Medical

Have medical questions? Ask a doctor online!

Ask a Doctor,
Get an Answer ASAP!

Anxiety attack in 86 yearly causing sleeplessness. The last…

Customer Question
Anxiety attack in 86...

Anxiety attack in 86 yearly causing sleeplessness

Doctor's Assistant: How long have you been dealing with this? Is there anything in particular that seems to make the symptoms better or worse?

The last 4 or for years seems to happen it normal daily activities are changed such as time schedules or traveling and being in a different place

Doctor's Assistant: Anything else in your medical history you think the doctor should know?

I am very active for my age and can control the feelings if i get up and be acrive but then normal sleep patterns are interupted

Submitted: 7 months ago.Category: Medical
Show More
Show Less
Ask Your Own Medical Question
Answered in 4 minutes by:
12/29/2017
Doctor: Dr. Arun Phophalia, Doctor replied 7 months ago
Dr. Arun Phophalia
Category: Medical
Satisfied Customers: 39,094
Experience: MBBS MS. Post doctoral fellowship in Sports Medicine. General surgeon and sports medicine specialist
Verified

Welcome to Just Answer.
Answers here are for education and information.
I will respond shortly with an answer, or further information request.

Ask Your Own Medical Question
Doctor: Dr. Arun Phophalia, Doctor replied 7 months ago

Have you tried anything for anxiety attacks and sleep issues?

Ask Your Own Medical Question
Customer reply replied 7 months ago
Two years ago I went to an urgent care facility when this situation first started and I was alarmed and confused. She gave me a prescription that seemed to calm me down I only used once. But I haven’t used it again because I don’t want to become addicted to it. Unfortunately I can’t remember the name of it.
Doctor: Dr. Arun Phophalia, Doctor replied 7 months ago

Thanks for the additional information. I am writing the detailed answer for you and will get back to you in 4-5 minutes. If you get a phone call request, you may ignore it as that is an automated site trigger. Thank you

Ask Your Own Medical Question
Doctor: Dr. Arun Phophalia, Doctor replied 7 months ago

Anxiety can be treated by the following measures by yourself;

1) Cognitive-behavioral therapy (CBT) and operant-behavioral therapy (OBT); done by a psychologist.

2) Relaxation training and biofeedback.

3) Hypnosis

4) Acupuncture and acupressure

5) Yoga

6) Meditation

7) Group sporting activities

8) St. John's wort

9) Melatonin
10) Valerian root.

The goals of the treatment of Insomnia are;

1) To improve related daytime impairments

2) To improve sleep quality.

Cognitive-behavioral therapy (CBT) is also considered the most appropriate treatment for patients with sleep issues (insomnia). The components of CBT are;

1) Sleep hygiene education

2) Cognitive therapy

3) Relaxation therapy

4) Stimulus-control therapy

5) Sleep-restriction therapy

Phytotherapy for the treatment of insomnia is an exciting new therapeutic option, which might benefit patients suffering from different degrees of insomnia. Insomnia or sleeplessness is a disorder characterized by difficulty initiating or maintaining sleep. It affects sleep quality and quantity leading to increased morbidity. Sleep disturbances are thought to be caused by abnormalities of the circadian system as indicated by misalignments of the endogenous circadian cycle and the sleep-wake cycle. Several contributory factors may be involved such as stress, health status, and medicines (e.g. caffeine).

Treating insomnia is a big challenge as the available medications are associated with several side-effects. Herbal medicines are being looked at as an ideal replacement for these medications. Among the ethnobotanicals used for sleep disorders, Valeriana officinalis and Ziziphus jujuba have been evaluated for pharmacological or clinical efficacy against insomnia. Sedative-hypnotics are the most commonly prescribed drugs for insomnia. Though not usually curative, they can provide symptomatic relief when used alone or adjunctively:

Short- and intermediate-acting benzodiazepines (triazolam, temazepam, estazolam)
Eszopiclone
Zolpidem
Zaleplon
Ramelteon

A physical illness is uncommon with the sleep issue. An off and on sleeplessness need to dig the cause for underlying anxiety, depression or other related issue. A thorough evaluation by the history is done to reach to a conclusion. Accordingly the medical treatment is commenced. The precipitating factors can be;

1) depression,

2) anxiety,

3) sleep-wake schedule changes,

4) medications,

5) other sleep disorders,

6) medical conditions

7) work-related issues

8) family problem,

9) health events.

