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SpecialtiesDoctors may have more than one area of specialty interest. Board certification in a specialty area means the doctor has completed formal training and has practice experience in that specialty, and has passed the certification examination from the corresponding accredited medical specialty board.
Doctors may have more than one area of specialty interest. Board certification in a specialty area means the doctor has completed formal training and has practice experience in that specialty, and has passed the certification examination from the corresponding accredited medical specialty board.
Sleep Medicine
Licenses
United States: California, Minnesota
Doctor Q&A
115 Answers
34 Agrees
The number of answers this doctor has agreed with.
A 43-year-old member asked:
Dr. Ranji Vargheseanswered
Sleep Medicine 19 years experience
For Some: Anti-anxiety medications have their positives and negatives. The most commonly used are the benzodiazepine class. They may not be indicated and usuall... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6.2k viewsReviewed >2 years ago
A 32-year-old member asked:
Dr. Ranji Vargheseanswered
Sleep Medicine 19 years experience
NO: Sleep hygiene encompasses good habits, sleep environment that are conducive to sleep. For instance, keeping regular bedtimes and wake up times, using ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6.2k viewsReviewed >2 years ago
A 24-year-old member asked:
Dr. Ranji Vargheseanswered
Sleep Medicine 19 years experience
Could be many: This is ai difficult question as many sleep disorders cause arousals from sleep. The most common one is obstructive sleep apnea. However, leg movement... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6.2k viewsAnswered >2 years ago
A 27-year-old member asked:
Dr. Ranji Vargheseanswered
Sleep Medicine 19 years experience
Active mind: Difficulty relaxing for sleep and an active mind can be the result of many things including medications, coffee, smoking, psychiatric issues, and part... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6.2k viewsReviewed >2 years ago
A 38-year-old member asked:
Dr. Ranji Vargheseanswered
Sleep Medicine 19 years experience
No: Parasomnia refers to a sleep disorder that results in people engaging in certain behaviors while their brains are almost entirely still sleeping. Slee... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6.2k viewsReviewed >2 years ago
A 23-year-old member asked:
Dr. Ranji Vargheseanswered
Sleep Medicine 19 years experience
Physician: If you are experiencing emotional problems that may be affecting your quality of sleep, then go to your local accredited sleep center who may be able ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6.2k viewsAnswered >2 years ago
A 27-year-old member asked:
Dr. Ranji Vargheseanswered
Sleep Medicine 19 years experience
Sleep and BP: There is some data that suggest that sleep deprivation can raise blood pressure. When we don't sleep enough, our bodies tend to have overactive fight ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6.2k viewsReviewed >2 years ago
A 32-year-old member asked:
Dr. Ranji Vargheseanswered
Sleep Medicine 19 years experience
Night and Day: Rem refers to rapid eye movement sleep and non-rem refers to sleep that is not rem. Non-rem is further divided into n1, n2, n3 stages where n3 refers ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6.2k viewsReviewed >2 years ago
A 23-year-old member asked:
Dr. Ranji Vargheseanswered
Sleep Medicine 19 years experience
A lot: Many foods contain tryptophan, an essential Amino Acid that you can only get through diet. Chicken and turkey both have tryptophan. It is required for... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6.2k viewsReviewed >2 years ago
A 39-year-old member asked:
Dr. Ranji Vargheseanswered
Sleep Medicine 19 years experience
See a specialist: Rls can be debilitation for some. It can affect just the legs or even arms and trunk. It primarily occurs at night and with inactivity, is temporarily... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6.2k viewsReviewed >2 years ago
A 40-year-old member asked:
Dr. Ranji Vargheseanswered
Sleep Medicine 19 years experience
