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Inadequate sleep, weight gain, history of pulmonary TB - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Sleep Disorders
Answered by

General & Family Physician
Practicing since : 2008
Answered : 3385 Questions
Doctor :   Hi
User :   Good morning Doc.
Doctor :   Dr AAAAAAA here
Doctor :   good morning
User :   hi. Need to consult u on some basic issues.
Doctor :   please proceed with your query
User :   I have been having sleep problem for over years now.
Doctor :   ok
User :   Cant sleep to well. However recently its aggravated resulting in headache and red eyes in the morning
Doctor :   ok
Doctor :   may i ask you a few relevant questions ?
User :   Weight also has gone up significantly over the last 4 months.
User :   Please go on.
Doctor :   may i age and gender ?
Doctor :   know your*
User :   Male 32 years
Doctor :   ok
Doctor :   do you smoke or consume alcohol?
User :   Nope..still a virgin to that.
Doctor :   thats great
Doctor :   may i know if you have a history of diabetes , high blood pressure , high cholesterol ,asthma , etc ?
User :   Nope.
Doctor :   any other significant medical history ?
User :   History of Pulmonary TB in 1998. Completed the 9 months course then.
Doctor :   ok
User :   Weight issue since then..but nothing otherwise.
Doctor :   may i know your height and weight ?
User :   I am 5'8'' and weight is not touching 100.
User :   It was in the range of 90 for a long time and this junmp has happened in the last 4 months
Doctor :   ok
Doctor :   any family history of diabetes , or heart ailments or obesity ?
User :   No diabetes or Heart ailments. Sisters do have thyroid problems.
Doctor :   ok
Doctor :   may i know if you have done any blood or urine tests ?
User :   Sometime back in Feb'11 when I had fever. But nothing substantial come out.
Doctor :   ok
Doctor :   thanks for replying to all my questions
Doctor :   coming to your concern now
Doctor :   how long do you sleep daily ?
Doctor :   are you with me?
Doctor :   are you there ?
User :   Sorry just dopped out
Doctor :   ok
Doctor :   we shall continue
Doctor :   could you elaborate on the sleep pattern
User :   I get to bed at 2300 hrs and get up at 0700 but I do have a disturbed sleep
Doctor :   ok
User :   Most of the time I am able to get good sleep only after 0300 hrs to 0700 hrs.
Doctor :   ok
Doctor :   do you have any nose block or breathing difficulties at sleep ?
User :   o.
User :   No.
Doctor :   ok
Doctor :   may i know how is your work? do you have any stress related to work ?
User :   Not has been tough in the last 6-7 months but not something that I have on my mind when I am home
User :   But work is mostly sedatory in nature
Doctor :   ok , any issues with personal life
User :   Nop.e
User :   Happily married.
Doctor :   may i know if you exercise regularly ?
User :   Absolutely nothing on that front. I do go for swims on weekends but nothing otherwise.
Doctor :   ok
User :   However that has been the case for many years now
Doctor :   how is your diet? do you consume lot of coffee/tea?
User :   No. two cups max in a day.
Doctor :   ok
Doctor :   I would to suggest you these things
Doctor :   1. physical activity is very important for a good sleep
Doctor :   2. i suggest you work on this and keep it regular
User :   OK
Doctor :   this will help you with the weight loss and sleep too
Doctor :   the body needs exercise
User :   Anything specifically for headaches and red u think its related to lack of exercise.?
Doctor :   try brisk walk , tennis , yoga, meditation , any type of physical activity
User :   OK.
Doctor :   they are related to lack of sleep , and indirectly due to the fact that the body is not getting enough activity
Doctor :   avoid coffee/tea at least 6 hrs before going to bed
Doctor :   a glass of skimmed milk before bed will be helpful
Doctor :   i would also suggest you get these tests done
User :   OK.
Doctor :   1. complete blood profile with hemoglobin
Doctor :   2. ECG
Doctor :   3.Urine analysis
Doctor :   4. Random blood sugar
Doctor :   5.lipid profile
Doctor :   6.thyroid function tests
Doctor :   7. blood urea and serum creatnine
Doctor :   these will really help in finding out if there is a medical cause related to weight gain and sleep problems
Doctor :   before bed time , you could try deep breathing exercises , reading a book , etc
Doctor :   keep the meal at dinner light
User :   Where do I share the test results? Do I then need to consult a general physician with theresults?
Doctor :   yes , you msut consult the General physician and get them done
Doctor :   i would also want to now your blood pressure levels
Doctor :   hence get it examined
Doctor :   you could share the reports with us
Doctor :   through chat
User :   Thats kewl. Will get it done this weekend.
Doctor :   once the chat is picked , the doctor would ask you to mail the reports to doctor@
Doctor :   and simultaneously guide you through on chat or mail
User :   OK.
Doctor :   apart from this you need to follow a good diet plan
Doctor :   diet and exercise put together will cause weight loss
Doctor :   avoid oily food, fries , processed food, aerated drinks
Doctor :   have lot of salads
Doctor :   green vegetables and fruits
User :   OK.
Doctor :   they are rich in antioxidants
Doctor :   and help in a good nody function
Doctor :   body*
User :   Wht abt Non Veg food.
Doctor :   you could prefer grilled meat than fried ones
Doctor :   if you want to avail a diet plan , we have a dietitian on our panel
Doctor :   to design a personalized diet plan for you
User :   So how do I consult the dietitian?
Doctor :   our customer team will call you and fix an appointment with the dietitian
Doctor :   could you confirm the contact no and mail id
Doctor :   ok
Doctor :   thanks for the details
User :   Shud that be it?
Doctor :   we will call you shortly
Doctor :   yes, that is good.
Doctor :   did i answer all the questions ?
User :   Ya u did Doc. It was great chatting with u.
Doctor :   pleasure here
User :   I will liase with the Dietitian. Thanks for ur time.
Doctor :   good lck with the diet and exercise
Doctor :   thanks for consulting me
User :   Have a good day.
Doctor :   good day
Doctor :   take care
Doctor :   bye for now
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