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What is adjustment disorder? Everything you need to know

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Adjustment disorder is a condition some people may experience in the months following a stressful event or a change in life.

Adjustment disorder can cause a variety of symptoms including depression , anxiety, and emotional disturbance.

Doctors may diagnose depression , anxiety or a mixed depression and anxiety adjustment disorder.

Many people can also refer to situational depression as adjustment disorder. They ‘re not the same circumstances, however.

In this article we discuss the causes and symptoms of adjustment disorder, as well as the options for diagnosis and treatment.

What it is

A lady having adjustment disorder
Life changes, such as moving house, may cause adjustment disorder.

Adjustment disorder is an severe emotional or behavioral reaction within three months following a stressful or monumental event in life.

In response to a given situation, people can experience an abnormal reaction or a higher level of emotional disturbance than expected. This stress can trigger a variety of symptoms that could psychologically and physically affect people.

Adjusting disorder signs are not related to any mental health problem, or through the normal phase of grieving or adjusting to a dramatic change in life.

Also positive events that are major changes may cause adjustment disorder.

Examples of life events or changes that could cause adjustment disorder include:

  • moving home
  • divorce or separation
  • the loss of a loved one
  • the birth of a child or sibling
  • a serious illness or severe injury
  • moving to a new school
  • marital difficulties
  • retirement
  • financial difficulties
  • losing a job
  • a natural disaster or traumatic event

Some factors can increase the chances of people suffering from an adjustment disorder.

Genetics, life experience, personality and mental health problems can all play a role in how people respond to events in life.

This can worsen if people encounter several stressors at once to cause adjustment disorder.

Children with regular stress have a higher risk of having an adjustment disorder.

Adjustment disorders occurs similarly in males as well as females.

Adjustment disorders begin within 3 months of a stressful event and do not continue for more than 6 months after the incident, and the effects have stopped.

However, chronic adjustment disorder will last longer than this time period in some cases.

Symptoms

Symptoms of adjustment disorder can include:

  • depressed mood
  • frequent worrying or feeling anxious
  • frequently feeling tearful or crying
  • hopelessness
  • feeling jittery and nervous
  • reckless behavior or breaking of societal rules
  • social withdrawal
  • suicidal thoughts or behaviors
  • difficulty functioning as usual in school, college, or work

People may only have emotional symptoms, while others may only have behavioral symptoms.

Suicide prevention

If you know someone at urgent risk of self-harm, suicide, or harming another person:

  • Ask the tough question: “Are you considering suicide?”
  • Listen to the person without judgment.
  • Call 911 or the local emergency number, or text TALK to 741741 to communicate with a trained crisis counselor.
  • Stay with the person until professional help arrives.
  • Try to remove any weapons, medications, or other potentially harmful objects.

If you have thoughts of suicide, or someone you know, a hotline for prevention will help. The National Lifeline for Suicide Prevention is available at 1-800-273-8255 24 hours a day. People with trouble hearing should dial 1-800-799-4889 during a crisis.

Click here for more links and local resources.

Types

There are six different types of adjustment disorders, which doctors base on the main accompanying symptoms.

People can have the following types of adjustment disorder:

  • With anxiety: Feeling nervous, worried, jittery, or having a fear of separation.
  • With depressed mood: Feeling depressed, hopeless, or tearful.
  • With anxiety and depressed mood: A combination of the above symptoms.
  • With disturbance of conduct: Violating the rights of others, violating societal norms and rules.
  • With disturbance of emotions and conduct: A combination of all the above types of adjustment disorder.
  • Unspecified: Symptoms that do not fit into any of the above categories.

Symptoms in children

Symptoms of an adjustment disorder may vary according to the individual’s age.

Children and teenagers may have more symptoms of behavior , for example aggressive behaviour. More depressive symptoms can develop in adults.

