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Insomnia, anxiety related - 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 : 2005
Answered : 2408 Questions
Doctor :   Hi
Doctor :   How can I help you?
User :   Hi..
User :   I am a 22 year old male...and since the last 2 years i have been suffering from Chronic Insomnia
Doctor :   Ok
User :   Average sleep per night is just 4-5 hours
Doctor :   Ok
User :   So what can be done..
Doctor :   The amount of sleep one needs varies from individual to individual.
Doctor :   There are people who are able to have normal life with just few hours of sleep.
Doctor :   So I would like to know, if you are facing any problem during the day?
User :   yES
Doctor :   Can you describe those symptoms?
Doctor :   And I would also wish to know if you have consulted a doctor in the past for this symptom?
User :   During the days i tired and waking up each morning, it is not refreshing..
User :   No..not yet
Doctor :   Ok
Doctor :   Are you able to work normally?
User :   yes...
Doctor :   Has your work performance affected?
User :   No
Doctor :   Do you have any other symptoms such as restlessness, anxiety, extreme tiredness through out the day?
User :   Yes
Doctor :   Ok
User :   In the past two years i have not been able to sleep for 8-9 hours at a stretch..
Doctor :   Do you have any other medical illness such as diabetes, hypertension thyroid problems?
User :   No...
Doctor :   Ok
Doctor :   May I know few details about your sleep?
User :   Sure
Doctor :   Do you face problem while getting to bed or do you wake up frequently after you sleep?
User :   Both
Doctor :   Ok
Doctor :   I would like to know if you find it extremely hard to get back to sleep once you wake up?
User :   yes a bit
Doctor :   Ok
User :   In a average sleep of 8 hours, i tend to wake up 3-4 times
Doctor :   Ok
Doctor :   Do you snore while you sleep?
User :   No
Doctor :   Do you feel that you need to pass urine frequently at night?
User :   No
Doctor :   Do you smoke or consume alcohol?
Doctor :   Do you use drugs?
User :   No..
User :   Its just that diet contains a lot of junk food
Doctor :   Are you one who drink coffee/tea frequently?
User :   Not at all addicted to tea/coffee
Doctor :   Is your work timing fixed or do you need to keep changing your shift?
User :   work timing is fixed but ussually works hours are long..say 11-12 hours per day
Doctor :   Ok
Doctor :   Let me explain to you.
Doctor :   Like I mentioned to you in the beginning, sleep requirement varies among individuals.
Doctor :   Lack of sleep becomes a problem, if daily activities, performances are affected.
Doctor :   When there is no problems happening due to reduced sleep, reduction in the time of sleep is not a concern at all.
Doctor :   Those individuals are as normal as any other individual who sleeps for more hours.
User :   Performance is not affected as i put more efforts to maintain that level for performance
Doctor :   From your description, I do not fore see any serious problems happening from less sleep.
Doctor :   So you need not worry.
Doctor :   However,
Doctor :   I do suggest to improve on increasing the time of sleep.
User :   but Sir, how can i get a sound, break free sleep of say 6-7 hours
Doctor :   Now next step in management is trying to figure what is causing this reduced sleep.
Doctor :   Insomnia is broadly classified as 2 types.
Doctor :   1. Having problems in getting to bed - They can occur if you are in some pain, illness, or suffer from anxiety, or just your circadian rhythm is adjusted to that particular time.
Doctor :   2. Frequent breaks in sleep - they occur due to conditions such as sleep apneas, restless legs syndrome, movement disorders, diabetes and so on.
Doctor :   3. Having problems gettting back to sleep once you wake up.
Doctor :   The last one is usually seen in individuals who suffer from depression.
Doctor :   From your description, your major problem looks like the first one.
User :   i am not suffering from depression, but i tend to think a lot..
Doctor :   Yes, anxiety and mental disturbances along with diet and lifestyle affect sleep and vice versa.
Doctor :   You will need to rearrange your lifestyle and diet if you wish to have a proper sleep.
User :   ok
Doctor :   Before I explain you about lifestyle and diet,
User :   What should be the diet as my BMI is also 26
Doctor :   I shall discuss a few measures to help you sleep better.
Doctor :   1. Modify sleep hygeine
Doctor :   This can be achieved by changing the colour of your bed room, using dim bed lights or preferrably no bed lights, avoiding work before you sleep, avoiding watching TV or computer works before hitting the bed.
Doctor :   Using soft mattress, soft pillows,
Doctor :   Regulating the room temperature to an appropriate levels.
Doctor :   2. You need to have your dinner early. One needs atleast 2 hours for digestion to start.
Doctor :   You may not feel sleepy in those 2 hours.
Doctor :   Are you there?
Doctor :   It seems you have moved out of the chat window. Please log in back if you have medical queries

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