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Dr. R Sangal

Sleep Medicine
Sterling Heights, MI
44 years experience male

Locations

Office

Sterling Heights, MI

Address

44344 Dequindre Rd Ste 360, Sterling Heights, MI
Directions

Practice website

About

Bio

R Bart Sangal, MD, is Director of the Sleep & Attention Disorders Institute in Troy, MI. This is one of the first freestanding accredited sleep disorders centers of the American Academy of Sleep Medicine. He was Chair of the AASM Health Policy Committee from 1994-1996, a member of the Board of Directors from 1996-1999, and a member of the Committee to Revise the ICSD from 2002 to 2004. He received its Mark Hatfield Public Policy Award in 2006. Dr. Sangal received his medical degree from the All India Institute of Medical Sciences, New Delhi, and his residency training at Johns Hopkins University Hospitals in Baltimore, MD. He is Board Certified in Sleep Medicine as well as in EEG & Neurophysiology. He is also a Certified Physician Investigator by the Academy of Pharmaceutical Physicians and Investigators. His clinical and research interests include excessive daytime sleepiness, sleep apnea, insomnia, and attention deficit/hyperactivity disorder. He is a member of the Editorial Board of Clinical EEG and Neuroscience.

Specialties
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

Languages spoken

English

Doctor Q&A

127 Answers
17 Agrees
The number of answers this doctor has agreed with.
A 40-year-old member asked:
Dr. R Sangal
Dr. R Sangalanswered
Sleep Medicine 44 years experience
No: No. It is common to have sex and then go to sleep.
A 31-year-old member asked:
Dr. R Sangal
Dr. R Sangalanswered
Sleep Medicine 44 years experience
Symptom control: If you have a fever, take Acetaminophen (tylenol) or aspirin. If you have nausea, use Meclizine (non-drowsy dramamine). For diarrhea, use imodium (lop... Read More
A 18-year-old female asked:
Dr. R Sangal
Dr. R Sangalanswered
Sleep Medicine 44 years experience
Do not worry yet: If it is only for five days, there may be no need to worry. Perhaps you are not sleeping well for some reason. If this persists, there would be more r... Read More
A male asked:
Dr. R Sangal
Dr. R Sangalanswered
Sleep Medicine 44 years experience
No: Melatonin is a zeibgeber - it signals the body that it is dark outside (and time to go to sleep). It is not a sleeping pill. Valium (diazepam) increas... Read More
A 46-year-old member asked:
Dr. R Sangal
Dr. R Sangalanswered
Sleep Medicine 44 years experience
Not really: Spending too much time in front of computer should not cause sleepiness. However, people who spend too much time in front of the computer may decrease... Read More
A 37-year-old member asked:
Dr. R Sangal
Dr. R Sangalanswered
Sleep Medicine 44 years experience
No: Adderall (dextroamphetamine and racemic amphetamine) is a mixture of amphetamines. Amphetamines increase availabiltiy of Dopamine and norepinephrine i... Read More
A 36-year-old member asked:
Dr. R Sangal
Dr. R Sangalanswered
Sleep Medicine 44 years experience
Yes it is: Not getting enough sleep leads to daytime sleepiness with increased mistakes and accidents. It also leads to weight gain. It is essential to get 7-8 h... Read More
A 41-year-old member asked:
Dr. R Sangal
Dr. R Sangalanswered
Sleep Medicine 44 years experience
Depends: If you have several different symtpoms of inattention, if they have been present sice early childhood (before age 7), and if they cause dysfunction, t... Read More
A 45-year-old member asked:
Dr. R Sangal
Dr. R Sangalanswered
Sleep Medicine 44 years experience
Yes: Duloxetine is a re-uptake inhibitor of serotonin and norepinephrine, and can cause fatigue and slepiness in some people.
A 21-year-old member asked:
Dr. R Sangal
Dr. R Sangalanswered
Sleep Medicine 44 years experience
Generally medicines: If the symptoms of inattention or hyperactivity-impulsivity began before age 6, this is a primary brain disorder causing attention deficit-hyperactivi... Read More
A 47-year-old member asked:
Dr. R Sangal
Dr. R Sangalanswered
Sleep Medicine 44 years experience
Possible sleep apnea: There are many causes for dry throat, including several medicines. However, if it occurring at night, one has to consider sleep apnea. Do you snore? I... Read More
A 19-year-old male asked:
Dr. R Sangal
Dr. R Sangalanswered
Sleep Medicine 44 years experience
No pillow is OK: Pillows are for comfort and were probably first used to relieve the pressure on the head when we slept on hard floors. It is not dangerous generally t... Read More
A 18-year-old member asked:
Dr. R Sangal
Dr. R Sangalanswered
Sleep Medicine 44 years experience
Many causes: Poor sleep habits such as spending too much time in bed or going to bed at different times on different days can cause difficulty with sleep. So can a... Read More
A 21-year-old female asked:
Dr. R Sangal
Dr. R Sangalanswered
Sleep Medicine 44 years experience
