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Dr Sourabh Shah's Happysmiles Dental Clinic

Somnologist Clinic

2nd floor, Above Shree Laxmi co-op Bank, Parvati Industrial Estate, Satara Road. Landmark: Opp Adhinath Society, Pune Pune
1 Doctor · ₹500
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Dr Sourabh Shah's Happysmiles Dental Clinic Somnologist Clinic 2nd floor, Above Shree Laxmi co-op Bank, Parvati Industrial Estate, Satara Road. Landmark: Opp Adhinath Society, Pune Pune
1 Doctor · ₹500
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It is important to us that you feel comfortable while visiting our office. To achieve this goal, we have staffed our office with caring people who will answer your questions and help you ......more
It is important to us that you feel comfortable while visiting our office. To achieve this goal, we have staffed our office with caring people who will answer your questions and help you understand your treatments.
More about Dr Sourabh Shah's Happysmiles Dental Clinic
Dr Sourabh Shah's Happysmiles Dental Clinic is known for housing experienced Somnologists. Dr. Viranchi Oza, a well-reputed Somnologist, practices in Pune. Visit this medical health centre for Somnologists recommended by 79 patients.

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2nd floor, Above Shree Laxmi co-op Bank, Parvati Industrial Estate, Satara Road. Landmark: Opp Adhinath Society, Pune
Satara Road Pune, Maharashtra
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Sleepwalking - 11 Things You Must Know!

MD - Psychiatry
Psychiatrist, Jodhpur
Sleepwalking - 11 Things You Must Know!

Sleep is one such time when people usually are expected to lie down still and get rest. However, we have all heard of sleepwalking, a condition where a person walks during the sleep. Though it may sound strange, there is a deeper explanation for it both from a causative point of view and from managing it.

Things you should know?

  1. Sleepwalking happens when a person moves back from a deep sleep to a light sleep or awakening state.
  2. The person who is sleepwalking is usually not aware of it.
  3. Activities may range from simply getting up and sitting up in bed to walking around the room. They could also open the door and walk out to the neighbourhood. Moving furniture, changing dresses or driving a car, may also be some of the actions Most of these activities happens completely without their knowledge.
  4. Mostly happens in children up to the age of 12, but can be seen in adults also, where it assumes a more severe form.
  5. The person who is sleepwalking has a fixed stare with glassy eyes. They may appear dazed and lost when they are awakened.
  6. They may not respond when they are actually sleepwalking, or respond very slowly
  7. They can be brought back to bed and put back to sleep without being disturbed. Most children would go back to sleeping when this is done
  8. Though the parents can be very worried when they see children sleepwalking, reassurance is required, as it usually disappears as they cross teenage.
  9. There could be chances of small injury like tripping or fall during the sleepwalking episode
  10. Sleepwalkers may be more restless compared to other children during their waking hours
  11. Bedwetting is also quite common in children who sleepwalk

Causes

  1. Inappropriate sleep pattern with lack of sleep for prolonged periods is one of the main reasons for sleepwalking
  2. Stress
  3. Excessive drinking
  4. Medical conditions like heart rhythm problems, acidity, gastric reflux, and seizures
  5. Psychiatric conditions like panic attacks and post-traumatic stress disorder can also lead to sleepwalking

Management

  1. For a parent to see their child walking around in their sleep can be quite disturbing.
  2. Reassurance is required stating that it is just a temporary phase and will not stay beyond the teenage years
  3. Most people do not require any intervention unless accompanied by severe symptoms like going out of the house or driving
  4. Once established, it is advisable to avoid by not drinking too much alcohol, avoiding stress and anxiety and taking precautions like extra-secure locks to prevent sleepwalking and/or other side effects. If you wish to discuss about any specific problem, you can consult a psychiatrist.
958 people found this helpful

Hello, don't know what's the problem In me I feel very sick at the mrng times and I always feel to sleep. Earlier I have used dexona ND ciplactin tablets to become fat after using dat started sickens since 2014 August can you tell what would be the problem ND how can I solve it.

