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.
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.
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
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