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अनिद्रा और दिन में थकान से जूझ रहे हैं?
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Sleep-Related Disorders
Question #29002
82 days ago
225

अनिद्रा और दिन में थकान से जूझ रहे हैं?

Client_2c2183

हैलो डॉक्टर, मुझे सोने में परेशानी होती है। मुझे सोने में देर लगती है और मैं रात में अक्सर जाग जाता हूँ। दिन में मुझे थकान महसूस होती है। मैंने सोने की दिनचर्या, मैग्नीशियम और रिलैक्सेशन तकनीकें आजमाई हैं, लेकिन फिर भी मुश्किल हो रही है। क्या आप कृपया मुझे मेरे अनिद्रा के संभावित कारणों और उपचार के बारे में सलाह दे सकते हैं? नाम: हबीब मोहम्मद उम्र: 25 देश: इथियोपिया

How long have you been experiencing these sleep issues?:

- 3-6 months

On a scale of 1 to 10, how would you rate the severity of your insomnia?:

- 7-9 (severe)

Do you have any other symptoms during the day?:

- Difficulty concentrating
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Doctors' responses

Dr. Bharat Joshi
I’m a periodontist and academician with a strong clinical and teaching background. Over the last 4 years and 8 months, I’ve been actively involved in dental education, guiding students at multiple levels including dental hygienist, BDS, and MDS programs. Currently, I serve as a Reader at MMCDSR in Ambala, Haryana—a role that allows me to merge my academic passion with hands-on experience. Clinically, I’ve been practicing dentistry for the past 12 years. From routine procedures like scaling and root planing to more advanced cases involving grafts, biopsies, and implant surgeries. Honestly, I still find joy in doing a simple RCT when it’s needed. It’s not just about the procedure but making sure the patient feels comfortable and safe. Academically, I have 26 research publications to my credit. I’m on the editorial boards of the Archives of Dental Research and Journal of Dental Research and Oral Health, and I’ve spent a lot of time reviewing manuscripts—from case reports to meta-analyses and even book reviews. I was honored to receive the “Best Editor” award by Innovative Publications, and Athena Publications recognized me as an “excellent reviewer,” which honestly came as a bit of a surprise! In 2025, I had the opportunity to present a guest lecture in Italy on traumatic oral lesions. Sharing my work and learning from peers globally has been incredibly fulfilling. Outside academics and clinics, I’ve also worked in the pharmaceutical sector as a Drug Safety Associate for about 3 years, focusing on pharmacovigilance. That role really sharpened my attention to detail and deepened my understanding of drug interactions and adverse effects. My goal is to keep learning, and give every patient and student my absolute best.
80 days ago
5

Hello dear See insomnia can be due to many reasons like Medications Overactivity Depression Schizophrenia Trauma Sleep disorders So kindly share the below tests with neurologist for clarity of diagnosis and best treatment and fir safety please donot take any medication without consulting the concerned physician Eeg Emr CBC Esr ECG echo Serum tsh Serum ferritin Serum bradykinin Serum dopamine Serum serotonin Regards

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Your difficulty in sleeping and experiencing daytime fatigue can be driven by a variety of factors. Insomnia, particularly when you struggle to initiate and maintain sleep, can stem from lifestyle choices, environmental influences, or medical issues. You’ve taken appropriate initial steps by trying sleep routines and relaxation techniques, but let’s explore further. Firstly, consider factors like your caffeine or nicotine intake, especially close to bedtime, as they can disrupt sleep patterns. Assess your sleep environment too—ensure it’s dark, quiet, and cool. Uninterrupted sleep can be hampered by noise or light exposure, or if the room temperature isn’t ideal. If stress or anxiety is at play, cognitive behavioral therapy for insomnia (CBT-I) is worth considering, which focuses on changing unhelpful sleep-related thoughts and behaviors.

Medication-wise, while you mentioned magnesium, it’s only sometimes effective for insomnia. Limited, short-term use of over-the-counter or prescribed sleep aids can help, but they aren’t a long-term solution. Addressing underlying issues is key. If your schedule allows, allocate 20 to 30 minutes each day for physical activity in the earlier part of the day; physical engagement is known to benefit sleep. Consider any recent changes to your health or routine—could there be underlying medical conditions like thyroid issues or sleep apnea influencing your sleep? In some cases, conditions such as depression or anxiety have insomnia as a symptom and might require targeted treatment.

