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Dr. Arun Phophalia
Dr. Arun Phophalia, Doctor (MD)
Category: Health
Satisfied Customers: 29555
Experience:  MBBS, MS (General Surgery), Fellowship in Sports Medicine
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Apparently Im sleep-walking. But how would I know? All I know

Resolved Question:

Apparently I'm sleep-walking. But how would I know? All I know is that my youngest daughter slept-walked once - or at least I only caught her once.
How can I cure myself and her please?
Submitted: 10 months ago.
Category: Health
Expert:  Dr. Arun Phophalia replied 10 months ago.

Hello Delia ,
I am Dr. Arun and will be helping you today.

How did you realize that you are sleep walking? Was it correlation / associated to legs pumping up and down during early sleep or family history of sleep walking of youngest daughter?
Are you taking any medications?
Any significant past medical history?

Expert:  Dr. Arun Phophalia replied 10 months ago.
Hello Delia,

Since you are offline, I am writing you the answer. You may ask follow up questions, if you have any, once you are online.

Sleep walking (Somnambulism), is termed as parasomnia event. This has a predilection for occurring during deep sleep, is known to occur during all stages of sleep, and is possible at any time during the night. They are classified as;

 

1) sleepwalking,

2) confusional arousals, and

3) sleep terrors.

 

Usually no treatment is required as it would abate on its own. Parasomnia can have undesirable events like;

 

1) motor (like walking)

2) verbal (talking)

3) experimental event.

 

If the verbal events are not subsiding, following may need to be instituted;

 

1) Clonazepam

2) Relaxation techniques

 

Please read about parasomnia in this resource;

 

http://www.medicinenet.com/script/main/art.asp?articlekey=47489

 

These events come in the episodic form and sometimes there are periods of long absence of years with 2-3 days of sleep talking and again a long gap. Important point to understand are;

 

A. These are benign events and do not need treatment usually.

B. Following associated conditions should be ruled out;

 

1) Gastroesophageal reflux disease (GERD)

2) Sleep apnea

 

C. Adequate sleep of 8-9 hours should be assured if the events start happening.

D. Benzodiazepines, tricyclic antidepressants, and serotonin reuptake inhibitors medicines can be used if the events are recurring and frequent.

E. Parasomnias are not associated with any long-term sequelae.

 

Legs pumping up and down during early sleep are called myoclonic jerks. Myoclonic jerks are a normal part of sleep. Most people have them at one time or another. But many people do not realize their muscles are jerking at times during light sleep and it doesn't wake them up. Sometimes this starts happening suddenly and would continue for some days and then resolve on its own. This is because our brain signals the body to relax to prepare for sleep. When muscles are relaxed, we go into the very first stages of sleep, but are not sleeping too deeply yet. This brain activity may cause our larger muscles to contract. There is nothing pathological involved in this. Please read this resource for the further details;

 

http://www.sleepdex.org/myoclonus.htm

 

But if this is happening to you frequently in night and multiple times; a sleep study may be considered by your physician, if this persists. Meanwhile you can try following;

 

1) Relaxation exercises, walking, stretching exercises, static bicycle, swimming etc before sleep helps.

2) People who are apprehensive may need alprazolam (Xanax), sometimes.

 

Please feel free for your follow up questions.

I would be happy to assist you further, if you need any more information.

Thanks for using Just Answer.

 

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Dr. Arun Phophalia, Doctor (MD)
Category: Health
Satisfied Customers: 29555
Experience: MBBS, MS (General Surgery), Fellowship in Sports Medicine
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