In particular, children may suffer the following symptoms:

  • trouble sleeping
  • frequent crying
  • avoiding or not wanting to go to school
  • isolating themselves from friends and family
  • picking fights
  • irritability
  • vandalism
  • showing hostility
  • depression and anxiety

Differences from PTSD, depression, and anxiety

People with an adjustment disorder can experience a group of symptoms that correlate with other conditions:

These include:

  • post-traumatic stress disorder (PTSD)
  • depression
  • anxiety

People can experience a depressed mood and anxiety with adjustment disorder.

Adjustment disorder has a different set of criteria than other mental health disorders, however, which helps clinicians to differentiate between them.

PTSD typically occurs during a life-threatening event, including war or physical attack, opposed to a life-change or stressor that may cause adjustment disorder. Also, PTSD can last longer than adjustment disorder.

Complex PTSD can occur when a person has undergone prolonged or repeated trauma, rather than just one event.

It can be difficult to separate adjustment disorder from depressive disorders, as they can share similar symptoms.

Doctors may use an instrument called Diagnostic and Statistical Manual of Mental Disorders (DSM–5), which lists criteria for mental health disorders. Adjustment disorder also appears in the international medical classification list known as the ICD-10.

Doctors may use these guides to test whether the symptoms of a individual match the adjustment disorder requirements, rather than another mental health condition.

Diagnosis

A doctor may examine a person’s symptoms, ask about their medical background, and perform a clinical examination to identify a condition of adjustment. The test aims to rule out any other mental health problems.

A doctor may interview individuals about any recent events that may have caused adjustment disorder. They will also look at the personal history of emotional and behavioral patterns in an individual.

Doctors may check in children if development is as they expect it to be, as this can affect emotional and behavioral response.

A doctor may use the DSM-5 to test whether the symptoms fit the adjustment disorder criteria, rather than another mental illness.

In certain cases, blood and urine tests may be prescribed to ensure that the symptoms don’t come from another disease.

Treatment

Psychotherapy can help people overcome adjustment disorder, or talk therapy.

A person can meet with a psychotherapist regularly to work through the disorder’s emotional and mental symptoms. Others may find group therapy useful in redeveloping interpersonal and social skills.

One approach may include cognitive behavior therapy (CBT). This technique focuses on changing patterns of thought to help people solve problems and develop positive methods of coping with them.

The family therapy can benefit children or family members with an adjustment disorder.

Family members will work with a therapist to bring about positive changes, such as improved communication, interactions and greater family support.

In some cases a doctor may prescribe medication for symptoms such as depression and anxiety alongside treatment with psychotherapy. However, medications are usually not the first line of treatment in adjustment disorders.

Summary

Adjustment disorder is an extreme response to a stressful event or significant change in life. It can affect persons of any age. Changes in family structures, divorce or move can all trigger a disorder of adjustment.

People may experience depression, anxiety or hopelessness. We can socially withdraw, feel more tearful than normal, or be having trouble sleeping.

In particular, children and teenagers may exhibit disruptive behavior.

Adjustment disorder occurs within 3 months of a stressful event, and typically does not last longer than 6 months after the event, and its consequences resolve.

If people have signs of adjustment disorder, they should see their doctor. A doctor, such as a psychotherapist, may refer them to a mental health professional. Talking therapies can help someone conquer the adjustment disorder.

Anxiety / Stress

What’s the link between anxiety and high blood pressure?

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Anxiety and high blood pressure might also be signs of something else. High blood pressure can be caused by anxiety, and anxiety can be caused by high blood pressure.

Anxiety is defined by the American Psychological Association (APA) as feelings of worry or stress. It might induce physical symptoms, including perspiration and an elevated heart rate. Anxiety, according to the APA, can raise a person’s blood pressure.

Furthermore, long-term high blood pressure, often known as hypertension, can make people worry about their health and future. Anxiety can also be caused by severe hypertension, according to Trusted Source.

Continue reading to learn more about the connection between anxiety and high blood pressure, as well as treatment options for both.

Is it possible for anxiety to trigger high blood pressure?

anxiety in girls

The body’s natural response to stress is anxiety. Anxiety might arise before an exam or when awaiting important information.

