Saturday, June 05, 2010

Prepare for Better Sleep

Most of us do things at night that are counter-productive to actually sleeping. Instead, make slight changes in your rituals to prepare your body for rest.

Dim your lights several hours before bed to avoid the stimulation caused by artificial light pollution — which is all around us through TV, computers, and indoor lighting — and serves to stimulate us.

Come up with a regular, rhythmic evening ritual that allows you to embrace anxieties that get released when you slow down. Meditation, prayer, and deep breathing are all good methods.
Surrender to sleep. After all, you go to the movies, you shouldn't go to sleep. There is nothing you have to do to sleep — except let go of waking. Practice "dying" into sleep — rather than forcing yourself to sleep — and cultivate awareness of your personal twilight zone.

- No alcohol or nicotine for 1.5 hours before bed.
- No exercise that makes you sweat for 1.5 hours before bed.
- No caffeine, caffeinated beverages or food, or caffeine in pills for as long as you need to avoid (we recommend three hours) before bed.
- No eating three hours before bed, so you can avoid reflux issues that can disturb sleep.

Some sleep problems don't arise because of worry or melatonin problems. Some are caused because your back hurts like stink. Truth is, some people get through general back pain or knee pain during the day because they're so focused on other things. But when trying to get to sleep, they feel the pain — and focus on it. A simple over-the-counter anti-inflammatory medication can help — not specifically to get you to sleep, but to help alleviate the pain that's preventing you from sleeping. Take a low-dose aspirin with a glass of water at least one hour before bedtime so that the acid doesn't have as much chance of refluxing up from your stomach to your esophagus.

Allergies can make sleeping trouble worse because of the congestion they cause. About 40 percent of people with allergic rhinitis have trouble sleeping. Over-the-counter nasal strips and sprays help open up everything and clear up symptoms like headaches, watery eyes, runny nose, or new-onset snoring. If you experience those symptoms and aren't aware of any allergies, search for the source in unexpected places. Some have allergies to gluten (wheat, barley, oats), which can lead to congestion and increase insomnia, as can allergies to detergents and the cleaning products you use on your clothes or sheets. One note: Decongestant nasal sprays are addictive and raise your blood pressure. Saline or antihistamine sprays (or a prescription steroid spray) are better options.

You'd think that the way to treat a lack of sleep is to get more of it, but one way that sleep docs treat insomnia is by making their patients sleep less. For instance, they'll take a patient getting five hours a night and force them to get only four a night, and then gradually increase for 10 or 15 minutes a night once a week. The sleep-deprivation approach can work as a way to force your body to reset back into a regular sleeping pattern.

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