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CategoriesADHD,  Narcolepsy

Challenges and Practices in Narcolepsy Diagnosis

by Annie Barraza

Even though disease, Narcolepsy can be identified positively through physical observation, physicians are still misdiagnosing patients. Misdiagnosis happens especially when dealing with those that have psychological problems.  Clinical evidence suggest that tests on a patient’s cerebrospinal fluids (CSF) can nearly confirm Narcolepsy, as 90% of Narcoleptics tested in studies have shown to have no hypocretin-1 in their CSF.

Often doctors will rely on symptom reporting by patients, questionnaires, testing sleep latencies in patients, and monitoring a patient as he/she sleeps and may not test the patient’s CSF before starting therapy.  Doctors can however be firm in their diagnosis by observing the presence of nearly all Narcolepsy symptoms together in a patient.  The confirmation of cataplexy, for example confirms a patient has Narcolepsy, as it is unique to Narcolepsy.

Diagnosis and treatment of Narcolepsy is somewhat standardized but methods and drugs vary from patient to patient most of the time.  Upon diagnosis doctors usually choose to prescribe two frontline medications (modafinil, sodium oxybate).  Both of these drugs are habit forming and sodium oxybate can be very dangerous.  For this reason the process of diagnosis may take some time because the doctor wants to be sure of his diagnosis before prescribing it.

Most patients do not receive their Narcolepsy diagnosis until ten to fifteen years after the first symptoms start appearing. For a doctor to make a correct narcolepsy diagnosis they must take into consideration the patient’s family and medical history. This includes the medications the patient is taking and any even what the person eats regularly. Diagnosing narcolepsy becomes easy when the patient exhibits all major narcolepsy symptoms listed below:

  1. Excessive daytime sleepiness (EDS) and an urge to take frequent naps during the day. These daytime naps must happen every day for six months at least in order for it to be considered as solid basis for narcolepsy diagnosis. Diagnosing narcolepsy is common in young adults and adolescents; bringing the problem to their attention when they suddenly fall asleep at school or at work. Sometimes, patients also experience insomnia but the majority of time a narcoleptic will have no issue falling asleep and entering almost directly into REM sleep.

  2. Cataplexy or sudden muscle weakness and loss of muscle control and tone, causing the patient to stop motor activity.

  3. Visual or auditory hypnagogic hallucinations that occur right before falling asleep.

  4. The inability to move upon awakening, or sleep paralysis.

However, narcolepsy diagnosis that’s based solely on symptoms can be problematic for several reasons. One reason is that some patients that receive a Narcolepsy diagnosis often seek medical advice for just one symptom (frequently hypnagogic hallucinations or sleep paralysis) which could be caused by other similar disorders; epilepsy in particular. Another reason for the difficulty in the diagnosis of narcolepsy is that the symptoms do not always become apparent to anyone for several years. This is true for the patient himself and even to a skilled observer. In certain cases, a patient is required to consult specialists in the field, or get treated and monitored at a sleep disorder clinic for a more effective treatment for Narcolepsy and to confirm that a patient does indeed have Narcolepsy.

Questionnaires for Diagnosing Narcolepsy

The Epworth Sleepiness Scale is one of the questionnaires for sleeping habits that a doctor can administer to get a more reliable narcolepsy diagnosis. The ESS makes use of simple questions in measuring excessive sleepiness; differentiating it from the normal sleepiness we usually feel in the daytime. See figure 02-01a for the test.

Figure 02-01a: The Epworth Sleepiness Scale

*Note this test varies slightly with different results analysis.

  

Situations

 Chance of Dozing0-none1-slight chance2-moderate chance3-high chance
Sitting and reading Indicate score (0-3)
Sitting inactively in public places Indicate score (0-3)
As a car passenger for one whole hour without any breaks Indicate score (0-3)
Watching television Indicate score (0-3)
Sitting and talking to someone Indicate score (0-3)
Sitting quietly after lunch (without alcohol) Indicate score (0-3)
In a car stuck for a few minutes in traffic Indicate score (0-3)
Lying down for an afternoon rest when circumstances allow Indicate score (0-3)
Show Results 1 – 6: Getting enough sleep7 – 8: Tends to be sleepy but is average9 – 15: Very sleepy and must seek medical advice. Over 16: Dangerously sleepy

