Sleep issues
Hello Doctor: Recently, almost every week, I experience a strange sensation while sleeping, where I feel completely awake but my body cannot move, and I am unable to speak.
Then, I hear a low-frequency buzzing sound in my ears.
After a while, I can slowly move again.
That feeling is really terrifying, and it feels like I am about to stop breathing.
What could this be? Thank you, Doctor.
Xu, 10~19 year old female. Ask Date: 2018/04/10
Dr. Jiang Junyi reply Neurology
Hello: Your symptoms may indicate sleep paralysis, which is a type of sleep disorder.
It typically occurs when a person is transitioning into sleep or waking up.
Patients often feel as if they have just awakened; they can open their eyes and see their surroundings as well as hear sounds, but they are unable to move their body or limbs or make any sounds.
Sometimes, they may experience hallucinations and see imaginary images because they are awake during the rapid eye movement (REM) stage of the sleep cycle.
This condition is often related to life stress and is more common in adolescents and young adults.
Irregular sleep patterns, frequent late nights, and insomnia can lead to an early onset of REM sleep, resulting in sleep paralysis.
It is advisable to consult a neurologist to discuss undergoing a polysomnography (PSG) sleep study.
Wishing you good health and peace.
Dr.
Tao, Neurology Department, cares about you.
Reply Date: 2018/04/10
More Info
Sleep paralysis is a phenomenon that many individuals experience, often leading to feelings of fear and confusion. It typically occurs during the transition between wakefulness and sleep, either when falling asleep or waking up. During an episode of sleep paralysis, a person may feel awake and aware of their surroundings but is unable to move or speak. This can last for a few seconds to a couple of minutes and is often accompanied by auditory or visual hallucinations, such as the low-frequency sounds you described.
The exact causes of sleep paralysis are not fully understood, but several factors are believed to contribute to its occurrence:
1. Sleep Disruption: Irregular sleep patterns, such as those caused by shift work, sleep deprivation, or inconsistent sleep schedules, can increase the likelihood of experiencing sleep paralysis. Your mention of experiencing this phenomenon several times a week suggests that your sleep routine may be disrupted.
2. Sleep Disorders: Conditions such as narcolepsy, insomnia, and sleep apnea are associated with higher rates of sleep paralysis. If you have a history of any sleep disorders, it may be worth discussing this with a healthcare professional.
3. Stress and Anxiety: High levels of stress and anxiety can affect sleep quality and may trigger episodes of sleep paralysis. If you are experiencing significant stress in your life, it could be a contributing factor.
4. Sleep Position: Some studies suggest that sleeping on your back may increase the likelihood of sleep paralysis. If you typically sleep in this position, you might consider trying to sleep on your side instead.
5. Genetics: There may be a genetic component, as sleep paralysis can run in families.
To address sleep paralysis, consider the following strategies:
1. Improve Sleep Hygiene: Establish a regular sleep schedule by going to bed and waking up at the same time each day. Create a relaxing bedtime routine to signal to your body that it is time to wind down. Avoid stimulants like caffeine and nicotine close to bedtime.
2. Create a Comfortable Sleep Environment: Ensure your sleeping area is conducive to rest. This includes a comfortable mattress and pillows, a dark and quiet room, and a cool temperature.
3. Manage Stress and Anxiety: Engage in relaxation techniques such as deep breathing, meditation, or yoga to help reduce stress levels. Cognitive-behavioral therapy (CBT) can also be effective in managing anxiety and improving sleep quality.
4. Avoid Sleep Disruptors: Limit screen time before bed, as the blue light emitted by devices can interfere with melatonin production, making it harder to fall asleep.
5. Consult a Healthcare Professional: If sleep paralysis episodes persist or worsen, it may be beneficial to consult a sleep specialist or a healthcare provider. They can help identify any underlying sleep disorders and recommend appropriate treatments.
In summary, while sleep paralysis can be a frightening experience, understanding its causes and implementing strategies to improve your sleep can help reduce its frequency and severity. If you continue to experience these episodes, seeking professional guidance is essential to ensure your overall health and well-being.
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