“Exploding head syndrome (EHS) is a type of sleep disorder in which you hear a loud noise or explosive crashing sound in your head. The sound isn’t real or heard by anyone else. The episode typically happens suddenly either when you’re beginning to fall asleep or when you wake up during the night.

Along with the loud sound, EHS can occur along with flashes of light and muscle jerks (myoclonic jerks). Unlike its painful-sounding name, the episode is painless.”

Cleveland Clinic (https://my.clevelandclinic.org/health/diseases/exploding-head-syndrome-ehs)

What you need to know about sleep:

You’re tired. You could put your head down on a desk right now and fall asleep immediately. You went to bed late last night, had trouble falling asleep and woke up too early. And let’s not kid ourselves: Tonight will be the same unless … well, read on.

This is the classic not-so-shut-eye experience of many Americans who think they are sleep-deprived and possibly need pills or other treatment to fix their insomnia, teeth grinding, jet lag, restless or jerky legs, snoring, sleepwalking and so forth.

Reality is quite different.

For instance, insomnia is said to be the most common sleep disorder, but these dissatisfying sleep experiences only get in the way of daily activities for 10 percent of us, according to the National Institutes of Health. And in almost half of those cases, the real underlying problem is illness (often mental) or the effects of a substance, like coffee or medication.

Here are five recent findings that might help you rest easier:

1. We sleep better than we think we do

For most of us, sleep deprivation is a myth. We’re not zombies. The non-profit National Sleep Foundation (which takes money from the sleep-aid industry, including drug companies that make sleeping pills) says the average U.S. resident gets 7 hours a night and that’s not enough, but a University of Maryland study earlier this year shows we typically get 8 hours and are doing fine. In fact, Americans get just as much sleep nowadays as they did 40 years ago, the study found.

2. We need less sleep as we age

We’ll die without sleep. The details are sketchy, but research suggests it’s a time when we restore vital biological processes and also sort and cement memories. Last year, the World Health Organization determined that nightshift work, which can lead to sleep troubles, is a probable human carcinogen. On the upside, the latest research suggests we need less of it as we get older.

3. You can sleep like a baby (or Thomas Edison)

Multiple, shorter sleep sessions nightly, rather than one long one, are an option. So-called polyphasic sleep is seen in babies, the elderly and other animals (and Thomas Edison reportedly slept this way). For the rest of us, it is more realistic and healthy to sleep at night as best we can and then take naps as needed. EEGs show that we are biphasic sleepers with two alertness dips — one at night time and one mid-day. So talk to HR about setting up a nap room, like they have for NASA’s Phoenix mission team members.

4. Animals exhibit a range of sleep habits

The three-toed sloth sleeps 9.6 hours nightly. But newborn dolphins and killer whales can forgo sleeping for their entire first month. However, the latter extreme is not recommended for humans. We grow irritable and lose our ability to focus and make decisions after even one night of missed sleep, and that can lead to serious accidents driving and using other machinery.

5. Get used to being tired, hit the desk

The bottom line is that a good night’s sleep is within the reach of most of us if we follow common-sense guidelines for sleep hygiene:

• Go to bed at the same time nightly.
• Set aside enough time to hit that golden 7 hours of sleep.
• Refrain from caffeine, heavy or spicy foods, and alcohol and other optional medications that might keep you awake, four to six hours before bed-time.
• Have a pre-sleep routine so you wind down before you hop in.
• Block out distracting lights and noises.
• Only engage in sleep and sex in bed (no TV-watching, reading or eating).
• Exercise regularly but not right before bed.

But you already know all this and you don’t do it. So your realistic plan might be to surrender to the mid-day desk nap.

