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How to sleep properly at night.
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Sleep-Related Disorders
Question #11646
45 days ago
239

How to sleep properly at night. - #11646

Ipsita Jena

I can't sleep properly at night. I go to bed 10.40-11.30.pm .if I sleep early then at 2 am-3 am automatically I wake up. If I can't sleep then I stay like owl the whole night. Sometimes I face headache.

Age: 26
Chronic illnesses: Pcos
Headache
Hallucinations
300 INR (~3.53 USD)
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Doctors’ responses

Dr. Perambalur Ayyadurai Rohith
I am a general physician with more than 10 yr of clinical experiance, and in this time I worked with patients from all age groups, from young kids to elderly with multiple chronic issues. My practice has been wide, but I gradually developed deeper intrest in diabetology. I spend much of my day focusing on prevention, early diagnosis and management of diabetes, using lifestyle modification, medical therapy and regular monitoring. Many patients come worried about complications, and I try to explain things in simple language, whether it is diet, excercise, or understanding lab reports, so they dont feel lost. I also conduct detailed diagnostic evaluation and use evidence based protocols to make sure treatment is reliable and updated, even if sometimes I double check myself when results dont match the clinical picture. Apart from regular OPD practice, I gained strong experiance in occupational health. Over years I worked with multiple companies handling pre employment checks, annual medical exams, workplace wellness programs, and ensuring compliance with industrial health and safety standards. It is diffrent from hospital practice, but equally important, because healthy workers mean safe and productive workplace. I run medical surveillance programs and health awareness sessions in collaboration with corporates, and this also gave me exposure to preventive strategies on a large scale. For me, patient care is not just treatment but building trust. My career revolve around preventive medicine, ethical clinical practice, and continuous learning. I keep myself updated with modern medical protocols, but I also value listening to patient worries, since medicine is not only about lab values but also about how a person feels in daily life. I make mistakes in words sometimes, but in my work I try to be very precise. At end of day, my aim is to provide care that is accessible, evidence based and truly centered on patient well being.
45 days ago
5

1. What you describe looks like insomnia with early morning awakening, which is common in people with hormonal imbalances like PCOS and also due to stress or irregular lifestyle.

2. Your brain clock is getting disturbed, so even if you sleep, you wake up around 2–3 am and cannot return to deep sleep.

3. Maintain strict sleep hygiene fixed sleep and wake time, avoid phone/TV at least 1 hour before bed, keep your room dark and quiet.

4. Avoid tea, coffee, heavy food, or long naps in the evening as they worsen night sleep.

5. If headaches continue, a doctor may prescribe short-term safe sleep aids or check thyroid, vitamin D, and hormonal levels which also affect sleep.

6. With proper evaluation and treatment, your sleep pattern can normalize, and you can feel fresh without nighttime anxiety.

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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.
45 days ago
5

Hello dear See as per clinical history it seems disturbed sleep cycle or stress induced insomnia Iam suggesting some precautions Kindly follow them for 1 month Do physical exercises atleast half an hour daily Do meditation Indulge in hobbies like reading novels or writing Hopefully there will be some improvement Another reason could be pcos causing excess stress For that following tests are required Pelvic ultrasound Urine analysis Serum tsh Serum RBS In case of no improvement consult gynacolologist or endocrinologist in person for better clarification Please take any medications only after recommendation from concerned physician Regards

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Dr. Alan Reji
I'm Dr. Alan Reji, a general dentist with a deep-rooted passion for helping people achieve lasting oral health while making dental visits feel less intimidating. I graduated from Pushpagiri College of Dental Sciences (batch of 2018), and ever since, I've been committed to offering high-quality care that balances both advanced clinical knowledge and genuine compassion for my patients. Starting Dent To Smile here in Palakkad wasn’t just about opening a clinic—it was really about creating a space where people feel relaxed the moment they walk in. Dental care can feel cold or overly clinical, and I’ve always wanted to change that. So I focused on making it warm, easygoing, and centered completely around you. I mix new-age tech with some good old-fashioned values—really listening, explaining stuff without jargon, and making sure you feel involved, not just treated. From regular cleanings to fillings or even cosmetic work, I try my best to keep things smooth and stress-free. No hidden steps. No last-minute surprises. I have a strong interest in patient education and preventive dentistry. I genuinely believe most dental issues can be caught early—or even avoided—when patients are given the right information at the right time. That’s why I take time to talk, not just treat. Helping people understand why something’s happening is as important to me as treating what’s happening. At my practice, I’ve made it a point to stay current with the latest innovations—digital diagnostics, minimally invasive techniques, and smart scheduling that respects people’s time. I also try to make my services accessible and affordable, because good dental care shouldn’t be out of reach for anyone.
42 days ago
5

Waking up in the middle of the night or staying awake through the night suggests insomnia, which can be triggered by stress, irregular sleep habits, or underlying anxiety. Poor sleep may also cause daytime fatigue and headaches. Please consult a psychiatrist or sleep medicine specialist to identify the cause and guide you on sleep hygiene practices or treatment if needed.

