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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Unable To Sleep. Had Benign Tumor Removed. Suffered From Depression. Suggestion?

Hi, i had a benign tumor removed from my brainstem in 2009. My symptoms now are balance, eyesight, back pain etc BUT i manage them reasonably well. Over the past 4 weeks i am finding it increasingly hard to sleep, get to sleep, stay asleep. Could this be related to the tumor/surgey/my brain from 4 years ago? I have experienced lack of sleep before and have suffered depression and axiety. I am aware that this can heavily relate to sleep but this feels different. I am going to bed early, with liitle over stimulation but a book. I excercise regularly, eat well and drink plenty of water. I have even resorted to tring temazepam which i have used before successfully and this timr round it is not effective! I am exhausted! Any ideas???
Mon, 18 Feb 2013
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Psychiatrist 's  Response
Hi there ~

I am sorry you are having to deal with sleep difficulties despite using medications like temazepam that used to help with your sleep problems in the past. It is not uncommon to suffer from depression after such a bad physical condition however you would have to take other things into account before you feel like it is depression only that is making your sleep worse. I would suggest that you keep physically active and not sleep during the day, however not possible that may seem to be. Also there are other sleep medications that can help induce and make you stay asleep. I hope you consult a psychiatrist to help with this condition.

Other over the counter tricks to try using before you see a shrink are to try drinking milk and use melatonin during bedtime to help with the sleep difficulties.

I hope this helps. Take care and have a lovely day !
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Psychiatrist Dr. Payman Hajiazim's  Response
Hi there, thanks for asking. It could be one thing or it could be combination of several things. Many people who have surgery on their brain stem may find problem with breathing at night because the center which controls breathing at nights is located there. Central sleep apnea could bring fatigue and sleepiness during the day and also problem with seeping and also maintenance of the sleep at night. I could be also related to rebound of depression and anxiety you have had before because of some stress since you have to deal with your new situation. You may ask your doctor to evaluate further to see what thing(s) could be the cause. I wish you the best health.
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Unable To Sleep. Had Benign Tumor Removed. Suffered From Depression. Suggestion?

Hi there ~ I am sorry you are having to deal with sleep difficulties despite using medications like temazepam that used to help with your sleep problems in the past. It is not uncommon to suffer from depression after such a bad physical condition however you would have to take other things into account before you feel like it is depression only that is making your sleep worse. I would suggest that you keep physically active and not sleep during the day, however not possible that may seem to be. Also there are other sleep medications that can help induce and make you stay asleep. I hope you consult a psychiatrist to help with this condition. Other over the counter tricks to try using before you see a shrink are to try drinking milk and use melatonin during bedtime to help with the sleep difficulties. I hope this helps. Take care and have a lovely day !