Why does a child kick the bed? Restless legs syndrome

Restless legs syndrome(RLS) is characterized by unpleasant sensations that are difficult for the patient to describe. This may be a sensation of crawling, itching, and in order to get rid of them, the patient is forced to move his legs. Occasionally, similar disorders are observed in the hands. It is typical that the symptoms are observed only at rest and completely disappear with movement, for example, when straightening the limbs, rubbing or walking.

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

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

In some cases, movement lead to 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. Thus, they affect 5% of people under 50 years of age and 44% of people over 65 years of age.

In most patients suffering from restless legs syndrome and PDNS, the etiology of the disorders is unclear. Therefore they are considered idiopathic. Familial cases of RLS are common. Both RLS and PDNS can be observed in anemia: iron deficiency, deficiency of folic acid or vitamin B12, as well as in patients with neuropathies, myelopathies, rheumatoid arthritis, thyroid dysfunction and uremia. Therefore, in case of PDNS, it is necessary to exclude the above conditions and prescribe consultations with relevant specialists.

Treatment of restless legs syndrome.

Exists three main classes of drugs, which have been shown to be effective in the treatment of restless legs syndrome and PDNS. These are benzodiazepines, dopaminergic drugs and opiates. Benzodiazepines include clonazepam, nitrazepam, lorazepam and temazepam. They improve the quality of night sleep in patients with RLS and PDNS. The most widely used drug is clonazepam. Its therapeutic effect is mainly associated with a reduction in the number of night awakenings caused by leg movements. The starting 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 worsen sleep apnea, especially in older people.
There is data confirming effectiveness of L-dopa drugs for the treatment of restless legs syndrome and PDNS. At the beginning of therapy, carbidopa/levodopa is prescribed at a dose of 25 mg carbidopa/100 mg levodopa at night, then gradually increased until a therapeutic effect is achieved. Typically, a dose of 50 mg carbidopa/200 mg levodopa is sufficient to completely control RLS and PDNS. Treatment with the long-acting drug carbidopa/levodopa (sinemet CR) may cause rebound phenomena. Side effects of carbidopa/levodopa treatment are minimal, with the exception of the mentioned rebound phenomenon, which consists of symptoms of dysesthesia and involuntary movements of the limbs during the day.

In the fight against this phenomenon The combined use of carbidopa/levodopa and benzodiazepines during the day may help. Dyskinesias caused by long-term treatment with L-dopa drugs, which are often found in patients with Parkinson's disease, are not typical for patients with RLS and PDNS. Bromocriptine and other dopaminergic agents are also effective treatments for these conditions.

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

Hearing a knock on the door: a sign of your intense anticipation.

If in reality you do not expect any special events, then a knock: this is a reflection of your deep premonitions that something is about to happen.

At the same time, if in your dream you never saw someone knocking, this means that your expectations are either premature or in vain. The dream invites you to relax and calm down.

A knock on a wall or window heard in a dream suggests that some extraneous events or rumors may confuse you and distract you from your current affairs.

Subscribe to the Dream Interpretation channel!

Dream Interpretation - Legs

Seeing your legs beautiful and slender in a dream means that good luck in business, a pleasant and successful road awaits you.

Looking at both legs in a dream means that you will think about your relationship with some person.

Wounds, ulcers or broken legs in a dream foreshadow misfortunes, obstacles in business and failure of plans.

Getting your feet dirty in a dream is a sign of a careless mistake that will end in shame for you, which will not be easy for you to survive.

Seeing the calves of your legs in a dream is a sign of obstacles in business. A dream in which you saw that the calves of your legs are hard predicts that you will stand firmly on your feet.

If you dream that you are scraping someone’s legs until they bleed, then bad news awaits you about the troubles of loved ones who need your support and consolation.

If you dream that your legs are on fire, then you should postpone your planned trip, even if it is very important to you. Sometimes such a dream predicts failure in business.

A dream in which you saw yourself putting your feet into a fire foretells you that only by intervening in some kind of squabble can you put an end to it.

Making any deft movements with your legs in a dream is a sign that your business will be successful thanks to your quick wits, ingenuity and ability to make the right contacts.