Multiple Sleep Latency Tests

MSLT or multiple sleep latency tests can also help in making an accurate Narcolepsy diagnosis. The MSLT makes use of a device that can measure the time a patient takes to fall completely asleep during the day while lying inside a quiet room. Patients are asked to take 4-5 scheduled naps that are 2 hours apart. People with healthy sleeping habits usually fall asleep in 10-20 minutes. However, patients with a diagnosis of Narcolepsy show a significantly shorter time duration; approximately less than eight minutes, when moving from wakefulness to sleep. At least two of these naps are REM sleeps; the sleep state associated with dreaming. Still, the test has its limitations. There is no clear definition which abnormal results are proven to be basis for diagnosing narcolepsy. The Epworth Sleepiness Scale might be more precise in identifying narcolepsy from regular daytime sleepiness.

Polysomnography

Polysomnography is a study of an overnight sleep that can prove valuable in determining the major cause of sleepiness. A patient, without changing any of his daily habits, goes to the sleep centre two hours before bedtime. Various devices are used to monitor the patient while he sleeps:

  1. The ECG or electrocardiogram monitors the patient’s heart
  2. The EEG or electroencephalogram monitors the brain’s electrical activity
  3. The Electrooculogram monitors the eye movements
  4. The Electromyogram monitors muscle movements

With these instruments, doctors can record a patient’s condition, and monitor activity as their patients pass, or fail passing, through the stages of sleep. Neuroimaging methods can also be used in studying or confirming physiological sleep theories and discovering new relevant information about neurobiological aspects of the human sleep, memory and dreams. A few studies in neuroimaging focus on subjects suffering from narcolepsy and other sleep disorders.

Narcolepsy Diagnosis and Narcolepsy Treatments are carefully adapting with new findings.  Newer drugs are replacing older ones and doctors are diagnosing patients with better confidence. With proper diagnosis Narcolepsy symptoms can be treated quickly and nearly all signs and symptoms of the neurological disorder can be substantially reduced.

CategoriesADHD,  Narcolepsy

Narcolepsy Diet and Food Habits Effect on Narcolepsy

by Annie Barraza

What is Narcolepsy?

Narcolepsy is a disease that causes serious sleeping disorders to rise to the surface. At any time (especially during the day) narcolepsy victims experience sleep attack. Irrespective of time and place the sleep attack creates an embarrassing situation. Most Narcolepsy patients are depressed and hesitate to join in at any social or family events. This sleeping disorder can be threat for their professional life too. However, with more improved medical treatments and other therapies it is quite easy to heal diseases like cancer and others. Just a few changes in lifestyle and other practices can dramatically help to restore normalcy in a patient’s life.

Find out if you really suffer from Narcolepsy

A Narcoleptic patient has to go through two different levels of testing. This is the basic diagnosis of Narcolepsis. At the first level you go through a kind of Sonography. Polysogram is the first level. During this test more than two dozen electrodes are attached to different part of the body like nose, hand, abdomen and others. They transfer data to polysonogrph that records all the information. This helps the experienced professionals to diagnose the disease properly.

In the second level, the test will be on MLST or multiple sleep latency. This particular tool is used to record the time gap of daytime naps.

If you experience the effects of a sleeping disorder frequently, don’t ignore those symptoms. Often people consider them as general symptoms and later face severe difficulties in personal and professional life. When you have the option to prevent it, then why not start as soon as possible.

Take care of your food habits

For Narcoleptics, it is not good to drink alcohol. It is kind of depressant that weakens the nervous system and creates feelings of drowsiness. Therefore, for better sleep when it is an appropriate time to do so, it is best to avoid alcohol or any nicotine.

There are several side effects of sleepless nights. If you are not able to sleep properly at night, you won’t be able to work properly or concentrate on anything; this can result in other serious symptoms. Good sleep can enhance the working capacity of your brain. Thus don’t suppress it with alcohol or other intoxicants and try to sleep peacefully at night.

Not only does alcohol or caffeine affect sleep, but there are also specific dietary habits that can have a long-term effect on your sleep. Your food habits require changes if you experience sleeping disorder symptoms on a frequent basis. High protein or high-energy foods are good for those who suffer from the condition. It is also best to avoid junks or spicy food. This type of food affects the metabolism and the digestive system of your body and can result in Narcolepsy attacks. Try to eat a heavy meal at least five hours before you go to sleep. Don’t exercise after a heavy meal. If you can walk for fifteen or twenty minutes after your meals, it would definitely help you to sleep well at night. Drink water after an hour or two of eating food. You can also consult a nutritionist to get suggestions on a better, more helpful diet.

