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Jet Lag

Do you feel worn out after arrival? Cannot seem to remember whether you locked the hotel room door or not, or where you placed your documents? Or why you are feeling lethargic when everyone else is up and about?

Take heart. Join the thousands of travelers who face this inconvenience in their jaunts around the world. The symptoms described above refer to the after- effects of air travel, commonly known as 'jet lag'.

Jet lag refers to the adjustments made by our body to changes in light, temperature and climate. Our body has two biological clocks: one controls the wake/sleep cycle and the other regulates body temperature. When these mechanisms are disrupted through the crossing of multiple time zones, our bodies react with fatigue, disorientation, broken sleep patterns and we become irrational or unreasonable.

Suggestions to overcome some of the effects of jet lag
Before departure, adjust your meal and sleep times to the new time zone. Get plenty of exercise days before departure. Get a good rest the night before. If you are on a long haul and can go in either direction, go westward as it causes less jet lag.

During the flight, drink plenty of water to combat dehydration. Dress comfortably in loose clothing and slippers. Get up and walk often. Do small twisting/stretching exercises in your seat to reduce swelling of legs and feet. At stopovers, get out to walk or take a shower to get the muscles and circulation going again.

On arrival, expose yourself to the morning or afternoon light to help your body systems adjust. Limit your first day's activities. Relax. Adapt your meal times and activities to those of your destination as soon as possible.

Treatment
Ask your doctor for a short-acting benzodiazepine if you need medication. Over-the-counter antihistamines tend to work very well. 'Acupressure' is said to work if done while traveling. Homeopathic treatments are also available. There is a lack of definitive clinical studies on melatonin so one should use it selectively and not over long periods. Bon voyage!



by,
Dr Paul Grundy
MD MPHM FACPM


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