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Suggest Remedies For Sleeplessness Caused By Anxiety

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Posted on Thu, 16 Nov 2017
Question: I wake up just 2-3 hours after sleep and can never continue my sleep. Several thoughts runs over my mind and i wake up.
doctor
Answered by Dr. Dr. Ashok Kumar Choudhary (33 minutes later)
Brief Answer:
Please provide more details

Detailed Answer:
Dear XXXXXXX
Thanks for using Healthcaremagic.

I read your query and understand your concerns.

I request you to provide following details so a fair cause of problem can be made out.

1. How long the problem is there with sleep?

2. How it was started? Gradual or sudden in onset?

3. Whether it progressed over a period of time ?

4. What kind of thoughts you encounter when not able to sleep?

5. How long it takes to go back to sleep after interruption?

6. What are the other symptoms in addition to sleep disturbance?

7. What is the effect of inadequate sleep on your life till date?

8. Do you had similar problems in past?

9. Do you have any medical or psychiatric illness till date?

Please note that it is important to provide correct information and try to incorporate possible related details. Answer every question with all details.

I look forward to assist you further.
Thanks again.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Dr. Ashok Kumar Choudhary (19 hours later)
1.     How long the problem is there with sleep?

I’m facing this problem for over year and a half. But from past December 2016 till date it is continuous and I am waking up midnight.

2. How it was started? Gradual or sudden in onset?
It all started when i had a small fight with a stranger on a road and returned back home. I felt very restless that night. It felt like my heart was pumping more. It continued for a week. I consulted a physician who declared I was fit. He did give restyl 0.25 mg for 3 days. The above situation existed for 3 weeks and I got up in between every night. It stopped within 3 weeks.
From December 2016 I had some relationship problems. Dec-2016 to till date, I am not able to sleep.

3. Whether it progressed over a period of time ?

Yes from December 2016, it has progressed over the time. I sleep for 4 hours maximum.

4. What kind of thoughts you encounter when not able to sleep?

Relationship thoughts.

5. How long it takes to go back to sleep after interruption?

It takes a long time. May be 3 to 4 hours I roll on bed to get back to sleep.

6. What are the other symptoms in addition to sleep disturbance?

My mouth becomes dry. I urinate. Next day I feel irritated and show lots of anger.

7. What is the effect of inadequate sleep on your life till date?
I was a very cool, calm and composed person. Because of this sleeplessness I feel irritated and loose my temper quickly.

8. Do you had similar problems in past?

NO

9. Do you have any medical or psychiatric illness till date?

NO
doctor
Answered by Dr. Dr. Ashok Kumar Choudhary (18 minutes later)
Brief Answer:
Follow up

Detailed Answer:
Dear XXXXXXX
Thanks for follow up.

Considering the fact that there was precipitant factor followed by perpetuating factors (relationship) and other symptoms possibility of anxiety disorder is first thing which comes to my mind.

For the treatment of the condition there are two modes of treatment. One is psychotherapy while other is medications.

Since restyle alone was not sufficient to control the problem I feel second line of treatment should be preferred.

In similar problems I often prescribe a medication named as Nexito forte at bed time. The medication is prescription only and you need to get a physical prescription from local practitioner to buy it from medical store.

I hope this helps you further.
If you have any further query, I would be glad to help you.
If not, you may close the discussion and if possible you may rate the answer for my future patients.
In future if you wish to contact me directly, you can use the below mentioned link:
http://doctor.healthcaremagic.com/doctors/dr-ashok-kumar/67386
Thanks and regards.
Note: For further guidance on mental health, Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Dr. Ashok Kumar Choudhary

Psychiatrist

Practicing since :2000

Answered : 3354 Questions

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Suggest Remedies For Sleeplessness Caused By Anxiety

Brief Answer: Please provide more details Detailed Answer: Dear XXXXXXX Thanks for using Healthcaremagic. I read your query and understand your concerns. I request you to provide following details so a fair cause of problem can be made out. 1. How long the problem is there with sleep? 2. How it was started? Gradual or sudden in onset? 3. Whether it progressed over a period of time ? 4. What kind of thoughts you encounter when not able to sleep? 5. How long it takes to go back to sleep after interruption? 6. What are the other symptoms in addition to sleep disturbance? 7. What is the effect of inadequate sleep on your life till date? 8. Do you had similar problems in past? 9. Do you have any medical or psychiatric illness till date? Please note that it is important to provide correct information and try to incorporate possible related details. Answer every question with all details. I look forward to assist you further. Thanks again.