naijadoc2b:


This will be a recurring theme in my responses but I believe the better question is why you are having "serious insomnia". What is the best treatment often only leads to treatment with medications without consideration of the actual cause.

Your insomnia could be due to a multitude of issues and it takes a good history to figure out why you are having it insomnia.
-Do you have issues falling asleep? or staying asleep?
-How long has this been going on?
-What age range are you in?
-Difficulties with mood? feeling more down than usual? stress at work? stress at home?
-Sleep hygiene: do you have a sleep routine? TV in the room? electronic devices before bed? what type of drinks before you go to bed (soda, coffee, alcohol)?
-Nightmares? palpitations/heart racing? racing thoughts?

You catching my drift?

I can easily put you to sleep with medications...it just takes the right combination. The extreme of that would be the Michael Jackson story where essentially I can sedate you. However, this does not fix the problem but rather only exposes you to a host of adverse reactions and consequences. Think Michael Jackson!
I hope you find this helpful

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Hello Doc, thanks for the good work. I'm also having this same problem of serious insomnia so i will answer your questions with the hope that you can provide a lasting solution.

-I have issues falling asleep and staying asleep. I don't fall asleep until everyone has gone to bed and i wake up at the slightest sound and do not fall asleep again.

-My insomnia has been going on For as long as i can remember, i used to cry when i was in secondary school when everyone was sleeping and i wasn't.
-I am 28 years old.

-I don't have difficulties with mood. I have insomnia all the time, even if i'm stressed or not. Infact i have noticed that if i want to get about 3hours undisturbed sleep, i have to over-exert myself and get very tired (i won't sleep if i'm too tired as well)
-No TV, no drinks or food at all, i try not to sit or do anything on my bed but sleep. My sleep has a routine of its own, if i sleep early say 10pm, i wake at intervals and by 2am, sleep is gone, if i sleep late say 1am, sleep is gone by 4am.

-No nightmares, yes to heart racing and racing thoughts. I've also found out that i reason better during the night,

Piriton is the only sleeping pill that works for me, the rest just makes me tired and clueless, i generally do not like taking unprescribed drugs, i only take piriton if i have not gotten a total of 6hours sleep in 2 days.

What can i do to get better sleep. Thanks

Hello Doctor,
Please i need your kind assistance, my brother is 35 and has been going thru some challenges. initially it was neumonia they treaeted, after some time his face and feet started swelling and foamy urine . The doctor treated him and a test was done to check his kidneys and liver and it was pronounced okay but slight protein was noticed in his urine. We further went to do the EUCR i think for the kidneys, and everything fell within normal range, we also did a scan for the stocmach organs, the text shows that his kidneys, gall bladder, liver etc are in normal shapes. Presently the urine is normal ,no longer foamy, but the knee pain and muscle stiffness has not stop. Occasionally we notice feel swelling and his face is slightly puffy also the panting when he climbs a high attitude ( Imean when he walks on a hilly kind of) Although he lost so much weight but gradually recovering his weight but the body seeem to be a little weak. i would appreciate your advice is there any need for further test , if yes what kind of test should be test. Thank you waiting ofr your response.

@naijadoc2b , you said I could send you a PM, and I have sent you an email since a very long time now, but you have not replied to it.

Hello Doctor, I don't last for 10minutes each time I go for morning and evening jogging...I have this sharp pain like a mensuration cramp right in my stomach which sometimes I have to get a maximum of 30minutes rest before it stops.... Any reason

Hello Doctor,
Please i need your kind assistance, my brother is 35 and has been going thru some challenges. initially it was neumonia they treaeted, after some time his face and feet started swelling and foamy urine . The doctor treated him and a test was done to check his kidneys and liver and it was pronounced okay but slight protein was noticed in his urine. We further went to do the EUCR i think for the kidneys, and everything fell within normal range, we also did a scan for the stocmach organs, the text shows that his kidneys, gall bladder, liver etc are in normal shapes. Presently the urine is normal ,no longer foamy, but the knee pain and muscle stiffness has not stop. Occasionally we notice feel swelling and his face is slightly puffy also the panting when he climbs a high attitude ( Imean when he walks on a hilly kind of) Although he lost so much weight but gradually recovering his weight but the body seeem to be a little weak. i would appreciate your advice is there any need for further test , if yes what kind of test should be test. Thank you waiting ofr your response.

What can be responsible for someone not looking his age as a man?For instance a man above 30 that still looks 25.What are the possible factors behind it?

Hello Doc, please I need information on USMLE for foreign trained doctors . Please trow more light on Step 2 clinical skills and step 3