Sleep Issues in Fathers: The Impact of Alcohol and Smoking - Neurology

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Father's sleep issues?


Hello doctor, my dad usually goes to bed around 7 or 8 PM, but according to him, he only sleeps for about 4.5 hours (sometimes even less).
He has mentioned that he has had trouble sleeping since he was a child (he also can't nap during the day).
Additionally, my dad drinks alcohol and smokes, and he tends to drink until he falls asleep.
I would like to know if my dad's sleep issues are due to his natural constitution or if they are influenced by his drinking and smoking habits.
Also, if he eats a lot of food when dining out, he definitely has trouble sleeping at night.

Mr. Zhu, 20~29 year old female. Ask Date: 2022/04/27

Dr. Jiang Junyi reply Neurology


Dear Mr.
Zhu,
You mentioned that your father usually goes to bed around 7 or 8 PM, but according to him, he only sleeps for about 4.5 hours (sometimes even less).
He has said that he has had trouble sleeping since childhood (he also struggles to nap during the day).
I wonder if your father has issues with snoring? Symptoms of sleep apnea include insomnia, nightmares, irritability, memory decline, and difficulty concentrating.
I recommend ruling out sleep apnea first.
Obstructive sleep apnea occurs when the soft tissues near the throat block the airway, causing the upper airway to become narrower, which can lead to snoring and breathing interruptions.
Patients with this condition are at risk for increased cardiovascular strain due to sleep interruptions and oxygen deprivation, making them more susceptible to cardiovascular diseases such as hypertension, arrhythmias, coronary artery disease, myocardial infarction, heart failure, and stroke.
Additionally, alcohol is a central nervous system depressant.
While drinking can reduce the time it takes to fall asleep, it can create the illusion that alcohol aids sleep.
The sedative effects of alcohol are very short-lived; within a few hours after drinking, a "rebound" effect can occur, leading to a night of "light sleep with frequent dreaming," resulting in poor sleep quality.
I suggest that you consult a sleep medicine specialist to discuss evaluation (including polysomnography) and treatment options.
However, due to the recent increase in COVID-19 cases, please ensure to practice self-protection, cleanliness, and disinfection before and after your visit.
Thank you for your inquiry.
If you have any related questions, feel free to discuss further!
Wishing you and your father good health and peace.
Dr.
Jiang Junyi, Taoyuan Hospital

Reply Date: 2022/04/27

More Info


Understanding sleep issues, especially in the context of alcohol and smoking, is crucial for addressing the concerns you've raised about your father's sleep patterns. Your father's situation, where he claims to sleep only 4.5 hours or less despite going to bed early, raises several important considerations regarding the impact of lifestyle choices on sleep quality.

Firstly, it is essential to recognize that both alcohol and smoking can significantly disrupt sleep. Alcohol, while often perceived as a sedative that helps with falling asleep, actually leads to poorer sleep quality. Initially, alcohol may help individuals fall asleep faster, but as the body metabolizes it, it can cause disruptions in the sleep cycle, leading to lighter sleep and more frequent awakenings. This phenomenon is often referred to as "sleep rebound," where the initial sedative effects wear off, resulting in fragmented sleep and increased wakefulness during the night. Consequently, your father's reliance on alcohol to aid sleep may be counterproductive, contributing to his reported insomnia.

On the other hand, smoking is known to have a stimulating effect due to nicotine, which can lead to increased alertness and difficulty in falling asleep. Smokers often experience more sleep disturbances and may find it harder to achieve deep, restorative sleep. The combination of alcohol and smoking can create a vicious cycle where the individual struggles with sleep quality, leading to increased consumption of both substances in an attempt to cope with sleep issues.

Additionally, your father's long-standing history of sleep difficulties since childhood may suggest a predisposition to insomnia, which could be exacerbated by his lifestyle choices. Chronic insomnia can stem from various factors, including psychological stress, anxiety, or underlying medical conditions. The fact that he also experiences difficulty sleeping after consuming heavy meals indicates that dietary choices can further complicate his sleep patterns. Eating large meals, especially close to bedtime, can lead to discomfort and indigestion, making it harder to fall asleep.

It is also worth considering the possibility of sleep disorders such as sleep apnea, which can manifest as disrupted sleep and excessive daytime sleepiness. If your father snores or experiences pauses in breathing during sleep, it would be prudent to consult a healthcare professional for further evaluation.

In summary, your father's sleep issues are likely influenced by a combination of genetic predisposition, lifestyle choices (such as alcohol and smoking), and dietary habits. To improve his sleep quality, it may be beneficial for him to reduce or eliminate alcohol and smoking, establish a regular sleep routine, and consider dietary changes, such as avoiding heavy meals before bedtime. Consulting a sleep specialist or healthcare provider can provide further insights and tailored interventions to address his specific sleep concerns. Encouraging your father to seek professional help could lead to significant improvements in his overall health and well-being.

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