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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.
44 days ago
5

Your sleep problem is insomnia linked to PCOS + stress. Start with sleep hygiene + melatonin + relaxation routine. If symptoms persist, consult a nearby doctor for in person consultation for short-term sleep medicine.

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Dr. Arsha K Isac
I am a general dentist with 3+ years of working in real-world setups, and lemme say—every single patient teaches me something diff. It’s not just teeth honestly, it’s people… and how they feel walking into the chair. I try really hard to not make it just a “procedure thing.” I explain stuff in plain words—no confusing dental jargon, just straight talk—coz I feel like when ppl *get* what's going on, they feel safer n that makes all the difference. Worked with all ages—like, little kids who need that gentle nudge about brushing, to older folks who come in with long histories and sometimes just need someone to really sit n listen. It’s weirdly rewarding to see someone walk out lighter, not just 'coz their toothache's gone but coz they felt seen during the whole thing. A lot of ppl come in scared or just unsure, and I honestly take that seriously. I keep the vibe calm. Try to read their mood, don’t rush. I always tell myself—every smile’s got a story, even the broken ones. My thing is: comfort first, then precision. I want the outcome to last, not just look good for a week. Not tryna claim perfection or magic solutions—just consistent, clear, hands-on care where patients feel heard. I think dentistry should *fit* the person, not push them into a box. That's kinda been my philosophy from day one. And yeah, maybe sometimes I overexplain or spend a bit too long checking alignment again but hey, if it means someone eats pain-free or finally smiles wide in pics again? Worth it. Every time.
44 days ago
5

Hi Ipsita,

Your sleeplessness/ Insomnia may be pcos linked,due to anxiety,lifestyle,Thyroid issues,vit d/ b12 deficiency.

Please check Thyroid profile Vit d level

Meanwhile; Fix a consistent wake-up time Do exercises Avoid tea,caffeine,chocolates Reduce screen time(especially at 2/3AM) Try 4-7-8 breathing Take Warm milk with turmeric before bedtime

Small consistent habits usually bring big improvements in sleep.

Hope i solved your query Thank you dear

207 answered questions
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Dr. Nirav Jain
I am a qualified medical doctor with MBBS and DNB Diploma in Family Medicine from NBEMS, and my work has always been centered on treating patients in a complete, not just symptom based way. During my DNB training I rotated through almost every core department—Internal medicine, Pediatrics, Obstetrics & Gynecology, Surgery, Orthopedics, ENT, Dermatology, Psychiatry, Emergency medicine. That mix gave me the skill to manage acute illness, long term disease and preventive care together, something I find very important in family practice. In psychiatry I worked closely with patients who struggled with depression, anxiety, stress related problems, insomnia or substance use. I learned not just about medication but also about simple psychotherapy tools, psycho education and how to talk openly without judgement. I still use that exp in family medicine, specially when chronic disease patients also face mental health issues. My time in General surgery included assisting in minor and major procedures, managing wounds, abscess, sutures and emergencies. While I am not a surgeon, this gave me confidence to recognize surgical cases early, provide first line care and refer fast when needed, which makes a big difference in online or OPD settings. Now I work as a consultant in General medicine and Family practice, with focus on both in-person and online consultation. I treat conditions like fever, infections, gastrointestinal complaints, respiratory illness, and also manage diabetes, hypertension, thyroid disorders, and lifestyle related chronic diseases. I see women for PCOS, contraception counseling, menstrual health, and children for common pediatric issues. I also dedicate time to preventive health, lifestyle counseling and diet-sleep-exercise advice, since these small changes affect long term wellness more than we often realize. My key skills include holistic diagnosis, evidence based treatment, chronic disease management, mental health support, preventive medicine and telemedicine communiation. At the center of all this is one thing—patients should feel heard, safe, and guided with care that is both professional and personal.
44 days ago
5

Hello Ipsita,

Sleep issues are very common in PCOS due to hormonal imbalance, stress, and sometimes underlying insulin resistance. The good thing is with proper sleep hygiene, lifestyle changes, and occasionally short-term medication, sleep can improve.

