Brief Answer: General Health Checkup, Sleep issues Detailed Answer: Hi, Thanks for coming to HealthCareMagic. I see that you have fatigue along with memory issues and heavy headedness. What we need o do is try and get some more information on the problem so I can see what the cause is. Can you tell me how long this has been going on? Do you have any chronic medical issues? What is your weight and height? When it comes to loss of memory. Can you be more descriptive? What kinds of things are you forgetting? Like remembering a telephone number? Or remembering the direction to your home?What kind of memory issues do you have? Any more information would be helpful to have a more complete discussion on what is wrong. Looking forward to hearing from you. Vinay

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Brief Answer: You need to get some labs done Detailed Answer: Hi. I am thinking that alot of your issues stem from a lack of sleep. Nonetheless, it may be a good idea to get some basic bloodwork done to rule out things like anemia and thyroid issues. To that effect, I would suggest that you get the following bloodwork done. CBC, Na, K, S. Creatinine, BUN, LFT, Lipid Profile, TSH, T3, T4, FBS (Fasting Blood Sugar). At the same time I have some basic suggestions I think you should try and follow when it comes to your sleep habits. The basic idea is that of 'Sleep Hygeine', which should help you in getting more rest and being more alert. The most important sleep hygiene measure is to maintain a regular wake and sleep pattern seven days a week. It is also important to spend an appropriate amount of time in bed, not too little, or too excessive. If you have a problem with daytime sleepiness, then try spending a minimum of eight hours in bed, if you have difficulty sleeping at night, you should limit yourself to 7 hours in bed in order to keep the sleep pattern consolidated. In addition, good sleep hygiene practices include: 1) Avoid napping during the day; it can disturb the normal pattern of sleep and wakefulness. 2) Avoid stimulants such as caffeine, nicotine, and alcohol too close to bedtime. While alcohol is well known to speed the onset of sleep, it disrupts sleep in the second half as the body begins to metabolize the alcohol, causing arousal. 3) Exercise can promote good sleep. Vigorous exercise should be taken in the morning or late afternoon. A relaxing exercise, like yoga, can be done before bed to help initiate a restful night's sleep. 4) Food can be disruptive right before sleep; stay away from large meals close to bedtime. Also dietary changes can cause sleep problems, if someone is struggling with a sleep problem, it's not a good time to start experimenting with spicy dishes. And, remember, chocolate has caffeine. 5) Ensure adequate exposure to natural light. This is particularly important for older people who may not venture outside as frequently as children and adults. Light exposure helps maintain a healthy sleep-wake cycle. 6) Establish a regular relaxing bedtime routine. Try to avoid emotionally upsetting conversations and activities before trying to go to sleep. Don't dwell on, or bring your problems to bed. 7) Associate your bed with sleep. It's not a good idea to use your bed to watch TV, listen to the radio, or read. 8) Make sure that the sleep environment is pleasant and relaxing. The bed should be comfortable, the room should not be too hot or cold, or too bright.

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Brief Answer: Sleep! Detailed Answer: Gets some rest! The number one cause of memory issues and confusion is sleep deprivation! So follow the advice I have given above and make sure you get at least 8 hours of sleep every night. If that doesn't help you in 1 month, then we need to start looking at getting some blood work and CT scans done. We will cross that bridge if we come to it. Take Care, Vinay

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