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What Is The Cause And Treatment For Insomnia?
Question: It's been more than two weeks since I can't sleep .It all started when we came back home from vacation in Canada back to europe.First few days i slept ok .Than all of the sudden i expirienced dizzyness one night ,committee and since That day i'm not able to sleep .After 6 days of not Being able to sleep at all during day or night i went to my gp she gave me melatoline and temesta.I can sleep with temesta during the night,but i have lost apetite and vommit and i lost 6-7 kg.THe treatment didnt help ,i stopped medicament 's,blood results came ok. I feel so tierd i try to nap during the day but just cant ....iTS like my brain
Wont turn off.Doc thought its jetlag but obviously it's not.
I am worried if i might have sporadic fathal insomnia .My doc changed temesta to metatop 2.
I also took app with neurologist this week.Im so scared if i have sfi :(
Wont turn off.Doc thought its jetlag but obviously it's not.
I am worried if i might have sporadic fathal insomnia .My doc changed temesta to metatop 2.
I also took app with neurologist this week.Im so scared if i have sfi :(
Brief Answer:
Not SFI
Detailed Answer:
Hello,
I can imagine your plight. It is bad enough not being able to sleep for a week. On top of that your internet search has landed you on a fatal disease. SFI is an extremely rare disease and only a handful of cases have been reported proven even though it was first described in the 18th centuary. It is extremely rare and you are unlikely to have it as it is also an inherited disease ( autosomal dominant) which means that someone close to you was very likely to have had it. The fact that Temesta which is an anti anxiety medicine ( Lorazepam) had helped you, in spite of its side effect, means that the insomnia is more related to anxiety. In SFI it would not have worked.
So be relaxed and you are more likely to sleep. Your neurologist would probably suggest some simple measures to help you sleep.
I shall be interested in knowing how you progress and if you have any queries you are welcome to ask.
Dr. Noble Zachariah
Not SFI
Detailed Answer:
Hello,
I can imagine your plight. It is bad enough not being able to sleep for a week. On top of that your internet search has landed you on a fatal disease. SFI is an extremely rare disease and only a handful of cases have been reported proven even though it was first described in the 18th centuary. It is extremely rare and you are unlikely to have it as it is also an inherited disease ( autosomal dominant) which means that someone close to you was very likely to have had it. The fact that Temesta which is an anti anxiety medicine ( Lorazepam) had helped you, in spite of its side effect, means that the insomnia is more related to anxiety. In SFI it would not have worked.
So be relaxed and you are more likely to sleep. Your neurologist would probably suggest some simple measures to help you sleep.
I shall be interested in knowing how you progress and if you have any queries you are welcome to ask.
Dr. Noble Zachariah
Above answer was peer-reviewed by :
Dr. Ashwin Bhandari
Dear Dr.Noble ,thank you for your kind words .I took last night metatop and i didnt get any sleep
Last night .So i am rly worried
Last night .So i am rly worried
Brief Answer:
Don't worry, relax.
Detailed Answer:
Dear XXXX
You are so keyed up that metatop is not able to calm you down adequately.
So relax, try some simple measures like reading , to keep your mind off the insomnia and sleep would come. I do not prescribe benzodiazepines to my patients as people tend to get addicted and would require higher and higher doses. I sometimes advise a simple sedating antihistamine like Benadryl (diphenhydramine) for my patients.
Most important is not to worry and try whatever measures you normally do to relax.
Best wishes,
Dr. Noble
Don't worry, relax.
Detailed Answer:
Dear XXXX
You are so keyed up that metatop is not able to calm you down adequately.
So relax, try some simple measures like reading , to keep your mind off the insomnia and sleep would come. I do not prescribe benzodiazepines to my patients as people tend to get addicted and would require higher and higher doses. I sometimes advise a simple sedating antihistamine like Benadryl (diphenhydramine) for my patients.
Most important is not to worry and try whatever measures you normally do to relax.
Best wishes,
Dr. Noble
Above answer was peer-reviewed by :
Dr. Bhagyalaxmi Nalaparaju
Ty so much ,i try my best to relax but yeah i never had such issue before of not being able to sleep at all.I try to nap during the day but that doesnt help at all ,im tierd and sleepy but cant nap .Kind regards !Alexandra
Brief Answer:
you are welcome
Detailed Answer:
Dear XXXXXXX
You are welcome.
Hope you will sleep better tonight.
If you have any concerns or queries in the future, I shall be happy to lend a helping hand. You may close the discussion and record your response if there are no further questions at the present time.
Take Care
Dr. Noble
you are welcome
Detailed Answer:
Dear XXXXXXX
You are welcome.
Hope you will sleep better tonight.
If you have any concerns or queries in the future, I shall be happy to lend a helping hand. You may close the discussion and record your response if there are no further questions at the present time.
Take Care
Dr. Noble
Above answer was peer-reviewed by :
Dr. Bhagyalaxmi Nalaparaju
Dear doctor Noble ,my gp told me to take again temesta tonight but idk if thats vise to do .Kind regards XXXXXXX
Brief Answer:
May take with care to avoid side effects.
