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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Lack Of Sleep, High Blood Pressure. TSH Levels Normal. Causes For Sleeplessness?

Hi doc, my mom is 65 years old and frequently complains of sleeplessness . She is hypertensive now and is on BP meds. She was hypothyroid last year, for which she was put on replacement and now is off it. We got her TSH checked 10 days back and it looked normal. She has never been good with sleep but of late she can t sleep a min in the night she complains. What can be the reason for her sleeplessness and what would be best treatment. also, please tell us where can be take her to get treated in
Tue, 5 Feb 2013
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Psychiatrist 's  Response
HI
does she woke up at midnight or post midnight after brief sleep? Along with does she have forgetfullness and looks confused some time especially after sun downing.if so than consider dementia but if things r not like that than see whether she is having low mood ,aloofness,worthlessness ..........sometimes age along with hypothyrid state may cause this or she is having mild to mod depressive disorder if dementia or alzheimers rule out .............so do kindly consult psychiatrist for her.
thanx.
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Psychiatrist Dr. Payman Hajiazim's  Response
Hi There, Thanks for asking. Your mother has elevated blood pressure and it is more than 10 years probably that she is menopause. She also has history of hypothyoidism. All of the above mentioned issues are the risk factors for sleep apnea or breathing-related sleep disorder. Sleep apnea is one of the most common reasons for sleep problem in the elderly. If she is obese (BMI, more than 30) we can say that she has almost definitely this problem. You can ask your family doctor to introduce your mother to a sleep specialist to assess it more. I wish your mother the best health and longevity in life.
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Lack Of Sleep, High Blood Pressure. TSH Levels Normal. Causes For Sleeplessness?

HI does she woke up at midnight or post midnight after brief sleep? Along with does she have forgetfullness and looks confused some time especially after sun downing.if so than consider dementia but if things r not like that than see whether she is having low mood ,aloofness,worthlessness ..........sometimes age along with hypothyrid state may cause this or she is having mild to mod depressive disorder if dementia or alzheimers rule out .............so do kindly consult psychiatrist for her. thanx.