All these in isolation or in combination play problems in sleep issues. Good sleep cycle, handling the specific problem, counseling, cognitive-behavioral therapy, medications are employed for the treatment.

Following measures are helpful;

1) Avoid if you do;

a) caffeine or alcohol use,

b) environmental noise,

c) inappropriate room temperature,

d) watching TV in bed.

e) avoid large meals in dinner.

2) Relaxation techniques

3) Acupressure and acupuncture.

" I sincerely ***** ***** I have helped you, and that I have earned my 5 star rating today! Please remember to rate my service by selecting the 5 stars at the top of the screen ( rating me now does not close your question). We can continue here until you are satisfied, simply use the reply box and let me know. Thank you!”.

Ask Your Own Medical Question
Doctor: Dr. Arun Phophalia, Doctor replied 7 months ago

Was this information helpful to you? I would be glad to answer any further questions.

It is privilege assisting you.

Please let me know if you have further queries or unanswered questions.

Please consider a positive 5 star rating if this interaction has been satisfactory, as this is the only way we experts are credited and compensated for the time and work. You are not charged again for giving a rating.

The rating button is on the left upper side of this thread.

You can continue to ask questions after positive feedback.

Thank you.

Wishing you all the very best in life.

http://ww2.justanswer.com/help/how-do-i-rate-answer-hl

Happy new year 2018.

Ask Your Own Medical Question
Was this answer helpful?

How JustAnswer works

step-image
Describe your issueThe assistant will guide you
step-image
Chat 1:1 with a doctorLicensed Experts are available 24/7
step-image
100% satisfaction guaranteeGet all the answers you need
Ask Dr. Arun Phophalia Your Own Question
Dr. Arun Phophalia
Dr. Arun Phophalia
Dr. Arun Phophalia, Doctor
Category: Medical
Satisfied Customers: 39,094
39,094 Satisfied Customers
Experience: MBBS MS. Post doctoral fellowship in Sports Medicine. General surgeon and sports medicine specialist

Dr. Arun Phophalia is online now

A new question is answered every 9 seconds

How JustAnswer works:

  • Ask an ExpertExperts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional AnswerVia email, text message, or notification as you wait on our site. Ask follow up questions if you need to.
  • 100% Satisfaction GuaranteeRate the answer you receive.

JustAnswer in the News:

Ask-a-doc Web sites: If you've got a quick question, you can try to get an answer from sites that say they have various specialists on hand to give quick answers... Justanswer.com.
JustAnswer.com...has seen a spike since October in legal questions from readers about layoffs, unemployment and severance.
Web sites like justanswer.com/legal
...leave nothing to chance.
Traffic on JustAnswer rose 14 percent...and had nearly 400,000 page views in 30 days...inquiries related to stress, high blood pressure, drinking and heart pain jumped 33 percent.
Tory Johnson, GMA Workplace Contributor, discusses work-from-home jobs, such as JustAnswer in which verified Experts answer people’s questions.
I will tell you that...the things you have to go through to be an Expert are quite rigorous.

What Customers are Saying:

I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me from a serious, even life threatening situation. I am very grateful to the experts who answered me.

Susan O.USA

I can go as far as to say it could have resulted in saving my sons life and our entire family now knows what bipolar is and how to assist and understand my most wonderful son, brother and friend to all who loves him dearly. Thank you very much

Corrie MollPretoria, South Africa

I thank-you so much! It really helped to have this information and confirmation. We will watch her carefully and get her in for the examination and US right away if things do not improve. God bless you as well!

ClaudiaAlbuquerque, NM

Outstanding response time less than 6 minutes. Answered the question professionally and with a great deal of compassion.

KevinBeaverton, OR

Suggested diagnosis was what I hoped and will take this info to my doctor's appointment next week.
I feel better already! Thank you.

ElanorTracy, CA

Thank you to the Physician who answered my question today. The answer was far more informative than what I got from the Physicians I saw in person for my problem.

JulieLockesburg, AR

You have been more help than you know. I seriously don't know what my sisters situation would be today if you had not gone above and beyond just answering my questions.

