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Sleep Disorders in Children

Sleep Disorders in Children - Insomnia

Sleep disorders in children have been reported to impact on children’s performance in school as well as social-emotional adjustment. Psychologist put an estimate of about 30 percent of children suffering from sleep disorder somewhere in their childhood. It is therefore prudent for parents to be aware of the sleep patterns that are normal in children, the type of sleep disorders and the available remedies for such. Normal patterns of sleep in children has been categorised into two broad classes namely rapid eye- movement (REM) sleep and non rapid-eye movement (NREM) sleep.

Common Sleep Disorders in Children

The rapid eye movement sleep is the one in which our eyes are in rapid movement under the eyelids and the both the heart beat and breathing becomes irregular. In addition, the body temperature control becomes unusual such that shivering is not there when it gets cold and sweating at high temperatures is not evident. The nerves impulse responsible for nervous messaging is inhibited making you somehow paralyzed and it is at this level that dreaming occurs. In the non rapid eye movement sleep, drowsiness characterises the initial stage of the sleep. Here waking is easy. At the deeper levels of the sleep waking becomes challenging and one can be confused and disoriented on waking up. Our muscles are more active during the NREM although they cannot move since there are nerves signal sent from the brain to the muscles to initiate movement.

Sleep Disorders in Children - Insomnia

Sleep Disorders in Children

These two sleep patterns are there even before birth. After birth, infants tend to sleep almost invariably. As they develop the sleep becomes less during the day and sleeping is longer at night. For instance, at the age of 6 months, infants sleep for 13 hours a day on average. By the time the children are two the sleep period reduces to about 12 hours and by 4 years they are doing between 10 to 12 hours of sleep. The drop in sleeping hours that becomes more significant during the adolescent stage is associated with biological reasons.

Some sleep disorders in children are quite common, mild and easy to remedy while in other cases the problem may become more severe indicating signs of underlying physical problems and if not treated they may yield long-term consequences. Consulting a paediatrician or a sleep specialist my help you in diagnosing sleep disorders. School psychologist too might give valuable input in identifying and dealing with the problem. In diagnosis of sleep disorders in children will involve evaluation of your child’s sleeping patterns, normal bed and wake time for school days and for the weekends and vacations, problems of falling asleep and the frequency of sleep. Variation in attention and concentration and change of behaviour in children may be a sign of sleep disorder.

There are a number of ways available for dealing with sleep disorders in children. In the case that your child suffers from night terrors, it is advisable to keep them as comfortable as possible. Instances of night terrors during sleep mostly occur when the child is in NREM stage of sleep mostly for children aged between 4 to 8 years. If the night terrors proves to be persistent it is vital to seek medical involvement.

Bedwetting is another recipe of sleep disorder. Bedwetting is common for children between the ages of 6 and 12 which are mostly to do with primary enuresis which is associated with lag in development, low capacity of the bladder, and hereditary reasons and this should not be alarming. However, secondary enuresis, which involves a notorious recurrence in bedwetting even after a year or more after children achieves bladder control, is a sign of emotional distress and remedy is thus called for. The remedies in such case include bladder control, reinforcement and responsibility training. Finding out any cause for emotional distress for your child and dealing with it might also be very helpful. This might involve counselling. There is also medication that can be administered to alleviate this cause of sleep disorders in children and visiting your child’s paediatrician would be vital.

Children may experience difficulty in falling asleep due to them having worries and fears. This condition is called the sleep-onset anxiety and may be as a result of trauma and other stressful events during the day. This sleep disorders in children can be dealt with by making use of calming bedtime habits, reassuring the child and even therapy for behavior and assisting the child deal with their worries and anxiety. Delayed sleep-phase syndrome is another sleep disorder. This problem involves the inability of the child to go to sleep during the normal sleep hours. This disorder may be corrected by light therapy, chemotherapy and adherence of a consistent schedule for the child’s sleep. Use of sedative therapy might also be of assistance. Sleep walking is also a symptom of sleep disorder. Awakening your child on a habitual schedule can address such events of sleep disorders in children.

When Kids Can’t Sleep

Pediatric Sleep Disorders

Sleep Disorders in Children – Diagnosis

Sleep disorders in children are a lot more common than we think. A lot of children have medical sleeping disruptions which can range from the seemingly innocent, occasional night terror to something as serious as neurological conditions like narcolepsy. These sleep disorders can affect a child’s daytime activities. There are studies that show that if sleep disorders in children are left untreated, they can have adverse effects later in life, as in poor performance in school and at work; in some cases simple sleep disorders evolve into more serious medical conditions.

 A child should get as much as 10 hours of sleep at night, and this has been proven necessary for the child’s developmental phases. If a child does not get that much sleep, it is important to find the root cause of the problem before it turns into something worse. It is important to properly recognize sleep disorders in children as early as possible. The sooner a sleep problem is diagnosed, the sooner the proper cure and treatment can be decided on for the child. As in other medical cases, early detection is key. Symptoms of sleep disorders in children may vary from that what an adult typically experiences. Regardless of this, a good pediatrician and observant parents or guardians should be able to identify and recognize if a child is having sleep problems.

Types of Sleep Disorders in Children

Pediatric Sleep Disorders

Sleeping Problems in Children

There are several types of sleep disorders in children, and some of the more common ones will be briefly discussed here.  Night terrors are one of the more common sleep disorders in children. Usually associated with a child’s emotional issues, night terrors are sudden and partial sleep disruptions in the night. Usual a child would not fully awaken but would cry out in the middle of sleep. Children do not usually remember their night terrors once they’ve woken up. For these cases, it is important to ensure that the child is comfortable – good ventilation, clean sheets – without necessarily waking up the child in the middle of night terror episodes. Extreme cases might need some form of medical intervention.

 Another commonplace disorder is sleepwalking. Children have been observed to rise during the night, with eyes open, but not actually seeing. They would around the house or even talk at some instances. The best way to deal with sleepwalking is to take some precautionary steps like putting the kid’s room in the first floor or child-proofing the room to prevent any bumps or other accidents.

 Another sleeping disorder observed in children is nighttime bedwetting. Bedwetting has been associated with emotional distress, developmental issues or even as straightforward as bladder problems. This sleep disorder is usually dealt with via training and conditioning the child using tools like alarms to help the child stop bed wetting.

 Sleep-onset anxiety has also been experienced by children. At such a young age, there are children that have difficulty sleeping because of unnecessary worries. Usually associated with emotional issues, a child needs to be assured in order to facilitate sleep.

 Sleep apnea, while more prevalent among adults, has also been observed among children. Sleep apnea is caused by obstruction in air passages, leading to abnormal pauses in breathing during sleep.

 Narcolepsy is one of the more serious cases of sleep disorders in children. It is a rare neurological and genetic condition characterized by excessive sleeping hours, at abnormal sleeping patterns. If a child is suspected to have narcolepsy, it’s best to immediately refer the child to a doctor or sleep specialist for diagnosis and treatment.