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I have Insomnia
Suffering from insomnia. Can't sleep all night. Sometimes fall asleep at 3 or 4 am. It's difficult to run the day.
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I will need more details about the same
For the same you can consult me on practo directly and we can go in detail for the same and can plan on further management
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Can consult psychiatrist.. can consult me for primary medicine...
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Consult a psychiatrist... Or tell me your full history
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Why this is happening
At age 45–55, insomnia is very common due to:
• Stress / anxiety
• Menopause or hormonal changes
• Irregular sleep schedule
• Excess screen time
• Caffeine or tea late in evening
• Vitamin D or B12 deficiency
• Thyroid imbalance
• Depression / overthinking
The good news: this is treatable.
Immediate Steps to Improve Sleep (Today Itself)
1. Fix the sleep schedule
• Sleep at 11–11:30 pm
• Wake up at 6:30–7 am
(Even if she sleeps only 2–3 hrs the first day, keep the SAME timing. The body will adjust.)
2. Stop stimulants
• No tea/coffee after 2 pm
• No phone/TV for 1 hour before sleep
3. Night routine
At 10:30 pm:
• Warm water bath or wash face with warm water
• Dim the lights
• 10 minutes deep breathing
• Light music or calm audio
4. Evidence-based sleep supplements (safe)
These are recommended by sleep specialists:
• Melatonin 3 mg at 9:30–10 pm
• OR Tryptophan / L-theanine supplement
• OR Chamomile tea before bedtime
(Choose only one. Do NOT mix.)
These are NOT sleeping pills—they help the brain switch to “sleep mode”.
5. If anxious / mind racing at night
• Write thoughts down on paper before bed
• 4-7-8 breathing:
• Inhale 4 sec
• Hold 7 sec
• Exhale 8 sec
Repeats 6–8 times → reduces heart rate in minutes.
Important Tests to check
Insomnia can be due to a correctable medical problem.
Please get these basic tests:
• TSH / T3 / T4 (thyroid)
• Vitamin D
• Vitamin B12
• Fasting glucose
• Hemoglobin
• Liver & kidney tests (if she is on any regular meds)
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Try melatonin 2.5 to 5 mg. If it’s not working after 5 days consult a pyschiatrist
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Hi. We can workout the solution. Kindly consult with me on 94 two six 86 seven eight 96.
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Kindly consult me or contact me on watsapp 995618782three
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You can consult me directly on Practo, or reach out via WhatsApp:
Eight Seven Six Two Seven Four Nine Nine Seven Four
I’ll guide you step-by-step with easy-to-follow treatment plans.
Early consultation helps avoid complications — feel free to connect.
Only whatsapp message no calls
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Connect me through practo or wattsap nine zero seven two two zero seven zero nine three
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Fix the cause of insomnia, fix your daily routines and adopt a healthy lifestyle and balanced diet.
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Kindly consult.
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Consult a psychiatrist
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Consult a psychiatrist
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Kindly consult on nine nine three four eight three one six zero six
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ME TOO A KNOWN CASE OF INSOMNIA I WAS GUIDED BY MY AUNTY A PSYCHIATRIST GUIDED ME.
TAB QUITIPINE25 ONE + TAB CLONAZEPAM 0. 5 AT 9 TO 9.30 PM, AFTER THAT U JUST WALK ALONG THE SIDE OF BED N IN 7 TO 10 MIN U GO TO BED WITH LIGHTS OFF . U CAN INCREASE THE DOSE OF QUITIPINE25 TO 50 N CLONAZEPAM TO 1.0.
AFTER 7 TO 10 DAYS.
OK I M A SR CONSULTANT N SR CITIZEN RETIRED DOC FROM GOVERNMENT SECTOR.. ALSO WORKS IN PSYCHIATRY FOR EIGHT MONTHS.
