Altitude Insomnia
Insomnia can show its ugly little face in many different ways. Pilots, flight attendants, and even military
trainees can suffer from this rare form of insomnia. This occurs when there is ascension to altitudes greater than
about two miles up. In addition to the insomnia itself, altitude insomnia also includes fatigue, headache, and loss
of appetite. One thing to keep in mind is that altitude is not always a factor that is related to flying in an
airplane because altitude insomnia is also common among mountain climbers too.
Clinically, it has been indicated that usually within a week of being exposed to the high altitudes, the person
will experience insomnia where they will be able to sleep but the sleep will be interrupted consistently due to the
inability to catch their breath. They may feel like they are suffocating or choking. There may also be other
symptoms as mentioned above that can accompany the altitude insomnia.
Altitude insomnia occurs in about 25% of people who rise about 2000 miles above sea level. Clinically, altitude
insomnia has a few other names such as acute mountain sickness, Acosta's disease, Alpine sickness, and
hypobaropathie. The primary cause of this is exposure to low air pressure which is what happens to people at high
altitudes. Now because the aircrafts of today are modernized, the cabins are pressurized which therefore does not
affect travelers on airplanes.
Normally it is the symptoms that are associated with the altitude that trigger the insomnia. Those who climb
mountains, pilots, or flight crews follow what they consider to be a Golden Rule, "Fly high and sleep low." While
that might not make much sense to the average Joe, to them it signifies a way to expose and re expose themselves to
repeated altitude little by little to avoid these symptoms. They ascend gradually, however this is not possible
with flight crews. Many claim that fast ascension is not the issue at all but experts do agree that there is much
about this in particular disorder that is not fully understood yet. There has been a strong link though that has
indicated that when there is a rapid dissension that the symptoms disappear very quickly.
There are drugs that can also help to prevent altitude insomnia; Diamox and Sumatriptan are both prescribed with
the prevention of altitude sickness in mind, therefore eliminating any altitude insomnia. Self help measures
include drinking plenty of water and cocoa leaves have also been known to help altitude sickness as well. Although
altitude insomnia is one of many symptoms that occur with extreme heights, it is important to remember that this is
a lung complication where the lings are affected by the extreme altitude.
Recently a new drug came out to help people with this condition. Acetazolamide will be able to help many people
that are subjected to altitude related illnesses. What researchers found was that this drug reduced pressure within
the lungs by relaxing muscles that line the lungs' capillaries. This reduces fluid in the lungs and increases
oxygenation.
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