A dream to see how the baby knocks with its legs from the inside. leg twitching in sleep

• brain encephalopathy

  Due to some circumstances and difficult childbirth, from the moment the baby was born, I worry about not overlooking some deviations from him. I know that, for example, brain encephalopathy is very difficult to diagnose in babies. Mine is almost 5 months now. Sometimes I notice that the child does not fall asleep well and is naughty for a long time before going to bed. and sometimes for a long time he cannot focus on any subject. What examination would you recommend to undergo to rule out encephalopathy, thank you!

• hyperactive child

  What to do with a hyperactive child? Doctor, please advise what to do, I no longer have the strength to deal with a third child. The birth was difficult, almost immediately after the second pregnancy. The third child was born prematurely, but now he has more or less gained weight. And now he is almost a year old, not a minute of literally rest. He crawls, howls, if I don’t look at him or don’t work out with him, he starts screaming, crying, banging his head on the floor ((They did soothing baths, massage, everything helps for a while. Such hyperactivity - is there a reason to prescribe special treatment? And you can can home methods do? thank you very much

restless leg syndrome(RLS) is characterized by unpleasant sensations that are difficult for the patient to describe. This may be a feeling of crawling, itching, and in order to get rid of them, the patient is forced to move his legs. Occasionally, such violations are noted in the hands. Characteristically, the symptoms are noted only at rest and completely disappear when moving, for example, when extending the limbs, rubbing or walking.

In patients, suffering from this disorder, it is extremely difficult to stay still in bed and fall asleep. Dysesthesias and the need to move the legs are most pronounced at night and often lead to sleep disturbance. Many patients also complain of severe dysesthesias and twitching of the legs during the night, after which it is difficult for them to sleep. The severity of symptoms varies. Patients may experience spontaneous remissions and pronounced exacerbations, regardless of external factors.

In most patients, suffering from restless legs syndrome, periodic leg movements during sleep (RPNS) are also noted. However, PDNS can develop in isolation, outside of RLS. They are characterized by stereotyped repetitive rhythmic leg movements (lasting 0.5-5.0 seconds with an interval between movements of 20-40 seconds). Usually this is the dorsiflexion of the foot. Sometimes the same phenomena are observed in the hands. Usually the frequency of PNMS is higher in the first half of the night, but movements can also be observed throughout sleep.

In some cases, movement lead to the awakening of the patient, and if there are many of them, then night sleep is disturbed, which leads to drowsiness during the day. The prevalence of PDNS increases with age. So, 5% of people under the age of 50 and 44% of people over 65 suffer from them.

In most patients, suffering from restless leg syndrome and PDNS, the etiology of the disorders is unclear. Therefore, they are considered idiopathic. Familial cases of RLS are not uncommon. Both RLS and PDNS can be observed in anemia: iron deficiency, folic acid deficiency or vitamin B12 deficiency, as well as in patients with neuropathies, myelopathy, rheumatoid arthritis, thyroid dysfunction and uremia. Therefore, with PDNS, it is necessary to exclude the above conditions and appoint consultations of relevant specialists.

Treatment of restless leg syndrome.

Exists three main drug classes, which have proven effective in the treatment of restless leg syndrome and PNMS. These are benzodiazepines, dopaminergics and opiates. From the group of benzodiazepines, clonazepam, nitrazepam lorazepam and temazepam are used. They improve the quality of nighttime sleep in patients with RLS and PDNS. The most widely used is clonazepam. Its therapeutic effect is mainly associated with a decrease in the number of nocturnal awakenings due to leg movements. The initial dose of clonazepam for the treatment of PDNS is usually 0.5-1.0 mg at night. In the treatment of RLS, additional doses of the drug taken during the day may be required.

Benzodiazepines may exacerbate sleep apnea, especially in the elderly.
There is data to support effectiveness of L-dopa preparations for the treatment of restless legs syndrome and PDNS. At the beginning of carbidopa / levodopa therapy, a dose of 25 mg carbidoma / 100 mg levodopa is prescribed at night, then gradually increased until a therapeutic effect is achieved. As a rule, a dose of 50 mg carbidopa/200 mg levodopa is sufficient to completely control RLS and PNMS. Treatment with long-acting carbidopa/levodopa (sinemet CR) may cause a rebound phenomenon. Side effects of carbidopa/levodopa treatment are minimal, with the exception of the rebound phenomenon mentioned, which consists of the appearance of symptoms of dysesthesia and involuntary movements of the limbs during the day.

To combat this phenomenon daytime combined use of carbidopa/levodopa and benzodiazepines may help. Dyskinesias associated with long-term treatment with L-dopa, which are common in patients with Parkinson's disease, are uncommon in patients with RLS and PDMS. Bromocriptine and other dopaminergic agents are also effective treatments for these conditions.

Opioids very effective in the treatment of restless leg syndrome and PDNS. However, the risk of addiction and dependence limits their clinical use. In severe cases, with the ineffectiveness of other drugs, short-term therapy with narcotic drugs is prescribed. Other possible treatments include carbamazepine, clonidine, and baclofen.

