Feeling like someone is moving you while you are sleeping?
Hello Doctor: My mother sometimes feels like someone is hitting her or pulling her blanket while she is sleeping, but she says she doesn't wake up to see it, only feels it.
However, my father, who sleeps next to her, says he doesn't notice anything.
This situation has been occurring occasionally for several years, and we are unsure which specialist to consult regarding these symptoms.
Most information found online only refers to "sleep paralysis." Could you please advise what might be wrong with my mother? What kind of examinations should be done? Are there any suggestions for improvement? Thank you, Doctor.
bb, 30~39 year old female. Ask Date: 2022/08/23
Dr. Jiang Junyi reply Neurology
Hello Mr.
BB: You mentioned that "when sleeping, I feel like someone is hitting me or pulling my blanket, etc., but my mom says she didn't wake up to see it but felt it." This may need to be considered as sleep paralysis.
It typically occurs when a person is transitioning into sleep or is in a state of waking up.
The patient feels as if they have just awakened, can open their eyes and see their surroundings, and hear sounds around them, but they are unable to move their body or limbs and cannot speak.
Sometimes, they may experience hallucinations and see imaginary images; in severe cases, they may feel difficulty breathing.
Sleep paralysis is often accompanied by panic attacks, as the person is still in a conscious state.
Since this is classified as a sleep-related disorder, I recommend discussing evaluation and treatment with a sleep medicine specialist.
Thank you for your question, and feel free to discuss any related issues further! Wishing you good health, peace, and joy.
Dr.
Jiang Junyi from Taoyuan cares about you.
Reply Date: 2022/08/23
More Info
Sleep disturbances, particularly the sensation of being touched or pulled while asleep, can be quite distressing for individuals experiencing them and their loved ones. Your mother's experiences may be indicative of a phenomenon known as "sleep paralysis" or "hypnagogic hallucinations," which are often associated with sleep disorders such as narcolepsy or other sleep-related issues.
Understanding the Phenomenon
1. Sleep Paralysis: This occurs when a person is temporarily unable to move or speak while falling asleep or waking up. During this state, individuals may experience vivid hallucinations, which can include the sensation of pressure on the chest, feeling as though someone is touching them, or even seeing figures in the room. These experiences can be frightening and are often accompanied by a feeling of helplessness.
2. Hypnagogic Hallucinations: These are vivid and often frightening visual, auditory, or tactile sensations that occur during the transition from wakefulness to sleep. They can involve sensations of being touched or pulled, which aligns with what your mother is experiencing. These hallucinations can happen when the brain is transitioning between sleep and wakefulness, and the individual may not be fully aware of their surroundings.
3. Sleep Disorders: Conditions like narcolepsy, insomnia, or sleep apnea can lead to fragmented sleep, which may increase the likelihood of experiencing these phenomena. Stress, anxiety, and irregular sleep patterns can also exacerbate these issues.
Recommendations for Evaluation and Management
1. Consult a Sleep Specialist: Given the recurring nature of your mother's experiences, it would be beneficial for her to consult a sleep specialist. They can conduct a thorough evaluation, which may include a sleep study (polysomnography) to monitor her sleep patterns and identify any underlying sleep disorders.
2. Sleep Hygiene Practices: Encourage your mother to adopt good sleep hygiene practices, which can help improve her overall sleep quality. This includes:
- Maintaining a regular sleep schedule by going to bed and waking up at the same time each day.
- Creating a comfortable sleep environment that is dark, quiet, and cool.
- Limiting caffeine and alcohol intake, especially in the hours leading up to bedtime.
- Engaging in relaxation techniques before bed, such as deep breathing, meditation, or gentle stretching.
3. Stress Management: If stress or anxiety is contributing to her sleep disturbances, consider exploring stress management techniques. This could involve therapy, mindfulness practices, or engaging in hobbies that promote relaxation.
4. Avoiding Stimulants: Encourage her to avoid stimulants, such as caffeine and nicotine, particularly in the afternoon and evening, as these can interfere with sleep quality.
5. Medication Review: If your mother is taking any medications, it may be worth reviewing them with her healthcare provider to determine if any could be contributing to her sleep disturbances.
Conclusion
The sensations your mother is experiencing are not uncommon and can often be linked to sleep disturbances that many people face. By seeking professional evaluation and implementing good sleep hygiene practices, there is a good chance that her symptoms can be managed effectively. It’s essential to approach this situation with understanding and support, as sleep disturbances can significantly impact one’s quality of life. If her symptoms persist or worsen, further investigation into her sleep patterns and overall health will be necessary to ensure she receives the appropriate care.
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