Anxiety is caused by the production of stress hormones by the body. These hormones cause a rise in heart rate as well as a constriction of blood vessels. Blood pressure can rise as a result of either of these changes.

According to a 2015 study, people who have high levels of anxiety have a greater risk of hypertension than those who have lower levels of worry. Early diagnosis and treatment of anxiety are especially important in people with hypertension, according to the researchers.

Worry-induced blood pressure rises are generally just temporary and disappear as the anxiety subsides. High amounts of worry on a regular basis, on the other hand, can harm the heart, kidneys, and blood vessels in the same way as long-term hypertension can.

Anxiety-related hormone changes can lead to increased fat accumulation in the long run, particularly around the belly. Anxiety can also cause behavioral changes in people, such as stress eating, which can lead to hypertension indirectly.

Additionally, certain anxiety drugs might raise blood pressure. Serotonin and noradrenaline reuptake inhibitors (SNRIs), which are used to treat anxiety disorders, have been found to raise blood pressure, according to research published in 2017.

Is it possible for high blood pressure to trigger anxiety?

Some people may experience anxiety as a result of having high blood pressure. When a person is diagnosed with hypertension, they may be concerned about their health and their future.

Furthermore, hypertension symptoms might trigger fear or worry. Hypertension can cause the following symptoms:

  • vision changes
  • headaches
  • irregular heart rhythm
  • buzzing in the ears

Anxiety can also be a side effect of severe hypertension. If a person has severe anxiety and other symptoms like a headache or shortness of breath, they should seek medical help right away.

Low blood pressure and anxiety

There is no proof that anxiety reduces a person’s blood pressure at this time. Low blood pressure, on the other hand, might make a person uneasy or concerned.

Low blood pressure symptoms are often confused with anxiety symptoms. The following are symptoms of both low blood pressure and anxiety:

  • dizziness
  • lightheadedness
  • nausea
  • fainting
  • difficulty concentrating

Anxiety or changes in blood pressure?

It’s not always easy to tell the difference between worry and variations in blood pressure. The majority of the time, hypertension does not create any symptoms. This suggests that a person’s blood pressure should be examined on an important basis.

Low blood pressure can cause symptoms that are comparable to those of anxiety. If a person isn’t sure if their symptoms are caused by worry or low blood pressure, they should consult a physician.

People with severe or repeated symptoms of either should also contact their doctor. A doctor will be able to determine the underlying cause of the symptoms and prescribe any therapies that are required.

Anxiety treatments

Anxiety can be treated in a variety of ways. It’s possible that a person will need a mix of these therapies.

Medication

Anxiety symptoms can be alleviated with a variety of medications. For various people, different medications will work. Among the possibilities are:

  • buspirone, an anti-anxiety drug
  • certain antidepressants
  • benzodiazepines, which are sedatives used to treat anxiety for a brief period of time
  • beta-blockers, It helps the heart to beat more slowly and gently.

Psychotherapy

People can control their anxiety symptoms by working with a psychotherapist.

One of the most successful kinds of psychotherapy for anxiety is cognitive behavioral therapy (CBT). CBT teaches people how to adjust their thinking habits in order to minimize anxiety and worry.

Individuals acquire anxiety-management methods and are gradually exposed to events that provoke it throughout CBT. In these instances, the person will feel less afraid and worried as a result of this.

Changes in your way of life

An individual can adopt lifestyle modifications to assist lessen anxiety. To aid alleviate anxiety, the National Alliance on Mental Illness (NAMI) recommends the following:

  • eating a nutritious balanced diet
  • exercising at least 20 minutes per day
  • setting goals and rewards
  • avoiding alcohol and drugs
  • getting a good night’s sleep
  • learning a new skill
  • having a support system
  • practicing mindfulness
  • trying to reduce negative thoughts, countering them with positive ones

High blood pressure treatment

A doctor may prescribe a treatment plan for someone with hypertension. This treatment approach may include dietary modifications, medication, or a combination of the two.

