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Insomnia is often seen amongest people with kidney disease. It can affect more than 50% of patients with stages 3~5 CKD. This disorder can make the patients feel tired, anxious and stressed, which not only affect their life quality, but also can increase the risk of cardiovascular mortality. Why does insomnia occur in kidney disease?
Restless leg syndrome
Restless leg syndrome can make people with Kidney Disease weak up in the middle of the night because it can make them feel very uncomfortable in their legs and their legs may feel itchy or tingly, or may jerk or move on their own. Also, leg cramps can keep them awake at night.
Uremic toxins, volume overload
Uremic toxins and volume overload can account for the risk of sleep apnea and shortness of breath. Sleep apnea is a condition that causes the breathing to be interrupted or stopped during sleep. One of the symptoms of apnea is snoring. Sleep apnea is can account for insomnia.In the case of fluid overload, upper-airway edema can contribute to sleep apnea in those who predisposed to it. Symptoms may be alleviated by better dialysis and fluid removal.
Inadequate dialysis clearance
Inadequate dialysis clearance can cause building of wastes in blood, which can cause the patients feel ill and uncomfortable. This could cause insomnia. Adequate dialysis can relieve the sleep issue.
As the patients with kidney disease have use different types of medications, they are very likely to cause daytime somnolence and cause difficulty in falling sleep during nighttime.
Worry,anxiety and sadness can count for insomnia for people with kidney disease. If the patients have these emotion problems, they had better talk with the doctor and social worker. They are there to help.
The above are the common attributable factors of insomnia for people with kidney disease. To improve sleep and longevity, the patients should have adequate dialysis, avoid medications known to adversely influence sleep, correct sleep apnea and improve overall renal function.
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