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What Causes Difficulty In Sleeping At Night?

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Posted on Fri, 3 Feb 2017
Question: Hi I have a 12 year old boy who cannot sleep at night. He can sleep all day, but come night he is up. It is really taking a physical toll on him. Any suggestions?

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Answered by Dr. Shafi Ullah Khan (3 hours later)
Brief Answer:
Needs sleep disorders work up and management

Detailed Answer:
Thank you for asking

I read your question and i understand your concern. Difficulty sleeping at night and no problem sleeping at day is more of an imbalanced routine than insomnia. Circadian rhythms ( sleep wake cycles) take time ot adjust to normal one in a few weeks. Triggers of not sleeping at night like internet, TV, cartoons, late night eating, late night activities should be minimized. Avoid screens and other stimulants during bed time. Mobilize, walk more in the day and ignore sleeping in the day even if you are compelled to. Apart from him get his complete psych evaluation, ADHD work up, thyroid work up and anxiety or depression assessment. Keep a sleep diary and try to find insomnia inducing habits and avodi them. Stick to sleep schedules , avoid day time naps, avoid caffeine, cola, beverages, tea , late night meals etc.

Stay in touch with a sleep disorder specialist and have some sleep therapy sessions and see if it helps. Take good care of your son and yourself and dont forget to close the discussion please.

Regards
Khan
Note: For further queries related to your child health, Talk to a Pediatrician. Click here to Book a Consultation.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
Dr.
Dr. Shafi Ullah Khan

General & Family Physician

Practicing since :2012

Answered : 3613 Questions

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What Causes Difficulty In Sleeping At Night?

Brief Answer: Needs sleep disorders work up and management Detailed Answer: Thank you for asking I read your question and i understand your concern. Difficulty sleeping at night and no problem sleeping at day is more of an imbalanced routine than insomnia. Circadian rhythms ( sleep wake cycles) take time ot adjust to normal one in a few weeks. Triggers of not sleeping at night like internet, TV, cartoons, late night eating, late night activities should be minimized. Avoid screens and other stimulants during bed time. Mobilize, walk more in the day and ignore sleeping in the day even if you are compelled to. Apart from him get his complete psych evaluation, ADHD work up, thyroid work up and anxiety or depression assessment. Keep a sleep diary and try to find insomnia inducing habits and avodi them. Stick to sleep schedules , avoid day time naps, avoid caffeine, cola, beverages, tea , late night meals etc. Stay in touch with a sleep disorder specialist and have some sleep therapy sessions and see if it helps. Take good care of your son and yourself and dont forget to close the discussion please. Regards Khan