irregular sleep regime, and sleeping in an uncomfortable environment.
- Change in sleep pattern with age: the sleep cycle naturally varies with advancing age, so that the person begins to feel sleepy earlier in the night and begins to wake up early in the morning, in addition to what is accompanied by age, a decrease in the percentage of deep sleep; Which makes it easier to wake up in the event of hearing voices or some changes in the surrounding environment, and as is known, aging may be accompanied by suffering from diseases and the consequent use of medicines; As this has an effect on the ability to sleep, and it is worth noting that aging is associated with decreased activity and taking several naps during the day, which leads to difficulty sleeping at night.
- Drinking alcohol: despite the calming effect of alcohol in the short term, it causes many disorders that lead to suffering from insomnia in the long term, as it disrupts the normal sleep cycle, including waking up before getting adequate sleep, and alcohol may cause Increase the number of times you urinate during the night because it has diuretic properties.
- Caffeine: Due to the stimulant effect of caffeine, consuming a caffeine-containing drink before bedtime may lead to insomnia and difficulty sleeping, and it is indicated that drinking these drinks six hours before bedtime or for a longer period than that prevents the effect of caffeine on sleep in many people.
- Smoking and nicotine: The nicotine in cigarettes has a stimulant effect similar to the effect of caffeine, and its side effects include insomnia, and due to the decrease in the effect of nicotine in the morning before waking up, this may lead to the emergence of withdrawal symptoms and sleep disturbances during this period, in addition to the percentage of deep sleep in smokers Less compared to non-smokers.
- Cocaine addiction: Cocaine use is associated with addiction, insomnia, and a loss of pleasure, in addition to the stimulant effect of cocaine that leads to irritability and disrupts the natural sleep cycle.
- Use of electronic devices before bed: Several studies have shown the effect of the light of electronic devices on disturbing the level of the hormone melatonin – the hormone that plays an important role in sleep – which leads to difficulty sleeping.
- Eating fatty meals before bedtime: because it causes a feeling of discomfort and affects the ability to sleep, in addition to the possibility of hot food causing heartburn in the stomach and thus sleep disturbance.
Many women suffer from insomnia during menopause due to several changes accompanying this stage, including the following:
- Hot flashes: Hot flashes and night sweats are among the common symptoms that women may suffer from during the menopause stage, which leads to suffering from insomnia, in addition to that these symptoms are caused by an increase in the level of the hormone adrenaline in response to a decrease in the proportion of certain hormones in the woman Adrenaline stimulates and increases the energy of the body, which leads to difficulty sleeping and suffering from insomnia.
- Hormonal changes: The menopause phase is accompanied by many hormonal changes in women. Including a decrease in the proportion of the hormones estrogen and progesterone, which leads to several changes in lifestyle and sleep, to adapt to these changes, and it should be noted that progesterone is one of the hormones that stimulate sleep, so its decrease leads to suffering from insomnia as well.
- Medicines: Women may need to use some medications and supplements during menopause, which in turn may be accompanied by side effects, including insomnia.
Most women suffer from insomnia during pregnancy, especially during the second and third trimesters of pregnancy due to the increase in fetal size, and the increase in severity of pregnancy symptoms, and it should be noted that the suffering of a pregnant woman from insomnia does not affect the health of the fetus, and many different factors may be responsible for A pregnant woman suffers from insomnia, we explain some of it as follows:
- Heartburn associated with pregnancy.
- Leg cramps.
- Psychological anxiety.
- frequent urination.
- Hormonal changes.
- Difficulty getting a comfortable position due to the size of the abdomen.
- Increased stimulation of metabolic processes or metabolism, which leads to an increase in body temperature.
Suffering from insomnia may be caused by the use of some medications, as insomnia is one of the common side effects of several drugs, including the following:
- Alpha-blockers: Among the side effects that are associated with the use of this group: insomnia, a person feeling sleepy and tired during the day, in addition to their effect that leads to a shortening of the duration of some sleep stages.
- Beta-blockers: Beta-blockers cause frequent awakenings during sleep and nightmares. Scientists believe that this effect is due to a decrease in the level of the hormone melatonin, which plays a role in regulating sleep.
- Corticosteroid drugs: Corticosteroid drugs cause insomnia due to their effect similar to the hormones of the adrenal gland, which are responsible for stimulating the body and the brain.
- Selective serotonin reuptake inhibitor: for short, (SSRI), doctors were not able to clearly identify a mechanism that causes insomnia in the affected person, but these drugs may cause irritability and tremors, which may lead to suffering from insomnia.
