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By Bogan Sleep Consultants, LLC
November 10, 2020
Category: Sleep Medicine
Tags: Sleep Tests  

Know more about the sleep tests we often perform and why they are used.

You’ve been having trouble falling or staying asleep for weeks now and it’s taking a toll on everything from your work to your personal life. While we will all experience bouts of bad sleep, when sleep disturbances become frequent it might be a sign that it’s time to turn to our Columbia, SC, sleep doctors for answers. While we will go through your medical history and ask you questions about your symptoms, we will still need to do a sleep study to confirm the type of sleep disorder you may be dealing with.

However, the symptoms you share with us will shed light on which types of sleep studies we will need to perform. Here are the most common types of sleep studies,

Polysomnogram (PSG)

This overnight sleep study analyzes all aspects of the sleep cycle and measures breathing, muscle and brain activity as well as body positioning and eye movement to look for common sleep disturbances including,

  • Obstructive and central sleep apnea
  • REM sleep behavior disorder
  • Circadian rhythm disorders
  • Periodic Limb Movement Disorder (PLMD)
  • Narcolepsy

Specialized Polysomnogram (PSG)

We can also customize a standard PSG procedure to rule out certain disorders or to make a definitive diagnosis. This specialized PSG may include adding on an EEG test to diagnose seizures or carbon dioxide monitoring for those with possible sleep apnea.

Multiple Latency Sleep Test (MSLT)

If you find yourself dealing with excessive daytime exhaustion, our Columbia, SC, sleep specialists may recommend undergoing a multiple latency sleep test, also nicknamed a “nap study”, which analyzes how quickly you fall asleep and can be helpful for diagnosing narcolepsy or idiopathic hypersomnia (extreme sleepiness that has no cause).

CPAP Titration

If your sleep doctor believes that you might have a sleep-based breathing disorder such as obstructive or central sleep apnea, then a CPAP titration study may be performed overnight to monitor breathing, oxygen levels, heart rate and brain waves to look for any possible upper airway blockages that could cause pauses in breathing throughout the night. This study is often recommended for people with sleep apnea as they begin sleep apnea CPAP treatment to see if current treatment levels are effective.

If you are tossing and turning at night or battling bouts of insomnia, it might be time to talk to a sleep specialist here in Columbia, SC. Call Bogan Sleep Consultants today at (803) 251-3093 to schedule a consultation with Dr. Richard Bogan.

By Bogan Sleep Consultants, LLC
October 21, 2020
Category: Sleep Disorders

At Bogan Sleep Consultants, Dr. Richard Bogan of Columbia, SC, helps with patients dealing with sleeping disorders, including narcolepsy, a chronic sleep disorder that causes daytime drowsiness and sudden sleep attacks.

"An estimated 50 to 70 million adults in the United States suffer from a chronic sleep or wakefulness disorder, which can impair functioning and increase the risk of injury and various chronic conditions, including diabetes and cardiovascular disease." according to the Maternal and Child Health Bureau.

More About Narcolepsy

Narcoleptics have a hard time staying awake for too long. People may collapse into a sleep attack because of loss of muscle tone, which is referred to as type 1 narcolepsy and is triggered by strong emotion. People with type 2 narcolepsy experience excessive daytime sleepiness but don't suffer from muscle weakness triggered by emotions.

The normal process of sleeping is when people gradually move from one phase to another, until they reach REM sleep (rapid eye movement sleep). In narcolepsy, people suddenly enter REM sleep without first experiencing other sleep phases.

How to Manage Narcolepsy

Symptoms of narcolepsy include: excessive daytime sleepiness, sudden loss of muscle tone, sleep paralysis, changes in rapid eye movement (REM) sleep and hallucinations.

Narcolepsy is a chronic condition that has no cure but can be managed through medicine and strategic lifestyle changes.

  1. Good sleeping habits, like frequent and brief naps, and sticking to a strict bedtime routine can help.
  2. Avoid taking allergy medicine that has drowsiness listed as a side effect.
  3. A specialist may prescribe certain medications.

What are the causes?

People with type 1 narcolepsy have low levels of a neurochemical called hypocretin that helps regulate wakefulness and REM sleep. People who suffer from type 2 narcolepsy have particularly low levels of hypocretin. The cause of low levels of hypocretin is unknown but experts suspect it's due to an autoimmune reaction, genetics play a role in the development of narcolepsy.

Some risk factors that contribute to narcolepsy are age (typically begins between the ages of 10 and 30), and family history.

Need to speak with your Columbia doctor?

Sleep disorders disrupt everyday activities and require proper medical attention from Bogan Sleep Consultants. For more information or to schedule an appointment with Dr. Richard Bogan in Columbia, SC, call his office at (803) 251-3093.

By Bogan Sleep Consultants, LLC
October 21, 2020
Category: Sleep Medicine
Tags: Sleep Disorders  

Sleep disorders disrupt our everyday functions and vary from suddenly falling asleep, like narcolepsy, to hardly being able to sleep at all, like insomnia. Dr. Richard Bogan or Bongan Sleep Consultants, specializes in treating sleep disorders at his Columbia, SC, office.