MBBS
General Physician, Ahmednagar
Hello, don't know what's the problem In me I feel very sick at the mrng times and I always feel to sleep. Earlier I h...
DEXONA is a harmful steroid. It should have used judiciously. It is not a drug to get fatty. Fat is side effect of steroids. STOP steroid. You have poisoned yourself.
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Sir I can't sleep properly in night my brain always do thinking over night what should I do sir.

MBBS
General Physician, Ahmednagar
Sir I can't sleep properly in night my brain always do thinking over night what should I do sir.
Simple ways for a restful sleep 1.Cut down on caffeine: Caffeine drinkers may find it harder to fall asleep. Even a single cup of coffee in the morning may lead to a sleepless night. Caffeine blocks the effects of adenosine, a neurotransmitter thought to promote sleep. Caffeine can also interrupt sleep by increasing the need to urinate during the night. Because caffeine withdrawal can cause headaches, irritability, and extreme fatigue, it may be easier to cut back gradually rather than to go cold turkey. Those who can’t or don’t want to give up caffeine should avoid it after 2 p.m. Or noon if they are especially caffeine–sensitive. 2.Stop smoking or chewing tobacco: Nicotine is a central nervous system stimulant that can cause insomnia. If you continue to use tobacco, avoid smoking or chewing it for at least one to two hours before bedtime. 3.Limit alcohol intake: Alcohol depresses the nervous system, so a nightcap may seem to help some people fall asleep. Alcohol suppresses REM sleep, and the soporific effects disappear after a few hours. Alcohol also worsens snoring and other sleep breathing problems. 4. Worry and stress causes sleeplessness. Find out what hurts you and resolve the issue.
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Ayurveda For Stress And Sleep Disorder

BAMS
Ayurveda, Faridabad
Ayurveda For Stress And Sleep Disorder

Are you suffering from stress and sleep disorders (Insomnia)? Are you looking for Ayurvedic remedies for improving your sleep? The principles of Ayurveda state that sufficient sleep along with a proper diet, and wise utilization of energy are important for maintaining good health.

Ayurvedic Consideration:

According to ayurveda, the vitiation of the three doshas either taken all together or individually may result in to insomnia. All factors, that are responsible for aggravation of vata and pitta ,along with environmental and dietary factors play an important role in sleep disturbances. High vata type of insomnia is caused by Vaata imbalance or mental stress. People, who toss and turn, unable to fall asleep because their mind is spinning, have this disorder. It results with anxiety, worry, and rushed activity during the day. Where as in pitta imbalance there is intermittent awakening. You may fall asleep quickly but wake up frequently with palpitation, body pains, and emotional disturbances such as fear, anger, and sadness. Another pattern is that you wake up before dawn and find it difficult to go back to sleep.

There are certain health principles and ways that you should follow for improving quality of sleep, getting rid of stress and boosting your body’s immune system. They are as follows:

  1. Maintain a disciplined sleep schedule- You should be very disciplined regarding your sleep. Try to sleep early which gives you the time to sleep throughout the night. Wake up early the next morning. Your mind  is stable, slow and dull from 6pm to 10pm. This is a perfect time for getting good sleep.
  2. Mindful eating- It is recommended for you to have your dinner early between 6.30 to 7 pm. The digestive fire starts cooling down after the sun sets. You can improve your digestion by eating light, early meals. This is beneficial for your sleep quality. While eating, you should avoid doing other activities such as reading books, watching television, or involving yourself in conversations. 
  3. Oil massage- Oil massage therapy is a primary part of  Ayurvedic treatment for stress and sleep disorder. Oil massages on your feet are important for improved sleep. There are nerve endings in your feet, which are nourished because of oil massage. Massaging helps in stress relief, makes you feel relaxed, and improves your blood circulation. As a result of all these, your sleep gets drastically improved. You can choose from several herbal oils for massage. 
  4. Pranayama- Pranayama is considered to be very important for improving sleep disorders and stress. Several rounds of alternate nostril breathing or “naadi shodhana pranayama” should be undertaken on a regular basis. This is effective for the mind, and calms down your nervous system. You are bound to get deeper, and longer sleep of high quality. 
  5. Practice self-compassion- You wellness and health depend considerably on a balance among your  mind, body and soul. It is important for you to keep away from negative vibes and always try to be present in a positive environment. You should be mindful over who you talk to right before going to sleep. Ideally, you should switch off your mobile, computer, television, and social media activities, two hours before going to sleep. 
  6. Regular exercise- Regular exercise is very important for you to stay healthy and fit physically, which in turn helps you to maintain a healthy state of mind. This is vital for improving sleep disorder and eliminating stress. Keep away from all types of stimulants during the evening so that your sleep is not affected. 

