If the cause of insomnia is unknown, your doctor may do a physical exam to look for signs of medical problems that may be related to insomnia. Occasionally, a blood test may be done to check for thyroid problems or other conditions that may be associated with poor sleep.
Hematocrit and hemoglobin test
You may need a hematocrit/hemoglobin blood test to measure the levels of these substances in your blood. If you have low hematocrit and/or hemoglobin, this means you have anemia. This is a blood disorder that can cause you to be tired and sleepy during the day.
There aren't any tests that can diagnose insomnia directly. Instead, tests help rule out other conditions with similar symptoms to insomnia. The most likely tests include: Sleep apnea testing involving an overnight sleep study in a sleep lab (polysomnography) or an at-home sleep apnea screening device.
In some cases, your doctor may prescribe medicine to help you fall asleep and stay asleep. Prescription sleeping pills may help you sleep better. Common ones include eszopiclone (brand name: Lunesta), zolpidem (brand name: Ambien), and zaleplon (brand name: Sonata). These medicines can have side effects.
Is insomnia a mental health condition? According to the National Alliance on Mental Illness, it is rare for insomnia to be an isolated medical or mental health condition. Insomnia is usually a symptom of another condition or a result of lifestyle or environmental factors, such as a work schedule or stress.
Your GP will ask you about your sleep patterns and how lack of sleep is impacting your life. They may also examine you to look for any signs of a physical condition that could affect your sleep. Your GP may be able to tell what might be causing your problems with sleep just from talking to you.
It's not always clear what triggers insomnia, but it's often associated with: stress and anxiety. a poor sleeping environment – such as an uncomfortable bed, or a bedroom that's too light, noisy, hot or cold. lifestyle factors – such as jet lag, shift work, or drinking alcohol or caffeine before going to bed.
Anxiety, stress, and depression are some of the most common causes of chronic insomnia. Having difficulty sleeping can also make anxiety, stress, and depression symptoms worse. Other common emotional and psychological causes include anger, worry, grief, bipolar disorder, and trauma.
TYPE ONE INSOMNIA: SEROTONIN/MELATONIN DEFICIENCY
This is the most common cause of insomnia in our experience: When levels of the extraordinary antidepressant neurotransmitter, serotonin, are subnormal, there is typically an inadequate surplus to use for conversion to melatonin.
Examples of conditions linked with insomnia include chronic pain, cancer, diabetes, heart disease, asthma, gastroesophageal reflux disease (GERD), overactive thyroid, Parkinson's disease and Alzheimer's disease.
Benzodiazepines that have been approved by the FDA for treating chronic insomnia include estazolam, flurazepam (Dalmane), temazepam (Restoril), quazepam (Doral), and triazolam (Halcion). Rapidly acting drugs with shorter half-lives (i.e., estazolam, triazolam, and temazepam) are preferred.
Call the Doctor Insomnia if:
Symptoms of insomnia last longer than four weeks or interfere with your daytime activities and ability to function. You are concerned about waking up many times during the night gasping for breath and are concerned about possible sleep apnea or other medical problems that can disrupt sleep.
Diagnosis. If your insomnia is severe or chronic enough that it's affecting your quality of life, it's time to call a doctor. Your primary care provider may be able to treat your problem. However, a sleep-medicine specialist can likely dig deeper into the causes of your insomnia and offer more ways to resolve it.
Insomnia can cause daytime sleepiness and a lack of energy. It also can make you feel anxious, depressed, or irritable. You may have trouble focusing on tasks, paying attention, learning, and remembering. Insomnia also can cause other serious problems.
[1] The presenting complaints are often that of[2] difficulties falling asleep in spite of being in bed, waking up often during the night and having trouble going back to sleep, waking up too early in the morning or having an unrefreshing sleep.
One study of older adults with insomnia found that magnesium supplementation at a dose of 500 milligrams daily for eight weeks helped them fall asleep faster, stay asleep longer, reduced nighttime awakenings, and increased their levels of naturally circulating melatonin.
Zolpidem (Ambien, Ambien CR, Edluar, Intermezzo, Zolpimist)
It is a good first choice for treatment of sleep-onset insomnia and produces no significant residual sedation in the morning.
If you plan on using melatonin to help you sleep, it's best to take it two or three hours before your bedtime. On the flip side, if you find yourself unable to sleep in the middle of the night, keep in mind that popping a melatonin at midnight won't necessarily have immediate results.
Insomnia Is Strictly Mental
As a matter of fact, stress is the No. 1 reason people report a lack of sleep. But it's not the only insomnia trigger. Many things can cause insomnia, including poor sleep hygiene, illness, drug side effects, chronic pain, restless legs syndrome, or sleep apnea.
Generally, a person will not be hospitalized for most types of insomnia. However, when a lack of sleep results in an accident or other bodily harm, the patient might be admitted to the hospital for treatment of a condition resulting from insomnia.