Patients often present to ENT clinics with sleep disturbance. Their symptoms can include insomnia, interrupted sleep, interrupted sleep of the sleeping partner, poor energy levels and daytime sleepiness.
Typical causes include, nasal block, sinusitis, large tonsils and obesity.
Simple life-style changes may also help. Dietary modifications are not generally required but avoiding big meals and spicy foods 3 hours before bedtime helps.
Stimulants and substances that disturb sleep architecture should be avoided. These include caffeine, alcohol and nicotine. Nicotine and caffeine should be avoided from late afternoon onwards.
Strenuous exercise is good during the day but should be avoided in the 3 hours before sleep. Psychologically stimulating activities should also be avoided including tense films, engrossing novels, thrilling TV and arguments.
Improving the upper airway can have significant benefits. Relieving nasal block and losing weight can have have major impacts on sleep quality.