Exploding Head Syndrome (EHS)

Exploding head syndrome (EHS) is a disorder characterized by the perception of loud noises (e.g. a bomb explosion, gunshot or cymbal crash) when going to sleep or awakening. Contrary to the name, EHS is not associated with pain. However the noise attacks can elicit a great deal of fear, confusion and distress in sufferers. Reports of tachycardia and palpitations are also common. Despite the distressing nature of EHS, relatively little is known about the prevalence and underlying cause of the condition. Some scientists have estimated that EHS may affect 10% of the population. Females tend to be more at risk than males and the average age of onset is 50 years old.

Stress and exploding head syndrome

A few sufferers hear the noise in only one ear, while others hear it in both ears. In other cases, the sound seems to come from inside the patient’s own head (thus the condition’s name).

Most researchers find that exploding head syndrome often occurs in people who are dealing with high levels of stress and physical or mental fatigue. It affects both men and women, though the condition appears more commonly in women, and among people 50 years and older (though it’s also been reported in children).

Because there’s been little research into the condition, nobody is certain what causes exploding head syndrome. Some experts have speculated that it’s related to minor seizures in the brain’s temporal lobe; others suggest it might be related to hearing disorder

Doin’ the hypnagogic jerk

Exploding head syndrome is one of several conditions described as hypnagogic, or occurring in the transitional state between sleep and full wakefulness.

The “hypnagogic jerk” is an involuntary muscle spasm or twitch that occurs as a person is drifting off to sleep.

The muscle spasms may occur spontaneously or may be induced by sound, light or other external stimuli. Some people report hypnagogic jerks accompanied by hallucinations, dreams, the sensation of falling, or bright lights and loud noises coming from inside the head.

As with exploding head syndrome, researchers aren’t sure why hypnogogic jerks occur, but a few theories exist. One hypothesis says that these events are a natural part of the body’s transition from alertness to sleep, and occur when nerves “misfire” during the process.

Another popular idea takes a more evolutionary approach to hypnogogic jerks, explaining that the spasms are an ancient primate reflex responding to the relaxation of muscles at the onset of sleep — the brain misinterprets the relaxation as a sign that the sleeping primate is falling out of a tree, and causes the muscles to quickly react.

Is there a cure for exploding head syndrome?

When exploding head syndrome is related to stress or fatigue, experts recommend stress-management techniques such as yoga, meditation or simply a hot bath before sleeping.

Doctors have reported that many sleep disturbances like exploding head syndrome are related to the use of certain medications or drugs, according to the ASA. Moderating the use of these drugs may alleviate the symptoms of exploding head syndrome.

Some evidence suggests that clomipramine, a member of an older class of tricyclic antidepressants, can help treat exploding head syndrome.

For many patients, the condition comes and goes, disappearing for long stretches at a time, then eventually going away entirely on its own.

There are various theories as to what might cause EHS. For instance, some scientists have speculated that EHS may be associated with minor temporal lobe seizures. Another theory is that EHS is caused by sudden shifts of middle ear components. Other possible causes include stress/anxiety, impairments in calcium signalling and brainstem neuronal dysfunction.

Fortunately, exploding head syndrome is not as dangerous as it sounds.

But it is a real condition, and researchers are finally beginning to seriously investigate the rare and little-understood sleep disorder.

People with exploding head syndrome hear extremely loud noises — a gunshot, an explosion, a thunderclap — as they’re drifting off to sleep, or as they wake up from a deep sleep.

When exploding head syndrome is related to stress or fatigue, experts recommend stress-management techniques such as yoga, meditation or simply a hot bath before sleeping.

Doctors have reported that many sleep disturbances like exploding head syndrome are related to the use of certain medications or drugs, according to the ASA. Moderating the use of these drugs may alleviate the symptoms of exploding head syndrome.

Because of the benign nature of EHS, many individuals do not require medical treatment. However if an individual is suffering from disturbed sleep or considerable distress as a consequence of EHS, then treatment may be necessary. Tricyclic antidepressants have been proven useful in some individuals. Some evidence suggests that clomipramine, a member of an older class of tricyclic antidepressants, can help treat exploding head syndrome.  Calcium channel blockers may also be beneficial. Non-pharmacological strategies such as relaxation, improved sleep hygiene and counselling may also help to alleviate symptoms.

