Causes of Insomnia (hormones, psychology, medical conditions)
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- čas přidán 1. 08. 2024
- Causes of insomnia and sleep maintainance insomnia. discussion about melatonin, adenosine, cortisol, thyroxine & testosterone with a discussion about the psychological reasons for insomnia. also I talk about some of the medical conditions that cause insomnia and that can wake you up with a start in the middle of the night. I talk about the influence of adrenaline, flight or fight sympathetic nervous system.
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Chapters
0:00 Introduction
0:11 Hugh Selsick & Dipesh Mistry
0:55 Melatonin and Light
1:43 Adenosine and Coffee
2:48 Cortisol
3:01 Thyroxine
3:12 Testosterone
3:24 Shift Work / jetlag / Circadian rhythm
4:07 Sleep Hygiene
4:38 Psychology of acute insomnia
6:41 Adrenaline / Sympathetic nervous system keeping you up at night
6:47 The point at which you fall asleep
7:18 Psychology of chronic insomnia
8:12 The fear of not getting enough sleep
8:40 Fear keeps you up at night
9:13 Medical Conditions that cause Insomnia
9:49 Incontinence
9:22 Sleep Apnoea
10:05 Snoring causing insomnia
10:57 Depression & anxiety
11:24 PLMD - Periodic limb movement disorder / Restless Leg Syndrome
11:44 Bruxism & TMJD (temporomandibular joint dysfunction
12:13 Back / Hip / Shoulder pain
12:30 COPD / Asthma
12:52 Heart Disease / Orthopnoea
13:34 PND - paroxysmal nocturnal dyspnoea
14:23 Thyroid disease
14:39 Pheochromocytoma
15:12 Medication that cause insomnia
15:36 Conclusion
** Disclaimer - The information in this video is not intended nor implied to be a substitute for professional medical advice, diagnosis or treatment. All content, including text, graphics, images, and information, contained in this video is for general information purposes only and does not replace a consultation with your own doctor/health professional. ** - Věda a technologie
Thanks for the video. I had terrible insomnia for 35 years, more or less. Six months ago I gave up all refined sugar and my insomnia went away first night. Has not come back! 3 years ago I gave up wheat and my chronic bleeding hemorrhoids cleared up in two days. Other processed foods cause specific psoriasis type reactions for me.
Got to give dr vik veer credit . The only NHS Drs in regards of sleep disorders and you working hard .
Also nasal disorders can cause sleep disorders I.e , Diverted nasal septum nasal valve collapses and turbinate hypertrophy which correlates with sleep apnea/UARS . That’s why it’s important for all Drs to give patients with recurrent insomnia drug induced sleep apnea to check if there are throat disorders like uvula collapse or epiglottis collapse .
Tried really hard not to talk too much about OSA, I think people are sick of me bleating on about it.
@@VikVeerENTSurgeon nonsense dr Veer !!
OSA and sleep disordered breathing is your USP topic, certainly that’s how I found you and why I see you as one of your patients
This is a really nice summary of what I figured out by myself the hard way. I solved my chronic sleep onset insomnia by trying to care less about sleep. I started using sleeplessness as an advantage, whereby I could stay up later and do productive things. Now I fall asleep within minutes, even the night before an exam (returned to university in midlife to earn a graduate degree). I cannot recommend the books by Sasha Stephens and Daniel Erichsen highly enough. It's actually a lot like tinnitus. The more you obsess over and fear not sleeping, the harder it is to sleep.
Thank you Vik that was very good. I thought I knew a lot about insomnia but there was a lot of food for thought there. Not sure if it would help anyone else but the other thing I found was I was pre-diabetic undiagnosed at time and also had a daytime lung problem still being sorted out. I suffer with ADHD without medication but I think that does wake my brain up a lot. Actually I suffer with quite a few of the things you mentioned and I'm also very interested in the vagus nerve connection. I think they might even be a bowel connection as well but I don't know enough about that. Anyway I'm sure there'll be other people here that really appreciate this as well. Thank you and look forward to part 2.
Really glad you liked it. I have no idea what to do next... Hoping my friends will step in..