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Sleep that comes only at 3–4 AM and difficulty functioning during the day means your sleep cycle has gone into a pattern called Delayed Sleep Phase or Chronic Insomnia, usually triggered by one of the following:
Hormonal changes around menopause
Stress/anxiety patterns that peak at night
Irregular sleep–wake timings
Excess screen exposure in the evening
Underlying medical issues like thyroid or vitamin imbalance
Long-term conditioned sleeplessness (very common at this age)
Just taking a random sleep medicine won’t fix this because the problem isn’t the sleep “on/off switch”; it’s the system controlling it.
What we need to evaluate properly:
1. Your exact sleep timings over the last several weeks
2. Whether you wake up fresh or tired
3. Screen use + late evening habits
4. Caffeine/tea timing
5. Menopause-related symptoms
6. Any anxiety patterns
7. Any existing medications
8. Your daily routine and sleep environment
Once these are clear, we can decide the correct approach behavioural correction, circadian rescheduling, relaxation techniques, light therapy, or medication (only if truly needed).
Most of my patients start sleeping better within 5–7 days once the right pattern correction plan is given.
If you want a proper personalised plan
Your sleep problem is clearly long-standing and needs a detailed one-to-one review of your routine, triggers, and medical factors.
You can book a private consultation with me on whatsapp at Nine Three Two Six Zero Two Zero Five Three Six, and I’ll guide you step-by-step on what exactly needs to change and how to fix your sleep cycle safely.
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Try these first-line steps (usually work for many people):
1. Fix sleep timing
– Go to bed only when sleepy
– Wake up at the same time daily, even after a bad night
2. Avoid stimulants
– No tea/coffee after 2 PM
– Avoid phone/laptop 1 hour before sleep
3. Create a sleep setup
– Dark, cool room
– Light dinner
– No heavy exercise late evening
4. Quick-relief options
– Melatonin 3 mg 1 hour before bed (OTC, generally safe)
– For persistent insomnia, commonly prescribe short courses of Etizolam, Clonazepam, or Zolpidem
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Dr. Vinod Kumar Verma
General Physician
9 yrs exp
Gurgaon
-According to your query and sign and symptom you want to know about the cause and Treatment of disease as you have mentioned as above as -
-Please take consultation for better evaluation and best Treatment as it need complete history of patient as personal and family history.
Please follow good life style as
• take plenty of fluid and
• take less spicy and fatty foods and
• take home made food only and
do exercise regularly with yoga and meditation and
• keep positive attitude to fight any disease and any problem of your life . ....
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Dr. Dinesh Mehta
General Physician
3 yrs exp
Jaipur
Please book an appointment of psychiatrist for this
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Dr. Anuj Mothsra
General Physician
6 yrs exp
Jhunjhunu
Can help you, kindly consult and provide detailed history for proper diagnosis and further management
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Dr. Vetsa Sri Krishna Chaitanya
General Physician
7 yrs exp
Rajahmundry
Avoid Mobile usage at night...
Do physical exercises regularly.
Maintain timely Food
Kindly consult for further information
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Dr. Rajesh Jha
Internal Medicine
18 yrs exp
Rohtak
These habits often significantly improve sleep:
• Maintain a consistent sleep schedule (same sleep/wake time daily)
• Avoid screens (mobile/TV) 1 hour before bedtime
• Keep the bedroom dark, quiet, and cool
• Avoid caffeine after 2 PM
• Avoid heavy meals late at night
• No vigorous exercise within 3 hours of bedtime
• Use the bed only for sleep and sex (not for phone, laptop, or eating)
Next Steps
CBC – to detect anemia or infection
• TSH, T3, T4 – to rule out thyroid disorders (hyperthyroidism is a common cause)
• Fasting blood sugar / HbA1c – diabetes can affect sleep
• Renal function tests – kidney issues may cause nighttime disturbances
• Liver function tests
• Vitamin B12 & Vitamin D levels – deficiency may cause fatigue, anxiety, poor sleep
• Serum electrolytes – sodium, potassium, calcium abnormalities can disturb sleep
Health Tips
Polysomnography (Sleep Study)
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Dr. Gaurav Jaiswal
General Physician
6 yrs exp
Jhansi
Avoid fried and spicy food
Water intake more
Do connect and consult
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.