Many Narcoleptic people wake up at night to have something and they can’t sleep again until they eat. This is why majority of Narcoleptics end up gaining weight. When they wake up between sleep cycles, they are totally oblivious what had happened before. Still, a clue from the kitchen can help them to remember the whole scenario. It is not that they are hungry or they have the appetite to eat something. People facing this issue should try to stay away from food when they don’t need it. It won’t be very easy to avoid it at an advanced stage. Often you will fail to control the situation. Still if you try it now, you are bound to succeed once a positive habit has been formed.

Change your sleeping habit

As it is has been said earlier, sleeping disorders are the primary symptom of Narcolepsy. To prevent sleep attacks, a good, deep sleep at night is very important. After a certain time at night, forget all your office works or any other issues, no matter how important they are. If you want a productive morning, utilize the night. Try to sleep and awake at the same time every day. Sleep in dark and quiet room. For better sleep, try something that relaxes you. Drinking lukewarm milk or bathing in a warn tub before going to bed are some things worth mentioning. Narcolepsy patients can’t sleep for a long time at a stretch. In order to sleep properly, take a break of twenty minute. If it still doesn’t work, then read some books or magazines until you feel sleepy.

A daytime nap is good relief for Narcoleptics. Plan your daytime schedule so that you can get at least 15 to 20 minutes to take a nap. To avoid sleeping frequently during office hours, daytime napping is the best alternative, and some work environments may even have areas that would be convenient and discreet for taking a quick catnap while on break.

Regular exercise is good for Narcoleptics

Don’t forget to exercise regularly. It is well known that many Narcoleptics have been helped by yoga and other exercise forms. If you find it difficult to exercise, a brisk walk in the morning can be of great help. Exercise or walking increases the body strength and improves the metabolism of your body. Thus you can remain active during the day and enjoy a sound sleep at night.

Narcolepsy is not an incurable disease. If you can change your lifestyle, you can soon come out of it and you can also go for medication and natural therapies to get added relief. There are several holistic practices available that can help too. No matter what method you follow, practice it properly. Listen to what your doctor or mentor or nutritionist advises you, and don’t try to do it all on your own.

CategoriesADHD,  Narcolepsy

Narcolepsy Research – Reaching for a Cure

by Annie Barraza

Narcolepsy is a very serious, chronic sleep disorder that affects one in every two thousand people in the United States alone. Worldwide, the estimates of people living with the symptoms of narcolepsy reach over three million. Research on narcolepsy is among the top in all medical research fields, due to the seriousness of this condition. A better understanding of narcolepsy will ultimately lead to better understanding of other sleep disorders, which is why so much attention has been drawn towards narcolepsy research.

To research narcolepsy accurately, scientist not only do laboratory sleep studies, but they also depend on the information provided by the patients themselves. By keeping journals or recording episodes that occur, a patient can help researchers discover side effects of medications, episode time frames and so on. Unfortunately, this side of the research is needed, but since correct diagnosis is hard to determine, making it a truly priceless side of the research when it is attained.

Narcolepsy Basics

Narcolepsy is a chronic sleep disorder that has two different international classifications: narcolepsy without cataplexy and narcolepsy with cataplexy.

Narcolepsy has four major symptoms: Excessive Daytime Sleepiness (EDS), Sleep Paralysis, Hallucinations and cataplexy.  Although there are several secondary symptoms, these are the classic symptoms seen in most patients.

EDS is pretty straight forward.  Patients with narcolepsy experience a desire to sleep that is so strong it becomes an irresistible need.

Sleep Paralysis is occasionally experienced by a large number of people without narcolepsy.  Narcolepsy patients that have sleep paralysis as a symptom tend to experience it more often.  Sleep paralysis happens in the twilight between the sleep and wake cycles. The mind is not yet asleep but the body undergoes the paralysis that usually comes with REM sleep.  Often, the subject will also experience hallucinations.

Hallucinations are common for the narcoleptic. Hallucination research and narcolepsy research show that narcolepsy patients have a similar amount of hallucinations as patients suffering from schizophrenia but narcoleptic hallucinations tend to be more visual whereas schizophrenics have more auditory hallucinations.

Cataplexy is experienced by seventy percent of narcoleptics. Cataplexy is peculiar to narcolepsy and it is extremely rare to have cataplexy without narcolepsy.