If you dream that you have become disabled and lost your legs, then expect great failures, hardships, and misfortunes. The same thing means a dream in which your legs do not obey you.

If you dream that one of your legs has been taken away, then you will be separated from a loved one or a partner whom you valued.

Spraining your leg in a dream is a sign that you will soon have so much trouble that headaches will begin.
Admiring children's feet in a dream is a sign of consolation and pleasure. Sometimes such a dream predicts making a small profit.

Having many legs in a dream is a sign that profit in trade or a profitable trip awaits you. Sometimes such a dream predicts leg disease, colds or swelling.

Having a wooden leg in a dream is a harbinger of deception.

Seeing or having crooked legs in a dream is a sign of damage due to a risky business.

Seeing or having thin legs in a dream means that some business is too tough for you and you better give it up.

Seeing your feet dirty in a dream means trouble and shame.

Washing your feet in a dream is a sign that you are about to travel. Washing your feet in a pond with clean and clear water is a sign of happiness and good luck. Sometimes such a dream predicts a slight cold (especially if the water was cold).

If you dream that someone is washing your feet and rubbing them with aromatic substances, then great success, pleasure and prosperity await you.

Washing someone's feet or kissing them in a dream means that you will have to repent of what you have done and come to terms with the circumstances.

Having hard calluses on your feet in a dream is a sign that, despite the obstacles, you will achieve your goal.

If you dream that someone bit your leg, then grief, disappointment and trouble await you. A dream in which you felt that someone was tickling your feet or heels warns you of cunning flatterers.

Limping in a dream is a sign of dishonor, loss and humiliation.

A dream in which you saw that a legless man is threatening you or chasing you portends great difficulties and obstacles in business.

If you dream that one leg is stuck and you cannot pull it out, then expect obstacles in business.

If in a dream you were able to free your leg and continue the work you started, then success awaits you, no matter what.

To dream that you have a hole in your heel means: expect trouble. The situation will become even worse if the wound on the heel bleeds or the leg hurts. However, if you pulled out some foreign object from it, then your affairs will improve.

If you dream that your legs hurt due to gout, then expect obstacles in getting money.

There is an opinion that if in a dream your right leg hurts from gout, then the dream portends good luck for you, and if it is your left leg, then the dream portends the opposite.

If in a dream you see your legs (feet) with your shoes off (naked), then a love adventure awaits you.

Seeing other people's feet naked in a dream is a harbinger of financial losses.

Wounded feet in a dream predict losses and failures.

Some new mothers and fathers complain that their children have trouble sleeping. Babies constantly toss and turn in their sleep, while the child himself sleeps poorly and does not allow adults to get a good night's sleep. A child can jump up, spin around, kick his feet, stretch his arms and legs, abruptly roll over to the other side, in a word, develop very real physical activity even in complete darkness. What is the reason for such restless sleep in a child and why does the child toss and turn in his sleep?

One of the reasons for sleep disturbance in a child is his emotional activity. When a child is in continuous movement 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 during the 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 your baby according to the season while sleeping, he should be warm;

• if a child throws off the blanket, be sure to wear socks and keep his feet warm;

• before putting your baby in the crib, make sure that there are no objects that could 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, for example, a confused daily routine. If he confuses day with night, sleep disturbances may also occur. Thus, the baby’s concepts of day and night are formed by the age of 3 months. Also, a child’s sleep pattern depends on what biological rhythm he has—whether he is a “night owl” or a “lark.” If the regime established by the parents does not coincide with the baby’s biological rhythm, then the child may toss and turn in his sleep.

If a child does not have a sleep schedule for a long time, problems may subsequently arise that only a doctor can 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 begins.

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 the elastic band on his pajamas or some seams are pressing on him. The best temperature for sleeping is 18-20 degrees, air humidity is 60%. If you cannot organize a normal temperature, then at least ventilate it before going to bed.

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

If the baby was tossing and turning in his sleep and woke up, then do not ignore him, go 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 few kind words, if the problem is the child’s uncomfortable position, then fix the problem, correct it crib, and the baby will soon fall asleep again.