Changes in your way of life

To reduce blood pressure, a person can undertake a variety of lifestyle modifications, including:

  • avoiding or limiting alcohol
  • reducing salt intake
  • eating a heart-healthy diet, which is rich in fruit, vegetables, and whole grains
  • exercising regularly
  • quitting smoking, if they smoke
  • maintaining a moderate weight
  • managing stress
  • getting good-quality sleep

Learn about 15 natural ways to lower blood pressure here.

Medication

High blood pressure can be treated with a variety of medications. These are some of them:

  • angiotensin converting enzyme (ACE) inhibitors, which prevent blood vessels from narrowing as much
  • angiotensin II receptor blockers (ARBs), to stop blood vessels from narrowing
  • calcium channel blockers, which allow blood vessels to relax
  • diuretics, which remove excess water and sodium from the body
  • beta-blockers

A person’s pharmaceutical needs are determined by a number of factors, including their overall health and the severity of their hypertension. To keep their blood pressure under control, some people may require more than one type of medicine.

When should you seek assistance?

Individuals who believe they may be suffering from anxiety, hypertension, or both should consult a physician. Severe symptoms should be treated right once since they might suggest a medical emergency.

Observe the following signs and symptoms:

  • shortness of breath
  • fatigue
  • confusion
  • nausea
  • back pain
  • difficulty speaking
  • vomiting
  • chest pain
  • numbness or weakness
  • muscle tremors

Outlook

Both hypertension and anxiety are conditions that can be effectively treated. Hypertension does not always occur in people who suffer from anxiety.

However, receiving care as soon as feasible can help people with either condition have a better outcome and lower the chance of consequences.

Is it possible for high blood pressure to be caused by stress?

Anxiety is a stress reaction. Hormones like adrenaline and cortisol are released in response to stress. The “fight-or-flight” response is triggered by these hormones, which prepares the body to either run or confront the perceived threat.

A person’s fight-or-flight hormones might lead them to:

  • worry
  • nervousness
  • increased blood pressure
  • anxiety
  • increased heart rate

The bodily systems of a person should return to normal once they have coped with their stress. Long-term stress, on the other hand, can lead to health issues such as:

  • stomach pain
  • fatigue
  • inability to made decisions
  • memory issues
  • increase in blood pressure
  • increased heart rate
  • increase in fats in the blood
  • weight gain
  • weakened immune system
  • anxiety
  • depression
  • lack of sleep
  • diarrhea

Conclusion

Anxiety and high blood pressure have been linked. Anxiety can lead to hypertension, especially if the anxiety is severe on a frequent basis.

Having high blood pressure might cause anxiety in certain people.

When one condition is treated, the chances of the other improving are high.

Individuals who believe they have one or both of these conditions should seek medical advice for diagnosis and treatment.

Sources:

  • https://medlineplus.gov/anxiety.html
  • https://www.apa.org/topics/anxiety
  • https://www.ncbi.nlm.nih.gov/books/NBK470361/
  • https://www.medicalnewstoday.com/articles/327212
  • https://www.nhlbi.nih.gov/health-topics/high-blood-pressure
  • https://www.who.int/news-room/fact-sheets/detail/hypertension
  • https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4411016/
  • https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6233698/
  • https://www.hormone.org/your-health-and-hormones/stress-and-your-health
  • https://www.ncbi.nlm.nih.gov/labs/pmc/articles/PMC5958156/
  • https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5683798/

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Anxiety / Stress

Globus pharyngeus: What are the causes?

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Globus pharyngeus, also known as “globus sensation” or “globus,” is a sensation of something being lodged in one’s throat. Globus can be a sign of a variety of illnesses.

Healthcare practitioners used to think of globus as mostly a psychological condition, according to a 2017 report in the journal Frontline Gastroenterology. However, studies have shown that it can be a sign of both psychological and physical problems.

Although globus is not painful, it can be inconvenient and have a negative impact on a person’s quality of life.

This page explains what a globus sensation is, how to treat it, and what produces it. The article also discusses what else could be generating the sensation and when to seek medical help.

