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Unrefreshing sleep
I am waking up unrefreshed for last seven eight months ,, especially after lunch I feel even more sleepy and tired ... did all check thyroid , glucose (pradinal, post pradinal) , cortisol, testosterone, iron profile , luetnizing hormone ,sex hormone binding globulin , all CBC , liver function test , echo , ecg, chest x ray , ultrasound abdomen scan , vitamin b12 , PFT all are fine ... but vitamin d is 27.1 and ldl is 142 borderline high with healthy HdL I have deviated septum in my right nose ... sleep gets disturbed mildly where I toss in my bed at least five to six times during the night ... also I had a habit of sleeping late , disrupting sleep ( sleeping at 4 am sometimes) till November 2025 which I corrected now ... should I go for sleep study to see if deviated septum is causing this ? Or do you suggest something else
Answers (17)
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Yes you should consult ENT Surgeon and physically examine
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Deviated nasal septum can disturb sleep. Get it corrected by a minor surgery. You have m8ld vit d deficiency, take supplements for 4 weeks.
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You have allergic reaction
Avoid dust and smoke
Wear mask
Take antihistamine
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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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Given the deviated nasal septum, frequent tossing during sleep, and unrefreshing sleep despite normal investigations, Obstructive Sleep Apnea (OSA) is a strong possibility. The deviated septum can obstruct nasal airflow during sleep, leading to repeated micro-arousals that prevent deep, restorative sleep â explaining the daytime sleepiness and fatigue. A sleep study (polysomnography) is absolutely the right next step. Your Vitamin D at 27.1 is also insufficient and can contribute to fatigue â worth supplementing.
Next Steps
Yes, go ahead with a sleep study. Also start Vitamin D3 supplementation. Consult an ENT for assessment of the deviated septum in the context of sleep-disordered breathing. Please consult me directly on Practo for a detailed evaluation.
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Consult me via procto app
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What is your occupation ?
Reduce the screen timing
I need a mode of detailed history
Get the appointment in Practo
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Low Vit D and mild OSA from septum can contribute.
Start Vit D supplement and try better sleep hygiene.
A consultation can evaluate further. Feel free to book one.
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Can help.. kindly book your consultation
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Better if you consult with an ent surgeon for deviated septum ,because sometimes its also causes blockage nearby adjacent structures and causes breathing tachypnea,dyspnea,during sleeps ,and interrupts sleep.
Second one is allergic rhinitis suspected because of high eosinophilic count according to your reports .so in my opinion better if you consult with an ent surgeon doctor.
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You have eosinophilia
Get an ent opinion done
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Hi dear
I would like to talk to you personally to get your history properly. Sleep is a multifaceted dynamic function of the body. Which we needed to interpret properly and find solutions. Some random blood tests cant come up with conclusions or further management
Please feel free to message in practo.
Thank you
Tcr
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discussion of ur condition
kindly connect
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Dr. Ashita Kuruvilla
General Practitioner
8 yrs exp
Kolkata
Need few more details for further evaluation. Kindly consult.
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Dr. Ravi Kumar Nadella
General Physician
18 yrs exp
Hyderabad
Yes
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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. Suraj Sharma
General Practitioner
4 yrs exp
Jaipur
Do consult
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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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