A member asked:

Why do i have trouble staying asleep?

7 doctors weighed in across 6 answers

Rule out causes: Try to keep track of sleep, particularly what is happening before sleep. Keep a log. Also keep track of medications including caffeine use which can affect. If there is no noted cause, consider primary sleep disorder and get a sleep study.

Answered 10/1/2014

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Dr. Heidi Fowler answered

Specializes in Psychiatry

Sleep disturbance: Possible causes of insomnia include: poor sleep hygiene,Traveling with change in time zones, chronic pain, frequent night-time urination, problems breathing, Shift work, anxiety disorders (esp. PTSD), Depression, bipolar disorder, stress, medications (i.e. stimulants), caffeine, alcohol, eating large amts before bed, aging, restless leg syndrome, sleep apnea, etc.

Answered 10/1/2014

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Sleep apnea: Often sleep apnea, less effective breathing whilst asleep, can cause this.Ask your dr about a sleep study.

Answered 5/6/2013

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Dr. Heidi Fowler answered

Specializes in Psychiatry

Sleep Hygiene is key: Retire & rise same time each day. Keep bedroom dark & cool & use only for sex & sleep. Turn off tv. No naps. Exercise regularly but not in late evening. No caffeine for 6 hrs & no alcohol or tobacco w/i 2 hrs of sleep. Keep dinner moderate sized & finish at least 2 to 3 hrs before sleep. Can try warm milk, Chamomile tea or melatonin along w light reading, warm bath or lavender scent. See dr if not

Answered 10/31/2014

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Dr. Alan Ali answered

Specializes in Psychiatry

Sleepless: Your question was cut off, but it seems that you have primary insomnia, assuming that you don't drink alcohol or use drugs, and that the problem has been there for a while. Recommend the sleep hygiene techniques (google that sentence & you get details), & if that fails, try low dose melatonin, & if that fails, see your pcp for other alternatives.

Answered 1/2/2014

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Dr. Heidi Fowler answered

Specializes in Psychiatry

Start w excellent: Sleep hygiene. If that doesn't do the trick seek medical eval. 1. Keep regular bed ; wakening time (includes weekends). Get up same time daily. 2. Make a regular, relaxing bedtime routine: warm bath or shower, aromatherapy, reading, or listening to gentle music. 3. Sleep in dark, quiet, cool room w comfortable mattress ; pillows. 4. Use bedroom only for sleep ; sex. Put work materials, .

Answered 1/2/2014

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