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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Body Tremors While Sleeping?

I wake up during the night shaking but I do not feel the muscles moving. Yes I am under a lot of stress. I am a business owner still working and 75 years of age. I seem to dream a lot and most of my dreams are nightmare related. I am Viet vet, platoon leader. I experienced about the average amount of combat. I seem to always end up in a leadership roll. I concern if stress has caught up with me,although I do not seem to feel different . But I wake up more like trembling and not being able to detect any movement. It is an internally shaking, at least that is what it appears.
Mon, 10 Sep 2018
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General & Family Physician 's  Response
Hi,

You are having a condition called nightmare disorder, which is due to your stress. Kindly consult a psychiatrist. >Treatment for nightmares isn't usually necessary. However, treatment may be needed if the nightmares are causing you distress or sleep disturbance and interfering with your daytime functioning.

The cause of the nightmare disorder helps determine treatment. Treatment options may include:
1. Medical treatment. If the nightmares are associated with an underlying medical condition, treatment is aimed at the underlying problem.
2. Stress or anxiety treatment. If a mental health condition, such as stress or anxiety, seems to be contributing to the nightmares, your doctor may suggest stress-reduction techniques, counseling or therapy with a mental health professional.
3. Imagery rehearsal therapy. Often used with people who have nightmares as a result of PTSD, imagery rehearsal therapy involves changing the ending to your remembered nightmare while awake so that it's no longer threatening. You then rehearse the new ending in your mind. This approach may reduce the frequency of nightmares.
4. Medication is rarely used to treat nightmares. However, medication may be recommended for severe nightmares associated with PTSD.
If nightmares are a problem for you or your child, try these strategies: Establish a regular, relaxing routine before bedtime.

A consistent bedtime routine is important. Do quiet, calming activities—such as reading books, doing puzzles or soaking in a warm bath—before bed. Meditation, deep breathing or relaxation exercises may help, too. Also, make the bedroom comfortable and quiet for sleep.
1. Offer reassurances. If your child is struggling with nightmares, be patient, calm and reassuring. After your child awakens from a nightmare, respond quickly and soothe your child at the bedside. This may prevent future nightmares.
2. Talk about the dream. Ask your child to describe the nightmare. What happened? Who was in the dream? What made it scary? Then remind your child that nightmares aren't real and can't hurt you.
Rewrite the ending. Imagine a happy ending for the nightmare. For your child, you may encourage him or her to draw a picture of the nightmare, "talk" to the characters in the nightmare or write about the nightmare in a journal. Sometimes a little creativity can help.
3. Put stress in its place. If stress or anxiety is an issue, talk about it. Practice some simple stress-relief activities, such as deep breathing or relaxation. A mental health professional can help, if needed.
4. Provide comfort measures. Your child might feel more secure if he or she sleeps with a favorite stuffed animal, blanket or other comfort object. Leave your child's door open at night so that he or she won't feel alone. Leave your door open, too, in case your child needs comfort during the night.
5. Use a night light. Keep a night light on in your child's room. If your child wakes up during the night, the light may be reassuring.

Hope I have answered your query. Let me know if I can assist you further.
Regards,
Dr. Sanjay Kini, General & Family Physician
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What Causes Body Tremors While Sleeping?

Hi, You are having a condition called nightmare disorder, which is due to your stress. Kindly consult a psychiatrist. Treatment for nightmares isn t usually necessary. However, treatment may be needed if the nightmares are causing you distress or sleep disturbance and interfering with your daytime functioning. The cause of the nightmare disorder helps determine treatment. Treatment options may include: 1. Medical treatment. If the nightmares are associated with an underlying medical condition, treatment is aimed at the underlying problem. 2. Stress or anxiety treatment. If a mental health condition, such as stress or anxiety, seems to be contributing to the nightmares, your doctor may suggest stress-reduction techniques, counseling or therapy with a mental health professional. 3. Imagery rehearsal therapy. Often used with people who have nightmares as a result of PTSD, imagery rehearsal therapy involves changing the ending to your remembered nightmare while awake so that it s no longer threatening. You then rehearse the new ending in your mind. This approach may reduce the frequency of nightmares. 4. Medication is rarely used to treat nightmares. However, medication may be recommended for severe nightmares associated with PTSD. If nightmares are a problem for you or your child, try these strategies: Establish a regular, relaxing routine before bedtime. A consistent bedtime routine is important. Do quiet, calming activities—such as reading books, doing puzzles or soaking in a warm bath—before bed. Meditation, deep breathing or relaxation exercises may help, too. Also, make the bedroom comfortable and quiet for sleep. 1. Offer reassurances. If your child is struggling with nightmares, be patient, calm and reassuring. After your child awakens from a nightmare, respond quickly and soothe your child at the bedside. This may prevent future nightmares. 2. Talk about the dream. Ask your child to describe the nightmare. What happened? Who was in the dream? What made it scary? Then remind your child that nightmares aren t real and can t hurt you. Rewrite the ending. Imagine a happy ending for the nightmare. For your child, you may encourage him or her to draw a picture of the nightmare, talk to the characters in the nightmare or write about the nightmare in a journal. Sometimes a little creativity can help. 3. Put stress in its place. If stress or anxiety is an issue, talk about it. Practice some simple stress-relief activities, such as deep breathing or relaxation. A mental health professional can help, if needed. 4. Provide comfort measures. Your child might feel more secure if he or she sleeps with a favorite stuffed animal, blanket or other comfort object. Leave your child s door open at night so that he or she won t feel alone. Leave your door open, too, in case your child needs comfort during the night. 5. Use a night light. Keep a night light on in your child s room. If your child wakes up during the night, the light may be reassuring. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Sanjay Kini, General & Family Physician