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Sleep problem, sleep during day - 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 : 2008
Answered : 3621 Questions
User :   Hi
Doctor :   Hi
Doctor :   I am
User :   Hello Dr
User :   have bouts of sleepiness during the day
User :   I started noiving this when i was 17.5 yrs
User :   now am 40
Doctor :   Ok
User :   when i try to concentrate on something hard during the day i get sleepy
User :   for example i felt sleepy the whole of yesterday
User :   I was told by an ENt specialist that i might have sleep apnoea
User :   a few years ago
User :   i checked for sleep apnoea last month
User :   and they said i have only mind sleep apnoea
User :   so am wondering if it could be something else
User :   like for ex narcolepsy
User :   once about 15 years ago
User :   or later
User :   a neurologist prescribed me tancodep which has diazepam and imipramine
User :   and it worked and i did not feel sleepy any ore
User :   but i later forgot where i saw him
User :   and did not meet him again
User :   but it worled for aboout 3 years
User :   so Doctr thats where i stand
Doctor :   Ok
User :   your opinion pls
Doctor :   When was the last complete check up ?
Doctor :   Thyroid function, ENT consult, Sleep physician consult
User :   the sleep test was done at moe- have not done a full check up about this yet. the ENt was in 2005, he asked me to do a sleep test to see if i have sleep apnoea because he felt my jaw would fall back at night. after the sleep test last month i have been wearing therasnore which prevents the lower jaw from falling back during sleep, but i still feel sleepy
User :   sleep test in december
Doctor :   My opinion is Obs Sleep Apnoea
Doctor :   I also suggest for Thyroid function tests
User :   ok
Doctor :   You need repeat Sleep studies called Polysomnography
User :   May i know th mechanism?, the case and effect - pls
User :   ok
User :   will do
User :   polysomnography can confirm if its narcolepsy i suppse ?
Doctor :   Yes
User :   ok
User :   pls could u explain the thyroaid connection as a possible cause
Doctor :   Hypothyroidism can cause sleepyness
Doctor :   because the metabolism is reduced in it
User :   ok
Doctor :   But of course you would have gained weight, mood problems etc
User :   Doctor i fall asleep very fast nowdays
Doctor :   are also associated
User :   ok
User :   i mean at night i fall asleep vey fast once i am ready to sleep. I s;leep at around 10 or 11 PM
User :   and i sleep till 5 or maybe
User :   or 6
Doctor :   Ok
Doctor :   The answers can be better if the Sleep studies are done along with Thyroid
User :   ok
User :   in the where can i do it
User :   apart from through the
User :   i live in
Doctor :   You have to see a private sleep physician
User :   i was searching for one online yesterday
User :   not sure how to find a Specialist Sleep Physician
Doctor :   Or Neurologist
User :   ok
User :   i saw a psychiatrist for what i thought could be a psyhological problem
User :   or psychiatric
User :   but then i fould that all my symptoms were similar to those of apnoea
User :   or sleep problems
Doctor :   First these tests
User :   so will a psychiatrist be useful
Doctor :   then few issues can be ruled out
User :   instead of a neuro i wonder
Doctor :   if we found none then a Psychiatrist
Doctor :   NeuroPsychiatrist
User :   ok
User :   got it
User :   Neuro Psuchiatrist
User :   ok
User :   psy
User :   Will the same specialist be useful if it is a thyroid problem?
Doctor :   No
User :   just in case
Doctor :   Thyroid, even NHS can help you
User :   ok
User :   ok
User :   now to eliminate possibilities and arrive at the right diagnosis having explained my problem
User :   how much time approx could this process of pin pointing right cause take
User :   can u help with ur opinion in this regard
Doctor :   One week
Doctor :   It all depends on the reports and examination
User :   on moe thing if u can pls
User :   how much will it cost approx in the private route

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