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Struggling with Insomnia for 35 Years: What's the Best Treatment?

Dr Karthiyayini Mahadevan |1146 Answers |Ask -Follow

General Physician - Answered on Jul 12, 2024

Dr Karthiyayini Mahadevan has been practising for 30 years.
She specialises in general medicine, child development and senior citizen care.
A graduate from Madurai Medical College, she has DNB training in paediatrics and a postgraduate degree in developmental neurology.
She has trained in Tai chi, eurythmy, Bothmer gymnastics, spacial dynamics and yoga.
She works with children with development difficulties at Sparrc Institute and is the head of wellness for senior citizens at Columbia Pacific Communities.... more

Asked by Anonymous - Jul 11, 2024Hindi

Health

I have had insomnia for the past 35yrs. At least twice a year it gets bad otherwise iam in control. Pl tell me what is the best treatment. A pychatrist prescribed me lorasepam. Pushpa

Ans: Sleep is very important for physiological system to function well. To have certain strict discipline with respect to sleep as hygienic practices is very important
No media or mind stimulating activities after 7 pm unwind from worldly activities from 8 pm
Slow down the pace and start preparing the sleep mode
Early dinner by 6 pm helps to achieve this
Exercise well with your physical it helps largely

DISCLAIMER: The answer provided by rediffGURUS is for informational and general awareness purposes only. It is not a substitute for professional medical diagnosis or treatment.

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Question by Akash - Mar 15, 2023Hindi

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Hi Doctor My age is 39 years Struggling with sleep past 2 years feel sleepy then goes to bed then can't sleep even in i get sleep it's breaks after 1 hours during night though of taking sleeping pill

Ans: Sleeplessness is very common problem with the present day - adolescent, youth, Adults and Elders.
One common string which cause this across all age group is unhealthy pattern in food which means, wrong food at wrong timing and Sedantary activities.
Manage your diet rhythm-Eat a balanced meal on time. Early dinner before 7 pm make a lot of difference
2.Good physical activity to exercise and work out the whole body helps

Dr Karthiyayini Mahadevan |1146 Answers |Ask -Follow

General Physician - Answered on Jul 03, 2023

Question by Sulochana - Mar 16, 2023Hindi

Health

Hello Doctor I can’t sleep through the night. Sometimes falling asleep is a problem, sometimes I’m up in the middle of the night and going back to sleep is a problem. Please advise me.

Ans: Too much of sensory overload through visuals, and late dinners are some of the causes for not falling asleep. Please pay attention to your dinner meal. Eat early before 7pm and avoid animal protein, and oily food at dinner meal

Dr Karthiyayini Mahadevan |1146 Answers |Ask -Follow

General Physician - Answered on Jul 14, 2023

Question by Dharam - Jul 14, 2023Hindi

Health

I am having insomnia problem for couple of days I get 2 3 4 in the morning and for 2 to hours can not sleep. Please help.

Ans: Getting up in between and unable to sleep is due the disturbed rhythms in life.
Timely balanced meals, Adequate physical activity to experience your body as a whole and fulfilling your roles as much as you can to your best without getting identified in it.
These are some ways to get your sleep better

Dr Ashit Hegde | Answer |Ask -Follow

Consultant Physician, Internal Medicine and Critical Care Expert - Answered on Aug 21, 2023

Question by MOHAMMED - Aug 21, 2023Hindi

Health

Hello sir,my age is 44.For the last 3 years i have suffering from insomnia(sleeplessness).I have approached a neuro surgeon.He prescribed me some medicines.As long as iam using the medicines i am ok.But when i stop using it i am not getting the sleep.i dont have diabetic or thyroid problem as well.To get deep sleep without medicines is there any remedy pls advice.

Ans: I can only recommend good "sleep hygiene". This is what the American Association of Sleep medicine recommends:

Follow these tips to establish healthy sleep habits:

Keep a consistent sleep schedule. Get up at the same time every day, even on weekends or during vacations.
Set a bedtime that is early enough for you to get at least 7-8 hours of sleep.
Don’t go to bed unless you are sleepy.
If you don’t fall asleep after 20 minutes, get out of bed. Go do a quiet activity without a lot of light exposure. It is especially important to not get on electronics.
Establish a relaxing bedtime routine.
Use your bed only for sleep and sex.
Make your bedroom quiet and relaxing. Keep the room at a comfortable, cool temperature.
Limit exposure to bright light in the evenings.
Turn off electronic devices at least 30 minutes before bedtime.
Don’t eat a large meal before bedtime. If you are hungry at night, eat a light, healthy snack.
Exercise regularly and maintain a healthy diet.
Avoid consuming caffeine in the afternoon or evening.
Avoid consuming alcohol before bedtime.
Reduce your fluid intake before bedtime.

