Other Sleep Disorders

Dr. R Bart Sangal Diagnoses and Treats Circadian Rhythm Sleep Disorders and Sleep Related Movement Disorders at the Sleep & Attention Disorders Institute in Sterling Heights, Mich.

Circadian Rhythm Sleep Disorder

People who are suffering from circadian rhythm sleep disorder are not in sync with the sun’s 24-hour cycle. This may sound odd. However, the human body is constantly adjusting to the earth’s circadian rhythm – the rising and setting of the sun. If your body is not adjusting properly, the result is a sleep problem called circadian rhythm sleep disorder (CRSD).

There are many circadian rhythm sleep disorders and sleep medicine expert Dr. R Bart Sangal is experienced at diagnosing them. Once he figures out what is keeping you awake at night, he will find the best treatment for you. He is located in the Greater Detroit area, where Shelby Township, Sterling Hts, Troy and Rochester Hills meet.

There are many reasons your body rhythm may be out of sync causing you to have trouble falling asleep and stay asleep. These include:

Delayed sleep phase disorder: Patients fall asleep too late at night. Then, they wake up too late in the morning. They complain of insomnia. They have daytime sleepiness in the morning. It is more common in teenagers and college students.

Advanced sleep phase disorder: Patients fall asleep too early and then they wake up too early. They complain of daytime sleepiness in the evening. They have insomnia in the early morning. This occurs in the elderly.

Shift work disorder: Patients are sleepy at work. They try to sleep when they are off work. Then they have insomnia.

Jet lag disorder: People who travel across time zones experience jet lag disorder. It takes a day for every hour of time zone change to recover.

Non-24 hour disorder: Patients fall asleep a little later every day. They wake up a little later every day. This happens in blind people.

If you or someone you love is suffering from any of these circadian rhythm disorders or any other sleep disorder including dangerous sleep apnea, contact Dr. Sangal. He will diagnose your problem at the Sleep & Attention Disorders Institute in Sterling Heights, Mich. Better yet; he will find a treatment that works for you.

Sleep Related Movement Disorder

People suffering from Sleep Related Movement Disorders have unusual or abnormal movements when resting, falling asleep, or during sleep. This is disturbing and makes restful sleep difficult. It can leave them tired and sleepy during the day. It may disrupt family life.

There are many sleep related movement disorders. Sleep Medicine expert Dr. R Bart Sangal is trained in diagnosing them. He will evaluate you and help you.

Sleep related movement disorders include:

Restless Legs Syndrome (RLS): There is an uncomfortable feeling in the legs, with an urge to move the legs that you cannot resist. It is worse when resting or near bedtime. Moving the legs helps the discomfort for a short period of time. It is not the same thing as feeling restless or hyper, or nervously moving your legs. It is diagnosed clinically; sleep testing is not necessary and cannot be used to diagnose RLS. Low iron stores (ferritin) can cause or worsen it. Medicines that increase dopamine activity in the brain often help. There are other medicines that can also be used. Sleeping pills should not be used.

Periodic Limb Movement Disorder: During sleep, the legs jerk repeatedly. You are not aware of it, but your bed-partner may notice it. It may interrupt your sleep. It may also interfere with your bed-partner’s sleep. A sleep test diagnoses it. Medicines that increase dopamine activity in the brain often help. There are other medicines that can also be used. Sleeping pills should not be used.

Sleep Related Leg Cramps: These are painful contractions of the legs while trying to fall asleep or during sleep. Stretching the painful muscle in the opposite direction helps. So, if the cramp is in the calf, straighten your leg, grab your feet and toes, and pull up towards you. There is no effective medicine for this.

Sleep Related Bruxism: This is grinding of the teeth during sleep because of jaw movements. It causes noise which may disturb the bed-partner. It produces wear on the teeth. It can be noticed during sleep testing. A dentist can make a mouth device to keep the upper and lower teeth separated from each other. This reduces noise and wear on the teeth.

Sleep Related Rhythmic Movement Disorder: This is repetitive movement, such as head-banging, or rocking, while falling asleep or during arousals from sleep. It is typically harmless. It is usually found in children and gets better as they get older. Seizures may cause similar behavior. Treatment is not always necessary. Some medicines may help, but no medicine works reliably.

A Better Night’s Sleep is a Phone Call Away; Contact Michigan’s Sleep Medicine Expert Dr. R Bart Sangal to have your Sleep Disorder Diagnosed and Treated

Dr. R Bart Sangal has been treating patients from throughout Michigan for 30 years. He founded the Sleep & Attention Disorders Institute in Sterling Heights, Mich. He loves working with patients and finding solutions for their sleep and attention disorders. Not all doctors specialize in this type of medicine. Dr. Sangal has the experience and training to help you. Patients come to him when other doctors have not been able to diagnose and/or effectively treat their sleep or attention disorders. They come to him from Royal Oak, Macomb Township and Pontiac.

Dr. Sangal was trained at Johns Hopkins University in Baltimore, MD. He is board certified in Sleep Medicine. He is also board certified in Clinical Neurophysiology. These certifications are by the American Board of Psychiatry & Neurology. He has hospital privileges at Beaumont Hospitals in Troy and Royal Oak, Mich.

If you or your loved one is having difficulty falling asleep and waking up when desired, come to us. We can look for causes. We can treat it. You will sleep better and feel better. We are located near Clinton Township, Bloomfield Township and Warren. Call us at 586-254-0707 or fill out our convenient online contact form. We will contact you.

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44344 Dequindre Rd Suite 360
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