What exactly is the globus sensation?

globus sensation

Despite the absence of a physical blockage, Globus can make a person feel as if they have a chronic lump in their throat.

People may describe the sensation as something constricting their throat, according to the National Health Service (NHS) of the United Kingdom.

It is, however, exceedingly common and is not a reason for concern.

Globus can also cause a person to have the following symptoms:

  • itches in their throat.
  • The swelling of the throat
  • Persistence clearing of the throat
  • Hoarseness
  • Chronic cough
  • Catarrh, which is a build-up of mucus in the nose, throat, or sinuses,

During times of stress, the symptoms may worsen.

Causes

The actual cause of globus is unknown at this time.

It can, however, happen as a result of stress and anxiety, especially when people are suppressing intense emotions.

According to a 2015 article, up to 96 percent of people with globus noticed that symptoms exacerbated during periods of high emotional intensity.

In addition, gastroesophageal reflux disease is a common reason (GERD). According to the authors of the article, 23–68% of people with globus also have GERD. The globus sensation might be caused by GERD symptoms such as heartburn.

Other medical problems that might produce globus include the following:

  • cricopharyngeal spasm, which is a type of muscle spasm that happens in the throat
  • hiatus hernia, which is when a part of the stomach moves up into the chest
  • sinusitis, which is inflammation of the sinuses
  • post-nasal drip, which occurs when the glands in the throat and nose continually produce mucus
  • a swollen thyroid gland, or goiter

Hypopharyngeal cancer may be the cause in extremely uncommon situations.

Similar and related conditions

There are a number of illnesses that are comparable to globus. These are some of the conditions:

Dysphagia

The term “dysphagia” refers to difficulty swallowing. This could indicate that a person is completely unable to swallow, or that they are having difficulty safely ingesting food or drink.

Dysphagia can cause the following symptoms:

  • coughing
  • choking
  • clearing the throat
  • the sensation that food is stuck in the throat or chest
  • weight loss
  • preference for liquid and semisolid food

Odynophagia

Odynophagia is a condition in which a person has pain during swallowing.

Odynophagia is a condition that happens when the esophagus or oropharynx, which is the region of the throat directly behind the mouth, becomes infected or inflamed.

Achalasia

Achalasia is a rare condition in which a person has trouble swallowing. Achalasia is a condition in which a person’s esophagus has difficulty transporting food into their stomach. This means that food can get stuck in the esophagus, resulting in:

  • dysphagia
  • mild chest pain
  • intense pain
  • regurgitation
  • coughing during the night
  • significant weight loss

How common is globus pharyngeus?

Globus is a prevalent medical complaint that accounts for about 4% of new referrals to ear, nose, and throat clinics, according to Trusted Source.

According to research from 2017, 12.5 percent of otherwise healthy people in the United States have globus. Furthermore, among those under the age of 50, globus appears to affect females more frequently than males. It affects both men and women over the age of 50, according to the authors.

According to researchers, up to 75% of people with globus may endure symptoms for years. It’s possible that this is due to the difficulty in diagnosing globus. It can be difficult for a doctor to discover a suitable treatment if the reason of a person’s globus cannot be determined.

When should you see a doctor?

The sensation of a big lump in the throat might be terrifying. Globus, on the other hand, is not a significant condition with no long-term health repercussions.

A person who is concerned about globus can benefit from speaking with a medical practitioner.

If you have globus and the following symptoms, you should see a doctor very away.

  • neck or throat pain
  • bleeding from the mouth or throat
  • weight loss
  • pain or difficulty swallowing
  • muscle weakness
  • a physical mass in the throat or mouth
  • a progressive worsening of symptoms

Treatment

There are no particular therapies for globus because there is no identified cause. When globus is caused by another medical condition, addressing that condition may help to cure it.

To help ease the discomfort and relax the throat muscles, the NHS recommends that you do the following:

  1. Swallow when the throat feels uncomfortable, with or without water.
  2. Yawn with the mouth wide open often.
  3. Move the jaw up and down and open the mouth at least two fingers wide.