John and StefanieTucson, AZ

< Previous | Next >

Meet the Experts:

Family Physician

Family Physician

Doctor

2,592 satisfied customers

Emergency Medicine and Family Practice for over 26 years

Dr. Ketch

Dr. Ketch

Board Certified Physician

76 satisfied customers

Medical Degree, Former Assistant Professor at School of Medicine at Yale University

DrRussMD

DrRussMD

Board Certified Physician

51,788 satisfied customers

Internal Medicine--practice all of internal medicine, all ages, family, health, prevention, complementary medicine, etc.

Dr. David

Dr. David

Board Certified Physician

224 satisfied customers

Treat children/young adults, former chief resident, multiple publications

Dr. D. Love

Dr. D. Love

Doctor

18,159 satisfied customers

Family Physician for 10 years; Hospital Medical Director for 10 years.

Dr Chip (M.D.)

Dr Chip (M.D.)

Doctor

16,629 satisfied customers

20 yrs. in practice, including surgery, general medicine, addiction medicine and pain.

Dr. Arun Phophalia

Dr. Arun Phophalia

Doctor

39,094 satisfied customers

MBBS MS. Post doctoral fellowship in Sports Medicine. General surgeon and sports medicine specialist

< Previous | Next >

Related Medical Questions
What would cause a change in resting heart rate from one day
What would cause a change in resting heart rate from one day to another? Yesterday it was in the 60s and 70s. Today it is in the 90s. I take metoprolol for tachycardia and valsartan for hypertension a… read more
Dr. Jon
Dr. Jon
Attending Physician
MD
413 satisfied customers
I have CLL. My WBC is usually in the 15/16000 range.
I have CLL. My WBC is usually in the 15/16000 range. Sometimes my sleep gets awry (sp?). I take medication for insomonia and once in a while it doesn't seem to work. I'm Stage 0, but will my WBC still… read more
Dr. Arun Phophalia
Dr. Arun Phophalia
Doctor
Post-Doctoral Degree
39,094 satisfied customers
It is the fouth nights in six month that i wakeup during the
Good morning, it is the fouth nights in six month that i wakeup during the nite suffocating, unable to breath. If i panic it is worse, and i cant breath. Now, what i do when it happens(last nite) i ta… read more
Dr. David
Dr. David
Radiation Oncology Attending Director
Post-Doctoral Degree
13,234 satisfied customers
Love, You're up! I didn't sleep again all last night as is
Hi Dr. Love, You're up! I didn't sleep again all last night as is the endless pattern. I haven't yet found a psychatrist either because of my husbands objections. He worries that a psychiatrist might … read more
Dr. D. Love
Dr. D. Love
Doctor
Doctoral Degree
18,159 satisfied customers
My 90 year old father is a teacher that still works part
My 90 year old father is a teacher that still works part time. He was recently hospitalized for 5 days for pneumonia that developed after a cold. He had tuberculosis 60 years ago; however, it is not c… read more
madonia2
madonia2
178 satisfied customers
I haven't had what I consider to be "mini" panic attacks in
I haven't had what I consider to be "mini" panic attacks in months, yet I had about 4 of them that came on randomly this morning. I'm due for my period in a week, so could there be a connection, even … read more
Monika Hearne, M.D.
Monika Hearne, M.D.
Board Certified Ob/Gyn Physician
Doctoral Degree
5,238 satisfied customers
Im suffering from panic attacks but they are stronger when i
Hi, im suffering from panic attacks but they are stronger when i go out of the house for anything, i feel pain in my chest , my back, neck, left arm, nausea etc... for example today i had to go to a m… read more
Anthony Bray, MD
Anthony Bray, MD
Doctoral Degree
9,226 satisfied customers
Male 86 in excellent health. Yearly physicalshows no
Male 86 in excellent health. Yearly physicalshows no problems. Body mass index in middle of range. The only question is a gradual loss of weight, about 15 pounds over year and a half. I notice my voic… read more
Dr Uzair
Dr Uzair
FCPS (R) General Surgery
M.B.,B.S. FCPS
3,853 satisfied customers
I have a sever blushing sometimes and fast hear beatings on
I have a sever blushing sometimes and fast hear beatings on some occasions, i sometimes cover my face with cream to avoid being seen blushing, I heard I can do a surgery to the sympathetic nerve to st… read more
Dr. Ravoof
Dr. Ravoof
Doctoral Degree
2,145 satisfied customers
49 yr old male with no known heart disease. had stess test
49 yr old male with no known heart disease. had stess test in '07, but have had a few EKGs in 2011 that were normal. have had some skipped beats off and on since '06, but not much the last few years. … read more