@@VikVeerENTSurgeon thank you 🙂👍
I’d be interested in your knowledge regarding insomnia and neurodivergence. It seems to be extremely common in people with autism and ADHD.
Thank you for this Vik. I'm a long time insomniac. I shall try taking my anti depressant in the morning from now on but I often wake up followed by a big gasp. Sometimes it disturbs me to the point I wake up fully but others I just drift back off again. I know a boyfriend 40 years ago mentioned I only breathed about 4-6 times per minute. He woke me up because he thought it was dying. My BP used to drop to 60-70/50-40 when at rest alone so goodness knows what it was when I was asleep. It wasn't something that was talked about then. Even as a child I struggled to sleep and mornings were difficult and still are.
I wish I was still in England for access to Doctors like you!
Thanks Vik, looking forward to part 2!
Thanks Conor, always amazing to hear from you
Thank you for this video and I am looking forward to the next in this series!
Can't figure out what I should focus on....
Always a great pleasure to watch your podcast Doc! I have insomnia, sleep apnea and UARS. If simply insomnia, I found CBT-I works for me.
CBTi is pretty amazing for the vast majority. Glad it worked for you.
Definitely interested in more information about this subject, especially since I'm watching the video at 1 am during one of my many sleepless nights 🙈😅
I'm hoping my friends will step in and help me out, otherwise you'll just get more of me...
Interesting and informative with the usual lively endearing delivery. I loved the description of the anxiety based insomnia which sometimes suffer from. I'm just a little disappointed you didn't mention menopausal symptoms like hot flushes and the associated adrenaline rush, it may be reading too much into it but it adds to the sense of women-specific medical conditions often being minimised or overlooked.
You are probably right. I had to do some reading for this one (outside my comfort zone), so I don't know much about it in the real world. Plus I'm male, and so it just didn't come to mind. I will try and be more mindful of this in the future. Absolutely right, those flushes can cause the problems you mentioned.
Excellent as always Dr Veer! I would love to see a video on additional symptoms associated with sleep apnea. Example: food sticking to tongue far back into the throat (that darn peanut butter) or possibly inflammation in sinus and ears. If inflammation due to diet, alcohol consumption, allergies can make it worse.
My sleep test stated I would wake 95-times PH, I could not take a simple nap upright without sounding like a pot belly pig, lol. I've been shifting to a more plant-based diet and surprisingly that little nap has been quiet as a mouse. A video on this would be awesome. Thanks! Keep up the great work! We appreciate you!
It's interesting. I've lost 4 stone since march on a low carb meat only diet. Apparently I was told that the first part of the body that gets bigger in size when you put on weight is the back of your tongue. I always found myself choking when I was eating before the diet and now I hardly choke at all. I find it best to sleep on my back now and my AHI is rarely over 5 each night, down from 59 last year when I was 19 stone.
I will look into this. It's hard because a lot of the symptoms are caused by conditions caused by OSA. Hard to know where to stop
@@paulbacon5056 Wow. That's great! 4 stone is not an easy task. That info makes perfect sense, tongue fat is like out of sight out of mind. My 🍏 diet has lowered my body fat to 13% which has helped. As you know everyone loses/gains body fat in different order. I hopeful another 2% will help me get off the CPAP altogether.
Hi doctor 😊
Wow! Well That’s me Done for. I have everything on the screen & sleep apnea which is not treated through waiting for a new machine due to mine on re call. But I take medication and cpap really doesn’t work and never has worked for me. Being so hard to get an appointment with I think I’m doomed. I’m pre diabetic and looks like I’ve Got AF! I’m Disabled so I don’t sleep. But I’ve taken all my medication now and sometimes I fall asleep after I’ve eaten and I’ve not felt tired. I just fall into deep sleep. I don’t drink tea or coffee. I don’t drink alcohol or smoke anything. But I do use my tablet but sometimes I put it down and sleep. I go through several weeks getting up early then fall back into sleeping all day and being awake at night. I’m waiting to see you. But haven’t held my breath yet. Getting to see you all in London I can not do at present.
Hugh Selsick and Dipesh Mistry are available on the NHS and privately on zoom calls so speak to them if you need help with insomnia. I wish you the best of luck! Hope you get well soon!