Also, given your age, ensure you’re getting at least 7-9 hours of quality sleep, a common requirement for adults. Follow a consistent sleep schedule by going to bed and waking up at the same time every day, including weekends. If these practical modifications still don’t provide relief, it’s vital to see a healthcare provider to conduct a thorough evaluation for any underlying conditions, such as sleep disorders or hormonal imbalances. They can offer appropriate treatments based on a detailed medical history and other diagnostic assessments. If insomnia persists, a referral to a sleep specialist could be beneficial.

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Dr. Shayeque Reza
I completed my medical degree in 2023, but honestly, my journey in healthcare started way before that. Since 2018, I’ve been actively involved in clinical practice—getting hands-on exposure across multiple departments like ENT, pediatrics, dermatology, ophthalmology, medicine, and emergency care. One of the most intense and defining phases of my training was working at a District Government Hospital for a full year during the COVID pandemic. It was chaotic, unpredictable, and exhausting—but it also grounded me in real-world medicine like no textbook ever could. Over time, I’ve worked in both OPD and IPD setups, handling everything from mild viral fevers to more stubborn, long-term conditions. These day-to-day experiences really built my base and taught me how to stay calm when things get hectic—and how to adjust fast when plans don’t go as expected. What I’ve learned most is that care isn't only about writing the right medicine. It’s about being fully there, listening properly, and making sure the person feels seen—not just treated. Alongside clinical work, I’ve also been exposed to preventive health, health education, and community outreach. These areas really matter to me because I believe real impact begins outside the hospital, with awareness and early intervention. My approach is always centered around clarity, empathy, and clinical logic—I like to make sure every patient knows exactly what’s going on and why we’re doing what we’re doing. I’ve always felt a pull towards general medicine and internal care, and honestly, I’m still learning every single day—each patient brings a new lesson. Medicine never really sits still, it keeps shifting, and I try to shift with it. Not just in terms of what I know, but also in how I listen and respond. For me, it’s always been about giving real care. Genuine, respectful, and the kind that actually helps a person heal—inside and out.
81 days ago
5

Before prescribing any medicine I need to have a counselling with you. You can do a test for now : CBC

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Client_2c2183
Client
79 days ago

Thank you for your guidance, Doctor. I understand the importance of counselling before prescribing medication. I will proceed with the CBC test and follow your recommendations. Kindly advise if any other tests are needed for proper evaluation.

Dr. Shayeque Reza
I completed my medical degree in 2023, but honestly, my journey in healthcare started way before that. Since 2018, I’ve been actively involved in clinical practice—getting hands-on exposure across multiple departments like ENT, pediatrics, dermatology, ophthalmology, medicine, and emergency care. One of the most intense and defining phases of my training was working at a District Government Hospital for a full year during the COVID pandemic. It was chaotic, unpredictable, and exhausting—but it also grounded me in real-world medicine like no textbook ever could. Over time, I’ve worked in both OPD and IPD setups, handling everything from mild viral fevers to more stubborn, long-term conditions. These day-to-day experiences really built my base and taught me how to stay calm when things get hectic—and how to adjust fast when plans don’t go as expected. What I’ve learned most is that care isn't only about writing the right medicine. It’s about being fully there, listening properly, and making sure the person feels seen—not just treated. Alongside clinical work, I’ve also been exposed to preventive health, health education, and community outreach. These areas really matter to me because I believe real impact begins outside the hospital, with awareness and early intervention. My approach is always centered around clarity, empathy, and clinical logic—I like to make sure every patient knows exactly what’s going on and why we’re doing what we’re doing. I’ve always felt a pull towards general medicine and internal care, and honestly, I’m still learning every single day—each patient brings a new lesson. Medicine never really sits still, it keeps shifting, and I try to shift with it. Not just in terms of what I know, but also in how I listen and respond. For me, it’s always been about giving real care. Genuine, respectful, and the kind that actually helps a person heal—inside and out.
79 days ago
5

For now CBC and TFT.

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