For many patients, the condition comes and goes, disappearing for long stretches at a time, then eventually going away entirely on its own.

“The initial signs and symptoms of GBS are varied and there are several disorders with similar symptoms. Therefore, doctors may find it difficult to diagnose GBS in its earliest stages. There is no known cure for Guillain-Barré syndrome. However, some therapies can lessen the severity of the illness and shorten recovery time. There are also several ways to treat the complications of the disease. Typically, the point of greatest weakness occurs days to at most 4 weeks after the first symptoms occur. Guillain-Barré syndrome can be a devastating disorder because of its sudden and rapid, unexpected onset of weakness—and usually actual paralysis. Fortunately, 70% of people with GBS eventually experience full recovery. The recovery period may be as little as a few weeks up to a few years. ”

National Institute of Neurological Disorders and Stroke – NIH (https://www.ninds.nih.gov/guillain-barre-syndrome-fact-sheet)

“Guillain-Barre (gee-YAH-buh-RAY) syndrome is a rare disorder in which your body’s immune system attacks your nerves. Weakness and tingling in your hands and feet are usually the first symptoms.

These sensations can quickly spread, eventually paralyzing your whole body. In its most severe form Guillain-Barre syndrome is a medical emergency. Most people with the condition must be hospitalized to receive treatment.”

MAYO CLINIC

Guillain-Barré syndrome (GBS) is a rare neurological disorder in which the body’s immune system mistakenly attacks part of its peripheral nervous system—the network of nerves located outside of the brain and spinal cord. GBS can range from a very mild case with brief weakness to nearly devastating paralysis, leaving the person unable to breathe independently. Fortunately, most people eventually recover from even the most severe cases of GBS. After recovery, some people will continue to have some degree of weakness.

Guillain-Barré syndrome can affect anyone. It can strike at any age (although it is more frequent in adults and older people) and both sexes are equally prone to the disorder. GBS is estimated to affect about one person in 100,000 each year.

Causes of GBS:

The exact cause of GBS is not known. Researchers don’t know why it strikes some people and not others. It is not contagious or inherited.

What they do know is that the affected person’s immune system begins to attack the body itself. It is thought that, at least in some cases, this immune attack is initiated to fight an infection and that some chemicals on infecting bacteria and viruses resemble those on nerve cells, which, in turn, also become targets of attack. Since the body’s own immune system does the damage, GBS is called an autoimmune disease (“auto” meaning “self”). Normally the immune system uses antibodies (molecules produced in an immune response) and special white blood cells to protect us by attacking infecting microorganisms (bacteria and viruses). In Guillain-Barré syndrome, however, the immune system mistakenly attacks the healthy nerves.

Most cases usually start a few days or weeks following a respiratory or gastrointestinal viral infection. Occasionally surgery will trigger the syndrome. In rare cases vaccinations may increase the risk of GBS. Recently, some countries worldwide reported an increased incidence of GBS following infection with the Zika virus.

Symptoms of GBS:

Unexplained sensations often occur first, such as tingling in the feet or hands, or even pain (especially in children), often starting in the legs or back. Children will also show symptoms with difficulty walking and may refuse to walk. These sensations tend to disappear before the major, longer-term symptoms appear.  Weakness on both sides of the body is the major symptom that prompts most people to seek medical attention. The weakness may first appear as difficulty climbing stairs or with walking. Symptoms often affect the arms, breathing muscles, and even the face, reflecting more widespread nerve damage. Occasionally symptoms start in the upper body and move down to the legs and feet.

Most people reach the greatest stage of weakness within the first two weeks after symptoms appear; by the third week 90 percent of affected individuals are at their weakest.

