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Can ADRENAL problem cause severe INSOMNIA?

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My primary complaint is severe insomnia. It has been going on since September 2011. I suspect an adrenal problem as it is clearly not psychological. Stress level, caffeine, exercise, nutrition, nothing changes it or helps it.. I thought it was a circadian rhythm problem and reducing light has helped me stay awake during the day, and be less exhausted, but I just plain do not sleep. I doze. I might lie down for an hour or two and then I am up, seems rather pointless to even try sometimes. I have not slept for an entire night even once all these years. I have no access to medical care. How can I tell if this is an adrenal problem and how can I help it? I can purchase hormone pills if I need them, and they couldn't cost that much where I am. Any clues?

Category: Endocrinologist

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Category: Diabetologist
Dr. J Muthukrishnan is online now

Expert:  Dr. J Muthukrishnan replied 4 Days.

Thank you for your query at DoctorSpring.com
Your symptoms of lack of sleep alone do not pertain to adrenal or Thyroid disorder.
Sleep is a necessary physiological requirement and no human being can survive for these many years without getting adequate sleep as you seem to believe.
However, you may be having poor quality of sleep for which psychological counselling and sedatives may be required.
You need to consult a psychiatrist for the same.
You may get a Thyroid function test to rule out hyperthyroidism, which however seems unlikely in your case.
Feel free to discuss further,

Patient replied :

I do not have a psychological problem, which has already been agreed upoon by several psychiatrists and a psychotherapist as well whom I saw in person. They told me the cause is physical. I have had hypothyroidism for two decades and take thyroid for it, this has been tested. Do you have any helpful suggestions?

Expert:  Dr. J Muthukrishnan replied 3 Days.

If you want to convince yourself that you don't have any adrenal disease causing lack of sleep, you can get your plasma Metanephrines or urinary catecholamines checked in consultation with a physician or endocrinologist. I do not think you have any such disorder. You can take sedatives for getting good sleep.

Dr. J Muthukrishnan
Category: Diabetologist
1. 10th Asia-Pacific Pediatric Endocrine Society  Fellows meeting, Seoul, Korea, Oct 2008
2. Eighth ICMR Course on Genetics and Genetic Counseling – Jul 2008 – SGPGI, Lucknow
3. Annual Certificate Course on Endocrinological Laboratory Techniques at National Institute of Nutrition (ICMR) Hyderabad,India, ( Aug-Sep 2006) 
Fellowship: Endocrinology, Diplomate of National Board, National Academy of Medical Sciences, New Delhi, 2008, Medwin Hospital, Hyderabad
Senior Residency: Diplomate of National Board (General Medicine), National Academy of Medical Sciences, New Delhi, 2002
Residency: MD, General Medicine, 1997-2000, Armed Forces Medical College, 2nd position in University
Medical School: MBBS, Armed Forces Medical College, 1992
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