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Suggest Treatment For Disrupted Sleep, Excessive Tiredness, Headaches And Poor Concentration

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Posted on Mon, 4 Sep 2017
Question: Not feeling rested after sleeping.
- Groggy eyes, yawning throughout day
- Achy body, fatigue, and sometimes headaches throughout the day
- Trouble with concentration
- I've been feeling tired for 3-4 weeks and this week it has become much worse. Been missing work, missing meals. Often forcing myself to work ends up making me miss work the next day.
- I saw many gps and everything seems normal. A specialist insists my B12 is low. Treating that currently.
- I undersleep. i.e., get 4-6 hrs instead of 7
- Sleeping again after waking up tired can often cause me to wake up with my heart beating faster than usual and may be accompanied with chest discomfort. I have a heart murmur.
- If I try sleeping during the day it often lasts for 2-3 hrs and I still wake up feeling tired.
- Whether I wake up from a dream or not does not have an impact on how rested I feel.
- Whether I get disrupted or not during sleep does not have an impact on whether I feel rested or not.
- Hydration and food can impact my energy levels but I do often feel tired soon.
- Often I can't eat well because I feel tired. Lying in bed can also make me feel hungry at night. Eating well has become a challenge because I feel tired.
doctor
Answered by Dr. Panagiotis Zografakis (4 hours later)
Brief Answer:
sleep-apnea?

Detailed Answer:
Hello,

there are various potential causes for excessive tiredness but if you've done a basic check-up, most of then can be safely excluded. Lack of vitamin B12 is not supposed to cause such symptoms unless it's long standing and caused serious anemia.

One thing to check is sleep-apnea. This is a syndrome that occurs more commonly in obese smokers who snore but other body and patient types are not excluded. The sleep is seriously disrupted (without the patient being aware of it) and the patient wakes up tired, the heart receives a larger load which may lead to hypertension and even heart failure. A sleep-study is required to diagnose this syndrome.

It goes without saying that more common disorders like thyroid disorders (hypothyroidism), vitamin deficiencies (like vitamin D deficiency), anemia, electrolyte disorders, chronic kidney disease, etc have to be excluded. Since you've mentioned vitamin B12 measurement, I suppose that the rest of the basic tests have been done (like the ones I talked about).

If all tests seem to be negative then psychosomatic disorders will have to be considered.

I hope you find my comments helpful!
Kind Regards!
Note: For more detailed guidance, please consult an Internal Medicine Specialist, with your latest reports. Click here..

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

Internal Medicine Specialist

Practicing since :1999

Answered : 3809 Questions

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Suggest Treatment For Disrupted Sleep, Excessive Tiredness, Headaches And Poor Concentration

Brief Answer: sleep-apnea? Detailed Answer: Hello, there are various potential causes for excessive tiredness but if you've done a basic check-up, most of then can be safely excluded. Lack of vitamin B12 is not supposed to cause such symptoms unless it's long standing and caused serious anemia. One thing to check is sleep-apnea. This is a syndrome that occurs more commonly in obese smokers who snore but other body and patient types are not excluded. The sleep is seriously disrupted (without the patient being aware of it) and the patient wakes up tired, the heart receives a larger load which may lead to hypertension and even heart failure. A sleep-study is required to diagnose this syndrome. It goes without saying that more common disorders like thyroid disorders (hypothyroidism), vitamin deficiencies (like vitamin D deficiency), anemia, electrolyte disorders, chronic kidney disease, etc have to be excluded. Since you've mentioned vitamin B12 measurement, I suppose that the rest of the basic tests have been done (like the ones I talked about). If all tests seem to be negative then psychosomatic disorders will have to be considered. I hope you find my comments helpful! Kind Regards!