- Angiotensin-converting enzyme inhibitors: The use of these drugs may lead to insomnia due to the possibility of high potassium in the body, which in turn leads to cramping of the legs, muscle and bone pain, and diarrhea, in addition to these drugs causing dry cough in a few cases, which May prevent you from sleeping well at night.
- Angiotensin II-receptor blockers: for short (ARBs), these drugs may cause insomnia due to the high level of potassium in the body as well and the appearance of symptoms associated with it.
- Cholinesterase inhibitors: Many of the symptoms associated with these drugs may disturb the ability to sleep, such as cramping in the legs, nausea, and vomiting, in addition to an increase in the proportion of acetylcholine in the brain and body, which is a type of neurotransmitter, which leads to disruption of involuntary functions in the body, including The functions responsible for sleep.
- Certain types of anti-allergies: The second generation of H1 antagonist receptor blockers causes mental anxiety and insomnia due to the inhibition of acetylcholine in the body, and these drugs are prescribed to treat allergic reactions.
- Glucosamine and chondroitin supplements: The use of glucosamine and chondroitin supplements have been associated with several side effects such as insomnia, diarrhea, and headache.
- Statin drugs: Statin drugs cause muscle pain, which may affect a person’s ability to sleep at night, and this pain may be very severe in some cases.
- Cancer treatment drugs: Many cancer treatment drugs, known as chemotherapy drugs, cause fatigue and fatigue during the day, which leads to sleep during the day and insomnia during the night, in addition to that some of the drugs used to reduce the side effects associated with cancer drugs may lead to fatigue and fatigue Also; As anti-nausea drugs, or they may directly lead to insomnia; Such as steroid medications, in addition to the anxiety and stress associated with having cancer, may lead to suffering from insomnia as well.
We show the following from mental disorders that may lead to suffering from insomnia:
- Bipolar disorder: People with bipolar disorder suffer from insomnia and inability to sleep during episodes of depression and mania, and it is worth noting that some sleep disorders associated with timing differences (Jet lag) or work schedules may lead to stimulation and the development of manic episodes related to the disorder Bipolar.
- Mental anxiety: In the event of an anxiety disorder, a person may suffer from severe anxiety for a period of more than 6 months, which affects his daily life. In fact, insomnia increases the severity of psychological anxiety, as psychological anxiety leads to suffering from insomnia and nightmares.
- Depression: Insomnia is associated with most cases of depression, and scientists believe that insomnia is not only a symptom of depression, as insomnia and depression are two different disorders, but rather they overlap, and this requires care to treat depression and insomnia in parallel.
- Phobias and panic attacks: Many people may suffer from insomnia as a result of having panic attacks that occur at night. Specifically during the stage of light sleep and deep sleep, as for phobias, they rarely cause sleep disturbances, unless they are related to one of the sleep-related conditions; Like fear of nightmares.
- Schizophrenia: Many people with schizophrenia do not get enough sleep hours, especially in the early stages of a schizophrenic episode, but in the periods between episodes, the person’s sleep usually improves.
Among the nervous disorders that may lead to suffering from insomnia are the following:
- Epilepsy: Medicines used in the treatment of epilepsy contribute to suffering from insomnia because of their calming effect that may lead to sleepiness and sleep during the day, which in turn leads to suffering from insomnia at night, and many of the nervous seizures associated with epilepsy occur during the second stage of sleep. Or when drowsiness, which leads to difficulty sleeping after a nervous attack, due to the loss of bladder control, panic, and hyperventilation that may accompany it, and it should be noted that some seizure triggers contribute to suffering from insomnia as well, and on the other hand, insomnia may be one of the triggers for epileptic seizures Because it is linked to not getting enough sleep.
- Parkinson’s disease: Many people with Parkinson’s disease or Parkinson’s disease have insomnia and other sleep disturbances. Specifically, the inability to continue sleeping and thus interrupt it, as it is indicated that many Parkinson’s patients suffer from depression; Depression in itself is a cause of insomnia, and Parkinson’s drugs may cause insomnia in some cases as a side effect of their use.
- Dementia: Alzheimer’s disease is accompanied by the appearance of some symptoms that affect a person’s ability to sleep, especially at night. Such as irritability and confusion, and this condition is known as Sundowning Syndrome, and a person with this condition may need to undergo treatment and receive continuous health care.
- Other disorders: Several other neurological disorders may lead to suffering from insomnia. Such as headaches, including migraine headaches, which may cause the affected person to wake up from sleep, and it should be noted that insomnia and lack of sleep accompanied by other symptoms such as fatigue, headache, and vision disturbances may indicate other health problems that require a visit to the doctor.