Ayurvedic Herbs for Insomnia

The useful herbs for the treatment of insomnia are:-

  1. Brahmi: It is a powerful brain tonic, which supports and improves all aspects of mental functioning. It is a calming and tranquillising herb. A cup of brahmi tea or powder or any other preparation with brahmi, taken at bedtime, will induce a peaceful sleep and its regular use will help to cure insomnia.
  2. Vacha: (Acorus calamus) has been used in Ayurvedic medicine for the treatment of various ailments, such as epilepsy, headache,insomnia etc. it can be taken along with Amla, Brahmi powder at bed time.
  3. Aswagandha: This is an overall tonic for greater vitality and longevity. It enhances coordination between the mind and senses which, according to Ayurveda, is essential for good sleep. The recommended dose is half teaspoonful of powder taken at night along with sugar+ ghee or warm milk.
  4. Jatamansi: It has been found to increase levels of neurotransmitters like serotonin. It is a sedative, anti-depressant, and anti-epileptic cardio-tonic and is regarded as one of the most effective remedies for neurosis. 
  5. Valerian: Indian valerian, also known as tagar in Hindi, works on the nerve channels by clearing out toxins from the blood, joints, tissues, colon and nerves. Its basic role is to rejuvenate. However, valerian should not be taken on its own. For, it can have a somewhat dulling effect. It is best used as part of some herbal preparation.
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I cannot sleep early. Around 11 pm. I don't know why. When I go to bed at 11 pm .At that time I think many things. So I can sleep around 2 am. Give some suggestions.

MBBS
General Physician, Cuttack
I cannot sleep early. Around 11 pm. I don't know why. When I go to bed at 11 pm .At that time I think many things. So...
1.You may be having anxiety or stress. Avoid stress. 2.You need 7-8 hours of sound sleep to remain healthy. 3.Go for regular exercise, Take part in games and sports, 4.Do yoga, meditation and deep breathing exercise like pranayama to calm your mind, control your emotion, relieve anxiety and improve concentration. 5.Adhere to a specific sleep time and regular schedule 6.Take light dinner. 7.Avoid taking tea/coffee at bed time. Have a glass of warm milk at bed time . 8. Don’t go to sleep immediately after dinner.Take a small walk after dinner and if possible take hot water bath before sleep. Read a light magazine or interesting book before going to bed 9. Avoid late night. 10.Don’t sleep in day time 11.Don’t take sleeping pill 12. If no relief consult doctor
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Dr. Mujhe bhut neend aati h? Mai rat ko 9 ghante soti hu fir b din m bhut neend aati h meri studies b bhut disturb ho rahi h.

