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Crohn’s Interfering with Sleep? Try These Strategies

Understanding the cyclical relationship between sleep problems and Crohn’s disease and what you can do about it.

Quality sleep is an important component of a healthy lifestyle. Simply put, your body needs sleep to function. More specifically, your body needs sleep to remove cellular waste in the brain, to repair and restore damaged cells, and to regulate immune system activity (including inflammation).

Unfortunately, many things can interfere with sleep, including many disorders and conditions. One example is Crohn’s disease, which is one of the two main types of inflammatory bowel disease (IBD).

Crohn’s disease and sleep
Anyone familiar with the symptoms of Crohn’s disease should immediately understand how the condition can interfere with sleep. While the exact symptoms and the severity of those symptoms will vary from person to person, some of the common symptoms include persistent diarrhea, bloody stools, abdominal pain, constipation, frequent bowel movements, and the feeling that bowel movements are incomplete.

Even when the disease is in remission, people with Crohn’s disease may find it difficult to sleep. Remission refers to a state where the disease has become inactive and is not causing symptoms. Achieving and maintaining remission is a major goal of treating Crohn’s disease. However, remission does not mean the disease is cured and symptoms can relapse. The uncertainty, unpredictability, and stress of not knowing when a relapse will occur can keep a person up at night.

Sleep, stress, and relapses can also have a cyclical relationship. Stress can make it difficult to sleep. Stress and a lack of sleep can cause symptoms to relapse or worsen. Symptoms can disrupt sleep and cause more stress.

Strategies for improving sleep
If you have Crohn’s disease, the best thing you can do for your health is to work with healthcare providers who have experience treating IBD. There is no cure for Crohn’s disease, but there are treatments that can help control inflammation, ease symptoms, and prevent complications.

Sleep is something that you should be discussing with your healthcare provider, especially if you find yourself struggling to get a good night’s sleep. Keeping track of sleep in your symptom journal can provide helpful information during your appointment.

Additionally, there are numerous strategies that can help improve the quality of your sleep:

  • Have a consistent bedtime. Go to bed around the same time every night and get up around the same time every morning—including weekends.
  • Have a schedule. Nighttime rituals can help signal to your mind and body that it’s time to go to sleep. Brushing your teeth, spending time reading a book, and meditating are some examples of things you may want to include.
  • Exercise regularly. Being physically active is associated with better sleep—just avoid working out too close to your bedtime, which may have the opposite effect.
  • Avoid eating too much or too little before bed. Being too full or too hungry can make it difficult to sleep. If you find that you get hungry in the evening, choose a light, healthy snack. Avoid caffeinated foods and beverages in the afternoons and evenings.
  • Avoid alcohol and nicotine. Alcohol and nicotine can interfere with Crohn’s disease management and interfere with sleep.
  • Put away screens. Blue light from phone, tablet, and computer screens stimulates your brain, making it more difficult to sleep. Consider putting screens away at least an hour before your scheduled bedtime.
  • Use your bed for sleep and intimacy. Doing work, scrolling through the internet, or eating in bed can interfere with your nightly routine. Your brain should recognize your bed as a place for intimacy and rest.
  • Create a restful environment. Make sure your room is dark and cool. Consider using a white noise machine or a fan to drown out disruptive noises.

Remember, Crohn’s disease is a different experience for everyone. Your healthcare providers will be your best source of information about your diagnosis, your treatment, and how to address the challenges of living with Crohn’s disease.

Medically reviewed in July 2021.

Sources:
National Heart, Lung, and Blood Institute. "Sleep Deprivation and Deficiency."
Janet M. Mullington, Norah S. Simpson, Hans K. Meier-Ewert, and Monika Haack. "Sleep Loss and Inflammation." Clinical Endocrinology & Metabolism, 2010. Vol. 24, No. 5.
Crohn's & Colitis Foundation. "What is Crohn’s Disease?"
Crohn's & Colitis Foundation. "Signs and Symptoms of Crohn’s Disease."
InflammatoryBowelDisease.net. "Understanding Remission in IBD." September 28, 2017.
M. S. Sajadinejad, K. Asgari, et al. "Psychological Issues in Inflammatory Bowel Disease: An Overview." Gastroenterology Research and Practice, 2012. Vol. 2012.
Garth R. Swanson, Helen J. Burgess, and Ali Keshavarzian. "Sleep disturbances and inflammatory bowel disease: a potential trigger for disease flare?" Expert Review of Clinical Immunology, 2011. Vol. 7, No. 1.
Jami A. Kinnucan, David T. Rubin, and Tauseef Ali. "Sleep and Inflammatory Bowel Disease: Exploring the Relationship Between Sleep Disturbances and Inflammation." Gastroenterology & Hepatology, 2013. Vol. 9, No. 11.
National Institute of Diabetes and Digestive and Kidney Diseases. "Treatment for Crohn’s Disease."
Mayo Clinic. "Sleep tips: 6 steps to better sleep."
Center for Disease Control and Prevention. "Tips for Better Sleep."
Harvard Health Publishing. "Strategies to promote better sleep in these uncertain times."
Nicole Galan. "How does alcohol affect Crohn's disease?" Medical News Today. October 29, 2019.
Crohn's & Colitis UK. "Smoking and IBD."
Sleep Health Foundation. "Caffeine, Food, Alcohol, Smoking and Sleep."
UNC Health Talk. "How to Create a Sleep-Friendly Bedroom."
Centers for Disease Control and Prevention. "Tips for Better Sleep."

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