Experts are learning about the most effective remedies
have trouble sleeping. By some estimates, roughly 75% of people with IBD experience sleep disturbances such as trouble falling asleep, trouble staying asleep, and poor overall sleep quality. Meanwhile, surveys of IBD patients have found that poor sleep tends to be the top contributor to quality-of-life issues.
The good news is that medical science is getting better at recognizing and treating the sorts of sleep issues that afflict people with IBD. Here, experts discuss the relationship between these two medical conditions, as well as how best to manage IBD-related sleep disturbances.Sleep has a profound effect on the immune system.
Meanwhile, some mental or physical health problems that often co-occur with IBD can also contribute to sleep problems. For example, psychological disorders seem to be common causes of IBD-related sleep disturbances. “When we look at the things that people say are most impactful for their sleep, it’s not just the usual suspects—so not just bowel movements at night or abdominal pain,” says Dr.
When you consider all the ways sleep and IBD interact, determining how best to remedy the situation can be tricky. Switching up your medications won’t help if your sleep issues are caused by sleep apnea or depression. Likewise, going to a sleep specialist for insomnia treatment won’t do you much good if you’re up at night due to your medications or uncontrolled IBD symptoms.
On the other hand, experts say that sleeping pills may not be the best solution. For one thing, these medications may not mix well with the drugs you’re taking to manage your IBD symptoms. There are also non-drug sleep remedies that may provide more durable relief from insomnia and all its related harms.
But there’s a lot more to CBT-I than that. “It also involves sleep restriction, which is not something most people have experience with,” she says. In a nutshell, sleep restriction entails temporarily cutting down the time you spend in bed each night in order to deepen your sleep and improve your “sleep efficiency,” which is the proportion of your time in bed that you actually spend asleep. Salwen-Deremer says CBTI also involves relaxation training, as well as cognitive therapy.
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