Hi doctor,
I am 56 years old and self-employed. I do not have much work for the last few months as I have reduced my business for a gradual retirement. I go to bed at about 10 PM. I get up once in between for urination.
Most of the day, in the last few months, my sleep gets disturbed at about 4 AM and after that till 6 AM I am unable to sleep and remain in bed tossing around. I feel tired and drowsy, sometime uncomfortable in between 8 AM to 12 PM.
I allow myself to sleep in a bent down position, sitting on the chair for about 30 to 45 minutes in the mornings on most of the day when I drowsy. Irrespective of the morning rest, I take regular rest in the afternoon.
Nowadays, I do not get sleep during this time also and keep tossing around. I feel fresh in the evenings.
What is the reason for this disturbed sleep, tiredness and morning drowsiness?
Can you suggest any medicine for this?
I am anemic and my hemoglobin is 10.6. I also have high bilirubin, total 3 and non-alcoholic fatty liver. I neither have jaundice nor any other liver problem.
I am currently taking LIV APT, Xaria plus and Pan-D. I am getting nose blockage, for the last few months, when I use AC or fan in the lying down position.
During yawning too, I get nose block for a few minutes. Allergy doctor had given Xaria plus for this problem. Please let me know whether anything else is required for this.
How long should I take Xaria Plus?
Hi,
Welcome to icliniq.com.
I have gone through your query.
- You are suffering from two problems. One is nasal block and the other is sleep disturbance, which may be insomnia.
- You can stop Xaria plus (combination of Montelukast and Fexofenadine). Instead of that you can take Flutiflo-FT - Fluticasone nasal spray once daily along with Nasoclear nasal drops as and when required.
- Sleep disturbance may be due to insomnia and so need sleep hygiene.
- Stop drinking coffee or tea in the evening, do regular exercises in the evening and sleep in the lateral position.
- Try simple changes to your daytime and pre-bedtime routine. Keep a regular sleep schedule, go to sleep and get up at the same time each day, including the weekends.
- Set aside enough time for sleep. Most people need at least seven to eight hours each night in order to feel good and be productive.
- Make sure your bedroom is dark, cool, and quiet. Cover electrical displays, use heavy curtains or shades to block light from windows or try a sleep mask to shield your eyes.
- Turn off your television, smartphone and computer a few hours before your bedtime. The type of light these screens emit can stimulate your brain, suppress the production of melatonin and interfere with your body’s internal clock.
- Will try conservative management initially and if not improving, then you may need sleep study and medications like Melatonin.
- I want to know whether you have snoring.
The Probable causes:
Stress related sleep disorder.
Investigations to be done:Sleep study after one month.
Differential diagnosis:Obstructive sleep apnea (OSA).
Probable diagnosis:Insomnia.
Treatment plan:Conservative management like sleep hygiene, avoid coffee and tea and do regular exercises.
Regarding follow up:Revert back after a month to a sleep medicine physician online.---> https://www.icliniq.com/ask-a-doctor-online/sleep-medicine-physician
Thank you doctor,
Nasal blockage is not always there. It happens after a few hours of AC or fan usage in the lying down position. Steam Inhalation clears the blockage; we use it when not in medication. Xaria plus is effective most of the times. I never drink tea or coffee. We have regular sleeping habits. I do snore, but not loudly. I sleep mostly on the lateral position only.
Hi,
Welcome back to icliniq.com.
- Good, it mostly looks like insomnia.
- There is no need of any medications now and only you need relaxation exercises such as yoga and avoid work stress.
The Probable causes:
Stress.
Differential diagnosis:OSA.
Probable diagnosis:Insomnia.
Treatment plan:conservative management.
Regarding follow up:Revert back after a week to a sleep medicine physician online.---> https://www.icliniq.com/ask-a-doctor-online/sleep-medicine-physician
Was this answer helpful?
|Same symptoms doesn’t mean you have the same problem. Consult a doctor now!
Related Questions:
I have pain,extreme fatigue,unsteadiness and muscle twitching.I do not know if all these symptoms are related to one issue or more.
Hello doctor, My present condition is: Weight 75 kg. Hemoglobin 6.9 gm%. Right ovary: 12.7 X 12.3 X 10.7 vol 887 cc large lobulated cystic sol noted in the right adnexal region. Left ovary 4.5 X 6.3 X 6.2 cm vol-159 cc echogenic fluid-filled cys... Read full
I have insomnia with weird emotional state and negative thoughts. How to deal with it?Hello doctor, My present condition is: Weight 75 kg. Hemoglobin 6.9 gm%. Right ovary: 12.7 X 12.3 X 10.7 vol 887 cc large lobulated cystic sol noted in the right adnexal region. Left ovary 4.5 X 6.3 X 6.2 cm vol-159 cc echogenic fluid-filled cys... Read full
I am feeling lightheaded and dizzy. Is it because of high BP and triglycerides levels?Hello doctor, My present condition is: Weight 75 kg. Hemoglobin 6.9 gm%. Right ovary: 12.7 X 12.3 X 10.7 vol 887 cc large lobulated cystic sol noted in the right adnexal region. Left ovary 4.5 X 6.3 X 6.2 cm vol-159 cc echogenic fluid-filled cys... Read full
Comprehensive Medical Second Opinion.