@@VikVeerENTSurgeon I’m waiting to see you for sleep apnea. Been waiting for nearly a year for London & I have spoken to your private secretary but I can not afford to see you privately. So I’m on the list also for Queens Romford. But you have become hugely popular now which is Great 👍 But not if you are waiting for an appointment to see you 😬 & TY for your well wishes I will ask my doctor to refer me about insomnia. I need some teeth out. But dentist won’t do local. Any recommendations please?
Hi andrewcollins i like you have been waiting a very long time to see mr vik veer. I thought i was on mr veers waiting list, i was waiting about 9 months before i contacted london hospital to see where i was on the waiting list to find i wasn’t on the list at all!!!!
My dr had referred me to the wrong place and clinic, it was either the 5/6th referral my gp did that got me finally where i needed to be, (but by then a year had passed)where i was finally put on mr vik veers waiting list. And i had to start at the bottom of the list , think I’ve been on the waiting list 5/6 months.
There is service called sleepstation that is NHS based
. some postcodes can get this for free through their GP but in other areas where its not available for free NHS have discounted the course to £160. There is support and insomnia drs to help. . I wanted to do the course i paid for the course but not started but sadly had to ask for a refund as i had to buy food and pay my electric bill to paybut i cant afford it.
How can I sign up to the newsletter ? Thanks !
It's in the video description. Sorry if I wasn't clear.
Hi doc, how have you been doing with your tinnitus?
Not heard my tinnitus in years. Took a long time to get to that point however.
Interesting. I wonder if my hypothyroidism and/or medication may be at play here, or more likely I just need to stop being such a child about bedtime! 😅
A bit from column A and a bit from column B? 😂
Being forced to get less sleep for work study , is this inviting insomnia? What would be the opposite disease of insomnia? I mean what would you call excessive sleep? HAPPY DEEPAWALI 🐚!
Hypersomnia = excessive sleeping
Happy Diwali to you too.
How do I find out what is causing this. Sounds ominous an scary
Most cases need just simple help. Speak to your GP and get checked out if you are worried.
Sorry
Thought you were ENT specialist !?
I know, I know, but I did a poll a few months ago and everyone wanted insomnia so I said I would do a few videos on it. It's not my speciality so I brought in my friends to help me. I have loads of ent related content coming out.
Understood my friend
I can’t sleep except without iPhone on all night- like background radio TV during day.
I know you’re trying to help; but for 72 year old retired account watching all those children being murdered every day - sorry it did not help and I don’t know what to do .
God bless you sir but I see no future on earth and it is that that keeps me awake all night
Not some exam
I’d pass to earn more money
💕
If you have insomnia. Look into a tincture of cbn and delta 8. If your state or country allows it. It changed my insomnia immediately. Natural and good for you. I hate feeling high and if you dose it properly you don’t get any psychoactive feelings. Just tired and sleepy.
Don't think I'm allowed to comment here except to say that I'm glad it worked for you.
my gosh, we are a pitiable species. :(
Remarkable that we've managed to get this far.
@@VikVeerENTSurgeon :D
I put in a request to see you after watching your videos two years ago and i am still waiting to see you, back then my sleep apnea was bad & now it's even worse,your team don't care to listen & has refferd me to some random ent doctor who forgot why I was there in the 1st place, I patiently waited for your team to 🔎 the problem which is the service you offer, to get to the root cause of sleep apnea via sedation which was your suggestion but none of that took place in the appointment & then i was told to go & just lose weight which you and i know is not the cause of the problem. All this took place on the 14th off October 2023 and to make matters worse the so called specialist I was seen by has vanished from your hospital as there no report written back to my gp even though he stated many times in the appointment that my condition is one off the worse in the country & it is an miracle that I am even waking up.
My managers have told me that my waiting list is too long so they have stopped me seeing new patients so my colleagues get a chance to see patients as well. They are meant to be checking each patient and booking them into my theatre for DISE if they meet the guidelines. I'm sorry if you didn't get a good experience. Perhaps call up and see if you can find out what's happened. I'm sorry the system is overloaded since COVID.
sorry, im not a doctor, but your graphs seem inaccurate, your melatonin graph should be much more flat and your cortisol graph should be much thiner, start later end earlier...