Other health disorders
There are many disorders and health problems that may lead to suffering from insomnia, including the following:
- Heartburn: Heartburn is a feeling of discomfort or heartburn in the middle of the abdomen, in addition to the possibility of stomach acid reflux into the esophagus, and the severity of stomach acid reflux often increases when lying down, and the problem of insomnia and heartburn, in this case, can be alleviated by using some medications that Help to suppress stomach secretions, avoid large and heavy meals in the evening, abstain from alcohol and caffeinated drinks, in addition to trying to raise the upper body when lying down to prevent stomach acid reflux.
- Heart failure: People with heart failure suffer from fluid accumulation in the lungs and tissues, which may lead to waking up several times due to a feeling of shortness of breath, and heart failure may be accompanied by suffering from obstructive sleep apnea, which is one of the sleep disorders that lead to waking Several times while sleeping at night, feeling tired and sleepy daily due to not getting enough sleep.
- Musculoskeletal disorders: may affect one of the musculoskeletal disorders. Such as arthritis in the ability of the affected person to sleep and suffers from insomnia due to the pain resulting from it, and this may result from the treatments used for arthritis; Such as steroid drugs, as some studies have shown that many people who suffer from fibromyalgia have a disruption in the normal sleep cycle and in the ability to sleep deeply due to a disturbance in the brain.
- Respiratory disorders: Infection with many different breathing disorders may lead to difficulty sleeping or impaired ability to continue sleeping, and these disorders are known as emphysema and bronchitis, and this is due to the association of these conditions with shortness of breath, coughing, and excessive sputum production, in addition to difficulty Sleep caused by the use of certain medications that treat breathing disorders; Like steroid medications.
- Diseases of the thyroid gland: hypothyroidism leads to a feeling of sleepiness and lethargy, as for an overactive thyroid gland, which is accompanied by suffering from sleep disorders. Including insomnia, insomnia may also result from symptoms of other thyroid disorders; Like night sweats, waking up frequently as a result of increased sweating may prevent them from getting enough sleep.
- Kidney disease: Insomnia and sleep disorders are common among people with kidney disease, and lack of sleep, in this case, may be associated with a feeling of sleepiness and fatigue in addition to poor performance during the day, and poor quality of life and the occurrence of insomnia, in this case, is attributed to many factors associated with kidney disease And their treatments; This includes metabolic changes, inflammation, altered sleep-regulating mechanisms, symptoms and complications associated with CKD, medications and renal replacement therapies.
- Restless legs syndrome: Restless legs syndrome can be defined as a movement disorder that leads to an uncomfortable feeling in the legs, including the desire to move them during times of rest, and the feeling of these symptoms increases when lying down to sleep at night, which may lead to suffering from insomnia and difficulty sleeping, in addition to To extreme sleepiness, fatigue, and fatigue during the day.
- Diabetes: People with diabetes may suffer from sleep disturbances. Including insomnia, as the symptoms of diabetes make sleeping more difficult, and the lack of sleep in itself leads to an increase in the symptoms of diabetes worse, and sleep disturbances, in this case, may be attributed to irregularities in the level of blood sugar and hormones, and often high blood sugar levels during the day To the inability to sleep efficiently during the night, and in this context, it is indicated that fatigue may prevent the ability to regulate blood sugar levels, and it should be noted that diabetes is associated in several cases with neuralgia, restless leg syndrome, or apnea, and these factors It increases the likelihood of developing a feeling of insomnia.
- Pain: Suffering from acute or chronic pain leads to insomnia and sleep disturbance, as the affected person loses the ability to control sleep hours and thus gets fewer hours of sleep, and sufferers of pain suffer from the ease of being affected by the surrounding environmental factors affecting sleep quality; Like sounds, heat, and light.
- Urinary incontinence: People with urinary incontinence may suffer from insomnia due to the urgent need to urinate, or bedwetting at night.
Information about insomnia
Insomnia is known as a sleep disorder, which is the person having difficulty falling asleep, which may be represented by difficulty in continuing with it, or waking up early and not being able to return to sleep, and sometimes accompanied by a feeling of fatigue after waking up, or insomnia may be represented by having difficulty falling asleep, It should be noted that the number of hours of sleep of individuals varies, but in general, most adults need seven to eight hours of sleep each night, and insomnia can affect people of any age, and in adults, insomnia is more common in females compared to males, and it is worth noting That insomnia may negatively affect some aspects of life, such as disturbed performance during work or school, and it may also play a role in the development of some other health problems.
What causes insomnia? – Dan Kwartler
Sources: Several websites and books, Some sites : www.medicalnewstoday.com www.mayoclinic.org
www.sleepfoundation.org www.everydayhealth.com www.health.harvard.edu