First, correct your sleep hygiene: avoid mobile/TV before bed, fix a bedtime (around 10.30–11 pm) and stick to it, avoid caffeine after 4 pm, and do light exercise/yoga in daytime. Once you got to bed and can’t get sleep, get up and walk in the room for 1 minute and go to bed again, it’ll reset your tone.

Try relaxation methods like warm bath, meditation, or herbal tea before bed.

If still not improving, a short course of medicine should be could but should be taken under doctor’s guidance.

For headaches, most likely from disturbed sleep, but if they persist despite good sleep, we’ll need further evaluation.

Since you also have PCOS, managing weight and diet will help both hormones and sleep in the long term.

Feel free to re-connect.

Regards,

Dr. Nirav Jain MBBS, DNB D.Fam.Med

163 answered questions
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Dr. Abhishek Gill
I am a doctor with 5 years total experience, mostly split between Emergency and Obstetrics & Gynaecology—and honestly both keep you on your toes in totally different ways. In the ER, you don’t get time to second-guess much. Things come at you fast—trauma, active bleeding, breathlessness, collapsed vitals—and you learn to think, act, then think again. But in Obs/Gyn, it’s more layered. One moment you’re handling routine antenatal care, the next you're managing obstructed labour at 3am with everything depending on timing. I try not to treat anyone like "just another case." I take proper history—like actual, detailed listening—and then move step by step. Exam, investigations only if needed (not just because), and explaining things clearly to the patient and attenders. Not gonna lie, sometimes I do repeat myself twice or thrice. People are stressed, they don’t hear it all the first time. Communication I’d say is one of my stronger areas, but not in some fancy textbook way. Just knowing *how* to talk, when to pause, when not to overload info. Like with a first-time mother in pain who doesn’t care about medical terms—she just wants to know if her baby’s okay. Those moments taught me more about medicine than most of my exams. I handle postpartum issues, early pregnancy complications, PCOD, menstrual complaints, emergency contraception consults too—bit of everything. And in casualty shifts, I’ve done everything from inserting Ryle’s tubes to managing hypertensive crises. You have to stay sharp. But also know when to slow down and re-evalutate something that doesn’t fit right. Counselling’s part of the job too. Sometimes patients need reassurance more than a prescription. Sometimes they just need honesty, even if the answer isn't simple. I don’t pretend to have all the answers, but I do care enough to find them. Bit by bit. Every single day.
39 days ago
5

Hello, Your symptoms need lifestyle modifications for better sleep. I suggest you to follow these: 1. Stop overthinking about past and future 2. Do meditation for 10min and then increase the time 3. Go for a walk during daytime when you feel stressed 4. Take help from family members 5. Try to stay disciplined by proper routine with balanced diet. 6. Don’t use any screen 1-2 hours before sleep 7. Drink 1 glass milk before sleep.

If symptoms persist, consult the physician. Take care.

178 answered questions
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Your experience with difficulty sleeping and the resulting consequences like headaches are quite common issues that can have a multifaceted nature. It’s important first to look at lifestyle factors that might be affecting your sleep cycle. A regular sleep schedule is crucial, so try to go to bed and wake up at the same time every day, even on weekends. This helps to regulate your body’s internal clock. Also addressing your sleeping environment is necessary; consider whether your bedroom is conducive to sleep, which means keeping it dark, cool, and quiet. Blue light from screens can be disruptive, so it’s wise to minimize exposure from devices such as phones or computers at least an hour before bed. If you’re waking up in the middle of the night, it might be due to stress or anxiety, so relaxation techniques such as deep breathing or meditation before bed could help your mind and body relax. Physical activity during the day can promote better sleep at night, just be cautious not to exercise too close to bedtime which can have an arousing effect. Watching your intake of caffeine and alcohol is also key, as both can interfere with sleep patterns. Try cutting down particularly in the hours leading up to bedtime. In terms of diet, avoid heavy meals late at night. If headaches are persistent alongside your sleep difficulties, it’s important to assess them further. Sometimes, severe headaches can be a sign of something more serious, so if these persist, I would recommend consulting with a healthcare professional. Over-the-counter pain relief should only be used occasionally and not as a substitute for medical assessment. Should your sleep disruption continues despite these measures, it could be beneficial to consult with a doctor to explore the possibility of underlying conditions such as sleep apnea or insomnia that might need specific treatment.

3677 answered questions
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