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HI Dr. Could You Please Help Me Figure Out My

Posted on Mon, 30 Dec 2019

Question: HI Dr. Could you please help me figure out my sleep issues. I have an issue with falling asleep! After I fall the sleep I'm awaken with my neck feeling tight and a sensation my body is trembling or I can feel my heart rate and the pillow vibration. I notice my heart rate is between 60-70 beats up on awakening and I have taken my blood pressure and its completely normal. This happens on falling a sleep up right or laying down in bed. I have worn a 24 hour halter monitor and eco cardiogram and all is normal. please give me a list of conditions this might be... I'm very tired. Thanks David

Answered by Dr. Drkaushal85 (57 minutes later)

Brief Answer:
What is your weight and height?

Detailed Answer:
Thanks for your question on Ask a doctor forum.
I can understand your concern.
I have gone through the detailed history you have given.
No need to worry for heart related issues because your heart reports are normal.
We need to rule out OSA (obstructive sleep apnea) and anxiety related sleep disturbances.
So please let me know
1. Your height
2. Your weight
I will be happy to help you further. Wish you good health. Thanks.

Above answer was peer-reviewed by : Dr. Vaishalee Punj

Follow up: Dr. Drkaushal85 (25 minutes later)

Thanks Dr. I'm 6'2 269 pounds.

Answered by Dr. Drkaushal85 (1 hour later)

Brief Answer:
You are having morbid obesity

Detailed Answer:
Thanks for your follow up question on Ask a doctor forum.
According to your height and weight, you are having morbid obesity and hence possibility of OSA is high.
So please let me know
1. Do you snore at night?
2. Do you have double chin?
3. Do you wakeup unrefreshing?
Please reply me answers of above asked questions, so that I can guide you better. I will be happy to help you further. Wish you good health. Thanks.

Above answer was peer-reviewed by : Dr. Vaishalee Punj

Follow up: Dr. Drkaushal85 (1 hour later)

Do you snore at night? no I dont snore. Do you have double chin? I dont have a double chin. Do you wake up un freshinging? I wake up with tremors and un fresh.

Answered by Dr. Drkaushal85 (12 minutes later)

Brief Answer:
You should definitely get done sleep study.

Detailed Answer:
Thanks for your follow up question on Ask a doctor forum.
I can understand your concern.
Your symptoms are mixed. But it is better to rule out sleep apnea so get done sleep study.
Also rule out stress and anxiety.
So please let me know
1. Do you have stressful life?
2. Do you overthink at night?
3. Do you have tremors in daytime during activities like writing or driving?
Please reply me answers of above asked questions, so that I can guide you better. I will be happy to help you further. Wish you good health. Thanks.

Above answer was peer-reviewed by : Dr. Vaishalee Punj

Follow up: Dr. Drkaushal85 (31 minutes later)

do you have a stressful life? my job can be stressful some times and. nkt being able to sleep really stress me out. I dread having the feeling short after falling a sleep. Do you overthink? yes I overthink. do you have tremors in daytime during activities like writing or driving? I dont have tremors writing or driving but when I'm awaken with symptoms or first thing when I wake up. I had a sleep study for apnea not rem and I passed the test. I notice my throat do feel swollen on awakening also.

Answered by Dr. Drkaushal85 (18 hours later)

Brief Answer:
Possibility of stress and anxiety related sleep disturbances is more likel.

Detailed Answer:
Thanks for your follow up question on Ask a doctor forum.
First of all, sorry for late reply as I was busy in family function.
In my opinion, you are having stress and anxiety related sleep disturbances
.
So better to consult psychiatrist and get done counselling sessions

Please let me know if you have been to psychiatrist in the past.
I will be happy to help you further. Wish you good health. Thanks.

Above answer was peer-reviewed by : Dr. Vaishalee Punj