Sleep Disturbances

The common sleep disturbances include snoring, sleep apnea, insomnia, sleep deprivation, and restless leg syndrome. A good nights sleep is essential for the normal functioning of the body as it can affect the hormone levels, mood, and weight. Polysomnography and actigraphy are the standard tests used to diagnose sleep disturbances.

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I feel sleepy and tired all the time, even after adequate sleep. Why so?

Query: Hi doctor, I have had trouble waking up and often feel that my sleep is inadequate. I wake up with headaches and confusion. I go to bed around 9 to 10 PM and wake up at 8:30 AM. Still, I feel like my sleep is not sufficient. I have been told that I talk during sleep every night and also experience s...  Read Full »

Dr. Saraswat Kumarshri Shriniwas

Answer: Hello, Welcome to I understand your concern. I suggest the following: 1) Get screened for obstructive sleep apnoea if you have snoring, are obese, and feel sleepy. 2) Ask your doctor if you can reduce the dose of tablet Arpizol (Aripiprazole) to 2 mg. It could cause sleepiness, head...  Read Full »

My nose is blocked, and I am having trouble sleeping. Kindly help.

Query: Hi doctor, I am concerned about my sleep. I have been unable to sleep comfortably for a few days because I believe my left nostril is blocked, and I feel like my heart is beating slowly. I want to get some rest since I am exhausted. So kindly help me in resolving this issue.  Read Full »

Dr. Muhammad Zubayer Alam

Answer: Hello, Welcome to I understand your concern. According to your statement, you have been experiencing shortness of breath when trying to sleep. You also get the sensation that your left nostril is obstructed and that your heartbeats are irregular. Orthopnea is the sensation of being out ...  Read Full »

How do I overcome financial stress and sleep well?

Query: Hi doctor,I am in financial distress, so I am not able to concentrate on work or family. I am not able to sleep well. Please help.  Read Full »

Dr. Bharat Udey

Answer: Hello, Welcome to As per your description, though it is difficult to conclude, it seems that you might be having a depressive episode secondary to your financial stress, as you reported difficulty in concentrating along with a reduced sleep. Depressive episodes can be either endogenous ...  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 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 »

Is there a permanent cure for obstructive sleep apnea?

Query: Hello doctor, I was diagnosed with obstructive sleep apnea and secondary pulmonary hypertension two years back. I am using a CPAP but, not too regularly now. When sleeping, I often feel a blockage of my air passage, especially while exhaling, as if suddenly clogged by some tissues. This would repeat...  Read Full »

Dr. Shyam Kalyan. N

Answer: Hello, Welcome to We need to find your apnea score. You must have done polysomnography before using the CPAP (continuous positive airway pressure) machine. Kindly share the reports so that we can know your apnea score. OSA (obstructive sleep apnea) can be treated by the surgical removal...  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 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 »

I get paranoid and scared when I am alone in a dark room. What should I do?

Query: Hello doctor, If my wife sleeps before me, I get paranoid and then cannot sleep till morning. I am generally paranoid when I am alone or in dark, otherwise. everything is normal with me. When I was a kid around 6 years old, I was attacked by a relative who was supposed to be possessed by a ghost. ...  Read Full »

Dr. Aditya Gupta

Answer: Hello, Welcome to The best option is to consult a psychiatrist or clinical psychologist in-person, for a detailed evaluation. CBT (cognitive behavioral therapy) can then be used for treatment. Practice relaxation techniques like breathing exercises daily. PMR (progressive muscle ...  Read Full »

Please tell me ways to treat forgetfulness and disturbed sleep.

Query: Hi doctor, For a while, my memory has been really bad. A recent event with my memory is as follows. My alarm goes off at 7:04 AM and I looked at my clock at 7:05 AM and I could not remember how my alarm had gone off, which was only a minute later. But, things I memorized before some years are still ...  Read Full »

Dr. Nidhi Jain Bukharia

Answer: Hi, Welcome to By your two symptoms, it is not possible for me now, to provide you the exact diagnosis. Forgetfulness, sometimes a symptom of depression. It is called pseudodementia. Disturbed sleep and restlessness can also be associated with it. But, for diagnosis of depres...  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 start ...  Read Full »

Can Etizolam be used for inducing sleep?

Query: Dear Doctor, All my life (since as far back as I can remember in early childhood) I have struggled with chronic insomnia. I have tried every sorts of pharmacological and non-pharmacological treatment you could imagine, having seen at least seven doctors over 15 years. I have tried everything from z...  Read Full »

Dr. Ashok Kumar Choudhary

Answer: Hi, Welcome to First of all I would like to congratulate you and your doctor for finding a solution for your long standing problem which caused lots of impairment at your end. Regarding your statement "people build a tolerance to etizolam and so it must not be taken long term" I like...  Read Full »

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