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Feeling sleepy at work, driving even with good sleep.

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Hello,

For the last few weeks I feel sleepy , at work , and even while driving. I tend to doze of suddenly. My eyes starts to close suddenly.
I have a very good sleep from 2300 - 0700 hrs
On weekends when I keep on sleeping it could be even more than 20 hrs without food or water. I sometimes get up for the bathroom .

I stay in Mumbai,India.

Could you advise me on this

Regards
Anup

Category: Internal Medicine Specialist

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Category: HIV- AIDS Specialist
 28 Doctors Online

Hello
Thanks for using Doctor Spring for posting your query.
I have gone through your question in detail and I can understand what you are going through.
You are definitely sleeping a lot especially the weekends where-in you are sleeping for more than 20 hours a day. The cause of increased need for sleep need to be evaluated. The most common causes are hypothyroidism and Obstructive Sleep Apnoea. Hypothyroidism is due to the deficiency of thyroid hormone and can be diagnosed with assessing the thyroid hormone levels using a blood test. The same if present can be corrected by supplementing thyroid hormone. The other condition, obstructive sleep apnoea results in a disturbed night sleep resulting in day time drowsiness. This can also be diagnosed by a (sleep study) using polysomnography. There are medicines available which can promote wakefulness and reduce drowsiness but both these conditions should first be ruled out before other causes can be considered.
Hope this helps,
In case if you have any further query, do let me know.
Kind regards


Patient replied :

Dear Doctor,
Further to my below email just wanted to know if this has any thing to do if I am a smoker and an occasional drinker too.
What kind of blood test would you suggest for this.
Could you suggest some medicines for awakeness or to reduce drowsiness.

Bregards
Anup


Hello Anup
No. It is not related to you taking smoke or alcohol. Mostly I prescribe my patients 200mg of modalert containing modafinil. But this is a prescription drug and getting yourself evaluated before hand is advisable. The blood test required is thyroid profile test and the sleep study is called polysomnography.

Regards


Dr. Jaydeep Tripathy
Category: HIV- AIDS Specialist
Experience: 
MBBS from Sri Ramachandra University in December 2011
M.Med (Family Medicine) - TNMGR University, Chennai
MBA-MPH in Public Health in March 2016, SRM University
Finished AFIH in March 2016, SRM University
MRCP ( UK ), Internal Medicine, Royal College of Physicians, June 2016
Fellowship in Diabetology from Martin Luther University in January 2017

Currently Resident Physician, in MD Radiodiagnosis - Kamakshi Memorial Hospital, Chennai
Dr. Jaydeep Tripathy and 4 other Medical Specialists are ready to help you

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