Find out why: If you are sleepy despite good rest, you have to find out why. If you snore, it may be sleep apnea (stopping breathing in sleep). Narcolepsy and idiop... Read More
A 30-year-old member asked:
Dr. R Sangal
Dr. R Sangalanswered
Sleep Medicine 44 years experience
Depends: If he has always sweated excessively at night, i would not worry about it. If it is recent, then causes may include certain medicines, sleep apnea (wi... Read More
A 32-year-old female asked:
Dr. R Sangal
Dr. R Sangalanswered
Sleep Medicine 44 years experience
Depends on reason: Does her oxygen drop to 60% when she stops breathing, or does it drop to 60% and stay there even when she is breathing normally during sleep? If the d... Read More
A 48-year-old member asked:
Dr. R Sangal
Dr. R Sangalanswered
Sleep Medicine 44 years experience
Caffeine: A glass of wine should not cause sleepiness, but it may uncover sleepiness in a sleepy person. Several glasses of wine can cause sleepiness, but the r... Read More
A 34-year-old member asked:
Dr. R Sangal
Dr. R Sangalanswered
Sleep Medicine 44 years experience
Dreams and Effexor (venlafaxine): Effexor (venlafaxine) (and all antidepressants) suppress rem sleep. We dream during rem sleep. So missing a shorter acting antidepressant (including e... Read More
A 29-year-old member asked:
Dr. R Sangal
Dr. R Sangalanswered
Sleep Medicine 44 years experience
Some people can: Some people can have lucid dreams, most people cannot. Lucid dream means one is aware one is dreaming, and can control the content to some extent. The... Read More
A 34-year-old member asked:
Dr. R Sangal
Dr. R Sangalanswered
Sleep Medicine 44 years experience
Acupuncture - never: There really is no good evidence that acupuncture helps insomnia. If you sleep poorly often, and this is a persistent problem, then it is important to... Read More
A 30-year-old member asked:
Dr. R Sangal
Dr. R Sangalanswered
Sleep Medicine 44 years experience
Pain or RLS?: Is it just pain, or is there a restless feeling in the legs with an urge to move them that you cannot resist? Pain can have many causes, but the need ... Read More
A 18-year-old member asked:
Dr. R Sangal
Dr. R Sangalanswered
Sleep Medicine 44 years experience
Excessive sleepiness: You are describing excessive sleepiness, a symptoms with many causes: not getting enough time in bed, sleep apnea, narcolepsy, idiopathic hypersomnia,... Read More
A 36-year-old member asked:
Dr. R Sangal
Dr. R Sangalanswered
Sleep Medicine 44 years experience
Occurs during sleep: Nocturnal epilepsy is epilepsy or seizures occuring at night (during sleep). Sleep tends to bring out seizures that occur any time of day or night, bu... Read More
A 18-year-old member asked:
Dr. R Sangal
Dr. R Sangalanswered
Sleep Medicine 44 years experience
ADHD- braind isorder: Adhd is attention deficit hyperactivity disorder. It is a brain disorder. Some symptoms of inattention or hyperactivity-impulsivity begin by age 6, th... Read More
A 27-year-old member asked:
Dr. R Sangal
Dr. R Sangalanswered
Sleep Medicine 44 years experience
Tongue too large: Your tongue could be a bit too large for your mouth or your lower jaw might be small. Perhaps you grind your teeth in sleep (bruxism). Do you snore? I... Read More
A 36-year-old member asked:
Dr. R Sangal
Dr. R Sangalanswered
Sleep Medicine 44 years experience
Bruxism: Clenching or griiding of teeth during sleep is called bruxism. It is actually a clenching of the jaw muscles. It can cause abnormal wear of the teeth,... Read More
A 27-year-old member asked:
Dr. R Sangal
Dr. R Sangalanswered
Sleep Medicine 44 years experience
Snoring- sleep apnea: Do you gain weight in the winter? Is your nose more congested in the winter? Heavy snoring can be a symptom of sleep apnea. Other symptoms include day... Read More
A 23-year-old member asked:
Dr. R Sangal
Dr. R Sangalanswered
Sleep Medicine 44 years experience
Find the cause: If you have difficulty with falling asleep occasionally, over the counter Benadryl (diphenhydramine) (dipenhydramine) might help, or the use of medici... Read More
A 36-year-old member asked:
Dr. R Sangal
Dr. R Sangalanswered
Sleep Medicine 44 years experience
RLS cause unknown: We do not know the cause of most cases of restless legs syndrome. However, low iron stores can cause it. So can neuropathies (nerve problems), kidney ... Read More
A 40-year-old member asked:
Dr. R Sangal
Dr. R Sangalanswered
Sleep Medicine 44 years experience
Do not drive: Most importantly, get enough time in bed, especially the day before any long idstance driving. Avoid alcohol. Make sure you do not have sleep apnea or... Read More
A 30-year-old member asked:
Dr. R Sangal
Dr. R Sangalanswered
Sleep Medicine 44 years experience
Not good sleep med: Sleeping pills should only be taken here and there, now and then, not everyday for weeks/months/years. Sleeping pills should be effective through the ... Read More
A 33-year-old member asked:
Dr. R Sangal
Dr. R Sangalanswered
Sleep Medicine 44 years experience
No: Firstly, Estazolam is not a good sleeping pill because it has a long half-life and stays in your body all day the next day. Secondly, sleeping pills s... Read More
