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Abstract: The 64-year-old Liu, who had been suffering from insomnia for more than 3 months, could not sleep at night, was sleepy and fell asleep uncontrollably during the day and gained 13 pounds, visited our hospital.
Basic information】Male, 64 years old
Disease Type】Episodic Sleeping Disorder
Hospital】Beijing Anzhen Hospital, Capital Medical University
Date of Consultation】January 2022
Treatment plan】Oral medication (modafinil tablets, zolpidem tartrate tablets)
Treatment Period】3 months of outpatient treatment, regular review
Effectiveness of treatment】Normal sleep at night, uncontrolled sleep during the day gradually disappeared
I. Initial consultation
Six months ago, accompanied by his family to the outpatient clinic, moncler outlet, he reported that he had been insomniac for more than three months, unable to sleep at night, sleepy during the day, sometimes falling asleep uncontrollably for a few minutes or ten minutes while eating, and also waking up with nightmares, so this period of time is not good spirit, and not much like to eat, but a few days ago, weighing surprisingly found that he had gained 13 pounds. I had been looking for Chinese medicine to regulate, but the effect was not obvious. However, the hormonal examination revealed that hypothalamic secretion was insufficient. After excluding secondary insomnia caused by various neurological, psychiatric and somatic diseases, the diagnosis of episodic sleep disorder was confirmed based on the symptoms as well as the duration of insomnia and EEG.
Second, the treatment process
I told Master Liu that although this disease could not be completely cured, it should be actively treated to improve the symptoms, otherwise it would have a greater impact on daily life, for example, when walking, suddenly unable to control falling into sleep and prone to fall, and elderly people with reduced bone density are prone to adverse outcomes after a fall. Then I prescribed Modafinil tablets and zolpidem tartrate tablets for Master Liu and told him to go home and take Modafinil tablets orally during the day and zolpidem tartrate tablets at bedtime. After taking the medication for 2 weeks, Master Liu returned to the clinic and reported that his insomnia had improved and his daytime uncontrolled condition had decreased. I told Master Liu that he could suspend zolpidem tartrate tablets and continue to take modafinil tablets and revisit him again in 3 months.
III. Treatment effect
After the drug treatment, Master Liu reported that his sleep condition at night was much better than before, and it was easier to fall asleep, and the situation of falling asleep with nodding head and nightmares during the day was gradually reduced, and his family was not so worried. The disease symptoms are considered to have improved better and reached clinical cure.
IV. Notes
We are glad that Mr. Liu’s episodic sleep disorder has been effectively treated, but we still need to advise Mr. Liu to eat a healthy diet in his daily life, eat more fresh fruits and vegetables as well as appropriate amount of meat, eggs and milk to ensure balanced nutrition. The company also needs to take proper exercise, play Tai Chi, walk more, etc., to help control weight and invigorate the spirit, to keep awake during the day; usually appropriate naps to relieve the feeling of fatigue, and regular sleep at night. Before going to sleep, you can create a quiet, comfortable and dim atmosphere to promote sleep; in addition, for this disease, moncler outlet Liu do not have to worry too much, and do not be anxious to avoid aggravating insomnia, and actively cooperate with the doctor’s treatment can better improve their symptoms.
V. Personal insight
There are many patients like Liu, who went to the hospital with insomnia as a symptom, only to find out that they are suffering from episodic sleeping disease, which is generally not completely curable, but can only be improved by medication and regular daily sleep to improve the symptoms of insomnia at night and sleep during the day. Moreover, because uncontrolled sleepiness occurs during the day, it greatly affects daily life and requires prompt and active treatment to avoid adverse consequences. Although the disease cannot be cured, it can better improve the symptoms and reduce the attacks, as in the case of Master Liu, who recovered more satisfactorily after the treatment.