Cataplexy is the sudden loss of control over muscle function. The affected muscles become lax and lose tone.  Cataplexy usually affects the face or neck, but can appear in any muscle group.  In an extreme instance, the entire body can collapse. The oddest and most frightening thing about a cataplexy attack is that the patient remains alert and awake the whole time. Cataplexy is triggered by strong emotions.

Data collected during research and narcolepsy patient information led scientists to give narcolepsy with cataplexy its own diagnosis.

Research on Narcolepsy

In the early 1970’s, Dr. William Dement founded the Stanford University Sleep Clinic, which was the first clinic in history to specialize in sleep disorder studies. This research center was the first to discover that narcolepsy-cataplexy was linked to a deficiency in hypocretin. This research has been proven in both animal subjects and in human subjects. The Stanford Center for Narcolepsy was created in the 1980’s as an extension of the Department of Psychiatry and Behavioral Sciences. Today, this facility treats hundreds of narcolepsy patients per year, with many patients freely participating in other sleep studies as well. There have been hundreds of articles written on narcolepsy that give credit to the name of this facility for its extensive research of narcolepsy.

Hypocretin Research and Narcolepsy-Cataplexy

The cause of narcolepsy-cataplexy, in ninety percent of cases, is accredited to a lack of hypocretin-1 and hypocretin-2. The cause of narcolepsy without cataplexy remains a mystery. These molecules that are created in the hypothalamus (hypo) have a resemblance to the gut hormone called secretin (cretin), thus named hypocretin. Of the many billions of cells in the brain, only ten to twenty thousand produce hypocretin. The hypothalamus is also responsible for a host of basic functions of the body. It controls hunger, sexual impulses, blood pressure and sleeping. Hypocretin-1 (not hypocretin-2) can be measured in the cerebrospinal fluid, but not by blood or tissue samples. To collect this cerebrospinal fluid, a spinal tap is necessary. Most patients (about 90%) with narcolepsy-cataplexy have a zero percent level of hypocretin-1.

When trying to control the symptoms of narcolepsy, many things need to be considered. First, the proper diagnosis of the condition is critical. Does this case have cataplexy? Hallucinations?  By asking these types of questions, a doctor can more accurately diagnose narcolepsy. Along with extensive questioning, there are tests and studies that can help in the diagnoses.

A nocturnal Polysomnogram is a test performed with electrodes placed on the patients scalp and measures the electrical activity in the brain and in the heart. This test takes place over night at a medical research facility designated by a physician.

A Multiple Sleep Latency Test (M.S.L.T.) is another test used to determine how long it takes a person to fall asleep during t day. The patient is asked to take five naps, each around two hours apart. Patients suffering with narcolepsy usually fall asleep very quickly and enter into R.E.M. sleep almost immediately.

Management of Narcolepsy

Narcolepsy and Research about its behavior has given doctors a few ideas into the treatment and prevention of its symptoms.  If a patient has mild enough symptoms, then a simple change in lifestyle may be all that is required.  More often, drug treatment in the form of stimulants and antidepressants becomes necessary.

Many times, the fact that there is no cure for this disease causes a feeling of helplessness, but with research awareness in narcolepsy, there is hope. With comprehensive management, a patient with narcolepsy can live a relatively normal life.

Narcolepsy Treatments

  • Lifestyle Changes
    • strict bedtimes
    • strategic daytime naps
    • avoid stimulants like coffee
    • make the people in your life aware of your disease
  • Drug Treatment for EDS
    • Stimulants
      • Amphetamines
      • Modafinil
      • Selegiline
  • Drugs for Cataplexy
    • Tricyclic Antidepressants
      • Imipramine
      • Protriptyline
    • Selective serotonin reuptake inhibitors
      • Prozac
      • Paxil
      • Zoloft
    • Sodium oxybate
      • Xyrem
CategoriesNarcolepsy

The History of Narcolepsy – Discovery and Science

by Annie Barraza

Narcolepsy has been plaguing the human existence for centuries, with no known explanation as to why the brain shuts down, and the body goes into a form of sleep paralysis. Narcoleptic history is a touch and go subject because in the ancient times documents were not kept as accurately as they are today, and the documents that were kept were either destroyed, or cannot be deciphered.  The history of narcolepsy in human beings is taken down by a physician and kept in an extensive medical file for that patient.

With each new case of narcolepsy the history and everything that is known about the brain and how it works is added to and carefully studied. Scientists have done extensive research to understand what is triggered when a cataplectic attack happens. With every sleep study that is preformed brain wave activity is measure, how long an episode lasts, and what happened before the attack happened is also carefully recorded to make sure that everything is properly noted.