Here are common sleep disorders and a few treatment options:

  1. Snoring, one of the most common sleeping disorders, is when soft tissue blocks airway passages while a person sleeps. Treatment options include using an oral appliance, like a CPAP machine, to keep air passages open. Take into consideration that snoring can be an indicator of a bigger underlying disorder.

  2. Sleep apnea is when a person stops breathing while sleeping. intermittent cessation of breathing during sleep. These episodes lead to oxygen reduction in the blood. The obstruction in breathing requires a CPAP machine, like snoring, to keep air passages open.

  3. Insomnia, another common sleep disorder, is when someone has difficulty falling asleep and staying asleep. If the condition occurs multiple times a week for three months, it is chronic insomnia and requires treatment, like sleeping pills and cognitive behavioral therapy for insomnia (CBTI).

  4. Narcolepsy is the opposite of insomnia. They have a hard time staying awake for too long because of low levels of a neurochemical hypocretin. There's no cure but there are ways to manage by adopting good sleeping habits, avoid allergy medicine and/or use prescribed medication.

  5. Sleep paralysis is when a person is unable to move their body when waking up. They can't speak or move for a few seconds, and the preferred treatment options your Columbia doctor may use includes counseling and medication.

  6. Chronic fatigue syndrome is prolonged fatigue that does not subside even after full rest. It can be a result of a viral infection, psychological stress, or a combination of factors. Treatment helps manage or relieve symptoms.

Do you need to speak with a doctor?

Dr. Richard Bogan at Bogan Consultants in Columbia, SC, can help. Just give him a call at (803) 251-3093 for more information.

By Bogan Sleep Consultants, LLC
October 20, 2020
Category: Sleep Disorders

Should I Take Melatonin for My Sleeping Problems?

Melatonin supplements can seem like the most natural solution to your sleep problems. But before you decide to take on any treatment on your own you should learn more about it, and preferably get in contact with a specialist on sleep. Such as Dr. Richard Bogan of the practice, Bogan Sleep Consultants in Columbia, SC.

What Is Melatonin?

Melatonin occurs naturally in your body.

In the middle of your brain, a small gland controls the release of it into your bloodstream. It is typically activated by the coming of night.

During this time, the melatonin coursing through your body reduces your alertness, making sleep an easier task. In the daytime, melatonin is barely present.

So it can appear to correlate that melatonin can alleviate some sleeping problems.

Does It Help?

People who work night shifts, and those suffering from jet lag have shown positive results from melatonin supplements.

Some who suffer from insomnia have also reported improvement to their sleep. But the results from most studies on the subject have shown no benefit against the placebo.

The most common concern is that in America the Food and Drug Administration (FDA) does not treat melatonin supplements as a drug. So the advertised dosage may not always be accurate.

Too much melatonin in your system could have adverse effects on your biological clock.

So it's advisable that you consult with your doctor before resorting to melatonin on your own. As with all supplements you need to know that it will not conflict with your prescriptions or if you'll have an allergic reaction.

It is also not recommended for older people or pregnant or breastfeeding women, as there isn't enough research about the effects in these cases.

Treatment for Sleep Problems in Columbia, SC

A good night of sleep is critical to your day, to your life. Don't suffer one more night, make an appointment with Dr. Bogan of Bogan Sleep Consultants in Columbia, SC, by dialing (803) 251-3093.

By Bogan Sleep Consultants, LLC
July 22, 2020
Category: Sleep Medicine
Tags: Nightmare   Child  

Your child may experience nightmares or bad dreams if they are under stress. For example, if they have just moved to a new school, or if they are being bullied, if they have had a recent illness, or if they have experienced the death of a loved one. If your child is having nightmares, you must know what to do to help. Dr. Richard Bogan and his team at Bogan Sleep Consultants in Columbia SC can give you advice on helping your child with their nightmares.

Signs That Your Child May be Having Nightmares

Columbia SC parents whose children show the following signs may be having nightmares:

  • Your child wakes up during the night or very early in the morning.
  • Your child is frightened when they awake.
  • Your child can describe the nightmare in detail.
  • Your child asks for comfort from you.
  • Your child is afraid to go back to sleep in case the bad dream recurs.

Helping Your Child Keep Nightmares at Bay

If your child is having nightmares, it’s a sign that they are under emotional stress and they need reassurance. You can help them in the following ways:

  • Talk to them calmly in a gentle voice.
  • Remind them that they are safe and that nothing can harm them.
  • Tell them that you are there to protect them.
  • Give them a hug or a back rub to help them relax.
  • Remind them that the dreams are not real.
  • Let your child choose a protective stuffed toy to sleep with.
  • Help your child imagine a happy ending to their bad dream.
  • Read or tell your child a comforting story before bedtime.

If you live in Columbia SC and would like to know more about how nightmares affect children and how to stop them, call Dr. Richard Bogan of Bogan Sleep Consultants at (803) 251-3093.

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