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Studies have shown that 5–15% of people who are 20–50 years old, 20–30% of people who are 50–70 years old, and 10–50% of people 70+ years old urinate at least twice a night. [3] Nocturia becomes more common with age. More than 50 percent of men and women over the age of 60 have been measured to have nocturia in many communities.
The etiology of NE is not fully understood, although there are three common causes: excessive urine volume, poor sleep arousal, and bladder contractions. Differentiation of cause is mainly based on patient history and fluid charts completed by the parent or carer to inform management options. [28] [29] Bedwetting has a strong genetic component.
Initially, the first stage of the disease is characterized by fevers, headaches, itchiness, and joint pains, beginning one to three weeks after the bite. [ 1 ] [ 2 ] Weeks to months later, the second stage begins with confusion, poor coordination, numbness, and trouble sleeping. [ 2 ]
There may be early drainage through the tube (tube otorrhea) in about 15% of patients in the first two weeks after placement, and developing in 25% more than three months after insertion, although usually not a longterm problem. [18] Otorrhea is considered to be secondary to bacterial colonization.
Other signs of a basilar skull fracture include CSF otorrhea (drainage of CSF through the ear). [2] It can have devastating complications in some patients, as the communication between the nasal cavity, the cerebrospinal fluid and the central nervous system can result in severe bacterial infections. [3]
Sleep research conducted in the 1990s showed that such waking up during the night may be a natural sleep pattern, rather than a form of insomnia. [2] If interrupted sleep (called "biphasic sleeping" or " bimodal sleep ") is perceived as normal and not referred to as "insomnia", less distress is caused and a return to sleep usually occurs after ...
Dyssomnias are primary disorders of initiating or maintaining sleep or of excessive sleepiness and are characterized by a disturbance in the amount, quality, or timing of sleep. Patients may complain of difficulty getting to sleep or staying asleep, intermittent wakefulness during the night, early morning awakening, or combinations of any of these.
Daytime lapses into sleep or an irrepressible need to sleep on a daily basis, for at least 3 months; Absence of insufficient sleep syndrome; Absence of cataplexy; Absence of other causes of hypersomnia; The presence of positive MSLT tests. [32] [33] [34] The latest ICD-10 defines IH with long sleep time as a neurological disorder that is a rare ...
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