Not really: Sleep walking and night terrors are a form of parasomnia, involuntary sleep/wake disturbances having both features of sleep and behaviors of wake. The... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6.2k viewsReviewed >2 years ago
A 33-year-old member asked:
Dr. Ranji Vargheseanswered
Sleep Medicine 19 years experience
Yes: Having children and caring for a newborn can be a challenge for any parent. For women, a change in hormones, the anxiety of caring for a child day and... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6.2k viewsReviewed >2 years ago
A 47-year-old member asked:
Dr. Ranji Vargheseanswered
Sleep Medicine 19 years experience
Not really: Teeth grinding or clenching, called bruxism can cause painful aches in the upper jaw, wear and tear on the teeth and sometimes poor sleep. The guard i... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6.2k viewsReviewed >2 years ago
A 34-year-old member asked:
Dr. Ranji Vargheseanswered
Sleep Medicine 19 years experience
Not sure: There is some evidence that overtime short sleepers (less than 6 hours per night) have worse heart health than others. This may be due to an increased... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6.2k viewsReviewed >2 years ago
A 22-year-old member asked:
Dr. Ranji Vargheseanswered
Sleep Medicine 19 years experience
Absolutely: Cbt is the gold standard treatment for chronic insomnia that is not caused by a psychiatric, medical disorder, drugs. It is helpful in getting to and ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6.2k viewsReviewed >2 years ago
A 40-year-old member asked:
Dr. Ranji Vargheseanswered
Sleep Medicine 19 years experience
Questions: A sleep therapist will want to know medication list, herbal supplement list, drug and alcohol history, medical and family history, sleep habits includ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6.2k viewsReviewed >2 years ago
A 36-year-old member asked:
Dr. Ranji Vargheseanswered
Sleep Medicine 19 years experience
Sleep chemical: Serotonin is a common brain chemical messenger. It is part of the wake promoting system of the brain. Along with other chemical messengers, it helps k... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6.2k viewsAnswered >2 years ago
A 33-year-old member asked:
Dr. Ranji Vargheseanswered
Sleep Medicine 19 years experience
It keeps us awake: Caffeine is a chemical found in coffee. Normally as the day progresses, we tend to feel sleepier in part due to a chemical build up of adenosine, a na... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6.2k viewsReviewed >2 years ago
A 38-year-old member asked:
Dr. Ranji Vargheseanswered
Sleep Medicine 19 years experience
Some are: Most self help materials that you can buy easily from the bookstore may have a combination of passive muscle relaxation exercises and guided imagery t... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6.2k viewsReviewed >2 years ago
A 26-year-old member asked:
Dr. Ranji Vargheseanswered
Sleep Medicine 19 years experience
Good Sleep Hygiene: First identifying what type of sleep disturbance you have is key. If the insomnia is a difficulty with getting to sleep because of inability to relax ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6.2k viewsAnswered >2 years ago
A 31-year-old member asked:
Dr. Ranji Vargheseanswered
Sleep Medicine 19 years experience
Sleep helps work: Good restful sleep promotes better concentration, alertness, reaction times, short term memory. Sleep deprivation can affect these. We live in a socie... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6.2k viewsReviewed >2 years ago
A 38-year-old member asked:
Dr. Ranji Vargheseanswered
Sleep Medicine 19 years experience
Yes: Although most commonly affecting the lower legs, restless leg syndrome can also affect the lower back and arms. The symptoms tend to be worse at night... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.7k viewsAnswered >2 years ago
A 38-year-old member asked:
Dr. Ranji Vargheseanswered
Sleep Medicine 19 years experience
Depends: You can dream in any stage of sleep n1, n2, n3 or rem. The dreams in rem as supposed to the others are much more vivid, emotionally charged, and in te... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.7k viewsReviewed >2 years ago
A 30-year-old member asked:
