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With paroxysmal nocturnal dyspnea specifically, it is felt while sleeping and causes a person to wake up after about 1 to 2 hours of sleep. [ 3 ] More serious forms of dyspnea can be identified through accompanying findings, such as low blood pressure, decreased respiratory rate, altered mental status, hypoxia, cyanosis, stridor, or unstable ...
Patients have a relatively severe to absolute inability to advance the sleep phase to earlier hours by enforcing conventional sleep and wake times. Sleep–wake logs and/or actigraphy monitoring for at least two weeks document a consistent habitual pattern of sleep onsets, usually later than 2 am, and lengthy sleeps.
Control your cough. Coughing is a physiologic way to rid one of some of the congestion, says Amesh A. Adalja, M.D., senior scholar at the Johns Hopkins Center for Health Security. Controlled cough ...
Habit cough is usually readily identified by its clinical presentation as a repetitive daily non-productive (dry) cough that is absent during sleep. People feel that the cough is different from ordinary coughs. The cough can vary in intensity, pattern, and frequency. The clinical characteristics bear little resemblance to other causes of cough.
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Sub-acute cough: Lasts three to eight weeks. Can lead patients to seek medical care because it disrupts sleep, work, and social life. Chronic cough: Lasts more than eight weeks. Requires medical ...
Waking up earlier in the morning increases the response. [11]Shift work: nurses working on morning shifts with very early awakening (between 4:00–5:30 a.m.) had a greater and prolonged cortisol awakening response than those on the late day shift (between 6:00–9:00 a.m.) or the night shift (between 11:00 a.m.–2:00 p.m.). [12]
Advanced sleep phase disorder (ASPD) – A condition in which patients feel very sleepy and go to bed early in the evening and wake up very early in the morning; Delayed sleep phase disorder (DSPD) – Faulty timing of sleep, peak period of alertness, the core body temperature rhythm, hormonal and other daily cycles such that they occur a ...