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Unable to sleep properly, tried various things. Suffer IBS also. Solution ? - Online Doctor Chats

Date : 09-Jun-2013
User rating for this question
Very Good Posted in: Sleep Disorders
Answered by

General & Family Physician
Practicing since : 2003
Answered : 1165 Questions
User:Hi Doctor
Doctor:Dr XXXXXXX here
Doctor:How can I help you?
User:Please to see you doctor XXXXXXX
User:Actually my husband is not able to sleep properly
User:he is not able to get sound sleep for last 2-3 months
User:we have tried many options say hot water bath before sleeping, changing of bedsheet before sleeping
User:then hot milk before sleep
User:no gadgets during bedtime
User:changing of rooms and beds
User:but nothing seems like working for him
Doctor:May I know his age?
User:1-2 days in week he would be able to sleep
Doctor:Does he have any medical illness?
User:he has just completed his 30 on 12-12-12
User:he is suffering from IBS
User:nothing major as such
User:and one thing
User:which might be helpful is that he's preparing for IAS
User:for which he has taken subbatical
User:for some time
Doctor:That is helpful information.
User:so he stays at home and keep on studying
User:but he goes to bed at 11 and tries to wake up at 6-6:30
Doctor:I would like to know where the primary problem is - Does he have difficulty to fall asleep or he wakes up after a sound sleep and does not sleep thereafter?
User:yes difficulty to fall asleep
Doctor:How many hours does he sleep?
User:and then he gets good sleep in early morning hours
User:and feels sleepy in the morning time
User:he generally goes to bed at around 11
User:and leaves bed around 6-630
User:but he feels sleepy so he again goes to bed around 730-8am
User:after having trifala with hot water and then sleeps for another 1-1.5 hours
Doctor:After he gets to bed at 11, is he able to sleep well?
User:no he doesn't get sleep only
User:yesterday he couldn't sleep for the whole night
Doctor:Has he consulted any doctor for this problem?
User:might have slept for 1-2 hours at XXXXXXX
User:no, now we want to see a doctor but were not sure which doctor we should visit
Doctor:Let me brief you.
User:What should we do
Doctor:Sleep is influenced from various factors.
Doctor:Amongst which the most common is hormones and chemical mediators. There is a particular circadian rhythm of changes which happens with these hormones and mediators.
Doctor:Changes in this circadian rhythm can affect sleep.
Doctor:Since you said he is preparing from IAS and is sleeping late for few weeks, perhaps this could have triggered his current sleeping habit.
User:but 11 pm is the normal time for him
Doctor:In addition to this, the anxiety, stress and other psychological pressure could also cause such disturbances.
User:he generally sleeps at 11
User:yeah that's possible
Doctor:From the information you provided, perhaps these are the 2 factors which might be causing his sleep disturbances.
Doctor:Besides these there are other associates such as
Doctor:work stress, medical conditions such as thyroid disturnbances, use of excessive caffeine or other mood enhances, physical aches, etc.
Doctor:Such factors can only be identified by one a one talk with your husband.
Doctor:Therefore my suggestions to him are:
User:then what would you suggest doctor?
Doctor:1. Changing his sleep timings.
User:like what timings should be for him to sleep?
Doctor:The natural body rhythm (circadian rhythm of those mediators)are between 8 to 8.
Doctor:Therefore getting to bed by 8-10 would be ideal.
Doctor:2. Avoid any activities that can increase body metabolism before sleeping.
User:like exercise?
Doctor:Some of the activities are late dinner (dinner should be at least couple of hours before hitting bed), working - laptop or other work; strenuous physical exercises etc.
Doctor:Avoid late night snacks, caffeine (coffee tea), alcohol or smoking (if he has those habits).
User:he does not take alcohol and doesn't smoke
Doctor:3. Relaxing light and music have influence on brain and hormones to induce sleep. Therefore make sure the lights in the room are dim, room is painted with less bright color.
Doctor:4. Use semisoft mattress, pillows and bed lines.
Doctor:5. Transcendental meditation, hot shower, light evening exercise have de stressing effect. These can be implemented.
User:sure doctor
Doctor:6. Avoid any conversation which can cause psychological effects.
Doctor:A good and healthy conversation between you and your partner can help.
User:some of the things mentioned by you, we have been trying time to time
User:do you think we need to see a doctor also?
Doctor:7. A few researches also believe sexual activities have positive effects on sleep. Maintain a healthy sexual life.
Doctor:6. Consulting a clinical psychologist can be helpful in identifying underlying depression or other mood affecting illness.
Doctor:If he has any such illness, then that needs to be corrected with appropriate actions.
User:Can i get any help in finding a such good doctor in Bangalore?
User:would you suggest any such good doctor
Doctor:8. If no such psychological factors are found, he would need to be screened for other medical illness such as thyroid problems, neurological conditions.
Doctor:9. Only when no significant causes are found, he can be prescribed a low dose sedative pills transiently to help sleep.
User:oh ok..
Doctor:May I know which part of Bangalore are you from?
User:yes We live in Cox Town near Bangalore East Railway station and ITC infotech Park
Doctor:A psychiatrist or clinical psychologist are the best specialist to talk and counsel him.
Doctor:If he agrees to visit to such as doctor, you may consult one Dr. XXXXXXX AAAA
Doctor:who practices at MM Road, Cox Town.
User:oh ok
User:he's a good doctor?
Doctor:I do not have any personal contact with him, but one of the user on XXXXXXX has given a good review about him.
User:Do you also have his contact details so that we can take an appointment?
Doctor:You may read about his review here.
Doctor:I have found the details about him on another website.
User:oh ok
User:I will then find out more about him and visit him
Doctor:I hope this helps.
Doctor:Do you have any other query?
User:Thanks a lot doctor
Doctor:You are welcome.
User:this conversation was really helpful
Doctor:Thanks for consulting me.
Doctor:Bye for now.
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