In addition to muscle weakness, symptoms may include:

• Difficulty with eye muscles and vision
• Difficulty swallowing, speaking, or chewing
• Pricking or pins and needles sensations in the hands and feet
• Pain that can be severe, particularly at night
• Coordination problems and unsteadiness
• Abnormal heart beat/rate or blood pressure
• Problems with digestion and/or bladder control.

These symptoms can increase in intensity over a period of hours, days, or weeks until certain muscles cannot be used at all and, when severe, the person is almost totally paralyzed. In these cases, the disorder is life-threatening—potentially interfering with breathing and, at times, with blood pressure or heart rate.

Stay tune for Part II on GBS tomorrow to learn more about this syndrome!

“The critical inner voice supports an individual’s negative identity, leading to both self-attacks and hostility toward others. This helped me to identify a split in the personality between the self system and the anti-self system. The division of the mind reflects a primary divide between forces that represent the self and those that oppose or attempt to destroy it.

Destructive actions directed against other people occur when feelings of frustration are combined with negative cognitive processes. Since people filter events through the voice process, during times of stress even innocuous incidents can be imbued with a negative loading.

Some people tend to distort others or view them with suspicion, resulting in a basic paranoid or victimized orientation toward life. Their voices impart negative information to them about others: He’s just taking advantage of you. Or, She’s always intruding into your life. Extreme negative voices are at the core of all forms of criminal and domestic violence and explosive behavior.”

Psychology Today (https://www.psychologytoday.com/us/blog/the-human-experience/201901/insight-the-violent-mind)

“Currently, some 50% of the US population has a chronic disease, creating an epidemic, and 86% of health care costs are attributable to chronic disease. The medical profession and its leadership did not recognize or respond appropriately to the rising prevalence of chronic disease. As a consequence, a health care crisis emerged, with inadequate access to care and quality of care together with excessive costs. In the years since the 1950s, when the chronic disease prevalence grew, the clinical literature did not follow. It remained preoccupied with acute disease. Similarly, medical education did not change. Studies and critiques gave little or modest attention to the rising dominance of chronic disease and neglected elements of good care.  Now, the medical profession and its leadership are confronted by the responsibility to build a practice of medicine with a health care system that better meet the needs of patients with chronic illness & reduces the health care crisis.”.

National Library of Medicine NIH

Chronic diseases are crushing healthcare.

Our healthcare system is good at treating short-term problems, such as broken bones and infections. Medical advances are helping people live longer. But obesity is reaching epidemic proportions. The population is aging. We need to do a much better job managing chronic diseases.

Chronic conditions such as diabetes, heart disease, lung disease, and Alzheimer’s disease take a heavy toll on health. Chronic conditions also cost vast amounts of money. The trends are going in the wrong direction:

• Obesity increases the risk of developing conditions, such as diabetes and heart disease. The rate of obesity in adults has doubled in the last 20 years. It has almost tripled in kids ages 2-11. It has more than tripled in children ages 12-19.

• Without big changes, 1 in 3 babies born today will develop diabetes in their lifetime.

• Average healthcare costs for someone who has one or more chronic conditions is 5 times greater than for someone without any chronic conditions.

• Chronic diseases account for $3 of every $4 spent on healthcare. That’s nearly $7,900 for every American with a chronic disease.

• These chronic diseases drive healthcare costs at an alarming annual rate:

• Heart Disease and Stroke: $432 billion/year.

• Diabetes: $174 billion/year.

• Lung Disease: $154 billion/year.

• Alzheimer’s Disease: $148 billion/year.The human cost of chronic diseases cannot be ignored:

• The Human Cost

  • Chronic diseases cause 7 out of every 10 deaths.

  • Chronic diseases such as diabetes, cancer, and heart disease are the leading causes of disability and death in the US.

  • About 25% of people with chronic diseases have some type of activity limitation. This includes difficulty or needing help with personal tasks such as dressing or bathing. It may also mean being restricted from work or attending school.

  • Today, Americans suffering from chronic diseases face rising healthcare costs. They also receive lower quality care and have fewer options.

