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Suggest Treatment For Insomnia, Restless Legs, Frequent Slight Tingling Sensation On Head
Question: For the past 3 nights I have been having a lot of trouble going to sleep, when previously I have never had a problem. I usuallygo to bed at 10.30pm and would fall asleep quickly and get up at about 7 am. Now I can't get to slleep until 2 am and still am awake before 7. I am nearly 76, suffer from frequent ectopic heartbeat but that has been going on for about a year and has been looked at by my Dr. My symptoms immediately relating to my insomnia are restless legs, a frequent slight tingling sensation on the top of my head and a strange feeling of my whole body being "charged up". In the past when I have occasionally had restless legs I have cured it by getting up and doing some stretching but now it is coming back almost immediately I also need to pee often - last night 3 times in about 3 hours when the norm is once a night. I try calming myself by concentrating on abdominal breathing but to no result.
Thanks for any suggestions
XXXX
Thanks for any suggestions
XXXX
Brief Answer:
Restless legs syndrome
Detailed Answer:
Hi,
Thank you for your query. I can understand your concerns.
Restless legs syndrome :
Restless legs syndrome (RLS) can cause sleep disturbance , leading to poor-quality sleep .
The most commonly associated medical condition is iron deficiency (specifically blood ferritin below 50 µg/L).
Other associated conditions include varicose vein or venous reflux, folate deficiency, magnesium deficiency, fibromyalgia, sleep apnea, uremia, diabetes, thyroid disease, peripheral neuropathy, Parkinson's disease .
You need to undergo complete blood count ,serum ferritin ,serum folate level,blood biochemistry viz. blood urea nitrogen,serum creatinine, blood sugar fasting and post-prandial and thyroid function test to exclude some treatable causes .
Low doses of dopamine agonists, e.g., pramipexole (0.25–0.5 mg) or ropinirole (1–2 mg), orally 1–2 hours before bedtime is generally effective to improve sleep. You may discuss with your doctor.
Regards
Dr. T.K. Biswas M.D. XXXXXXX
Restless legs syndrome
Detailed Answer:
Hi,
Thank you for your query. I can understand your concerns.
Restless legs syndrome :
Restless legs syndrome (RLS) can cause sleep disturbance , leading to poor-quality sleep .
The most commonly associated medical condition is iron deficiency (specifically blood ferritin below 50 µg/L).
Other associated conditions include varicose vein or venous reflux, folate deficiency, magnesium deficiency, fibromyalgia, sleep apnea, uremia, diabetes, thyroid disease, peripheral neuropathy, Parkinson's disease .
You need to undergo complete blood count ,serum ferritin ,serum folate level,blood biochemistry viz. blood urea nitrogen,serum creatinine, blood sugar fasting and post-prandial and thyroid function test to exclude some treatable causes .
Low doses of dopamine agonists, e.g., pramipexole (0.25–0.5 mg) or ropinirole (1–2 mg), orally 1–2 hours before bedtime is generally effective to improve sleep. You may discuss with your doctor.
Regards
Dr. T.K. Biswas M.D. XXXXXXX
Above answer was peer-reviewed by :
Dr. Vaishalee Punj
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