A person can also try the following steps a few times a day:

  1. Sitting or standing, a person should shrug the shoulders up to the ears, hold the position, release, and repeat.
  2. Turn the head to the left, slowly and gently. Bring the head to the center and lower the chin to the chest. Raise the head, turn it to the right, and then bring it back to the center. A person can repeat this four times.
  3. Drop the head to the chest, and keep the mouth open. Gently roll the head in a circle and repeat in the other direction.

People should also:

  • take antacids if they experience regular acid indigestion
  • avoid clearing the throat as this can aggravate it further, and drink some water instead
  • try to yawn if the desire to clear the throat is strong

A healthcare professional may recommend the following treatment options:

Proton pump inhibitors (PPI)

PPIs work by lowering a person’s stomach acid levels. PPIs are prescribed by a doctor to treat heartburn and acid reflux.

Those with globus, on the other hand, may require more vigorous and extended PPI medication, which can have undesirable side effects. In addition, 55.6 percent of people with GERD and globus were resistant to PPI treatment, according to researchers in a 2015 study.

Other acid blockers, such as H2 blockers, may be prescribed by a healthcare practitioner.

Speech therapy

According to research, globus can be efficiently treated with speech therapy that involves relaxation techniques.

According to a 2017 study, 72 percent of people with globus who had speech therapy experienced complete remission. However, because of the limited sample size in this study, more research is needed.

Psychological treatments

Cognitive behavioral therapy (CBT) is a type of therapy used to address psychological disorders that might manifest as physical symptoms.

Antidepressants may be helpful as well. Therapy with serotonin-norepinephrine reuptake inhibitors can be an useful treatment option for patients with mild symptoms, according to a study published in 2021.

Conclusion

The sensation of having something trapped in one’s throat is known as globus. Despite the fact that it is usually not serious, it can cause concern and lower a person’s quality of life.

The actual reason for this is unknown. There are, however, some conditions that are linked to globus. If these disorders are the cause of globus, treatment may help.

There are a number of illnesses that are comparable to globus. It’s not like these conditions in that it doesn’t produce discomfort or make swallowing difficult.

A person should consult a doctor if they are concerned about globus. If you have globus and other significant symptoms, you should consult a doctor very away.

Sources:

  • https://rarediseases.org/rare-diseases/achalasia/
  • https://www.ncbi.nlm.nih.gov/books/NBK559174/
  • https://www.nidcd.nih.gov/health/dysphagia
  • https://www.hey.nhs.uk/patient-leaflet/globus-sensation/
  • https://www.medicalnewstoday.com/articles/318633
  • https://www.ncbi.nlm.nih.gov/labs/pmc/articles/PMC6056082/
  • https://link.springer.com/chapter/10.1007/978-3-319-44360-7_8
  • https://www.ncbi.nlm.nih.gov/labs/pmc/articles/PMC4582871/
  • https://www.ncbi.nlm.nih.gov/labs/pmc/articles/PMC5137314/
  • https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6400352/
  • https://link.springer.com/article/10.1007/s00405-020-06544-0

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Anxiety / Stress

Bruxism or teeth grinding: All you should know

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When a person is not chewing, they grind or clench their teeth, which is known as bruxism. It normally happens when sleeping, although it can also happen throughout the day. A lot of the time, a person isn’t even aware that they’re doing it.

Teeth grinding is the act of rubbing the teeth against one other when eating. Clenching occurs when a person clenches their muscles and holds their teeth together without moving them back and forth.

People can clench or grind their teeth at any time of the day or night. According to the Bruxism Association of the United Kingdom, 8–10% of the population suffers from it.

The symptoms, diagnosis, and treatment of bruxism are discussed in this article. We also go through the distinctions between bruxism while sleeping and bruxism while awake.

Awake bruxism

Because it is not a sleep condition, awake bruxism differs from sleep bruxism. It’s more of an unconscious habit.

Teeth grinding is not always the result of awake bruxism. People are more inclined to clench their teeth or strain their jaw muscles instead. Aching around the jaw, dull headaches, and stiffness are all symptoms of awake bruxism. In cases when there is no grinding, however, the condition may not wear the teeth as much.

