Product - Bromelaiin
Doctor Services
Insomnia / Sleep Issues

General Practice Services
Insomnia / Sleep Issues

Diagnosis

Generally performed via interview with the patient. Not presently available in Bali are several high-tech applications, such as, Overnight Oximetry, Polysomnography (PSG),Titration with Continuous Positive Airway Pressure (CPAP), Multiple Sleep Latency Testing (MSLT), or Actigraphy.

But the most effective and productive analysis may stem from a simple Sleep Diary, or Sleep Log.

Determine the causes

There are many different types of sleep disorders. Some may be caused by other underlying health conditions.

1) Insomnia. Insomnia refers to the inability to fall asleep or to remain asleep. It can be caused by jet lag, stress and anxiety, hormones, or digestive problems. It may also be a symptom of another condition. Insomnia is extremely common, most prevalent among older adults and women. Insomnia can potentially cause:

  • depression
  • difficulty concentrating
  • irritability
  • weight gain
  • impaired work or school performance

Insomnia classifications:

    • Chronic, when insomnia happens on a regular basis for at least 1 month
    • Intermittent, when insomnia occurs periodically
    • Transient, when insomnia lasts for just a few nights at a time

2) Sleep apnea is characterized by pauses in breathing during sleep. This is a serious medical condition that causes the body to take in less oxygen, resulting in sleep interruptions.

Sleep apnea classifications:

    • Obstructive sleep apnea, where the flow of air stops because airway space is obstructed or too narrow.
    • Central sleep apnea, a problem in connection between brain and muscles that control breath.

3) Parasomnias are a class of sleep disorders that cause abnormal movements and behaviors during sleep. They include:

  • sleepwalking
  • sleep talking
  • groaning
  • nightmares
  • bedwetting
  • teeth grinding or jaw clenching (often related to parasites in the gut or body)

4) Restless leg syndrome (RLS) is an overwhelming need to move the legs. This urge is sometimes accompanied by a tingling sensation in the legs. While these symptoms can occur during the day, they are most prevalent at night.

RLS is often associated with certain health conditions, including attention deficit hyperactivity disorder (ADHD) and Parkinson’s disease, often caused by vaccines and antibiotics exposure.

5) Narcolepsy is characterized by “sleep attacks” that occur while awake – the sudden extreme fatigue and immediatly asleep without warning.

The disorder can also cause sleep paralysis, which cause inability to move right after waking up. Although narcolepsy may occur on its own, it is also associated with certain neurological disorders, such as multiple sclerosis. Symptoms differ depending on the severity and type of sleeping disorder. They may also vary when sleep disorders are a result of another condition.

General symptoms of sleep disorders include:

    • difficulty falling or staying asleep
    • daytime fatigue
    • strong urge to take naps during the day
    • unusual breathing patterns
    • unusual or unpleasant urges to move while falling asleep
    • unusual movement or other experiences while asleep
    • unintentional changes to the sleep/wake schedule
    • irritability or anxiety
    • impaired performance at work or school
    • lack of concentration
    • depression
    • weight gain

Conditions, diseases, and disorders that cause sleep disturbances are numerous, often developing as a result of underlying health problems.

6) Allergies, colds, and upper respiratory infections can exacerbate breathing during sleep. Difficult nasal breathing can also inhibit sleep.

7) Nocturia, or frequent urination may disrupt sleep. Hormonal imbalances and diseases of the urinary tract may contribute to the development of these conditions.

8) Chronic pain can inhibit and disrupt sleep. Common causes of associated chronic pain include:

  • arthritis
  • chronic fatigue syndrome
  • fibromyalgia
  • inflammatory bowel disease
  • persistent headaches
  • continuous lower back pain

Chronic pain may even be exacerbated by sleep disorders. Fibromyalgia development might be linked to sleeping problems.

9) Stress and anxiety commonly affect sleep quality, inhibit falling asleep or staying asleep. Nightmares, sleep talking, or sleepwalking are associated.

Encouragement

Modern drugs suppress causes but do not usually cure. Natural remedies take time and require diligent participation by the patient, as are constant commitment to diet and medicines. Several days are needed for the program to work. Changes are generally observed daily. Once normal sleep patterns begin to emerge, continued therapy for a short while is advised. Perhaps for two to six weeks, with long-term dietary and lifestyle changes required.

The patient must be patient. Impact exercise is key.

Remember: The body only heals during deep sleep and rest. The patient must rest, and get impact exercise too.

Simple Prescription

Common Considerations:

  • No caffeine
  • No sugar
  • No white foods, etc.

Cautions: Do not take with conventional sleep aids, such as Xanax, etc. unless quickly weaning from them.

Impact exercise raises endorphins and balances hormones, allowing for better rest and sleep.

Full Prescription Guide

(Case dependant - not all are normally assigned):

Level II Diagnosis and Cleanse, plus Compounds, as needed.

Jamu Jo Tonics, (Be sure these are also compatible with other diagnosis)

Vitamin C IV infusions, Once per week for the first month, then twice per month or as requested.

Other Medicines

Prescription

  1. Level 2 Analysis and Detox
  2. Diet changes, including: Lower salt, lower triglycerides, no caffeine, no sugar, etc.
  3. Impact exercise program. Walking becomes running.

Primary / Key Medications

Compound SPQ
First few days: 1 or 2 capsules one hour before bed, then 1 or 2 caps ½ hour before bed if needed.
Next few days: 1 or capsules before or as needed.
After one week, or longer, stop when no longer needed.

Compound J
First few days: 1 or 2 capsules a while after dinner. Take until finished.
This dose supercedes cleansing profile.

Compound NP
Take 1 capsule, each afternoon a while after lunch. Finish bottle.

Jamu Jo No. 9, Keladi Tikus
First few days: 100 to 200 ml each morning a while after breakfast.
100 to 200 ml each night, an hour before bed.
Next few days: 100 ml morning, and 100 ml evening.
After one week, or when sleep has normalized: 100-200ml or more each day when desired.
Normally continue for at least one month. This dose supercedes cleansing profile.

Jamu Jo No 10, Jintan Hitam
First few days: 100 -200 ml each afternoon a while after lunch.
Normally continue for at least one month. This dose supercedes cleansing profile.

IV Infusions:
RL each 5-7 two days, total 4 infusions
EDTA .25 first day, .50 remaining 3 infusions, more if needed, one each 7 days or so.

Conventional Sleep Medications

The patient, if he desires, may slowly ease off conventional medicines while following the above ℞. He must carefully monitor his BP, diet etc. It’s very important to concurrently follow the infusion and oral medications schedule, while limiting conventional meds intake. Out course diet and exercise are paramount.

Conventional meds are usually cut by half over the first 2-4 days, then by 3/4 over the following 5-8 days. After 9 days, take 1/4 dose each 2 days, and ease off accordingly, as per reactions monitoring.