Suggest remedy for mental health problem
Patient: i have reactive hypoglycemia.Now i have observed that whenever my sleep patterns are disturbed lets say i normally sleep at 12am and i extend that to 1am,i cannot sleep very well and am tired next day even if i sleep for 10 hours it takes a couple of days before i get back to normal. If i get excited or am in a stressfull situation it takes me longer to recover. what is going on,help please Doctor: Hi, thanks for the query. Can you kindly specify your age, gender, your current work profile & whether you are in habit of consuming alcohol, tea, coffee, smoking cigarettes etc. during evening hours usually post 8pm? Based on current information, I would say that many people after a certain age (50-60 years) tend to become light sleepers with frequent sleep disturbances with slightest changes in sleeping patterns, habits etc. Hence, to avoid this, we can practice some good sleeping tips known as sleep hygiene. These are 1. Waking & sleeping at a fixed time 2. Avoid over/under sleeping 3. Avoid daytime naps 4. Avoid cigarettes, tobacco, caffeine after 8pm 5.Use bed for sleeping only 6. Dont stay in bed for more than 20 minutes if you are unable to sleep after retiring to bed. Additionally there are drugs like melatonin (available over the counter); ramelteon, agomelatin (prescribed by doctor) which reset your circadian rhythm & help you sleep better. Lastly, I would like you to get back to me with what makes you excited or when do you feel stressed out, how is your mood, energy levels & since when do you find it hard to recover from stressful situations. Good Luck