  • Health insurance co-pays and out-of-pocket expenses continue to rise. In many cases, choices and care are limited.

  • The disabling and long-term symptoms that often come with chronic diseases add to extended pain and suffering. This decreases the overall quality of life.The financial and human costs of chronic diseases can no longer be ignored.

  • There is a way we can prevent this and it would be keeping your weight ideal for your height within the therapeutic body mass index range (calculate it for free online).  If you need to lose weight you’ve come to the right blog.  Do it through diet, exercise balanced with rest and practicing routine healthy habits that prone you to having a healthy body overall which prevents disease.  So many diseases are due to these factors not practiced daily =  good diet with exercise, healthy habits and a therapeutic weight for your height.  If we had most of American citizens living this way certain diseases would be decreased terribly helping our country out with this economy of ours with the health care system.  If you need assistance in reaching these healthy practices   Do you want a better fit body or even an overall healthier family including grandchildren to even our country than take the action NOW.  For your goal in playing a part in living healthier and spreading the good news would benefit you and all around us.  Also, for the next decade & generation to be healthier will help Americans holistically in their lives all around (including our health care showing a spread of disease in lower percentage due to healthier dieting and activity choices by our people, who are so important in helping to decide where the health of the present and future of the US citizens lies.  Should it take our government to make a move (finally after so many years)?   We must face the epidemic of chronic diseases. If we don’t, the human costs will continue to soar. We might even face a lack of available or affordable care when it is needed most.

• • REFERENCES:
  • Centers for Disease Control and Prevention. Chronic Disease Overview: Costs of Chronic Disease. Centers for Disease Control and Prevention Web site. Available at http://www.cdc.gov/nccdphp/overview.htm. Accessed July 24, 2007.
  • Centers for Disease Control and Prevention. Overweight and Obesity. Centers for Disease Control and Prevention Web site. Available at http://www.cdc.gov/nccdphp/dnpa/obesity/trend/index.htm. Accessed July 24, 2007.
  • American Diabetes Association. The Dangerous Toll of Diabetes. American Diabetes Association Web site. Available at http://diabetes.org/diabetes-statistics/dangerous-toll.jsp. Accessed May 18, 2007.
  • Partnership for Solutions. Chronic Conditions: Making the Case for Ongoing Care, September 2004 Update. Partnership for Solutions Web site. Available at http://www.partnershipforsolutions.org/DMS/files/ chronicbook2004.pdf. Accessed July 24, 2007.
  • Mensah G, Brown D. An overview of cardiovascular disease burden in the United States. Health Aff 2007; 26:38-48.
  • American Diabetes Association. Direct and Indirect Costs of Diabetes in the United States. American Diabetes Association Web site. Available at http://www.diabetes.org/diabetes-statistics/ cost-of-diabetes-in-HYPERLINK “http://www.diabetes.org/diabetes-statistics/cost-of-diabetes-in-us.jsp”us.jsp. Accessed September 20, 2007.
  • Alzheimer’s Association. Alzheimer’s Disease Facts and Figures 2007. Alzheimer’s Association Web site. Available at http://www.alz.org/national/documents/Report_2007FactsAndFigures.pdf.

“4 Types of Spina Bifida. Many babies with myelomeningocele tend to be in a feet-first (breech) position. If your baby is in this position or if your doctor has detected a large cyst or sac, cesarean birth may be a safer way to deliver your baby. Myelomeningocele requires surgery to close the opening in the baby’s back within 72 hours of birth. Performing the surgery early can help minimize the risk of infection associated with the exposed nerves. It may also help protect the spinal cord from more trauma. During the procedure, a neurosurgeon places the spinal cord and exposed tissue inside the baby’s body and covers them with muscle and skin.  Than its  treatment for complications — such as weak legs, bladder and bowel problems, or hydrocephalus — typically begins soon after birth. Ongoing care and even though there is no cure most people with spina bifida lead long and productive lives. !”.

MAYO CLINIC