Latest Questions

Nitin Narkhede |43 Answers |Ask -Follow

MF, PF Expert - Answered on Dec 31, 2024

Asked by Anonymous - Dec 12, 2024Hindi

Money

Hello Advait. I have around lump sum 35 lacs to invest in stocks and or MF. please suggest the stocks or suitable MFS from retirement corpus perspective. I have around 15Y left for retirement. Also I am doing SIP of 90K in UTI Nifty 50 index fund, PPFAS flexi cap fund and Motilal Oswal Nifty 500 Index fund. I am risk averse and therefore don't do any investment in pure small or mid cap MFs. However you may suggest any Mid or small cap fund which has very good risk to reward ratio and I will start 25K SIP in it. Thank you in advance.

Ans: Diversification is the key Your portfolio is well-diversified across large-cap and flexi-cap funds. Adding quality mid-cap and small-cap funds enhances long-term growth potential.
Risk Management is required to Balance aggressive investments (mid/small caps) with conservative debt funds.
Tax Efficiency also needs to be considered if tax-saving is needed ELSS funds .
This strategy ensures you balance growth and stability for retirement over the next 15 years. Regularly review your portfolio to align with changing financial goals and market conditions. Nitin Narkhede , Founder Prosperity Lifestyle Hub Community.

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MF, PF Expert - Answered on Dec 31, 2024

Question by Anmol - Dec 22, 2024Hindi

Money

Took home loan in May 2022. House construction completed in June 2023. Sold old house in Dec 2024. Can I set off the captial gains by repaying my home loan?

Ans: Repaying a home loan does not qualify as a "purchase" or "construction" of a new residential property, so it won't help you claim the exemption. No, you cannot set off capital gains by repaying your home loan. Your Options are -
Invest in a New Property: To save tax on capital gains, invest the proceeds in another residential property within 2 years (purchase) or 3 years (construction).
Capital Gains Account Scheme (CGAS): If you're unable to invest immediately, deposit the gains in a CGAS before the filing of your tax return for the year of sale. This gives you time to utilize the funds while deferring tax liability. Exemption under Section 54EC: Invest up to ?50 lakhs in specified bonds (e.g., REC, NHAI) within 6 months of the sale to claim exemption.
Nitin Narkhede , Founder Prosperity Lifestyle Hub Community.

Nitin Narkhede |43 Answers |Ask -Follow

MF, PF Expert - Answered on Dec 31, 2024

Question by SATISH - Dec 24, 2024Hindi

Money

I have 15 L in Icici blue chip fund and shifted my SIP of 25 K to Nippon large cap, I also have 5 K SIPs in Hdfc Mid cap opportunities and 5K in Nippon multicap? Is it the right investment for 35 K a month or need a change..I am 50 Yrs age.I am accumulating for 2 Cr corpus in next 7 years. I already have 45 L in my equity and debt funds. I also want to double SIP in next FY to 70 K a month in same ratio in above funds. Retirement goal is 2 Cr. Please advise

Ans: Continue current SIPs but diversify large-cap allocation slightly.
Allocate additional SIPs in FY 2025 to a mix of large-cap and balanced advantage funds.
Annually rebalance portfolio to maintain an equity-debt ratio that aligns with your risk tolerance and time horizon.
This approach ensures you achieve your retirement goal while managing risks effectively.

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Dating, Relationships Expert - Answered on Dec 31, 2024

Asked by Anonymous - Dec 29, 2024

Relationship

Hi , male happily married for 6 years . I find my ex collegue very attractive. Part of me is yearning to have some good sex with her. She is also married and a good human being, she likes me but still bit sure if she really wants to have sex with me. She loves being with me.

Ans: Dear Anonymous,
Do you have an open marriage? If so, I understand what you are saying. If not, do you understand what you are saying?

I am assuming that you have an open marriage- even so, if you are not sure about your colleague's feelings for you or have no idea about her marital arrangements, it would be a terrible idea to approach her with this. Moreover, she has never voiced her interest in you- “loves being with you” is not the same as she loves you romantically or lusts for you. Please tread very carefully.

