Sleep Impairment: A Trigger for Relapse in IBD?

David A. Johnson, MD

Disclosures

January 23, 2014

This feature requires the newest version of Flash. You can download it here.
In This Article

Sleep and IBD

Hello. I'm Dr. David Johnson, Professor of Medicine and Chief of Gastroenterology at Eastern Virginia Medical School in Norfolk, Virginia. Welcome back to another installment of GI Common Concerns -- Computer Consult .

Today I would like to discuss something that has been keeping me up at night -- the role of sleep abnormalities in disease. I would like to shift the focus from gastroesophageal reflux disease to inflammatory bowel disease (IBD).

Could we treat our patients with IBD by looking for sleep deprivation or other sleep abnormalities as modifiable therapeutic opportunities? Could optimizing the sleep cycle have the physiologic effect of preventing flares of IBD?

Sleep dysfunction is very common. Most of you have some sleep dysfunction, if you are like normal Americans. An estimated 50-70 million people are affected by sleep disorders and meet the criteria for sleep dysfunction.[1]

Why is sleep dysfunction an issue in IBD? Sleep dysfunction is evident in other diseases, such as gastroesophageal reflux disease, and also in those diseases with an inflammatory component, such as systemic lupus erythematosus, HIV, and multiple sclerosis. Sleep abnormalities have been defined in these patient populations.

Comments

3090D553-9492-4563-8681-AD288FA52ACE
Comments on Medscape are moderated and should be professional in tone and on topic. You must declare any conflicts of interest related to your comments and responses. Please see our Commenting Guide for further information. We reserve the right to remove posts at our sole discretion.
Post as:

processing....