Jodi Whitaker

Normal Bedtime Battles, or Pediatric Sleep Disorder?

Published: Oct 8, 2012

LEXINGTON, Ky. (Oct. 9, 2012) — The following column appeared in the Lexington Herald-Leader on Sunday, Oct. 7.

 

By Dr. Zoran Danov

 

Bedtime can be a struggle for both tired parents and resistant children. Adequate and quality sleep is important for children to remain healthy during childhood and into adolescence and adulthood. While bedtime battles are common in many households, for some children there could be something else at work: About  20 percent of children suffer from some sort of sleep disorder.

 

Sleep disorders include - but are not limited to - sleep apnea and behavioral insomnia of childhood.

 

Sleep apnea is a condition in which there is a regular, momentary stopping of breath during sleep. These stoppages can lead to sleep disruptions and also falls in blood oxygen levels. Some warning signs of sleep apnea in children are:

  • High blood pressure.
  • Weight gain.
  • Dry or sore throat in the morning.
  • Morning headaches.
  • Snoring or stoppages in breath during sleep.
  • Undue sleepiness during the day or difficulty falling asleep.

Tonsillectomy and adenoidectomy are both helpful in resolving obstructive sleep apnea. When those measures fail, positive airway pressure devices are used for those with sleep apnea, providing a gentle airflow to prop open the airway during sleep so as to avoid waking up during the night.  A small mask fitted over the nose and mouth provides the airflow and is secured with straps around the head.

 

There are several types of behavioral insomnia of childhood, in which the child refuses or resists going to bed, falls asleep later than normal or is awake for prolonged periods of time during the night, prompting parental mediation.

 

There are other general warning signs that may not necessarily point to one of the mentioned childhood sleep disorders but should still be addressed by a physician. Some of these warning signs include: sleepwalking, anger or temper problems, restless legs, night or sleep terrors, unusual sleeping schedule , snoring and lack of energy

 

There are several ways to diagnose a sleep problem. As in any disorder, patient history and physical exams are the most important first steps in reaching a diagnosis. Some sleep disorders require additional tests, such as a polysomnography, a multiple sleep latency test or a maintenance of wakefulness test. Such disorders can be effectively treated to ensure that your child stays healthy. If you think your child may be suffering from a sleep disorder, contact your pediatrician.

 

Even if no disorder is present, encourage healthy sleeping habits in children by making sure they:

  • Maintain a healthy weight
  • Have a consistent bedtime routine--go to bed and wake up at the same time every day
  • Avoid or limit late afternoon naps for children past preschool age
  • Utilize the bedroom for sleep only; all other activities like homework and playtime should be done outside the bedroom
  • Exercise regularly during the day but not in the evening
  • Avoid television, computer and video game usage one to two hours before bedtime

Dr. Zoran Danov is Medical Director of the Pediatric Sleep Program at University of Kentucky Good Samaritan Hospital.

 

 

danov_zoran_011.jpg
October
 
 
 
1
Internship Info Session
LNFS Presents: Dallas Buyers Club
College of Law Welcomes Trevor Potter
Wed
2
Dancing at Lughnasa
LNFS Presents: Notes on Marie Menken
LNFS Presents: Edge of Tomorrow
UK Jazz Ensemble/ UK Lab Band
Earth & Environmental Science Student Open House
"Nerd Night" Exhibit and Concert
"Anne Braden: Southern Patriot" Film Screening and Discussion
Thu
3
Dancing at Lughnasa
LNFS Presents: My Neighbor Totoro
LNFS Presents: (500) Days of Summer
Men's Soccer vs. Old Dominion
Kentucky Volleyball vs. Alabama
Fri
4
Dancing at Lughnasa
Kentucky Football vs. South Carolina
Free Saturday Swing Dance Lessons
Rock Climbing @ Red River Gorge
Cross Cultural Workshop 2014
Swing Dancing!
Sat
5
Dancing at Lughnasa
Cross Cultural Workshop 2014
UK Children's Hospital/Birthing Center Annual Perinatal Loss "Walk To Remember"
Kentucky Volleyball vs. Texas A&M
Sun
6
Dancing at Lughnasa
Murals of Baltimore
Resumes and Cover Letters
Mon
7
Dancing at Lughnasa
Murals of Baltimore
Networking and Job Search
UK Choristers
Rock Star Professionalism Series
Stillness in Motion: The Essence of Symmetry - presented by Dr. Carl Lee, Mathematics
Tue
8
Dancing at Lughnasa
Murals of Baltimore
LNFS Presents: Night of the Living Dead
UK Law Day
Wed
9
Dancing at Lughnasa
Murals of Baltimore
LNFS Presents: Dawn of the Planet of the Apes
Mark Berry, Guest Percussion Recital
National Depression Screening Day
LNFS Presents: Torch Song Trilogy
Thu
10
Dancing at Lughnasa
LNFS Presents: Shut Up and Play the Hits
LNFS Presents: Watchmen
KLJ Data Privacy Symposium
Family Weekend Check-in
Big Blue Pantry Food Drive #1
Kentucky Women's Soccer vs. South Carolina
Family Weekend: Derek Hughes
Fri
11
Dancing at Lughnasa
Kentucky Football vs. ULM
Free Saturday Swing Dance Lessons
UK International Tent/ Tailgate Party
CT Surgery Symposium: Advances in the Surgical Management of Cardiothoracic Diseases:
Family Weekend Tent Party
Sat
12
Dancing at Lughnasa
DNT 101: A Taste of the Kentucky Doughnut Trail
Big Blue Pantry Food Drive #2
Kentucky Volleyball vs. Auburn
Sunday Lunch at Historic Spindletop Hall
Men's Soccer vs. Marshall
Sun
13
 