I am saying all of these considering you have an open marriage. If that isn't the case, I don't think I have to tell you how wrong all of it is, and how much you should focus on your marriage and whatever is lacking in it; you can even try marriage counseling.

Hope this helps.

Ravi Mittal |480 Answers |Ask -Follow

Dating, Relationships Expert - Answered on Dec 31, 2024

Question by dakshesh - Dec 15, 2024

Relationship

there is a girl and i truly love her but apparently not vice verca, she is dating bad guys and getting hurt again and again but not giving a single chance to me , i truly love her and ready to do anything for her, i confessed my feelings multiple times in front of her but she is like let it be and let the god do whatever he wants also she ghosts me pushed me away and many more things but from the first day we are in a complicated situationship.

Ans: Dear Dakshesh,
I can't speak for her, but I can tell you that when a person, man or woman, is pushing you away and voicing their disinterest, it's best to give them their space. It can either be she is not interested in you romantically or she needs time to get there. But you cannot manipulate, push, or convince her to like you that way. If it happens organically, then good. Or else, you should respect her decision. Moreover, don't you think you deserve someone who likes you back the same way and chooses you over everyone else? I sure think you deserve better.
Please let her make her own choices and as for you, make better choices that are good for you. This toxicity and complicated relationship might be subconsciously exciting right now, but it won't be for long. You will get exhausted.

Best Wishes.

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Dating, Relationships Expert - Answered on Dec 31, 2024

Question by Neha - Dec 31, 2024Hindi

Relationship

Mujhe love me success kyu nahi milti

Ans: Dear Neha,
Finding love takes time for most people. Sometimes we have no control over these things. I can suggest dating apps. You can add a bio that describes you well and also mention the kind of person you want. This way you will only attract people who are compatible with you. It can increase your chances of having a successful relationship. Nevertheless, everyone's love story happens at different paces. Don't worry. You will find yours too, in time.

Best Wishes.

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Dating, Relationships Expert - Answered on Dec 31, 2024

Question by Neha - Dec 30, 2024

Relationship

Mujhe love relationship me success nahi milti aisa kyu

Ans: Dear Neha,
Finding the right relationship takes time for most people. Sometimes we have no control over these things. I can suggest dating apps. You can add a bio that describes you well and also mention the kind of person you want. This way you will only attract people who are compatible with you. It can increase your chances of having a successful relationship. Nevertheless, everyone's love story happens at different paces. Don't worry. You will find yours too, in time.

Best Wishes.

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Dating, Relationships Expert - Answered on Dec 31, 2024

Asked by Anonymous - Dec 31, 2024

Relationship

I’m feeling really lost right now. I’ve been with my boyfriend for about a year, and things started out great. We have a lot in common, and we both enjoy going out with friends. But recently, I've noticed something that’s been bothering me. He works as a bartender, and every time I go to his bar, he gets upset about my friends being there. It feels like he’s trying to push me away from them, and I don’t know how to deal with it. Last weekend, we went out, and after a few drinks, I mentioned how uncomfortable it made me that he talked badly about my friends when they come to his bar. I thought I was being calm about it, but he just flipped out. He started yelling at me in the car, and I was so scared because he was driving way too fast and swerving. I told him I was going to call the cops, but he didn’t listen. Eventually, he pulled over, got out of the car, and started screaming and running around. It all felt so intense and out of control. When he came back to the car, things got physical. I slapped him in an attempt to make him stop, which I regret because I’ve never done that before. In the heat of the moment, he slapped me back and pushed me into a bush. The next day, I had bruises, and I just couldn’t stop thinking about everything that happened. Now, he’s been trying to buy me things and even booked a trip for us, begging me to stay. But I feel so unsure of what to do. I keep telling him that I need space, but it feels like he’s not really understanding the severity of what happened. I’m torn between wanting to make it work and realizing that this situation isn’t healthy. What should I do? Should I give him another chance or listen to my instincts and walk away for good?

Ans: Dear Anonymous,
First of all, physical violence is never the answer to any problem. I think you already know that. Coming to your main query, I think you should take the chain of events that followed after you confronted him very seriously. It's not healthy to slap and be slapped back and pushed into a bush. I am sure he regrets it just like you, but it can become a pattern. I would strongly urge you to rethink this relationship. If you are keen on keeping it going, I recommend either having an open discussion about what happened to make sure it is never repeated, or even better, consulting a therapist to work through the issues. You can have concerns and queries as to why he doesn't like it when your friends are around- that does not warrant such a harsh reaction.