Dr. Ranji Vargheseanswered
Sleep Medicine 19 years experience
Depends: Unfortunately, there is no silver bullet for hot flashes. Some women respond to certain anti-depressants (ssri), some to certain blood pressure medica... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.7k viewsReviewed >2 years ago
A 37-year-old member asked:
Dr. Ranji Vargheseanswered
Sleep Medicine 19 years experience
Depends: Some medications have in addition to their main effect like blocking serotonin re-uptake like zoloft, (sertraline) they can also affect other neurotra... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.7k viewsReviewed >2 years ago
A 26-year-old female asked:
Dr. Ranji Vargheseanswered
Sleep Medicine 19 years experience
Common Problem: This is not uncommon, which is why people prefer to sleep on their backs. Pain can cause folks to wake up or to start sleep. Hip discomfort usually oc... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.4k viewsReviewed >2 years ago
A 43-year-old member asked:
Dr. Ranji Vargheseanswered
Sleep Medicine 19 years experience
Yes: Although most commonly affecting the lower legs, restless leg syndrome can also affect the lower back and arms. The symptoms tend to be worse at night... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.7k viewsReviewed >2 years ago
A 46-year-old member asked:
Dr. Ranji Vargheseanswered
Sleep Medicine 19 years experience
Depends: Depends on what is going on. Getting to sleep? Staying asleep? Poor quality sleep? Older people tend to have difficulty maintaining sleep. Usually chr... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.7k viewsReviewed >2 years ago
A 40-year-old member asked:
Dr. Ranji Vargheseanswered
Sleep Medicine 19 years experience
Rarely: There is an exceedingly rare insomnia called fatal familial insomnia that runs in families. It is due to a rogue brain protein that causes brain dege... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.7k viewsReviewed >2 years ago
A 45-year-old member asked:
Dr. Ranji Vargheseanswered
Sleep Medicine 19 years experience
Dont Worry: If you can't sleep, the last thing to do is worry about it. Dont lay in bed tossing, truning getting frustrated. Instead, leave your bedroom and engag... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.7k viewsAnswered >2 years ago
A 46-year-old member asked:
Dr. Ranji Vargheseanswered
Sleep Medicine 19 years experience
Not sure: I'm not sure how you can feel pain in the lower intestine or if you are referring to the lower part of your stomach. Sleeping on your stomach can be t... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.7k viewsAnswered >2 years ago
A 48-year-old member asked:
Dr. Ranji Vargheseanswered
Sleep Medicine 19 years experience
Funnu: This is a very funny question. Work does not necessarily translate into aging people. Stress however does tend to make people feel more tired, and gi... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.7k viewsReviewed >2 years ago
A member asked:
Dr. Ranji Vargheseanswered
Sleep Medicine 19 years experience
Depends: Depends on why you are not able to get to sleep or stay asleep. Disorders like sleep apnea or periodic leg movements can disrupt sleep. Usually, peopl... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.7k viewsReviewed >2 years ago
A 30-year-old member asked:
Dr. Ranji Vargheseanswered
Sleep Medicine 19 years experience
Depends: I would first assess the severity of your neck injury to determine what position would be best to sleep in. Consult a orthopedic surgeon. Generally, h... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.7k viewsAnswered >2 years ago
A 35-year-old member asked:
Dr. Ranji Vargheseanswered
Sleep Medicine 19 years experience
Medications: If you don't have medical condition that is causing your rls, like kidney disease, iron deficiency, etc. Or on medications that trigger rls, then medi... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.7k viewsReviewed >2 years ago
1 comment
A 41-year-old member asked:
Dr. Ranji Vargheseanswered
Sleep Medicine 19 years experience
Neurotransmitters: Chemicals in the brain called neurotransmitters activate parts of the brain responsible for dreaming while asleep. It is a normal phenomenon.
Created for people with ongoing healthcare needs but benefits everyone.