Awake bruxism occurs involuntarily, much like sleep bruxism. When people are concentrating or stressed, they may notice that they are more prone to it.

Sleep bruxism

Sleep bruxism

A form of sleep disorder is sleep bruxism. When people are awake, they may notice the following signs of sleep bruxism:

  • broken or loose fillings
  • clicking, popping, or grinding noises when moving the jaw
  • worn teeth
  • jaw pain and stiffness
  • a dull headache
  • sensitive, loose, or broken teeth
  • facial pain

People can also experience ear pain because the temporomandibular joint (TMJ) — the joint that allows the jaw to open and shut — is very close to the ear. Referred pain occurs when a person feels pain in a location other than the cause of the pain.

People who have bruxism during sleep may not be aware that they are clenching or grinding their teeth, but those who sleep nearby may be able to hear the sounds.

What are the causes of bruxism?

Bruxism may not usually have a single, obvious cause, but it is linked to a multitude of circumstances. Depending on the kind of bruxism, these factors differ.

Primary bruxism

Primary bruxism is not caused by another ailment and happens on its own. The following are some of the known factors that contribute to it:

  • Growing teeth: Bruxism is common in young children, with up to 40% experiencing it, usually when their teeth are growing. However, because the teeth and jaw grow quickly during childhood, the bruxism usually resolves on its own without causing lasting damage.
  • Misaligned bite: In some people, bruxism may happen because either a person’s bite is not aligned or they have missing teeth. Irritation in the mouth may also contribute to grinding or clenching.
  • Stress: One of the main causes of bruxism in adults, whether it occurs during sleep or when awake, is stress. A 2020 systematic review found that there was a significant association between stress and bruxism, but more research is necessary to understand the relationship.
  • Smoking, alcohol, and caffeine: A 2016 review of previous research found that the use of these substances was also associated with bruxism. People who smoked or drank alcohol regularly were about two times more likely to have bruxism, while those who drank more than 8 cups of coffee per day were 1.5 times more likely.

Secondary bruxism

Secondary bruxism occurs as a result of another medical condition or circumstance, such as:

  • Mental health conditions: Anxiety and depression are associated with bruxism. This association may be due in part to stress, which can contribute to these conditions.
  • Neurological conditions: Conditions such as Huntington’s disease and Parkinson’s disease can cause movement during sleep, which may result in bruxism.
  • Medications: Bruxism can be a side effect of certain medications, including some antidepressants and antipsychotics. A 2018 study found a link between selective serotonin reuptake inhibitors (SSRIs) and bruxism. Fluoxetine (Prozac) and sertraline (Zoloft) were the most common culprits out of the studied drugs.
  • Sleep apnea: Sleep apnea is a condition that causes breathing to stop temporarily during sleep. It can reduce sleep quality and cause frequent arousals, which may be why it is a risk factor for bruxism. By disturbing sleep, sleep apnea may promote teeth grinding or clenching.

What are the long-term effects of bruxism?

Long-term damage from bruxism may cause:

  • tooth sensitivity, due to enamel wearing away
  • gum inflammation or bleeding
  • loose teeth
  • damage to dental work, such as crowns and fillings
  • flattened or short teeth
  • tooth fractures
  • TMJ syndrome, which causes pain, tension, and difficulty chewing

Diagnosis

A dental examination can help a dentist identify bruxism. It is possible that they will notice:

  • worn tooth enamel
  • flattened, fractured, or chipped teeth
  • loose or damaged crowns and fillings

Tooth wear can also be caused by too vigorous brushing, abrasives in toothpaste, acidic soft beverages, and hard meals, but only a skilled expert can distinguish between the different wear patterns.

Treatment

Bruxism can be treated using a variety of therapies and strategies. These are some of them:

Mouthguard or mouth splint

To prevent the teeth from injury while sleeping, a dentist may prescribe wearing a mouth splint or mouthguard. These devices can aid by distributing pressure evenly across the jaw, creating a physical barrier between the teeth, and minimizing grinding noise.

