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Hello Dr,last Few Weeks Iam Not Getting Proper Sleep,i Go

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Posted on Mon, 24 Feb 2020
Question: Hello Dr,last few weeks iam not getting proper sleep,i go to bed 11pmand after few hours I get disturbed and wake up at3am and suffer till morning.Due to this iamnot so active in day time.More over i have developed severe gastric issues to this.pls help me.
doctor
Answered by Dr. Vaishalee Punj (4 hours later)
Brief Answer:
Insomnia disorder

Detailed Answer:
Hello and welcome to Ask A Doctor service.

I have reviewed your query and here is my advice.

This pattern of sleep disorder is called Early morning awakening insomnia. This type of sleep pattern is usually seen in fasting states, stress, depression, blood glucose low or high or due to some medicines.

Kindly let me know if you have diabetes or you take any medicine. Are you fasting? Are you under some stressful situation? Is there any disturbance in your sleeping environment?
If you are unsure about blood sugar levels, kindly get a fasting blood sugar level done.
I will also suggest that you eat something or take some milk on early waking, it will help fall back to sleep.
Medicines may help if sleep hygiene doesnot help. Sleep medicines are prescription medicines. You can also try Tab Melatonin 2 or 3 mg at bedtime for 5-7 days. Anti-allergic medicine like Diphenhydramine can also be used on bad days but it will cause sleepiness during daytime too. Medicines for insomnia maybe habit forming so avoid taking them regularly.

Follow sleep hygiene as described below:
No alcohol, coffee, tea, nicotine 4–6 hours preceding sleep
No exercise or running around, no tv, no book reading 4-6 hrs before sleep.
Quiet, dark, pleasantly cool bedroom and a comfortable bed.
Avoid long afternoon naps

Hope this helps. Let me know if I can assist you further.
Dr Vaishalee
Above answer was peer-reviewed by : Dr. Vaishalee Punj
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Answered by
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Dr. Vaishalee Punj

General & Family Physician

Practicing since :2003

Answered : 3269 Questions

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Hello Dr,last Few Weeks Iam Not Getting Proper Sleep,i Go

Brief Answer: Insomnia disorder Detailed Answer: Hello and welcome to Ask A Doctor service. I have reviewed your query and here is my advice. This pattern of sleep disorder is called Early morning awakening insomnia. This type of sleep pattern is usually seen in fasting states, stress, depression, blood glucose low or high or due to some medicines. Kindly let me know if you have diabetes or you take any medicine. Are you fasting? Are you under some stressful situation? Is there any disturbance in your sleeping environment? If you are unsure about blood sugar levels, kindly get a fasting blood sugar level done. I will also suggest that you eat something or take some milk on early waking, it will help fall back to sleep. Medicines may help if sleep hygiene doesnot help. Sleep medicines are prescription medicines. You can also try Tab Melatonin 2 or 3 mg at bedtime for 5-7 days. Anti-allergic medicine like Diphenhydramine can also be used on bad days but it will cause sleepiness during daytime too. Medicines for insomnia maybe habit forming so avoid taking them regularly. Follow sleep hygiene as described below: No alcohol, coffee, tea, nicotine 4–6 hours preceding sleep No exercise or running around, no tv, no book reading 4-6 hrs before sleep. Quiet, dark, pleasantly cool bedroom and a comfortable bed. Avoid long afternoon naps Hope this helps. Let me know if I can assist you further. Dr Vaishalee