Hi doctor, I am 56 years old and self-employed. I do not have much work for the last few months as I have reduced my business for a gradual retirement. I go to bed at about 10 PM. I get up once in between for urination. Most of the day, in the last few months, my sleep gets disturbed at about 4 AM and after that till 6 AM I am unable to sleep and remain in bed tossing around. I feel tired and drowsy, sometime uncomfortable in between 8 AM to 12 PM. I allow myself to sleep in a bent down position, sitting on the chair for about 30 to 45 minutes in the mornings on most of the day when I drowsy. Irrespective of the morning rest, I take regular rest in the afternoon. Nowadays, I do not get sleep during this time also and keep tossing around. I feel fresh in the evenings. What is the reason for this disturbed sleep, tiredness and morning drowsiness? Can you suggest any medicine for this? I am anemic and my hemoglobin is 10.6. I also have high bilirubin, total 3 and non-alcoholic fatty liver. I neither have jaundice nor any other liver problem. I am currently taking LIV APT, Xaria plus and Pan-D. I am getting nose blockage, for the last few months, when I use AC or fan in the lying down position. During yawning too, I get nose block for a few minutes. Allergy doctor had given Xaria plus for this problem. Please let me know whether anything else is required for this. How long should I take Xaria Plus?
Hi. I have gone through your query. Stress related sleep disorder. Sleep study after one month. Obstructive sleep apnea (OSA). Insomnia. Conservative management like sleep hygiene, avoid coffee and tea and do regular exercises. Revert back after a month to a sleep medicine physician online.--->