When it comes to treating reflux symptoms, it's time for us all to open our eyes to the value of closing them, says Dr David Johnson.
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In assessing these outcomes, the investigators found that the relative risk for association with sleep fragmentation was approximately 15% greater in those with GER symptoms occurring one to three times a month. For those with GER symptoms occurring once a week and more than once a week, the approximate relative risk increased by 30% and 53%, respectively. Clearly, the association of GER symptoms and relative sleep quality was really important.
If you have a cognitive awakening during those disruptions, you may recall those events the next day. Or, you may not remember it at all, and such amnestic events are normal for some people with sleep disruptions. Those are key parameters we can use for looking back to the night before and gauging sleep efficiency. If you're not asking those questions, you may miss out on identifying a patient having sleep fragmentation.I now perform an interval assessment of this type not just in my patients with GER disease but across all my patients. I do so because sleep is physiologically important in so many ways.
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