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Struggling with Insomnia and Sleep Issues
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Sleep-Related Disorders
Question #29003
25 days ago
195

Struggling with Insomnia and Sleep Issues - #29003

Client_2c2183

Hello Doctor, I have trouble sleeping - I take long to fall asleep and wake up often at night. - I feel tired during the day. - I have tried sleep routines, magnesium, and relaxation techniques, but it’s still difficult. Could you please advise me on possible causes and treatment for my insomnia? Name: Habib Mohammed Age: 25 Country: Ethiopia

How long have you been experiencing these sleep issues?:

- 3-6 months

Do you have any other symptoms during the day?:

- Difficulty concentrating

What is your typical bedtime routine?:

- Irregular sleep schedule
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Doctors' responses

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.
24 days ago
5

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

1896 answered questions
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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.
23 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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Insomnia can be complex condition with a variety of causes ranging from stress, anxiety, and lifestyle factors to medical conditions and environmental influences. Since you’ve already tried some self-help methods like sleep routines and relaxation techniques, let’s delve into other potential contributing factors. Consider your daily caffeine and alcohol intake, as both can negatively impact sleep quality. If consumption is high, cutting back gradually might help. Check if you’re using electronic devices close to bedtime since the blue light can interfere with your body’s natural melatonin production—try eliminating screen time at least an hour before bed. It might also be helpful to evaluate your sleep environment: ensure it’s cool, quiet, and dark enough. Establishing a calming pre-sleep ritual, like reading a book or taking a warm bath, might enhance your ability to wind down. Stress management is key too; consider practicing mindfulness or gentle yoga if you haven’t yet. Medical conditions like sleep apnea, depression or thyroid problems can also be culprits so reviewing these with a healthcare provider may be warranted, especially if symptoms persist. If the sleep issues don’t improve, or if they’re severely affecting daily life, seeking advice from a specialist could provide further insights or treatments options. Cognitive behavioral therapy for insomnia (CBT-I) has shown excellent results for many people with sleep difficulties and may be a viable option. In some cases, medications may be considered, but this should be reviewed in detail with your doctor because they can have side effects. Prioritizing good sleep hygiene is essential, and combining lifestyle changes with professional support might provide the best pathway to improving your sleep.

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