I am 18 years old. It is been 4 month. When I try to sleep I suddenly jerk. It will happen about 20 times a night. Yesterday my EEG was abnormal. Last year I did an Brain MRI for another issue it was normal. But that time when I did an MRI I didn't have jerks before falling asleep. Do I need another brain MRI for any lesion or mass?

Dr. Jagtap T NGeneral Physician38yrs exp

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Other MRI is not needed. 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. Jerks before sleep is a normal phenomenon. 

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