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Suggest Treatment For Insomnia

Posted on Mon, 2 Mar 2015

Question: My Wife is suffering from insomnia from a month or so. last night it seems she was awake full night. can you please suggest whats the steps i have to take now. she is saying she isnt having any stress or thoughts.

Answered by Dr. Bhagyalaxmi Nalaparaju (22 minutes later)

Brief Answer:
Need dew more details

Detailed Answer:
Hello XXXXXXX

I would like to know few more details about your wife.

Does she have any medical illness like thyroid or any nutritional deficiency or any illness? is she taking any medications currently?

have you ever test thyroid?
Does she sleep during day time?

Poor sleep hygiene , anxiety, stress or depression can cause insomnia.

Kindly get back to me with details.

Thank you.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Bhagyalaxmi Nalaparaju (3 hours later)

Thyroid was done a year back. The results were normal.

Even in day no sleep.

Not taking any medicine's

Answered by Dr. Bhagyalaxmi Nalaparaju (28 minutes later)

Brief Answer:
Suggestions given

Detailed Answer:
Hello XXXXXXX

Thanks for your information.

I suggest you repeat the thyroid test and also get vitamin d, b12 test.

Sleep hygiene is most important.
Do not change sleep pattern, should maintain same timings daily.
Ask her to do relaxations exercises and also do brisk walk or some other exercises 5-6 hours before bed.
Avoid tea and coffee before going food. do not eat any kind of food before going sleep.
If she does not want to sleep then ask her to get up from bed and tell her to do some relaxation techniques or ask her read any book for 15-20 minutes.
Maintain hygiene of bed,bed covers and pillows.
use bedroom only for sleeping purpose. do not watch TV and serials before going to bed.

If she will not see any improvement with above suggestions then better take her to doctor.

If you have any queries I will be happy to help you.
Thank you.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Bhagyalaxmi Nalaparaju (24 hours later)

Thanks for the suggestions. can you please suggest good Diagnostic labs. At my area i have Elbit & XXXXXXX

Last time i had a bad experience with couple of diagnostic labs (Medinova & another near by my house). I got my wife tested for Comprehensive Health profile at 2 diagnostic centers at the same time. But the reports were very much different and when I approached the centers, both started to say, the other diagnostic center was wrong.

So, Please let me know a good Diagnostic center in XXXXXXX for the above tests suggested by you.

BTW --> Elbit / XXXXXXX isnt showing thyroid and Vitamin D, B12 tests in their testing packages.

Answered by Dr. Bhagyalaxmi Nalaparaju (11 minutes later)

Brief Answer:
Thyrocare

Detailed Answer:
Hello XXXXXXX

You can select online health check up packages like Thyrocare, you can select packages which contains those tests. They provide other test as well like lipid (cholesterol) profile, blood sugar test along with those tests. you can select accordingly.

Once reports come, if you found any abnormal then I suggest you visit an internal medicine specialist (MD) for complete clinical examination and for medications to be started according to report. If doctor found everything normal then better visit a psychiatrist.

If you have any queries I will be happy to help you.
Thank you.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Bhagyalaxmi Nalaparaju (4 minutes later)

So, Please let me know a good Diagnostic center in XXXXXXX for the above tests suggested by you.

Answered by Dr. Bhagyalaxmi Nalaparaju (3 minutes later)

Brief Answer:
SRL diagnostic

Detailed Answer:
Hello,

You can visit Elbit or SRL diagnostic or thyrocare diagnostic center.
Or You can visit any super specialist hospital near by your place.

I do not have any personal idea about diagnostic center.

Thank you.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar