Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties

166 Doctors Online
Doctor Image
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

I will be looking into your question and guiding you through the process. Please write your question below.

Daytime sleepiness, drowsiness and unable to sleep at night. Suggest treatment

Answered by
Dr.
Dr. Hariom Sharma

ENT Specialist

Practicing since :2006

Answered : 1113 Questions

default
Posted on Fri, 29 Nov 2013 in Sleep Disorders
Question: I am a 32 year old businessman working in a family business. I have been struggling with sleep trouble for a long time. (nearly 7-8 years) The chief characteristics of the problem included: 1. Daytime sleepiness and drowsiness, 2. No sleep during nights as most of the nights in spite of following a sleep schedule and sleep hygiene I would not get sleep 3. A huge tendancy of sleeping at least 2 hours(could be upto 4 hours) during afternoon, 4. Tinnitus which as was pointed out by a doctor recently could be because of high triglycerides 5. When allowed to sleep as per when I like (e.g. during vacations, holidays) there was no apparent problem during sleep 6. Waking up at the desired time with great difficulty I am obese with my weight at 112 Kgs and my height is 6"0 Recently, I came across an article on a Disorder called Delayed Sleep Phase Disorder what is striking is my parents and spouse have noticed particularly that I dont have any issues when on vacatons or holidays This and the fact that having consulted with numerous sleep specialists there was no progress has led me to believe that I might have been misdiagnosed often with something else when I could be suffering from Delayed Phase Sleep Disorder What I would like from you is: 1. Further diagnosis of the problem i.e. if you could ask up some questions related to the problem and help me diagnose the exact problem based on your insights and experience 2. Name of a couple of SLEEP SPECIALISTS in Mumbai as I cannot find many references of the same I have consulted with Dr. XXXXXXX Devnani , Dr. Mahashur , Dr. XXXXXXX Desai and another Chest Physician/ Sleep Doctor but with limited progress and what I am afraid was misdiagnosis Thanks & Regards, Rushabh Doshi
doctor
Answered by Dr. Hariom Sharma 16 hours later
Brief Answer: Go for polysomnography Detailed Answer: Hi sir, I have gone through your query. It suggests that you may be suffering from the sleep apnoea syndrome. For severity and better diagnosis, you may go for the polysomnography (also called a sleep study, is a test used to diagnose sleep disorders. It records your brain waves, the oxygen level in your blood, heart rate and breathing, as well as eye and leg movements) I personally advise to - 1. Weight reduction 2. Avoid alcohol, smoking, and sedatives, if you have. 3. Positional therapy. You may consult the Sleep Study Department at Saifee Hospital. Wish you good health
Above answer was peer-reviewed by : Dr. Shanthi.E
doctor
default
Follow up: Dr. Hariom Sharma 1 hour later
Dear dr. XXXXXXX Please read my question in detail once again This is highyly dissatisfactory reply after hours of "research" I have clearly mentioned in my details that I suffer from sleep apnea (mild). It seems it has not been read I have also mentioned I have consulted with many sleep doctors and have been misdiagnosed in my opinion Please provide further insight immediately I have also mentioned that I dont seem to have any problems when I sleep as per my own schedule like on vacations or holidays PLEASE READ WHAT ALL I HAVE MENTIONED!!
doctor
Answered by Dr. Hariom Sharma 29 minutes later
Brief Answer: What is the basis of this disease? Detailed Answer: Dear Sir, Thanks for your follow up question. I completely have gone through your query i.e. your symptoms, medical history and your physique etc. According to you, you have only mild Obstructive Sleep apnoea. But What is the basis of this disease? If you have only mild Obstructive Sleep apnoea according to polysomnography then there is no need to so much worry and you are absolutely right in your diagnosis as mentioned by you i.e.delayed sleep phase syndrome. This syndrome better treated by anti-stress medicine and chronotherapy. If you have any doubt, I will be available for your query.
Above answer was peer-reviewed by : Dr. Shanthi.E
doctor
premium_optimized

The User accepted the expert's answer

Share on
Question is related to
Diseases and Conditions ,   ,   ,   ,   ,   ,  
Lab Tests
Medical Topics

Recent questions on  Sleep apnea

doctor1 MD

Hello, I have high blood pressure, and am a 21-year-old female. I have been prescribed a low-dose high blood pressure medication, and haven t had any complications with it. However, lately, I have been feeling like my chest is heavy and have had a hard time sleeping for quite some time. I wake up in the middle of the night gasping for air, and no matter how much sleep I get, I m exhausted when I wake up. I am starting to think it s Sleep Apnea, but am wondering if there are any other heart-associated links? There is S.A in my family - my father has it. Ideas?

doctor1 MD

I am a 65 year old lady, 5 9 , 142 lbs and have been suffering for approx 6years with pressure, ringing in both ears. I have been treated for TMJ with dental appliances and trigger point injections. I have been diagnosed with sleep apnea and sleep with a CPAP machine I am now trying Prolotherapy in the TMJ joint ($150.00) per injection. I am also seeing an upper cirvical chiropractor for a shifted atlas. The muscles in my neck are very tight and I have a continuous headache. Xrays and MRI show a weakness in the muscles on the right side where I first started with the pain. When I first started with this I awoke with no hearing on the right side and my doctor said it was alergies and it would go away when the weather changed in the fall. Some of the hearing came back but I then had the ringing and headaches. I also now have a hearing aid to overcome the muffled sound and ringing in my right ear. I am tired all of the time and find it hard to concentrate. I do not have medical coverage. Any ideas would be most appreciated. Eileen My ears ache

doctor1 MD

These are the medications I am taking at the present time and i would like to know the side effects of them . Medications Synthroid - 112 ug - 1 daily Rabeprazole - 10 mg - 2 morning & evening, Ramipril - 5mg -1 in morning & 1 at bedtime Zoplicone 7.5 mg - I mostly take half a pill i have sleep apnea and use a CPAP machine Most mornings I wake up with a headache and am tired modest the day. have difficulty thinking - very foggy! I am 74 and weigh 110 ponds.

doctor1 MD

I have the following symptoms and am trying to obtain a diagnosis that is correct for all of these: they are as follows: heart arrhythmia, bladder incontinence (very severe that it pours out of me at times), urinary frequency at night, problems breathing when I lie flat, (I sleep with a wedge), shortness of breath, pitting edema in left leg and now in right calf and ankle area, severe coughing at times usually severe with a gagging reflex, a slightly enlarged right heart valve, swooshing in my body when I sit down or arise, weakness in my lower legs or extremities, swelling in my abdomen and ankles, weight gain especially around the stomach and headaches. I was diagnosed with supraventricular tachycardia already, sleep apnea, fibromyalgia, obstructive breathing disease, however, with the severe bladder and urinary problems, could these be related to a chronic kidney disease with the heart issues as well? I also noticed that I have had severe mood swings, confusion, weakness, sometimes speaking a different language. My grandparents were from Poland, Bohemia and the Czech area and had heart disease and my grandmother had kidney failure. I was injured back in 2004 and had knee surgery along with a blood clot that was removed at that time. I previously had a gushing feeling of warmth going up my spine and then it would go up through the back of my head and then dissipate. Could there signs of a blood clot somewhere?

doctor1 MD

Patient: Female, 73 years, 6 months old, 5'7" tall, 230 lbs., in generally good health. Hypertension well controlled with medication, lifelong history of recurring clinical depression . Currently takes medication for depression and hypertension,...

doctor1 MD

My obese 41 year old daughter woke up the last two mornings with severe vertigo and loss of sight/impaired vision. Eventually the symptoms subside. She is being treated for extreme high blood pressure and enlarged heart and claims to not be...

doctor1 MD

azy and general I have been extremely tired not knowing why I am on 75 micrograms of Synthroid for my thyroid and Adderall for my concentration and lack of energy 25 mg of Adderall each day extended release but it does nothing at all unless I take...