Bruxism mouthguards are often made of flexible rubber or plastic. A dentist can custom-make one for a person’s teeth, or they can purchase an over-the-counter (OTC) version. The over-the-counter versions may be less comfortable.

Splints for the mouth are usually composed of a harder plastic and fit over the teeth. Some splints are designed to go over the top teeth, while others are designed to fit over the bottom teeth. A splint may retain the jaw in a more relaxed position or act as a barrier, causing damage to the splints rather than the teeth, depending on the design.

Generic mouthguards are not recommended for sports since they might be bulky and cause severe discomfort.

Medication

A nonsteroidal anti-inflammatory drug (NSAID) like ibuprofen can help reduce the discomfort and swelling caused by bruxism.

In rare cases, a doctor may prescribe a prescription to relax the muscles and break the cycle of teeth grinding for a brief period of time. This method allows the jaw muscles to relax, which may help to alleviate discomfort.

If bruxism is a side effect of a medicine, a person should talk to their doctor about switching to a different one. Never stop taking a drug or modify the dosage without first visiting a doctor.

Biofeedback

Biofeedback is a sort of treatment that helps people become aware of and manage involuntary body processes such as breathing and heart rate.

There isn’t much data on biofeedback’s usefulness in treating bruxism, but a 2018 review found modest evidence that a specific biofeedback tool called contingent electrical stimulation alleviated symptoms after several nights of usage.

Botox

In severe cases of bruxism, injections of botulinum toxin, or Botox, can be used to paralyze the muscles that cause tooth grinding while sleeping. Botox, on the other hand, can be costly, and frequent injections are required to maintain the results.

Treatment for underlying conditions

If a person with bruxism also suffers from stress, anxiety, or depression, finding treatment for these issues may help them stop grinding their teeth.

Typically, these mental health disorders are treated with a mix of talk therapy and medicine to alleviate symptoms, but because some SSRIs can produce bruxism as a side effect, a person may choose to start with therapy first.

If a person has a disorder like sleep apnea, for example, discussing with a doctor about it may help them receive a diagnosis and treatment. To reduce sleep interruptions, some people with sleep apnea benefit from utilizing a continuous positive airway pressure equipment.

Prevention

Self-care may be able to help people with primary bruxism lessen or prevent symptoms. They could, for example, try:

  • avoiding alcohol, tobacco, and caffeine
  • refraining from chewing gum, as this may increase wear and tear or encourage more grinding
  • applying gentle heat to the jaw to relieve pain and tension
  • reducing avoidable stress and taking steps to manage unavoidable stress

Stress can be caused by external events and situations, but it can also be caused by how people interpret those experiences. In any instance, there are options for dealing with it.

Seeking help, setting aside time for relaxation, and practicing mindfulness can all be beneficial. Breathing exercises, meditation, yoga, and other relaxation people may also be beneficial.

Questions bruxism

Here are some answers to frequently asked questions concerning bruxism.

Can bruxism cause tinnitus?

There’s a chance that bruxism and tinnitus are connected. Tinnitus can develop if the TMJ is injured, according to the American Tinnitus Association. Tinnitus can be caused by bruxism since it directly affects this joint.

Is bruxism inherited?

According to an older analysis of previous research, there is some evidence that bruxism runs in families. However, no study has shown particular genes linked to it, and genetics is most likely just one of many contributing variables.

Conclusion

When a person grinds or clenches their teeth unconsciously, this is known as bruxism. It can happen when you’re awake or asleep, and it can cause face discomfort, jaw stiffness, and headaches. Teeth grinding can cause long-term damage to the teeth, gums, and jaw joint.

Bruxism can be detected during a dental exam by a dentist. The goal of treatment is to reduce tooth damage with a mouthguard or mouth splint, as well as to address any conditions that may be contributing to the bruxism. This may entail lowering stress, switching drugs, or addressing coexisting diseases like sleep apnea.

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