BHMS, MD - Homoeopathy
Homeopath, Lucknow
Dr. Mujhe bhut neend aati h? Mai rat ko 9 ghante soti hu fir b din m bhut neend aati h meri studies b bhut disturb ho...
Din me neend ane k bahut se reasons ho skte h. Apko apni diet or sleep timings pe kaam krna chahiye jijje apko bahut araam milega. Diet me Oily things or rice ko avoid kriye, specially heavy dinner Raat me na krein. Breakfast heavy hona chahiye, Lunch thoda km heavy hona chahiye, or dinner ekdum light hona chahiye. Raat me sone ke km se km 2 hr pehle dinner kr lein, or time fix kr lein ki itne tim the so jana h (best will be- between 10:00 to 11:00 pm). Saath hi subah uthne ka time bhi fix kr lein. Subah uth k daily 20 min brisk walking and exersices krein. Ye daily ka routine bnayein, follow it even in holidays. Kuch hi dino me apki samasya door ho jayegi.
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I have problem of sleeping too much ,I am fed up of my this habit I waste my all by sleeping and can't contribute some time for studies because of this cuz all the day I fell sleepy and lazy .plz tell what cuz this problem and some quick redemy (solution) for this problem.

MBBS
General Physician, Bangalore
I have problem of sleeping too much ,I am fed up of my this habit I waste my all by sleeping and can't contribute som...
Go for Physical activities. Play for one hour your favourite game/sport. Or Excercise- Run, Brisk Walk, Gym,Skip, Cycling. Take atleast 3 to 4lit of water per day. Regularise your timing.
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Hi doctor I have lipoma all over my body. Can you please guide me is there any way through which I can reduce it. What are the food items I need to prevent for this. Any specific diet. I had one 6 years back. Due to my negligence now I have more than 20 all over my body. Kindly help.

MBBS, MD - Dermatology, venereology & Leprology
Dermatologist, Kota
Hi doctor I have lipoma all over my body. Can you please guide me is there any way through which I can reduce it. Wha...
Dear lybrate-user. Kindly specify what exactly was your negligence. As far as I know, it may be either Lipoma/Neurofibroma. Both the conditions are totally different. Please visit a Dermatologist. You may be referred to a Gen Surgeon if needed.
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My mom moans sometimes during nocturnal sleep. She told me that she feels pain and unable to produce any sounds during that time unless and until someone wake her up the episode continues. Is this a sleeping disorder? My mom is very superstitious and she believes this happens because of her few superstitions!

BHMS
Homeopath, Raebareli
My mom moans sometimes during nocturnal sleep. She told me that she feels pain and unable to produce any sounds durin...
Yes this can happen to some people if they are superstitious/lying down with hand on chest/too much cold enviroment leading the heart to slow its movement, etc. Give her Aconite 30 - twice daily 4 pills for next 2 weeks Continue treatment.
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5 Ways For Quick Recovery From Fracture

MBBS, Diploma In Orthopaedics (D. Ortho), DNB - Orthopedics, mch
Orthopedist, Delhi
5 Ways For Quick Recovery From Fracture

Even though we have 206 bones in our bodies, breaking just one is enough to bring our daily lives to a standstill. A partial or complete break in a bone is termed as a fracture. While minor fractures can heal in as little as 6 weeks major fractures can take 3-4 months to heal properly. In cases of complex fractures, you may need physical therapy even after this time period to get back complete mobility. Hence patience is essential when a fracture is healing, but here are a few tips on how to speed up the process.

