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Need Help - Trouble Sleeping
Hi,
I'm a 38 YO male, with a history of borderline high cholesterol & recent bloodwork (over past 6 months) shows:
Elevated Hs Crp
Borderline Haemoglobin
Elevated Homocysteine
Iron Deficiency
Reduced Blood Ketones
Borderline Blood Sugar
Furthermore, was diagnosed with Dengue recently & recovering now.
Have been consistently facing sleep issues for quite sometime (more prominent in the past week). Have tried morning meditation, finishing dinner early, walking after meals & magnesium supplement - yet waking up in the middle of the night every night.
Need guidance on which specialist to consult, since Practo lists sleep disorders treatment through GPs / Neuros / Somnologists / Endocrinologists.
Answers (14)
If you would like to discuss your concern in more detail, please feel free to contact me on WhatsApp at nine one one nine two five five six nine nine. Alternatively, you can connect with me through the Practo app for a detailed consultation
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Try Tablet Melatonin/Altonil 3 mg two tablets per day 30-60 mins before intended bedtime initial for 5 days , then once at nights at same time for next 5-7 days.May continue for few more days if necessary.
Next Steps
Kindly give your full past history and share your recent blood reports.
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You might require a dedicated session for proper evaluation and management.
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Requires further work up ..do take online consultation my no is 864 zero zero 2 zero 56 zero
It will be treated as it might be a case of metabolic syndrome omas cholesterol is high ....
Do consult me and y will be with a solution...
Homocysteine level needs to be lowered so as to reduce the chances of stroke or cva in future ...
Next Steps
it's 100 %manageable from my side ...
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If you would like to discuss your concern in more detail, please feel free to contact me on WhatsApp at eight six one nine six six nine nine zero six. Alternatively, you can connect with me through the Practo app for a detailed consultation
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Dr Shamoon here, Consultant Physician. Your mid-night awakenings fit best with post-dengue recovery plus iron deficiency and borderline sugarânot a primary sleep disorder. Raised hsCRP and homocysteine are usually secondary to these, not separate diseases. You do not need a somnologist first; an internal medicine review is the right starting point.
Next Steps
Please repeat CBC, ferritin/iron profile, fasting glucose or HbA1c, B12/folate and liver tests with a physician; do not start sleeping tablets yourself. If snoring or daytime sleepiness is present, sleep evaluation can follow. Book a Practo consult with me or visit Synergy Multispeciality Hospital, Miraj for review.
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With this many findings together, you'll do best starting with a general physician or internal medicine specialist rather than a sleep specialist. They can look at your iron deficiency, blood sugar, cholesterol and the other markers you listed as one picture. Recovering from dengue can also disturb your sleep for a few weeks on its own.
Next Steps
Low iron is linked with restless legs, an urge to move your legs at night that breaks sleep. Mention it to your doctor if you notice this. If you snore, wake up gasping, or feel sleepy through the day, ask your physician about a sleep study.
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