Mon
14
Job Club - Social Media and Your Career
Massage on the Go
Tue
15
LNFS Presents: The Last Samurai
UK Symphony Band Concert
Women's Forum Conference 2014
#TrendingTopics: Pornography vs. Morality
Wed
16
Career Assessment Workshop
LNFS Presents: The Tree of Life
LNFS Presents: Guardians of the Galaxy
UK Wind Symphony
Thu
17
LNFS Presents: Princess Mononoke
LNFS Presents: The Hitchhiker's Guide to the Galaxy
Kentucky Women's Soccer vs. Ole Miss
Berlin Philharmonic Wind Quintet
Fri
18
Paint the Town Blue
Free Kaplan Entrance Practice Exams
4th Annual Big Blue Soccer Tournament
Men's Soccer vs. New Mexico
Swing Dancing and Costumes?
Sat
19
Paint the Town Blue
UK Men's Chorus and acoUstiKats
Jazz Spectacular
UK Student Pajama Party
Kentucky Volleyball vs. LSU
Kentucky Women's Soccer vs. Florida
Sun
20
Paint the Town Blue
Midterm of 2014 Fall Semester
Returning to Work and Breastfeeding
Open Access Week Kickoff Event (Webcast)
Grad School 101
Royalty Showcase
Mon
21
Graduate and Professional School Prep Week: Preparing for Law School
Graduate and Professional School Prep Week: Grad School Panel: Surviving Your 1st Year
Film & Panel Discussion: Be Like Others
Graduate and Professional School Showcase
Your Publication, Your Choice: Choosing the Right Open Access Journal
Graduate and Professional School Prep Week
Graduate and Professional School Prep Week
Kitty Karnival
Tue
22
Study Tips for Medical School
LNFS Presents: Eternal Sunshine of the Spotless Mind
Thank-A-Donor Day
Campus Sustainability Day
Electronic Thesis and Dissertation Information Session
Getting Into Medical School
Wed
23
Writing a Winning Personal Statement
Career Assessment Workshop
LNFS Presents: Marimbas From Hell
LNFS Presents: The Fault in Our Stars
Generation Open: Researchers' Roles in the Age of Openness
Homecoming Street Fair
Thu
24
LNFS Presents: Kiki's Delivery Service
LNFS Presents: The Secret Life of Walter Mitty
"see blue." Day at Keeneland
Peanut Butter Drive
Pumpkin Carving Tournament
Fri
25
Kentucky Football vs. Mississippi State
Free Saturday Swing Dance Lessons
Sat
26
UK Women's Choir and Paws and Listen
Bill Cooper Faculty Recital
What Makes You "YOU: with Brett T. Spear
Sun
27
UK Trumpet Ensemble
Undergraduate Research Information Session "How to Find A Mentor"
Kentucky Men's Basketball Blue/White Scrimmage
Mon
28
Job Club - How To Get A Job at UK: Updates on IES Applicant Tracking System
Common Reading Experience Author Lecture: Presenting Ishmael Beah
Screening of the documentary Teached
Tue
29
Internship Info Session
LNFS Presents: The Shining
Pinterest Party
UK Lab Safety Fair
Leadership Assessment
"see boo." Halloween Party
Society for the Promotion of Undergraduate Research (SPUR) Meeting
#UKEDTALKS: Design Thinking with Dr. John Nash
Kentucky Volleyball vs. Tennessee
Wed
30
Career Assessment Workshop
LNFS Presents: Lucy
Film Viewing and Discussion of The Other Boleyn Girl
LNFS Presents: Papirosen
Kentucky Women's Soccer vs. Alabama
Thu
31
LNFS Presents: ParaNorman
LNFS Presents: Carrie
All Hallow's Eve Concert (UK Symphony Orchestra)
Work-Life Retirement Conference
Fri
 
Reset Page