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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Headache And Difficulty In Sleeping

Hi.My english is not good i hope u undrstand my problam ..Am 25 years old and married women and I have a little kid of 1 year.. I have a problem ,that I don t sleep at night , I have tried a lot to sleep at night and wake up in the morning but it all goes just opposite to it.. Some time i spend 2 and 3 days without any sleep just to get a nice sleep at night but fails all the time. Now m also suffering from some kind of headeack in a particular part of my head.. Just above the right side eye. At the meantime i feel too much pain in that particular part of head... I have tried all the possible things but i never get that sleep. Pls tell me what is happening with me and why...
Tue, 23 Jun 2015
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Psychiatrist 's  Response
Hello thanks for asking from HCM for your health related queries

I can understand your concern. The problem of poor sleep and non refreshing sleep is aggravating the headache. You are not able to sleep properly and some times the sleeplessness persist even for 2-3 days. In such case I'd advise you to visit a psychiatrist for help. For poor sleep medicines like Z-drugs or Benzodiazepines can be used for short time. Clonazepam, Lorazepam, Zolpidem etc can be used on SOS basis. Other drugs like Mirtazapine, Trazodone, Paroxetine, Amitryptiline etc can also prove useful. These medicines will help to improve your headache and will help in good sleep. Z-drugs and benzodiazepines are known to cause dependence and have abuse potential so should be used under proper supervision of a doctor only. Please consult a psychiatrist for prescription of these drugs. I will also advise you to improve sleep hygiene in addition to medicines. Try to follow these steps and this will help in good sleep.

- Have warm water bath in evening and this will help in good sleep.

- Light exercise during evening will also help in sleep.

- Try to avoid day time naps.

- Fix your time to go to bed. Don't remain active till late in night. Try to go to bed before 11 in night.

- Try not to think about not getting sleep again and again. Remain relaxed and if by any chance you fail to get sleep with in 15 minutes of going to bed then get up and try to divert your attention.

- Avoid using mobile, laptop from bed. Don't make bedroom as TV or study room. Use your bed for sleeping only.

Thanks, Hope this helps you.
Take care

Dr. Seikhoo Bishnoi,
Psychiatrist.
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Suggest Treatment For Headache And Difficulty In Sleeping

Hello thanks for asking from HCM for your health related queries I can understand your concern. The problem of poor sleep and non refreshing sleep is aggravating the headache. You are not able to sleep properly and some times the sleeplessness persist even for 2-3 days. In such case I d advise you to visit a psychiatrist for help. For poor sleep medicines like Z-drugs or Benzodiazepines can be used for short time. Clonazepam, Lorazepam, Zolpidem etc can be used on SOS basis. Other drugs like Mirtazapine, Trazodone, Paroxetine, Amitryptiline etc can also prove useful. These medicines will help to improve your headache and will help in good sleep. Z-drugs and benzodiazepines are known to cause dependence and have abuse potential so should be used under proper supervision of a doctor only. Please consult a psychiatrist for prescription of these drugs. I will also advise you to improve sleep hygiene in addition to medicines. Try to follow these steps and this will help in good sleep. - Have warm water bath in evening and this will help in good sleep. - Light exercise during evening will also help in sleep. - Try to avoid day time naps. - Fix your time to go to bed. Don t remain active till late in night. Try to go to bed before 11 in night. - Try not to think about not getting sleep again and again. Remain relaxed and if by any chance you fail to get sleep with in 15 minutes of going to bed then get up and try to divert your attention. - Avoid using mobile, laptop from bed. Don t make bedroom as TV or study room. Use your bed for sleeping only. Thanks, Hope this helps you. Take care Dr. Seikhoo Bishnoi, Psychiatrist.