Narcolepsy and Animals

Narcolepsy not only is a human disorder, but it also affects dogs and horses. This disorder works the same way in animals as it does in human beings:

  • Fatigue
  • Depression
  • Moodiness
  • Lost time
  • Sleep paralysis

All of these happen when a person has a history of narcolepsy, and most of time it has been diagnosed by a physician or a vet. The history of narcolepsy in horses is a little less definitive, because narcolepsy in horses is rare and often mistaken for a sleep apnea. Muscle fatigue and weight loss are both signs of a sleeping disorder, but not always narcolepsy when it comes to a horse. The signs are more noticeable, like standing still in mid step, are a general bad mood. While looking for these symptoms, the owner or trainer of the horse should also consult a veterinarian.

The canine history of narcolepsy is caused by a disruption of hypocretin receptor 2 genes or Hcrtr2, what the Hcrtr2 gene does is activates the brains sleeping agent making the body want to sleep and rest when the brain does not need to do so. With significant research being done with canines scientists have determined that the trait first developed in Labrador retrievers and Dobermans, and the gene was bred into them much like that of a horse retaining that trait from their parentage.

With each study that was taken with the dogs a pattern began to emerge with the breeds that had been back breed or had the same parents and brothers and sisters, the pattern clearly pointed out that the canines that were back breed had a greater likely hood of contracting the narcoleptic gene trait and making the animal more susceptible to having narcolepsy.  The traits and genes are passed down from parent to child and continue down through the line. As the line continues throughout the years the narcoleptic trait becomes stronger and the chances of having the gene activate is greatly increased.

Narcolepsy-Cataplexy

When sleepiness and cataplexy become a factor in life and daytime sleep is needed to function normally, it becomes harder to deal with normal society, and daily functions. When falling asleep or waking after an episode has hit, the lack of muscle functions is hard to get over. The body does not want to move or respond no matter how hard the person tries to move or respond to a simple command because of the sudden attack leaves the muscles in a weakened state.

The lack of muscle usage is one of the main problems for people with narcolepsy, some episodes can take place while driving and the lack of motor control is a main cause of motor accidents for people with narcolepsy.

Nighttime sleep is hard to get when a person has narcolepsy with cataplexy, because of the need to sleep during the day. The body will get the initial six to eight hours of sleep required to function but not at the normal time. When the body has a cataplectic attack it will shut down and sometimes even do automatic responses such as eating, speaking, driving, reading, writing, cooking, and cleaning. Some of the auto responses are not as dangerous as the others but, cooking; eating and driving can all have fatal ends. Eating sounds like it would not have a fatal end when having a cataplectic attack but the person could choke, on their food and not being able to respond correctly could kill them.

Narcolepsy and its history has changed over the years and course of study, with therapy, and regular medical examinations narcolepsy and all of the effects can be controlled with medication, life style changes and sleep studies, a patients narcolepsy can be controlled and even prevented.

With regular treatment the signs of narcolepsy such as hallucinations, daytime sleepiness, fatigue, depression, and lack of interest in things can be changed. With the advances that have been made in the neurological field the studies that have been made on the brain and mapping each quadrant, greatly increases the understanding of not only how the brain works but as to why the brain sometimes has a deficiency. Another study shows that the narcoleptic trait has origins of being an auto immune disease or closely related to it.

With the studies that are being made and advances in science the narcolepsy history is being easier defined and laid out for people to understand. The fact that right before people fall asleep or hypnogogic is a crucial time for people with narcolepsy, because of how the muscle tone either tenses up or completely relaxes all depends how sever a cataplectic attack is going to be.

Throughout history narcolepsy has been a factor in lives and now in our modern world there is a potential cure for narcolepsy. The treatments that have been developed, and the ones that are still being developed for this disorder have come a long way and have been a really big help for making the lives of people with narcolepsy easier to cope with.

CategoriesADHD,  Narcolepsy

Narcolepsy in Horses is Genetic

by Annie Barraza

Narcolepsy in Horses is Genetic

The idea that horses can have narcolepsy is kind of an inconceivable concept, because narcolepsy is mainly associated with human beings and not with animals. The effect of narcolepsy in horses is much the same as it is in human beings the sleepiness, disorientation, hallucinations, and mood changes, are all evident in horses with narcolepsy.