5.7k viewsReviewed >2 years ago
A 36-year-old member asked:
Dr. Ranji Vargheseanswered
Sleep Medicine 19 years experience
See a doctor: While sleep paralysis is not life threatening, it can be sign of sleep deprivation or a symptom of another sleep disorder called narcolepsy, which may... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.7k viewsReviewed >2 years ago
A 25-year-old member asked:
Dr. Ranji Vargheseanswered
Sleep Medicine 19 years experience
Depends: Normally, people wake up 1-2 times per night depending on age. There may be many reasons ranging from sleep environment (noisy, uncomfortable bedroom)... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6.2k viewsReviewed >2 years ago
A member asked:
Dr. Ranji Vargheseanswered
Sleep Medicine 19 years experience
Depends: First the cause of the central sleep apnea should be treated. Very sophisticated machines called asv (adaptive servoventilation) can treat the central... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.7k viewsReviewed >2 years ago
A 35-year-old member asked:
Dr. Ranji Vargheseanswered
Sleep Medicine 19 years experience
Only short term: Acute sleep deprivation has its hazards, including decreased reaction times, attention, daytime sleepiness. In fact, even though you may not notice a ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.7k viewsReviewed >2 years ago
A 37-year-old member asked:
Dr. Ranji Vargheseanswered
Sleep Medicine 19 years experience
No: Unless the medication is giving you serious side effects, generally you should taper the medication slowly. Otherwise, you run the risk of resulting i... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.7k viewsAnswered >2 years ago
A 41-year-old member asked:
Dr. Ranji Vargheseanswered
Sleep Medicine 19 years experience
Yes: Circadian rhythms are both set by internal molecular clocks as well as responsive to environmental forces, the most powerful being light in the case o... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6.2k viewsReviewed >2 years ago
A 46-year-old member asked:
Dr. Ranji Vargheseanswered
Sleep Medicine 19 years experience
We are all different: The vast majority of people need a good 7-8 hrs to feel rested and energetic. Some need more and some can get away with less. Rarely can people get aw... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6.2k viewsReviewed >2 years ago
A 48-year-old member asked:
Dr. Ranji Vargheseanswered
Sleep Medicine 19 years experience
Not really: Sleep terrors are a very interesting phenomenon usually seen in little children that arouse suddenly from sleep and scream. They are hard to console, ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6.2k viewsAnswered >2 years ago
A 33-year-old member asked:
Dr. Ranji Vargheseanswered
Sleep Medicine 19 years experience
Sometimes: Insomnia, especially if sleeping less than 5 hours per night can be associated with high blood pressure and even diabetes. Not to mention stomach comp... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.7k viewsReviewed >2 years ago
A 50-year-old member asked:
Dr. Ranji Vargheseanswered
Sleep Medicine 19 years experience
Many reasons: Movements during sleep can have multiple roots. Some people have involuntary leg movements called plms (periodic leg movements). Others may have distu... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6.2k viewsReviewed >2 years ago
A 23-year-old member asked:
Dr. Ranji Vargheseanswered
Sleep Medicine 19 years experience
Very Connected: Rem sleep refers to rapid eye movement sleep, a very different type of sleep than non-rem. In patients with narcolepsy, a certain neurotransmitter cal... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6.2k viewsReviewed >2 years ago
A 25-year-old member asked:
Dr. Ranji Vargheseanswered
Sleep Medicine 19 years experience
Depends: The sleep wake circadian rhythm results in most of us feeling sleepy in the evening at night and more awake in the morning. At times, circadian rhythm... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6.1k viewsReviewed >2 years ago
A 34-year-old member asked:
Dr. Ranji Vargheseanswered
Sleep Medicine 19 years experience
Depends: Insomnia, a disturbance in getting to, staying asleep, or non-refreshing sleep is a complicated disorder that may be secondary to poor sleep hygiene, ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6.1k viewsReviewed >2 years ago
A 39-year-old member asked:
Dr. Ranji Vargheseanswered
Sleep Medicine 19 years experience
Depends on what type: In children with loud snoring most always the cause is due to adenoids and tonsils. However, occasionally children can also have central apneas where ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.7k viewsReviewed >2 years ago
TestimonialsRecommendations and Thank you notes are endorsements given from patients or other doctors.
Recommendations and Thank you notes are endorsements given from patients or other doctors.
2
Recommendations
317
Thank you notes
HealthTap member
Mar 30, 2015
Dr. Varghese is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
Mar 31, 2015
Dr. Varghese is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
Thank you, your answer was very helpful! This symptom occurs sporatically. Thanks for your answer.
HealthTap member
Thank you, your answer was very helpful! Thanks for your time
HealthTap member
Thanks for your quick reply! Thanks for your quick reply
Education & Training
Medical/Graduate school
UC Irvine School of Medicine, CA
Graduated 2004MD
Awards
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