  1. Increase your protein intake: Proteins are essential for the healing and repairing of damage to bones and tissues. Proteins also give the bone structure its strength, Hence, depriving the body of adequate protein will result in the formation of soft bones rather than hard, strong bones. This prevents a bone from fracturing in the same place again.
  2. Have a diet rich in antioxidants: Inflammation is one of the first symptoms of a fracture. This inflammation can continue for many days after the incident and until the inflammation reduces, healing cannot take place properly. Antioxidants help rid toxins from the body and help reduce inflammation thereby initiating the healing process. Antioxidants can also help relieve pain.
  3. Exercise: While you must take care not to apply too much pressure on the affected area it is essential to move the limb as much as possible. Being active promotes blood flow and in this way speeds up the healing process.
  4. Avoid alcohol and caffeine: In most cases, a doctor will prescribe pain relievers to deal with the pain of a fracture. Under no circumstances should you consume alcohol when taking these medications. Even after the antibiotic course is over it is a good idea to abstain from alcohol as this can increase inflammation. Similarly, caffeine and all caffeinated products should also be avoided as they contain compounds that can prevent calcium from being absorbed.
  5. Have an alkaline diet: Having an alkaline diet with lots of fruits and vegetables helps stabilise the pH levels of the body and conserves minerals and proteins needed to build strong bones. In this way, it creates the optimal environment for healing. An alkaline diet also increases the production of growth hormones and other growth factors like IGF insulin in the body. These are crucial to speeding up the healing process and aid in new bone formation. If you wish to discuss about any specific problem, you can consult an orthopedist.
3584 people found this helpful

Tips To Prevent Sleep Disorders

M.Sc. in Dietetics and Food Service Management , Post Graduate Diploma In Computer Application, P.G.Diploma in Clinical Nutrition & Dietetics , B.Sc.Clinical Nutrition & Dietetics
Dietitian/Nutritionist, Mumbai
Tips To Prevent Sleep Disorders

1. Maintain a healthy lifestyle such as eating well, drinking water regularly, avoiding stress and maintaining a healthy weight. Frequently, individuals develop sleep disorders due to stress or obesity.

2. Establish a regular schedule for sleep. Wake up and go to bed at the same time everyday, including weekends. Establishing a regular sleep schedule will train your body to sleep soundly on a consistent basis.

3. Avoid taking naps throughout the day. If you take a nap during the day, then you will be less tired at night, be more restless and may not sleep as deeply.

4. Abstain from smoking, drinking alcohol or ingesting caffeine because they can keep you up at night. Even though alcohol makes you sleepy, it obstructs the quality of your sleep.

5. Exercise regularly so that your body will be tired, but do not exercise for 3 to 4 hours before you go to sleep, because it may energize you.

6. Refrain from eating heavy meals for dinner, which can make you feel uncomfortable and will prevent you from sleeping well.

7. Create a bedroom that is quiet, dark and a comfortable temperature, which will promote sleep and avoid disturbances.

8. Sleep on your side with your head slightly elevated to prevent the symptoms of sleep apnea.

9. Construct a bedtime routine such as reading, meditating or bathing. Having a routine will train your body to recognize that you are preparing for sleep, which will help you to fall asleep easier.

10. Use your bedroom for sleep only. Do not work or do any other tasks in your bedroom if possible. If your bedroom is used only for sleep, then you will associate the room with sleep, which will aid in falling asleep faster and sleeping deeply.

11. Get out of bed and engage in a non-stimulating activity, such as reading until you feel sleepy again. Sometimes lying in bed when you are not able to sleep makes it more difficult to feel sleepy.

2 people found this helpful

Not able to sleep properly from last 10 days. Having no work stress or any personal issues. But still I was not able to sleep properly. Daily it was taking around to 3: 30 to 4 Am to get into sleep and waking up around 10 to 11 am. Please let me know how can I over come this issue.

MBBS, Post graduate in diabetology
General Physician, Howrah
Not able to sleep properly from last 10 days. Having no work stress or any personal issues. But still I was not able ...
take 2-2.5 litre water per day; avoid tv, computer, mobile before going to bed; make a regular sleeping time from 10 pm to 6 am.
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I can't sleep I go to bed but it takes 2 hours for me to fall asleep because of which I feel sleepy during the day please help.