Horses and Narcolepsy

In horses the most observable trait is that of narcolepsy with cataplexy, the other traits are harder to recognize. The symptoms of narcolepsy are hard to diagnose in a human patient that can tell the physician exactly what is going on and give and extensive medical history, but for animals that is even harder. This disorder is still being examined and studied, but as time goes by the cause still seems to elude physicians as to why narcolepsy has such an effect on the brain. With every new occurrence of narcolepsy showing up in animals physicians are more prone to believe that the brain is similar in more ways than originally thought.

Signs to Look For in Horses for Narcolepsy

  • depression
  • lack of interest in food
  • fatigue
  • moodiness
  • weak muscles

With these signs and symptoms being noticed in horses, even from a young age, this can make a breeder believe that the horse is from bad stock and sometime the owner puts the animal down because of such negative qualities.  Without there being a proper way to diagnose an animal let alone a horse with narcolepsy, many mistakes are made and eventually the animal suffers massively from this disorder. Veterinarians are working on ways to properly diagnose animals that have the narcoleptic symptoms, almost in the same fashion that physicians are working so earnestly to find a way to properly diagnose and treat this disorder.

Some veterinarians are trying experimental medications high-performance liquid chromatography or HPLC has been used in experiments to determine  if the drug will have a negative or positive effect on the horses and if so what dosage and how often should HPLC be used on the horses. Depending on the severity of the narcoleptic symptoms and the weight of the horse that the injection is being given to the HPLC drug can be very effective.

Narcolepsy and horses make a very interesting study the main thing to look for when it comes to the horse species and narcolepsy is constant fatigue, daytime sleepiness, and the unwillingness to do any form of physical activity. With these initial traits being noticed a trainer or owner has a better chance at identifying what is happening to the horse, if not then the horse can cause muscle problems, malnutrition, and could even cause broken bones from falling, or if hallucinating harm other animals and people around them because the animal could be easily spooked. With narcoleptic horses, it can become harder to train them and work with them because of the general lack of interest, and constant fatigue. Horses suffering from narcolepsy have a harder time going about their daily routines and life, without there being a risk to those around them as well as to their selves because of the lack of muscle control when falling asleep or waking up.

Bloodlines

Narcolepsy in horses is rare and often is bred into the horse by the parents that already have the existing narcoleptic gene in their system. Most horses have a form of sleep deprivation caused from over exercise, low food intake, and even missing fellow companions. This sleep disorder is a form of ED or extreme drowsiness, and can be observed when a horse seems to partially collapse and instead of going all the way to the ground and staying there to recuperate from the episode the horse will immediately regain their footing, and the cycle of partially collapsing and regaining their footing will begin all over again. With this occurring muscles can be pulled and harm can also be done to the ligaments in the fore legs and hind quarters.

These injuries can lead to even worse problems in the long run; they can even make a horse come up lame and no longer able to be ridden. Narcolepsy on horses can be just as hard if not even worse due to the fact that when horses sleep they sleep while standing; if they were to lie down for an extended period of time the weight and pressure being exuded could crush internal organs and break bones.

Horses suffering from narcolepsy, like human beings have lapses in time where they fall asleep and their bodies tense up causing a form of sleep paralysis, so if a horse has a cataplectic attack and suffers from a sleep paralysis, and falls then the damage can be irreparable and sometimes even fatal.

The narcolepsy in horses can even cause harm to the owner or person that is riding the horse because if a sudden attack should happen while riding say down a steep mountain side, the rider would be thrown from the saddle and become injured.  So before riding a horse that has all of the symptoms of narcolepsy have it checked out by a veterinarian, to make sure that the horse is properly diagnosed and all safety measurements are taken before training or riding the horse.

While inspecting the horse make sure that it is receiving enough nighttime sleep and is not disturbed, especially if that particular horse is a mare that is about to foal, or give birth. Rest is needed for such a difficult and delicate situation as giving birth for a mare as well as the young colt that is being born. The narcoleptic trait will not be immediately noticeable in new born colts because they require a lot of rest, so even if a young colt is sleeping during the day that does not mean that they have narcolepsy.

The earliest age to begin looking for the narcolepsy trait in a horse is around a year and a half, by then the horse should be healthy enough to withstand going through the day without needing to stop and take a rest. If the symptoms of narcolepsy are there go to your local veterinarian and ask what narcolepsy in horses is? With the help of a vet then the animal will receive the attention and help that is needed to make sure that the animal remains healthy.

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