Insomnia

A type of sleep disturbance that can make it difficult for a person to fall asleep or if the person keeps getting up is called insomnia. If left untreated, insomnia can significantly affect your mental and physical health. Stress, traveling, poor sleep hygiene, psychiatric disorders, and certain medical conditions are some of the common causes of insomnia.

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My thoughts are leading me to insomnia. What should I do?

Query: Hi doctor, I am a patient with neuropathy and bedridden for the last eight years. I watch tv for eight to nine hours a day. I am suffering from insomnia for the last one year. The reason for sleeplessness is thoughts and thoughts. The moment I go to bed thoughts starts pouring in one by one without...  Read Full »


Dr. Ajay Singh

Answer: Hi, Welcome to icliniq.com. Thanks for the query. As per details provided by you, it is probable that you may be experiencing some underlying anxiety or depressive disorder. Though the hypnotics mentioned by you relieve the anxiety and improves sleep, they do so only on a temporary basis. It is no...  Read Full »

I face difficulty falling asleep and lay wide awake on my bed with thoughts flashing through my mind. Kindly advise.

Query: Hello doctor, I always toss and turn on the bed at night. I do not get good sleep, so I wake up very tired in the morning. I cannot focus on my work after this, and I end up exhausted the whole day. Despite this exhaustion, if I go to bed, I do not fall asleep; instead, I end up lying on the bed wit...  Read Full »


Dr. C. Elanchezhian

Answer: Hello, Welcome to icliniq.com. Daily in the evenings, do some workout or go for a brisk walk or a jog for 45 minutes to one hour. Then go and have a bath. You will automatically get some sleep. If this is still ineffective, better go for counseling with a good psychiatrist for insomnia.  Read Full »

I have sleep disturbances, and I wake up every night without any reason. Kindly help.

Query: Hello doctor,I have a sleeping problem every night. I wake up without any reason. I cannot sleep. I would try to do anything to sleep, like moving on the balcony and taking deep breaths.  Read Full »


Dr. Muhammad Zohaib Siddiq

Answer: Hello, Welcome to icliniq.com. I would give a few suggestions, Get up early in the morning at about 4 or 5 AM daily. Take a mid-day nap after lunch at around 1 or 2 PM. Do not take coffee, caffeinated beverages, or tea three hours before sleep. Go to bed daily at the same time, around 9 PM. Manage ...  Read Full »

Can irritable bowel syndrome be the reason for my weight loss and abdominal pain for seven weeks?

Query: Hello doctor, I have had abdominal pain for the last seven weeks. I experienced the same kind of pain three years back. I had all the imaging examinations, extensive lab workups, and all were normal. I was on 25 mg of Zoloft and 10 mg of Pamelor for the last two years, and I had little discomfort. I...  Read Full »


Dr. Aditya Gupta

Answer: Hello, Welcome to icliniq.com. It appears to be a case of IBS (irritable bowel syndrome). Zoloft (Sertraline) usually help in IBS. We will first talk about insomnia, for which, follow steps of sleep hygiene as follows: Sleeping and waking up at a regular time. Avoid caffeinated drinks at least ei...  Read Full »

I developed insomnia as a post-menopausal symptom. Can you please help?

Query: Hi doctor,I am a 45-year-old woman who has had perimenopause for many years. The main symptom is insomnia. My GP agreed to start me on HRT but recommended estrogen-only with Mirena coil. He said this is the safest HRT. But when I read online, it said that this is only recommended for women who have ...  Read Full »


Dr. Rajesh Jain

Answer: Hello, Welcome to icliniq.com. I can understand your concern. Do not worry. Mirena coil (hormonal intrauterine device) is not recommended after menopause, as its main use is to reduce vaginal bleeding. My recommendations are: 1. Continue oral estrogen. 2. Do meditation regularly before sleep. 3...  Read Full »

Is it safe to switch from Trazadone and Klonopin to Dayvigo or Belsomra for sleeping issues?

Query: Hello doctor, I have been taking 100 mg Trazadone and 2 mg Klonopin for many years for sleep issues. However, my previous doctor retired, and my new doctor wants me to discontinue both these drugs and put me on Dayvigo or Belsomra. Both of these drugs seem new to the market to me. Do you prefer Traz...  Read Full »


Dr. Seikhoo Bishnoi

Answer: Hello, Welcome to icliniq.com. Trazodone and Klonopin are both good drugs for insomnia. However, Klonopin carries a risk of tolerance, and I think this is the probable reason the new doctor wants to change medicines. But if you were sleeping good with these drugs, I do not think that it is a good ...  Read Full »

I am suffering from insomnia for the past two months. How can I get rid of this problem?

Query: Hello doctor,I am suffering from insomnia and have been experiencing the following symptoms for the past two months now; insomnia (some days, I cannot sleep at all), feeling of anxiety and fear, loss of appetite, and body aches. It seems to me that my brain is overstimulated. I cannot focus on other...  Read Full »


Dr. Arpit Varshney

Answer: Hello,Welcome to icliniq.com.You are suffering from anxiety neurosis. You are not getting well because of the wrong diagnosis and partial treatment. The medications that you are taking will only partly help you because the diagnosis is inaccurate. Clonazepam and Xanax (Alprazolam) can only help you ...  Read Full »

How to treat chronic headaches and panic attacks after stopping smoking?

Query: Hello doctor, I have been suffering from headaches for the past 80 days. I smoked four cigarettes every night and two every day early in the morning for 30 days, and then I stopped it with nicotine gum. From the past 160 days, I am suffering from insomnia. Five days after I quit smoking, I started ...  Read Full »


Dr. Ramchandra Lamba

Answer: Hello, Welcome to icliniq.com. I have gone through your query and understand your concern. Bupropion can worsen the headache. As of now, you can increase the dose of Amitriptyline, Propranolol, and Flunarizine after consulting your treating doctor. Meanwhile, you can use Naproxen or Sumatriptan fo...  Read Full »

Is worsening of insomnia and anxiety related to menopause?

Query: Hello doctor,I have been suffering from insomnia for quite some time. But it has gotten worse since I started going through menopause, and my anxiety is at 20 per scale. I also have cholesterol and vitamin D deficiency. Currently, I am taking the tablet Atorvastatin. Kindly help.  Read Full »


Dr. Varunbabu Aucha

Answer: Hello,Welcome to icliniq.com.I understand your concern. I would like to know the following:1) Do you have diabetes, hypertension, asthma, and thyroid-related issues?2) Are you going through any stress?3) Are you working?There could be some hormonal-related issues that sometimes affect your sleep, an...  Read Full »

Can restless leg syndrome cause sleep disturbance?

Query: Hello doctor, I am 45 years old. I have been struggling with restless legs for years. I took Pexola at increasing dosages (1 mg) until last year. I then started to take Requip XL 2 mg twice daily as my RLS was giving me a hard time during day time as well. It worked very well, but now my legs are a...  Read Full »


Dr. Muhammad Zubayer Alam

Answer: Hi, Welcome to icliniq.com. I can understand your concern. According to your statement, you have been suffering from restless leg syndrome and insomnia. Restless leg syndrome causes an unpleasant or uncomfortable sensation in the legs and an irresistible urge to move them. In the majority of case...  Read Full »

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