Detailed Answer:
Dear XXXXXXX
I am sure he meant well. But since you had developed abdominal symptoms and vomiting last time, it would be better to take a proton pump inhibitor like Losec or Nexium and domperidon ( Motilium) about half hour before the temesta, if you want to take it. If you don't mind taking the risk of not sleeping one more night, I would prefer you to relax and take some home measures for inducing sleep. You are aware that you should avoid all stimulants like caffeinated beverages etc.
Wishing you a very restful night and good sleep,
Dr. Noble Zachariah
May take with care to avoid side effects.
Detailed Answer:
Dear XXXXXXX
I am sure he meant well. But since you had developed abdominal symptoms and vomiting last time, it would be better to take a proton pump inhibitor like Losec or Nexium and domperidon ( Motilium) about half hour before the temesta, if you want to take it. If you don't mind taking the risk of not sleeping one more night, I would prefer you to relax and take some home measures for inducing sleep. You are aware that you should avoid all stimulants like caffeinated beverages etc.
Wishing you a very restful night and good sleep,
Dr. Noble Zachariah
Above answer was peer-reviewed by :
Dr. Ashwin Bhandari
Im alergic to coffee so i dont drink it .I also have ulcer on my usofargus and im taking omeoprazile 20 mg for it .Ty so much :)
Brief Answer:
Esophageal disease to be cared for.
Detailed Answer:
Dear XXXXXXX
For esophageal ulcer or inflammation, the correct dose of omeprazole is 20 mg twice a day on an empty stomach ( at least half hour before the next meal). To this you can add the domperidone . Also keep the head end of your bed elevated by 10cms with blocks under the cot legs. Elevating the head with pillows is counter productive as it increases the pressure in the abdomen leading to acid entering the esophagus from the stomach. Your last meal and drink should have been at least 2 hours before the bedtime so that you go to bed with an empty stomach. Avoid all fizzy drinks, spicy food, chocolates and sour acidic food like tomato, onion, lemon etc. Acid regurgitation also can interfere with your sleep.
If you are overweight or obese losing weight also is beneficial.
Hope you get well and happy soon.
Dr. Noble
Esophageal disease to be cared for.
Detailed Answer:
Dear XXXXXXX
For esophageal ulcer or inflammation, the correct dose of omeprazole is 20 mg twice a day on an empty stomach ( at least half hour before the next meal). To this you can add the domperidone . Also keep the head end of your bed elevated by 10cms with blocks under the cot legs. Elevating the head with pillows is counter productive as it increases the pressure in the abdomen leading to acid entering the esophagus from the stomach. Your last meal and drink should have been at least 2 hours before the bedtime so that you go to bed with an empty stomach. Avoid all fizzy drinks, spicy food, chocolates and sour acidic food like tomato, onion, lemon etc. Acid regurgitation also can interfere with your sleep.
If you are overweight or obese losing weight also is beneficial.
Hope you get well and happy soon.
Dr. Noble
Above answer was peer-reviewed by :
Dr. Vinay Bhardwaj
Hello ,i was today at neurolog and she told me she doesnt think i have SFI but if i want that can be checked in bigger hospital in another city.They did EEG wich was good .She told me to start taking xanax 0,25 in the morning and 1/2 rivolti in the evening.She thinks my body sleeping clock and body is totaly whacked after we came back home from trip in Canada .If within few weeks i still expirience same problem than we will do further exams even exam for Sfi .But she guarantees i will start feeling better .I hope shes right .
Idk what is going on but last night I took half rivolti and I didn't sleep .I called my neurologist and she said to take whole pill tonight.
Idk what is going on but last night I took half rivolti and I didn't sleep .I called my neurologist and she said to take whole pill tonight.
Brief Answer:
Glad that the neurologist confirmed
Detailed Answer:
Dear XXXXXXX
I am glad that the neurologist confirmed that you do not have SFI and that your EEG is normal.
I agree with her short term prescription of Xanax and Rivotril (? strength) and I concur with her opinion that with time you would return to your good old self.
If you do not get sleep for any reason, try to utilize the time to do something useful rather than worrying about not getting sleep.
If you have no further queries at this point, you may close this discussion and record your comments.
Best wishes for your good health .I am available if you require my opinion any time in the future.
Regards,
Dr. Noble Zachariah
Glad that the neurologist confirmed
Detailed Answer:
Dear XXXXXXX
I am glad that the neurologist confirmed that you do not have SFI and that your EEG is normal.
I agree with her short term prescription of Xanax and Rivotril (? strength) and I concur with her opinion that with time you would return to your good old self.
If you do not get sleep for any reason, try to utilize the time to do something useful rather than worrying about not getting sleep.
If you have no further queries at this point, you may close this discussion and record your comments.
Best wishes for your good health .I am available if you require my opinion any time in the future.
Regards,
Dr. Noble Zachariah
Above answer was peer-reviewed by :
Dr. Vaishalee Punj
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