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Sleep problems
LHello Doctor, I've been experiencing sleep problems for over 3 months. Even if I go to bed around 11 PM, I often can't fall asleep until 2–3 AM, and sometimes as late as 5–7 AM. My sleep schedule is very irregular. I usually sleep 8–9 hours, but after several days of poor sleep, I sometimes sleep 12–18 hours. I have significant difficulty waking up and often need multiple alarms. Even after sleeping, I usually wake up feeling tired, and I occasionally feel sleepy during the day. I don't snore or have witnessed breathing pauses during sleep. I was diagnosed with migraine about 8 months ago, completed around 6 months of treatment, and have now stopped the medication as my migraines have improved. However, my sleep issues persist. I'd like to know if this could be a sleep disorder, what might be causing it, and whether I need further evaluation or treatment.
Answers (21)
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For a professional medical consultation and personalized guidance, kindly schedule your appointment. Thank you.
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Difficulty falling asleep for months, very late sleep times and ongoing tiredness warrant an assessment. The pattern could involve sleep timing as well as sleep quality, but it cannot be diagnosed as a particular sleep disorder from this message. The absence of reported snoring does not explain away the daytime symptoms.
Next Steps
Arrange a physician or sleep-clinic review. Keep a two-week sleep diary recording bedtimes, actual sleep, wake times, naps and caffeine, and bring the migraine medication history. Aim for a consistent wake time and a calm evening routine.
Health Tips
Avoid driving when sleepy and do not start sleeping pills or supplements on your own. If mood changes or significant difficulty functioning accompany this, mention them during the review.
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Looks like a sleep disorder please book a consultation with me for a proper assessment and treatment plan, rather than starting sleep medication on your own.
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Yes further evaluation of mood has to be done. Along with follow proper sleep hygiene, Can use some sedative for few days for regaining the sleep cycle back.
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As per the shared complaints features are suggesting about suspected obstructive sleep apnea as result of irregular life style management.
Furthermore evaluation and management is advised.
Thank you
Next Steps
Kindly do consult via practo.
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Please share your detailed medical history. Get sleep studies done and share results.
Then I can help you further
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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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History written is not enough. I need to enquire more. Pls opt for CONSULTATION
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Hello,
Take Balanced diet.
For diet details and ePrescription consult by practo app or contact me at GPay at +91959508739nine.
In future if consultations are required than consult by practo app or contact me at GPay at +91959508739nine.
Thanks.
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Clonazepam 0.5 one at + quitipine25 one at 9.00 pm
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Possible causes include an irregular sleep schedule, excessive screen exposure at night, stress or anxiety, mood-related concerns, thyroid dysfunction, anemia, or medication effects. Your history of migraine and previous medications is also relevant.
Since your symptoms have persisted for over three months, consult a physician or sleep specialist. A detailed sleep history, medication review, and selected investigations such as CBC and TSH may be appropriate. A sleep study may be needed if another sleep disorder is suspected.
Next Steps
Maintain a consistent wake-up time daily.
Get natural sunlight in the morning and engage in regular daytime physical activity.
Avoid caffeine late in the day and reduce screen exposure before bedtime.
Avoid self-medicating with sleeping pills or melatonin.
Keep a sleep diary for two weeks, recording bedtime, sleep onset, waking time, and daytime sleepiness.
Health Tips
Please tell:
1.Do you feel sleepy before 2–3 AM, or do you feel completely awake?
2.Do you use your phone in bed or consume caffeine regularly?
3.Are you taking any current medications, or experiencing stress, anxiety, or low mood?
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Your sleep cycle got disturbed.
And for this you have to keep consistent with yoga,meditation
Your daily food habits and sleeping time.
Before taking any kind of medicine or anything else.
Please try to change your lifestyle.
When your body gets tired you will sleep peacefully.
Avoid sleeping during the day time it also causes less sleep at night.
1- 1.5 hrs is sufficient.
Do follow this if not resolved,consult please.
A proper history taking will be needed.
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kindly do connect and consult with me for better treatment plan and advice on your case via PRACTO app
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Can be sleep disorder or major nutritional deficiencies or organic medical issues. Kindly consult with me on 94 two six eight six 78 nine six for proper guidance and treatment.
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Do consult
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Dr. Sumit Verma
General Physician
5 yrs exp
Kanpur
Hello !!
1 # Eat a balanced diet
Plenty of vegetables, fruits,
whole grains, pulses, nuts, and seeds.
Limit ultra-processed foods, excess sugar, and excessive salt.
Choose healthy protein sources and healthy fats.
2 # Stay physically active
Aim for at least 150 minutes of moderate exercise per week.
Include strength training 2–3 times weekly.
3 # Maintain a healthy weight
Excess body weight increases the risk of many chronic diseases.
4 # Get adequate sleep
Most adults need 7–9 hours of quality sleep each night.
5 # Stay hydrated
Drink enough water throughout the day.
6 # Avoid tobacco and limit alcohol
Smoking and tobacco use significantly increase disease risk.
7 #Manage stress
Meditation, yoga, hobbies, social connections, and relaxation techniques can help.
8 # Practice good hygiene
Wash hands regularly and follow food-safety practices
9 # Have regular health checkups
Monitor blood pressure, blood sugar, cholesterol, dental health, and vision as recommended.
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Dr. Vetsa Sri Krishna Chaitanya
General Physician
7 yrs exp
Rajahmundry
Need a few more details please consult for further evaluation and treatment
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Dr. Gaurav Jaiswal
General Physician
7 yrs exp
Jhansi
Avoid fried and spicy food
Water intake more
Green leafy vegetables more
Fiber meal
Walk
Do connect and consult
Will help you
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Dr. Anuj Mothsra
General Practitioner
7 yrs exp
Jhunjhunu
Can help you, kindly consult and provide detailed history for proper diagnosis and further management
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Dr. Ankita Gahlot
Obstetrician
12 yrs exp
Bangalore
A pattern like this, falling asleep very late and sometimes needing 12 to 18 hours to feel rested, points more toward a circadian rhythm issue than a breathing-related sleep disorder, especially since you don't snore or have witnessed pauses.
Next Steps
Keep a simple sleep diary for 2 weeks noting bedtime, wake time and naps, and get a basic thyroid test done, since thyroid issues can disturb sleep this way too.
Health Tips
If you also notice low mood or appetite changes alongside this, mention it too. Please consult a physician or sleep specialist so this pattern gets evaluated properly.
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