Dr. David
Dr. David
Radiation Oncology Attending Director
Post-Doctoral Degree
13,234 satisfied customers
My husband showed that he had a right branch blocj from a
hi, my husband showed that he had a right bundle branch blocj from a health insurance exam from an EKG. he is overweight with sleep apnea and does sweat and get out of breath upon light exertion. he h… read more
Dr  S.A.Alam
Dr S.A.Alam
Consultant, Medicine/Cardiology
Master\u0027s Degree
2,616 satisfied customers
CHEST TIGHTNESS I am a female, 26 years old. For the last
CHEST TIGHTNESS Good morning. I am a female, 26 years old. For the last month I have been experiencing tightness or pressure (no pain) in my chest and upper abdominal area. The tightness varies in deg… read more
Dr Chip (M.D.)
Dr Chip (M.D.)
Doctor
M.D.
16,629 satisfied customers
CHEST TIGHTNESS I am a female, 26 years old. For the last
CHEST TIGHTNESS Good morning. I am a female, 26 years old. For the last month I have been experiencing tightness or pressure (no pain) in my chest and upper abdominal area. The tightness varies in deg… read more
Dr. SH
Dr. SH
Board Certified Physician
Doctoral Degree
3,325 satisfied customers
I've been having trouble sleeping these last couple of
I've been having trouble sleeping these last couple of nights and I don't know if it's a sleeping disorder or if it's something else. This recently started happening since last years where they were n… read more
Dr. Arun Phophalia
Dr. Arun Phophalia
Doctor
Post-Doctoral Degree
39,094 satisfied customers
I seem to have the short dizzy spells that happen randomly,
I seem to have the short dizzy spells that happen randomly, maybe once every couple days. This morning I had a piece of candy and about 20 minutes later I experienced a dizzy spell. I didn't have any … read more
Dr. Hasan
Dr. Hasan
Consultant
Post-Doctoral Degree
3,642 satisfied customers
I have had my heart beat very fast twice. Today,it happened
i have had my heart beat very fast twice. Today,it happened again,it was beating fast and i could not breathe well. I rushed outside to catch some breather,which i did and felt alright. When it happen… read more
Dr Owen
Dr Owen
Ob/Gyn Doctor
Doctoral Degree
406 satisfied customers
Am going to Ghana in a few days. Medical care there poor.
Am going to Ghana in a few days. Medical care there poor. Had first seizure in 1992. About 5 yrs ago two more after family dr changed medicine and level was not sufficient to take care of a young chil… read more
doctornihil
doctornihil
Doctoral Degree
2,136 satisfied customers
I believe I'm some how swallowing air. I can feel the air in
I believe I'm some how swallowing air. I can feel the air in my stomach and it has caused me to throw up. It doesn't seem to travel past my stomach as it rolls up my esophagus or sometimes I can breat… read more
Dr. Arun Phophalia
Dr. Arun Phophalia
Doctor
Post-Doctoral Degree
39,094 satisfied customers
Disclaimer: Information in questions, answers, and other posts on this site ("Posts") comes from individual users, not JustAnswer; JustAnswer is not responsible for Posts. Posts are for general information, are not intended to substitute for informed professional advice (medical, legal, veterinary, financial, etc.), or to establish a professional-client relationship. The site and services are provided "as is" with no warranty or representations by JustAnswer regarding the qualifications of Experts. To see what credentials have been verified by a third-party service, please click on the "Verified" symbol in some Experts' profiles. JustAnswer is not intended or designed for EMERGENCY questions which should be directed immediately by telephone or in-person to qualified professionals.

Disclaimer: Information in questions, answers, and other posts on this site ("Posts") comes from individual users, not JustAnswer; JustAnswer is not responsible for Posts. Posts are for general information, are not intended to substitute for informed professional advice (medical, legal, veterinary, financial, etc.), or to establish a professional-client relationship. The site and services are provided "as is" with no warranty or representations by JustAnswer regarding the qualifications of Experts. To see what credentials have been verified by a third-party service, please click on the "Verified" symbol in some Experts' profiles. JustAnswer is not intended or designed for EMERGENCY questions which should be directed immediately by telephone or in-person to qualified professionals.

Show MoreShow Less

Ask Your Question

x