PGD IN ULTRAASONOGRAPHY, Non invasive cardiology course, MD - Medicine, MBBS
General Physician, Narnaul
I can't sleep I go to bed but it takes 2 hours for me to fall asleep because of which I feel sleepy during the day pl...
One of the most common causes of sleep onset insomnia is anxiety or chronic worry. You get into bed at night but can’t fall asleep because your mind is racing with anxious thoughts about what you didn’t get done today, about what tomorrow might hold, or simply feeling overwhelmed by daily responsibilities. As well as addressing daytime habits that contribute to sleep onset insomnia—such as avoiding caffeine late in the day and exercising in the morning or afternoon—there are steps you can take to learn how to stop worrying at bedtime and look at life from a more positive perspective. To help calm your mind and prepare for sleep, you can also try: Using the bedroom only for sleeping and sex. Don’t work, watch TV, or use your computer in bed or the bedroom. The goal is to associate the bedroom with sleep alone, so that your brain and body get a strong signal that it’s time to nod off when you get in bed. Turning off all screens at least an hour before bed, dimming the lights, and focusing on quiet, soothing activities, such as reading, knitting, or listening to soft music. Avoiding stimulating activity and stressful situations before bedtime. This includes big discussions or arguments with your spouse or family, or catching up on work. Postpone these things until the morning. Moving bedroom clocks out of view. Anxiously watching the minutes tick by when you can’t sleep—knowing that you’re going to be exhausted when the alarm goes off—is a surefire recipe for insomnia. You can use an alarm, but make sure you can’t see the time when you’re in bed. Getting out of bed when you can't sleep. Don’t try to force yourself to sleep. Tossing and turning only amps up the anxiety. Get up, leave the bedroom, and do something relaxing, such as reading, drinking a cup of herbal tea, or taking a bath. When you’re sleepy, go back to bed. Harnessing your body's relaxation response. Relaxation techniques such as meditation, yoga, and deep breathing not only help you quiet your mind and relieve tension in the body, but they also help you fall asleep faster. It takes regular practice to learn these techniques and harness their stress-relieving power. But the benefits can be huge. You can do them as part of your bedtime routine or when you are lying down preparing for sleep. A variety of smartphone apps can guide you through the different relaxation methods, or you can follow these techniques: Relaxation techniques for insomnia Abdominal breathing. Breathing deeply and fully, involving not only the chest, but also the belly, lower back, and ribcage, can help relaxation. Close your eyes and take deep, slow breaths, making each breath even deeper than the last. Breathe in through your nose and out through your mouth. Progressive muscle relaxation. Make yourself comfortable. Starting with your feet, tense the muscles as tightly as you can. Hold for a count of 10, and then relax. Continue to do this for every muscle group in your body, working your way up from your feet to the top of your head. Mindfulness meditation. Sit or lie quietly and focus on your natural breathing and how your body feels in the moment. Allow thoughts and emotions to come and go without judgment, always returning to focus on breath and your body. What to do when you can't stay asleep One of the keys to countering sleep maintenance insomnia is to figure out why you’re waking up in the night or too early in the morning. If light from streetlamps or noise from traffic, neighbors, or roommates is disturbing your sleep, for example, the answer could be as simple as wearing an eye mask or ear plugs. If you’re awake at 2 a.m. Worrying, you need to take steps to get your anxiety under control. Things to avoid before bed: Drinking too many liquids in the evening. Waking up at night to go to the bathroom becomes a bigger problem as we age. By not drinking anything an hour before sleep and going to the bathroom several times as you get ready for bed, you can reduce the frequency you’ll wake up to go during the night. Alcohol before bed. While a nightcap may help you to relax and fall asleep, it interferes with your sleep cycle once you’re out, causing you to wake up during the night. Big meals at