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I Have Been Suffering From Sleep Disorder Issues Since Last

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Posted on Thu, 23 Jun 2022
Question: I have been suffering from sleep disorder issues since last 5 years , I have visited many psychiatric but no effects, after i visited pulmonologist doctor he suggested me to do first following test and show me.
Serum cortisol
TSH

TSH found normal around 0.812
But serum cortisol levels found 1.2 which is very low.

Please find attached reports for your reference and suggest me .
doctor
Answered by Dr. Dr. Ashok Kumar Choudhary (3 days later)
Brief Answer:
Sleep

Detailed Answer:
Dear XXXXXXX
Thanks for follow up.

Presence of appropriate TSH level and low cortisol level indicates that the sleep disorder is not due to stress/thyroid disorder and due to some other cause.
As we discussed around two weeks back one of the cause for your sleep disorder is obsessive compulsive disorder (as per your old prescriptions). I must acknowledge here that there might be other causes at the same time as I have limited information about your illness.

Considering OCD as primary cause I like to inform you that the most important thing to treat your sleep disorder lies with treatment of underlying cause rather than sleep itself. I also like to know effect of quetiapine which I suggested earlier during our last communication.

I look forward to assist you further.
Thanks and regards.
Note: For more information on hormonal imbalance symptoms or unmanaged diabetes with other comorbid conditions, get back to us & Consult with an Endocrinologist. Click here to book an appointment.

Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
Answered by
Dr.
Dr. Dr. Ashok Kumar Choudhary

Psychiatrist

Practicing since :2000

Answered : 3352 Questions

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I Have Been Suffering From Sleep Disorder Issues Since Last

Brief Answer: Sleep Detailed Answer: Dear XXXXXXX Thanks for follow up. Presence of appropriate TSH level and low cortisol level indicates that the sleep disorder is not due to stress/thyroid disorder and due to some other cause. As we discussed around two weeks back one of the cause for your sleep disorder is obsessive compulsive disorder (as per your old prescriptions). I must acknowledge here that there might be other causes at the same time as I have limited information about your illness. Considering OCD as primary cause I like to inform you that the most important thing to treat your sleep disorder lies with treatment of underlying cause rather than sleep itself. I also like to know effect of quetiapine which I suggested earlier during our last communication. I look forward to assist you further. Thanks and regards.