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Dr. Cameron
Dr. Cameron, Doctor
Category: Medical
Satisfied Customers: 12910
Experience:  American Board Certified in Emergency Medicine and Ivy League trained. Medical Review Officer trained in Drug Testing
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I am getting concerned because my sleep pattern has been off

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I am getting concerned because my sleep pattern has been off for awhile. I sleep maybe 2-3 hours then awaken at night stay awake maybe an hour or two then fall back to sleep for maybe 5 more hours uninterrupted. The all day I am wanting to lay down and go to sleep. I never feel rested or alert anymore and yes I have been tested for sleep apnea and do use a C Pap
Dr. Natasha :

hello

Dr. Natasha :

welcome back to the site :-)

Dr. Natasha :

Have you had a sleep test done?

Dr. Natasha :

not a sleep apnea, but sleep studu?

Dr. Natasha :

*study

Customer:

Yes I had a sleep study done twice. First time I was told I had no problem then they called back and said a problem showed up the second half of the study and it was repeated with the end result I was put on a CPap machine

Dr. Natasha :

this was when you went to a special facility and had the study done. they put electrodes on your head

Customer:

Yes it was

Dr. Natasha :

why do you wake up?

Customer:

Usually it is because I have to use the restroom. This may occur once a night

Dr. Natasha :

ah ok

Dr. Natasha :

have you seen a doctor for that?

Customer:

Occasionally there might be a loud noise

Customer:

I have frequent bladder infections which are treated and a thorough kidney exam showed no major problems

Dr. Natasha :

do you have any issues with your urine stream ?

Customer:

Such as?

Dr. Natasha :

how about an enlarged prostate?

Customer:

I'm a femal

Customer:

I don't have a prostate

Dr. Natasha :

i beg your pardon

Dr. Natasha :

I didn't see that

Customer:

that's ok

Dr. Natasha :

Do you have an overactive bladder?

Customer:

i wouldn't say so

Dr. Natasha :

why do you think that you are waking to pee?

Customer:

I do take a diuretic so that could be why

Dr. Natasha :

hmmm.

Dr. Natasha :

well, once you wake up, it is really hard to get back to sleep

Dr. Natasha :

and as we get older, our ability to fall asleep worsens

Dr. Natasha :

it is important to focus on KEEPING you asleep

Customer:

yes I feel wide awake and sometimes get up and do other things til I feel drowsy again

Dr. Natasha :

can you take your diuretic at a different time?

Customer:

why does age affect our ability to sleep

Customer:

i take the diuretic early in the morning

Customer:

my sleep patterns seem reversed

Dr. Natasha :

well, we don't make as much melatonin for one

Customer:

like I am sleepy the bulk of the day then feel more alert around 6 in the evening

Dr. Natasha :

and our metabolism changes

Dr. Natasha :

you may want to change your sleep pattern.

Customer:

It is probably 11 or 12 before I do get to sleep and then it's up and down during the wee hours

Customer:

would taking melatonin help

Dr. Natasha :

Yes, it may help

Dr. Natasha :

check this out:

Dr. Natasha :

http://www.sleepfoundation.org/article/sleep-topics/aging-and-sleep

Customer:

what doseage would be proper

Customer:

I will check the site out too

Dr. Natasha :

check this out:

Dr. Natasha :

http://www.webmd.com/sleep-disorders/tc/melatonin-overview

Dr. Natasha :

In adults, melatonin is taken in doses from 0.2 to 20.0 mg, based on the reason for its use. T

Dr. Natasha :

Now, I would start with the lowest possible

Customer:

I have the first one up and will check out the second later.

Dr. Natasha :

you always want to aim for the lowest amount of medication as possible, in every condition

Dr. Natasha :

ok

Customer:

I might ask too could this be heart related? in 2008 I had to have 2 stents put in place due to blockages. I went thru cardiac rehab and tests showed minimal or no heart damage.

Dr. Natasha :

I don't think so, usually you would have other symptoms during the day

Dr. Natasha :

but untreated reflux can also cause insomnia

Dr. Natasha :

you may want to eat a bland diet for a while and see if that helps

Customer:

interesting as i do have that on occasion

Dr. Natasha :

of course practice good sleep hygeine

Dr. Natasha :

Go to sleep at the same time every day (even if you are not tired)
No caffeinated beverages after noon
No eating less than 2 hours prior to bed time
Exercise 30 minutes a day but not 2 hours prior to bed time
No alcohol after dinner.

Customer:

getting into a better routine might help

Dr. Natasha :

yeah. look at the routine I have above. that will help .

Dr. Natasha :

just like with babies :-)

Dr. Natasha :

we forget how much our bodies need routine

Customer:

i don't drink alcohol however I do have a snack before bed.

Dr. Natasha :

animals, trees need it

Customer:

So I am getting younger lol

Dr. Natasha :

yes, snack is not good

Dr. Natasha :

worsens your reflux

Dr. Natasha :

you can have a little milk

Customer:

I do the snack because my blood sugar has been creeping up and I find eating smaller meals with the snacks keeps the numbers down.

Dr. Natasha :

ok

Dr. Natasha :

hee hee

Dr. Natasha :

you are going to have to finesse this

Dr. Natasha :

but make sure it is bland and see if you can make it as far away sleeping as possible

Customer:

i understand it is a matter of changing my routine and tweeking other things I do

Customer:

and i'm thinking not sleeping during the day would be important

Dr. Natasha :

yes, you don't want to do that

Customer:

sounds good. Thank you for your help.

Dr. Cameron and 5 other Medical Specialists are ready to help you
thanks for the rating ann. I will check in with you in 2 weeks to see how you are doing