night. Try to make dinnertime earlier in the evening, and avoid heavy, rich foods within two hours of bed. Spicy or acidic foods can cause stomach trouble and heartburn which can wake you during the night. What to do when you wake up at night: Stay out of your head. Hard as it may be, try not to stress over your inability to fall asleep again, because that stress only encourages your body to stay awake. To stay out of your head, focus on the feelings in your body or practice breathing exercises. Take a breath in, then breathe out slowly while saying or thinking the word, “Ahhh.” Take another breath and repeat. Make relaxation your goal, not sleep. If you find it hard to fall back asleep, try a relaxation technique such as visualization, progressive muscle relaxation, or meditation, which can be done without even getting out of bed. Even though it’s not a replacement for sleep, relaxation can still help rejuvenate your mind and body. Do a quiet, non-stimulating activity. If you’ve been awake for more than 20 minutes, get out of bed and do a quiet, non-stimulating activity, such as reading a book. Keep the lights dim and avoid screens so as not to cue your body that it’s time to wake up. Postpone worrying and brainstorming. If you wake during the night feeling anxious about something, make a brief note of it on paper and postpone worrying about it until the next day when it will be easier to resolve. Similarly, if a great idea is keeping you awake, make a note of it on paper and fall back to sleep knowing you'll be much more productive after a good night's rest. Cure insomnia by tackling daytime stress and worries For many of us, our sleeping problems can be traced back to residual stress, worry, or anger from the day that makes it difficult to wind down and sleep well at night. The worse we sleep at night, the more stressed, worried, and angry we become. To break the pattern: Get help with stress management. If the stress of managing work, family, or school is keeping you awake at night, learning how to handle stress in a productive way and to maintain a calm, positive outlook can help you sleep better at night. Talk over your worries with a friend or loved one during the day. Talking face to face with someone who cares about you is a one of the best ways to relieve stress and put an end to bedtime worrying. The person you talk to doesn’t need to be able to fix your problems, but just needs to be an attentive, nonjudgmental listener. Get enought exerise. Regular exercise not only relieves stress but improves the symptoms of insomnia, increases the amount of time you spend in the deep, restorative stages of sleep, and helps you to feel less sleepy during the day. To maximize sleep benefits, try to exercise vigorously for 30 minutes on most days—but not too close to bedtime. Watch what you eat and drink. Caffeine can cause sleep problems 10 to 12 hours after drinking it, and your diet can also play a role in how well you sleep. Some people find that cutting back on sugary food and drinks and refined carbohydrates during the day makes it easier to sleep at night. When to see a doctor about insomnia If you’ve tried a variety of self-help techniques without success, schedule an appointment with a sleep specialist, especially if insomnia is taking a heavy toll on your mood and health. Provide the doctor with as much supporting information as possible, including information from your sleep diary. Therapy vs. Sleeping pills for insomnia In general, sleeping pills and sleep aids are most effective when used sparingly for short-term situations, such as traveling across time zones or recovering from a medical procedure. Your insomnia won’t be cured by sleeping pills—in fact, over the long-term they can actually make insomnia worse. Since many people complain that frustrating, negative thoughts and worries prevent them from sleeping at night, cognitive-behavioral therapy (CBT) can be much more effective in addressing insomnia. CBT is a form of psychotherapy that treats problems by modifying negative thoughts, emotions, and patterns of behavior. It can be conducted individually, in a group, or even online. A study at Harvard Medical School found that CBT was more effective at treating chronic insomnia than prescription sleep medication—but without the risks or side effects.
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Sleep Wake Disorder - Irregular Sleeping Patterns