I hope this helps.

Nitin Narkhede |43 Answers |Ask -Follow

MF, PF Expert - Answered on Dec 31, 2024

Asked by Anonymous - Dec 25, 2024Hindi

Money

Sir I am 39 years old. I want to retire at age 50.Now I have 60 lacs in fd in different banks and post office. I have 3.5 lacs in Mutual Fund. I have different properties including home valuing approximately 3.5 Cr.I have no loan.What is my financial position exactly now.How should I plan to get 1 lac monthly after retirement.

Ans: You have a solid financial foundation , Having static property is good to have, unless it is creating any income, otherwise it will be consuming expenses for maintenance. about plan to get 1 lac monthly after retirement at 50 you need to plan certain investments, for 12L(1L per month) per year you need corpus of 3 CR . Retirement Corpus Allocation: Plan to Achieve Your Goal:
1. Maximize FD Efficiency- Shift ?30 lakhs from FDs to debt mutual funds or balanced advantage funds for better post-tax returns (~7-8%). Keep ?30 lakhs in FDs/post office for emergencies and stable returns. 2. Grow Mutual Fund Investments:
Increase equity exposure to at least ?50 lakhs by systematic investments of ?50,000/month in equity mutual funds (e.g., index funds, large-cap funds). By doing this your Expected returns: 10-12% over 10 years, growing the corpus to ~?1.2 crore.
3. Utilize Properties- Explore rental income or liquidate one property closer to retirement to add to your corpus.
If one property generates ?50,000 monthly, you’ll need a smaller investment corpus for the remaining ?50,000.
At retirement allocate-50% in debt funds/FDs for stability and regular income. 50% in equity mutual funds for growth and inflation adjustment. Build an Emergency Fund: Maintain ?10-15 lakhs for unforeseen expenses post-retirement.
Regards, Nitin Narkhede , Founder Prosperity Lifestyle Hub Community.

Nitin Narkhede |43 Answers |Ask -Follow

MF, PF Expert - Answered on Dec 31, 2024

Question by Joy - Dec 28, 2024Hindi

Money

Sir, I am a group d railway employee .My total income in hand is 40000. I distribute my money as personal loan emi 14702 (3 years left) Fridge emi 1700 (2 left) For marriage purpose 10000/month Investment mf 5500 (just started 5 months) My expense 4000 Family 5000 Now I have to marriage in January 2026 ,try to arrange money 2 lakhs, I know that's not enough but still I try to make up, after marriage I live in rent of 7000, then my marriage purpose 10000 break into rent and my expense. I bought a land 2 years ago, after 2 years of my marriage I want build my home and then I think I have 2.5 lakh in mf and rest I should take a home loan... Am I right path? Please suggest a proper roadmap for my current financial situation.

Ans: Dear Jay, Its good to see that you are sensitive about the future and concerned about how to achieve it, sere are some suggestions, 1. Savings for Marriage: Target: ?2,00,000 by January 2026-Your current savings approach of ?10,000/month is excellent. By January 2026 (approximately 15 months), you’ll save ?1,50,000. Add the maturity value of your MF investments (?5,500/month for 15 months = ~?82,500 assuming 10% returns). Together, this will bring you close to your target.
2. Post-Marriage (From January 2026)- Adjust Budget for Rent:- Allocate ?7,000/month from the ?10,000 set aside for marriage savings. About Expenses: Consolidate other expenses into ?6,000–?7,000. Continue Investing in Mutual Funds: maintain your SIP. 3. Home Construction Planning (2028)-Assess how much additional funds you’ll need beyond the projected ?2.5 lakh from MFs.lan to take a home loan while ensuring your EMIs remain below 40% of your monthly income (~?16,000). 4. Start building an emergency fund of ?50,000–?1,00,000 gradually to handle unexpected expenses without disrupting other goals. By staying disciplined and regularly reviewing your financial plan. Regards, Nitin Narkhede Mentor, Prosperity Lifestyle Hub,

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DISCLAIMER: The content of this post by the expert is the personal view of the rediffGURU. Investment in securities market are subject to market risks. Read all the related document carefully before investing. The securities quoted are for illustration only and are not recommendatory. Users are advised to pursue the information provided by the rediffGURU only as a source of information and as a point of reference and to rely on their own judgement when making a decision. RediffGURUS is an intermediary as per India's Information Technology Act.

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