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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I am a 28-year-old female with anxiety, depression, insomnia, and concentration difficulties. Please help.

Query: Hi doctor,I am a 28-year-old female. I was diagnosed with anxiety and depression in 2021, and I have had insomnia since 2009, which would get better after having melatonin tablets prescribed for a week. The problem I have faced is that it is too loud in my head. I am constantly talking in my head, h...  Read Full »

Dr. Vishal Anilkumar Gandhi

Answer: Hi, Welcome to I can understand your situation. You have a major depressive disorder. I suggest following the below lifestyle to deal with it. It will help you. You should do exercises daily for 30 to 45 minutes, like at least going for a walk. It will uplift your mood. Do med...  Read Full »

Why does a patient develop weight gain and insomnia after pacemaker implantation?

Query: Hi doctor, The patient is a 38 years old female. She has a medical history of congenital heart disease. Her heart rate usually ranges between 50 and 55 bpm. Before two months, she had a pacemaker implantation. After pacemaker implantation, her heart rate is 70 to 80 bpm. Now, the patient is sufferi...  Read Full »

Dr. Sagar Ramesh Makode

Answer: Hello, Welcome to Is it a single chamber pacemaker or double chamber? It is mostly a pacemaker syndrome if the patient did not exhibit similar kind of symptoms before pacemaker implantation. In treatment, you need to visit her cardiologist for changing the settings of the pac...  Read Full »

Can I get the COVID vaccine as I have a food allergy?

Query: Hello doctor, I am a 48-year-old female. My height is 5'3, and my weight is 119.05 pounds. My symptoms are hives, itchiness, and sleeplessness. I used Zyrtec and Aquasoft moisturizing lotion. After a mosquito bite, hives are formed, and now without mosquito bites, also I had hives and itchiness. I s...  Read Full »

Dr. Jebin Abraham

Answer: Hello, Welcome to Thanks for contacting us. Hives can be triggered by a variety of insults. A detailed history and check-up will be needed to find out the exact cause of the same. Apart from mosquito bites, food, clothes, other insects, etc., can cause hives. Some medicines can also c...  Read Full »

I am worried about the acne scars and insomnia in my 15-year-old daughter, who was diagnosed with PCOS last year. What to do?

Query: Hi doctor, My 15-year-old daughter was diagnosed with PCOS last year. She also had a 6 cm by 4 cm by 4 cm cyst in one of the ovaries. Also, she has had terrible acne problems with erratic menstruation for the last 1.5 years. The doctor has prescribed her Normoz, two tablets twice a day, and Novelon....  Read Full »

Dr. Muhammad Majid Hanif

Answer: Hi, Welcome to Thank you for consulting us on I went through your query and understood your concerns. Her sleep issues are due to multiple health problems. Her stress levels will decrease if she gets normal menstrual periods, gets relieved of her PCOS, and becomes free ...  Read Full »

Can instability of the mood have an influence on my intestine?

Query: Hi doctor,I am a 19-year-old female suffering from IBS for three years. I always get a severe attack twice a month or more. Before two years, I started taking treatment with Libricol. I am taking Benzodiazepine for insomnia until now. Whenever I go to sleep, I feel like my heartbeat is becoming low ...  Read Full »

Dr. Muhammad Zubayer Alam

Answer: Hi, Welcome to I understand your concern. According to your statement, you are suffering from IBS (irritable bowel syndrome) with psychological symptoms. Antidepressants like Amitriptyline can be taken to treat this condition. Cognitive-behavioral therapy, breathing exercise, yoga, an...  Read Full »

I am experiencing anxiety, insomnia and over thinking with less emotion for humans and more attachment for animals. Please help.

Query: Hello doctor, I am not a type of completely emotionless person. I was feeling sad and anxious after my dog died as I am more emotional towards the animals. I am very selfish by using the people for my own benefit. I used to have fun and manipulate people and never felt anything bad about what I am d...  Read Full »

Dr. Saurav Kumar

Answer: Hello, Welcome to I went through your query and understood your concern. I suggest you not to make self diagnosis based on the net sources, tests, and symptoms. It seems you are suffering from mood swings and depression. So, I suggest you consult a specialist. I suggest you get out a...  Read Full »

I am not able to sleep properly at night even after taking medication. Please advise.

Query: Hi doctor, I am not able to have a good sleep. I have also been suggested to take tablet Ativan 2 mg by a doctor. However, it is not working now. Please advise.  Read Full »

Dr. Vishal Anilkumar Gandhi

Answer: Hi, Welcome to I understand your concern. Thank you for taking help from a psychiatrist. I can understand your situation but you should try to follow the below guidelines to deal with your sleep. You should do exercises daily for 30 to 45 minutes like at least going for a walk. ...  Read Full »

Please suggest the diagnosis on my EEG report as I could not sleep.

Query: Hello doctor, Could you please analyze the EEG recording enclosed and provide me with a detailed diagnosis? The reason for this examination is that I have problems falling and staying asleep for two years. I sleep only three to four hours a day, with common medication not or poorly working, and al...  Read Full »

Dr. Nene Devavrat Harihar

Answer: Hello, Welcome to I have seen your reports. (attachment removed to protect patient identity). The EEG (electroencephalogram) looks normal. There is no evidence of epilepetic activity. There are some changes which are benign (marked by blue pen) and no need to worry about that. I wou...  Read Full »

Is Promethazine an effective medication for sedation in treating adults with insomnia?

Query: Hi doctor, I am unable to sleep, and I wake up frequently. I suffer from nightmares, and with daytime fatigue. I need a medication that is non-addictive. Is Promethazine an effective medication for sedation in the treatment of adults with insomnia?  Read Full »

Dr. Awadhesh P. Singh Solanki

Answer: Hi, Welcome to Thanks for this query. I can understand your concern regarding insomnia. Promethazine is a sedative, but it will not help in insomnia. It will affect the quality of sleep. I will suggest you first go for a polysomnography to find out actual reason of insomnia, then...  Read Full »

I am suffering from insomnia and have a history of multiple sclerosis. Can my insomnia be treated without medication?

Query: Hi doctor, How does multiple sclerosis affect sleep? They say the last solution for insomnia is sleeping pills or medication, but I was considering other alternatives.  Read Full »

Dr. Vishal Anilkumar Gandhi

Answer: Hi, Welcome to Multiple sclerosis is a chronic disease. It may lead to emotional disturbance and physical fatigue, which causes mental illnesses like anxiety and depression with sleep disturbance. You should follow the below lifestyle to deal with your problem. It will help you. 1. Y...  Read Full »

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