Doctor insights on:
How Would A Neurologist Help With Sleep Problems
What is your opinion on the use of melatonin to help with sleep problems associated with a week of night-shift work?
May help: Quiet bedroom-turn off tv, radio & phone; consider ear plugs; keep temperature cool but comfortable, exercise regularly (not for 3 hours prior to bed). Keep dark! avoid alcohol, caffeine, large meals or excess fluids before bed. Wear dark sunglasses if driving home in the am and avoid light prior to bed. Melatonin 3 mg prior to bed may help sleep. If not effective see your doctor for sleep aid. ...Read moreSee 1 more doctor answer
Sedation: Most muscle relaxers do little to actually relax muscles. They cause mild sedation and thus allow patients to "relax" more. This sedation effect/ side-effect often limits dosing. Try other forms of relaxation (yoga, prayer, reading, etc) and practice good sleep hygiene for a better way to get some rest if that's a problem ...Read more
I am on sertraline 100 mg I have stopped taking the amitriptaline and mirtazapine could you recommend what I could take to help with sleep problems ?
I have been taking amitriptyline (10 mg) at nighttime for ic pain and help with sleep the last 31 days. Will missing one night's dose be a problem?
Can I take 150 mg trazodone with halcion (triazolam)? To help with sleep initiation and sleep onset problems are is this too sedating?
Depends: How long have you been on Halcion (triazolam) or trazodone. This determines the amount of sedation you will suffer. Halcion (triazolam) is okay for short term use, but should not be used for more than a few weeks, because it is addictive and tolerance and rebound insomnia can develop. Trazodone should be only given at dose prescribed by physician, with any increase in dose determined by the doc giving it. ...Read moreSee 1 more doctor answer
If you are having a sleeping problem, then which doctor office should you visit, neurologist, brain center, primary care or sleep specialist?
Who to see for sleep: Typically one starts with your primary care doctor who can - if indicated - order some screening tests like oximetry first before referring to a sleep lab for further evaluation. It is not unusual if the complaints are not involving significant snoring, that several different modalities of treatment are attempted including cognitive behavior therapy, medications, sleep hygiene protocols, etc. ...Read moreSee 1 more doctor answer
Seek help: Not sleeping well for 4 months is going to take a toll on you. Have you talked to your primary care doctor or have a sleep study done? If not get evaluated to find out the reasons. Have you practiced sleep hygiene -- going to bed at the same time; no naps in the afternoon, no caffeine after 2 or 3 pm; keeping your room on the chilly side, white noise machine? In any case, talk to your doctor ...Read moreSee 6 more doctor answers
See a psychiatrist: if you don't have a psychiatrist then make appt with your pcp. they may be able to help or point you to a good psych. if mood related then hopefully they come up with a plan. if no mood problems then see a sleep medicine physician. work on your sleep hygiene, exercise, no caffeine after 1pm, no tobacco, no alcohol... ...Read more
Cognitive behavioral: The most effective treatment for insomnia is cognitive behavioral therapy. 1. Sleep hygiene therapy. This focuses on trying to make sure that the room that you’re going to sleep in is cool, dark and quiet, and that you’re making an appropriate transition to sleep. 2. Sleep restriction therapy. Retraining your mind to associate bed with sleep rather than worrying about not sleeping. ...Read more
Of course. The: body is not happy when it is not nourished and this sets off lots of uncomfortable symptoms (stomach contractions, being one), but possible headache, dry mouth, etc.). Hard to sleep when feeling this way? Your body wants you to get up and track down a bear, or at least go out in the garden and pick a squash. Next question: why are you not eating? Have you seen a mental health or food pro? ...Read moreSee 3 more doctor answers
Very few early signs: Sadly, many have no awareness until the liver is quite damaged and those symptoms incl appetite/weight loss - weakness and fatigue. But read this article and have an exam/lab tests if you are concerned. http://www.mdjunction.com/forums/cirrhosis-discussions/general-support/3207200-your-earliest-signs-symptoms-of-liver-disease Best! ...Read more
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