I don’t know if it’s appropriate and, unfortunately, I can’t name the author of this document - I got it already without a signature.
BEDROOM
"The bed is our whole life, here we are born, here we love and here we die."
Guy de Maupassant.
More than half of the cases of insomnia are caused by poor sleep hygiene. In this regard, before discussing purely medical problems, we will talk in your bedroom.
Bed
Many people still sleep twenty years later in the same sagging bed, bought for the wedding. If your bed is over 10 years old, consider replacing it with a new one. If changing the bed is too expensive for you, be sure to put a sheet of plywood under the mattress. It should be 4 cm narrower than the mattress and 30-40 cm shorter. Some people with spinal pain benefit from sleeping on very hard ground. However, if you have not felt relief within a week, you should not deprive yourself of comfort, since the benefits of this method in terms of preventing the progression of the disease have not been proven. A firm, flat mattress is probably better for your backs.
In addition, the bed should be wide enough, especially if two people sleep on it. Did you know that when two people sleep on a regular-sized double bed, the width of the part of the bed occupied by each of them can be compared to the width of a baby's cradle. If you sleep together, try to get a king size bed (183 or 193 cm wide) or put 2 single beds side by side and you will sleep better.
Pillow
Try to get used to sleeping on the lowest possible pillow. In no case should you use a large pillow tightly stuffed with feathers. In this case, the head is constantly in an unnaturally bent position, which can lead to headaches and problems with the spine. You can use special contour pillows.
Bed sheets
It is advisable to use soft cotton underwear. Satin sheets are certainly beautiful, but they are too slippery and do not allow air to pass through.
Don't use any synthetics. Recently, there has been evidence that dark-colored underwear contributes to a better quality of sleep.
Atmosphere
It used to be thought that you sleep better in a cold room, but this has not been confirmed. Currently, it is believed that each person should experiment and choose the optimal temperature regime for themselves. However, excessive dryness of the atmosphere should be avoided. In winter, make sure that the heaters are equipped with humidifiers, or at least throw a damp towel over the radiator before going to bed. This advice is addressed primarily to those suffering from bronchitis and asthma.
Lighting
Excessive sunlight can significantly impair the quality of sleep. In the bedroom, it is advisable to hang dark curtains or use a protective eye mask.
Noise
Silence in the bedroom is a sine qua non for restful sleep. If you're worried about street noise, especially on highways, invest in new soundproofed window frames.
Watch
Many people who suffer from insomnia get a luminous digital watch and put it near the bed. Painfully trying to fall asleep in the evening, they all the time anxiously look at the clock. Of course, there should be an alarm clock in the bedroom, but if you tend to look at it anxiously, set it so that you can hear it, but not see it. Some people, on the contrary, feel calmer when there is a clock in the bedroom. It may seem to a person that he did not sleep at all, but, looking at his watch, he sees that he has slept for several hours.
Often before important events, sleep is disturbed due to the fact that a person is afraid to oversleep and wakes up several times a night to see if the alarm clock works. In this situation, set two or three alarms at intervals of 5-10 minutes and your sleep will be much calmer.
What to sleep in?
According to doctors and psychologists, the question of what to sleep is not of great importance. It is only important that the body breathes normally, and your night clothes do not interfere with the normal flow of air and temperature regulation. If you like to sleep naked - sleep.

Some new moms and dads complain that their kids have trouble sleeping. Toddlers constantly toss and turn in their sleep, while the child himself does not sleep well and does not allow adults to get enough sleep. The child can jump up, turn around, kick his feet, stretch his arms and legs, turn over sharply on the other side, in a word, develop the most real physical activity even in complete darkness. What is the reason for such a restless sleep in a child and why, after all, why does the child toss and turn in his sleep?

One of the causes of sleep disturbance in a child is his emotional activity. When a child is in constant motion throughout the day, even at night the baby's brain does not stop processing the information that he received during the day. Therefore, sometimes involuntary movements of the arms and legs occur, this is a kind of imitation of the movements that the baby made during the day.

Young children often wake up at night due to their own activity. To prevent this from happening, parents should make the place to sleep as convenient and comfortable as possible:

• dress the baby for sleep according to the season, he should be warm;

• if the child throws off the blanket, then be sure to wear socks, the legs should be warm;

• before putting the baby in the crib, make sure that there are no objects that can interfere with a restful sleep;

• before going to bed, be sure to ventilate the room so that it is fresh and pleasant to fall asleep.

The cause of a child's restless sleep may be physiological reasons, such as a confused daily routine. If he confused day with night, sleep disturbances may also be observed. So, the concepts of day and night in a baby are formed by the age of 3 months. Also, the child’s sleep pattern depends on what kind of biological rhythm he has - he is an “owl” or a “lark”. If the regimen set by the parents does not coincide with the biological rhythm of the baby, then the child may toss and turn in his sleep.

If for a long time the child does not establish a sleep pattern, then later problems may arise that only the doctor will solve. The sleep process in a child, like an adult, is divided into phases, and in the process of falling asleep, the baby can twist and turn in the crib until the deep sleep phase comes.

A child may toss and turn in his sleep if he fell asleep in uncomfortable conditions, for example, he is too hot or cold, perhaps he is pressed by an elastic band on his pajamas or some kind of seams. The best temperature for sleep is 18-20 degrees, humidity is 60%. If you can not organize a normal temperature, then at least ventilate before going to bed.

The child may toss and turn in his sleep due to health problems. A sleep disorder can be a symptom of one of the diseases, such as allergies, pain in the intestines, stomach, infectious and other diseases.

If the baby tossed and turned in his sleep and woke up, then do not ignore him, come up and calm him down in a quiet voice, caress him, do not turn on the light and do not rush to change the diaper, just tell him a couple of kind words, if the problem is in the uncomfortable position of the child, then fix the problem, correct crib, and the baby will soon fall asleep again.