Masters of Philosphy, Master of Science, Bachelor of Sciences
Psychologist, Kolkata
Sleep Wake Disorder - Irregular Sleeping Patterns

Sleep-Wake Disorder is a very uncommon syndrome which causes irregular sleeping patterns without any real schedule.

Causes
Persons with brain malfunctioning and those who do not have a regular routine during the day experience such disorders. People with changing work shifts often experience such disorder. Also, travellers who often move from one country to another with different time zones may also have these symptoms.
There's no cure for this disorder, but treatments, including hormones, medicine, and light therapy, can help get you closer to a normal sleeping pattern.

Symptoms

Symptoms may include any of the following:

  1. Sleeping or napping more than usual during the day
  2. Trouble falling asleep and staying asleep at night
  3. Waking up often during the night

Exams and Tests
A person must have at least three abnormal sleep-wake episodes during a 24-hour period to be diagnosed with this problem. The time between each such episode varies from 1 to 4 hours. The doctor may advise you to go ahead with a device called actigraph in case the diagnosis is unclear. The device looks like a wristwatch, and it can tell when a person is sleeping or awake.

Treatment
Though there is no simple cure for irregular sleep-wake syndrome, however, several therapies and lifestyle changes may help a person return to a normal sleep-wake cycle. These include:

  1. A regular daytime schedule of activities and mealtimes need to be fixed.
  2. You should not stay in bed during the day for long.
  3. Use bright light therapy in the morning like those from computer screens and television. The period of exposure should also be increased. Exposure to blue light should be minimized at night.
  4. You should take melatonin at bedtime. This is a hormone that controls the sleep-wake cycle. By taking doses at the right times, you might be able to shift your body clock earlier or later.
  5. Make sure to make the room dark, quiet, and as comfortable as possible at night.
  6. Also one should try to minimize the amount of noise in the sleep environment.
  7. Add more structure to the patient’s day by scheduling social interaction, exercise, and other activities.
  8. Your doctor may prescribe drug to control the timing of the sleep-wake cycle.

Finally, you should take proper care of yourself. Make positive changes in your lifestyle. You can even ask your boss to make your work schedule a bit flexible.

The ultimate goal of these lifestyle changes is to help the person sleep longer at night and make him feel active and awake during the day. Most people have sleep disturbances on occasion. But you need to consult a doctor if such sleep disorders occur regularly.

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What should be done to avoid excess sleep, even at my work place I am feeling sleepy. So please kindly suggest me the ways to get rid of excess sleep.

General Physician, Udaipur
What should be done to avoid excess sleep, even at my work place I am feeling sleepy. So please kindly suggest me the...
breakfast achhe se heavy karo, lunch and dinner light karo, bich bich me thoda snacks tea juice lo.healthy khaao, exercises karo, Paani khoob piyo..raat ko nind poori lo kamse kam 6 ghante ki..raat ko mobile ka use matt karo bed pe...
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I have become lazy. I always sleep at 10 pm but I didn't wake up early. My sleeping hours gone upto 10 to 12 hours. Please help.

MD - Internal Medicine, FUPDA, FICP, FIACM
Internal Medicine Specialist, Faizabad
I have become lazy. I always sleep at 10 pm but I didn't wake up early. My sleeping hours gone upto 10 to 12 hours. P...
It is because you have not made any ambition in life. Fix a target and try to fulfil it all the laziness will go away.
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Hi Sir/Madam, I had sleeping problems for last 2 year I can't sleep for the evening at the time 10-11 I getting sleepy 2 to 3 at the middle of the night or sometimes I had getting sleepy for the Early at the morning so I need help please provide it thank you.

MBBS
General Physician, Jalgaon
Hi Sir/Madam, I had sleeping problems for last 2 year I can't sleep for the evening at the time 10-11 I getting sleep...
Please Do meditation regularly before going to sleep Go for morning and evening walk daily with relaxed mind Avoid excess tea coffee Take Tab tagara by Himalaya 2 2 for 3 mths to regularise your natural sleep Tab macfresh 15 1 at nt for few days only.
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I have pneumonia many time cough in chest and fever. Take antibiotic cure fever. After 3 month fever further coming. Hb 14% age 25 and weight 66. neutrophil increase.

DHMS (Hons.)
Homeopath, Patna
I have pneumonia many time cough in chest and fever. Take antibiotic cure fever. After 3 month fever further coming. ...
Hello, Lybrate user, you should drink lukewarm water. •Gargle, twice with hot saline water. •Tk, steam, twice. •Avoid, cold intake, exposure to cold climate, dust, smoke, junk food ,nicotine.•tk, homoeopathic medicine: @ Bryonia alb. 30-6 pills, thrice. •report wkly, your feedback matters for further follow up,  please. Tk,  care.
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