A 44-year-old member asked:
Dr. R Sangal
Dr. R Sangalanswered
Sleep Medicine 44 years experience
Many causes: There are many causes for distractibility. If it is lifelong starting early in life, it may be attention deficit, which is a brain disorder that shoul... Read More
A 23-year-old member asked:
Dr. R Sangal
Dr. R Sangalanswered
Sleep Medicine 44 years experience
Many causes: There are many causes of moderate to severe distractibility. If it has been present since before age 6, it is likely to be primary attention deficit (... Read More
A 23-year-old member asked:
Dr. R Sangal
Dr. R Sangalanswered
Sleep Medicine 44 years experience
Try Benadryl (diphenhydramine): Most nyquil preparations contain dextromethorphan which can cause nausea. You could just take otc Diphenhydramine (benadryl) which is a sedating antih... Read More
A 38-year-old member asked:
Dr. R Sangal
Dr. R Sangalanswered
Sleep Medicine 44 years experience
Worse health: Most people need 7-8 hours of sleep (some need up to 9 and some may get by with 6). Spending more time in bed makes it harder to fall asleep and stay ... Read More
A 40-year-old member asked:
Dr. R Sangal
Dr. R Sangalanswered
Sleep Medicine 44 years experience
Get rid of Cylert: Cylert is not longer on the market because of potential side effects involving the liver. If you have any old Cylert lying around, i suggest getting r... Read More
A 33-year-old member asked:
Dr. R Sangal
Dr. R Sangalanswered
Sleep Medicine 44 years experience
Monster is caffeine: Like nodoz, the active stimulant in monster is caffeine. Unlike nodoz, monster does not list the amount of caffeine, which makes it a potentially dang... Read More
A 34-year-old member asked:
Dr. R Sangal
Dr. R Sangalanswered
Sleep Medicine 44 years experience
No test: The diagnosis of attention deficit hyperactivity disorder is by history. There is no test that shows whether or not you have it. If there are a suffic... Read More
A 36-year-old member asked:
Dr. R Sangal
Dr. R Sangalanswered
Sleep Medicine 44 years experience
Several causes: Most people need 7-8 hours in bed, with some needing 6-9 hours. Retired people may spend more time in bed, and then sleep worse and may be more tired.... Read More
A 47-year-old member asked:
Dr. R Sangal
Dr. R Sangalanswered
Sleep Medicine 44 years experience
Get enough sleep: Get enough sleep during the day (7-8 hours). Sleep during they day and stay awake at night even on your days off. Drink small amounts of caffeinated b... Read More
A 36-year-old member asked:
Dr. R Sangal
Dr. R Sangalanswered
Sleep Medicine 44 years experience
Why do that?: Why would you do that? There are certain medicines that increase rem sleep or slow wave sleep (deep sleep), but there is no advantage to doing that. T... Read More
A 45-year-old member asked:
Dr. R Sangal
Dr. R Sangalanswered
Sleep Medicine 44 years experience
Decreases with age: Time in rem sleep progressively decreases with age, from more than 50% in infants to less than 20% in the elderly.
A 35-year-old member asked:
Dr. R Sangal
Dr. R Sangalanswered
Sleep Medicine 44 years experience
Many causes: There are many causes for repeatedly waking up at night. Short awakenings without difficulty falling back to sleep is not worrisome. Depression, sleep... Read More
A 33-year-old member asked:
Dr. R Sangal
Dr. R Sangalanswered
Sleep Medicine 44 years experience
Sleep test: Parasomnia is abnormal behavior in sleep. Parasomnias are common in children. If they start in adults, or the behavior is violent or accompanied by in... Read More
A 44-year-old member asked:
Dr. R Sangal
Dr. R Sangalanswered
Sleep Medicine 44 years experience
Unlikely: Adderall (dextroamphetamine and racemic amphetamine) (amphetamine) overdose can cause psychotic symptoms, chest pain, palpitations, increase heart rat... Read More
A 16-year-old female asked:
Dr. R Sangal
Dr. R Sangalanswered
Sleep Medicine 44 years experience
Treatment not needed: Sleeptalking is a normal variant. The person doing it makes no sense - it is just words or phrases jumbled together, though the listener will often au... Read More
A 37-year-old member asked:
Dr. R Sangal
Dr. R Sangalanswered
Sleep Medicine 44 years experience
Generally not: Depends on the surgery - uvulo-palato-pharyngo-plasty, involving removal of the uvula, and part of the back of the palate, along with removal of tonsi... Read More
A 44-year-old member asked:
Dr. R Sangal
Dr. R Sangalanswered
Sleep Medicine 44 years experience
Change medicine: Try a different medicine - other medicines may offer the same benefits without causing the same side effects. Mild dry mouth may be controlled by usin... Read More
A 47-year-old member asked:
Dr. R Sangal
Dr. R Sangalanswered
Sleep Medicine 44 years experience
Depends on device: Oral devices (that pull the lower jaw out so the lower teeth protrude beyond the upper teeth during sleep) may work for mild to moderate sleep apnea b... Read More

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Testimonials
Recommendations and Thank you notes are endorsements given from patients or other doctors.

3
Recommendations
368
Thank you notes
Sep 2, 2013
An outstanding expert on sleep medicine, a wealth of knowledge, and one to follow and learn from.
HealthTap member
Mar 30, 2015
Dr. Sangal is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
Mar 31, 2015
Dr. Sangal is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
Thank you for the very clear, helpful response! I had been alarmed for her sake, and now I feel like the situation probably isn't out of control, as I worried it was. It helps a lot because I live sev...Read More
HealthTap member
Thank you! I was also diagnosed with fibromyalgia, but with use of the CPAP, my pain is now regional and explainable (osteoarthritis, cervical spondylosis). My fatigue improved but still persists at a...Read More
HealthTap member
Thank you, your answer was very helpful! My doctor told me to take vitamin b 12 it helped for awhile starting to fall asleep when ever i sit

Education & Training

Medical/Graduate school

All-India Institute of Medical Sciences, India
Graduated 1978MD

Awards

American Academy of Sleep Medicine Mark Hatfield Public Policy Award 2006
Most Influential, Second Place, Royal Oak, MI - Winter
2013
Top Sleep Medicine Specialist, Second Place, National - Winter
2013

Affiliations

Beaumont hospital
William beaumont hospital royal oak
90,000 U.S. doctors in 147 specialties are here to answer your questions, provide medical advice, write prescriptions, and more.
Answer emailed
in 24 hours or less