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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Does Excessive Sleepiness Along With Severe Fatigue Indicate?

my wife of 36 yrs has all of a sudden changed( 3 months period) she did fall out if an inversion table and strike her face and head on the floor...but there were no visiual signes of any thing....two weeks later I was taking her to emergency room for check out...mri..ct scan blood work..all came back ok....still no better...wants to sleep all time...cant get her to do any of the things she liked doing in past ...just tired and wants to sleep...very worried ...have had another ct scan wt. contrast but no results yet....this morning she woke me up squirming in bed I ask if she was ok she said (you might as well shoot me now) acted like I didn t hear her cause I was asleep and said what did you say? she said it again..still acted like I didn t hear her but I am very worried....what should I do
posted on Fri, 3 Nov 2017
Twitter Wed, 13 Dec 2017 Answered on
Twitter Thu, 14 Dec 2017 Last reviewed on
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General & Family Physician,  's  Response
Hello,

Thanks for your query on HCM

"As"per your clinical history is concerned please follow like this -

1)Do a [Hypocretin test]of spinal fluid to confirm narcolepsy

2)Discuss with your Doctor about [modafinil] &[fluoxetine]

Do few lifestyle modifications like this-

1)Go to sleep and wake up at the same time every day, including weekends.
Take naps. Schedule short naps at regular intervals during the day. Naps of 20 minutes at strategic times during the day may be refreshing and reduce sleepiness for one to three hours. Some people may need longer naps.

2)Try to avoid nicotine and alcohol. Using these substances, especially at night, can worsen your signs and symptoms.

3)Do regular exercise. Moderate, regular exercise at least four to five hours before bedtime may help you feel more awake during the day and sleep better at night.

Hope that helps
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What Does Excessive Sleepiness Along With Severe Fatigue Indicate?

Hello, Thanks for your query on HCM As per your clinical history is concerned please follow like this - 1)Do a [Hypocretin test]of spinal fluid to confirm narcolepsy 2)Discuss with your Doctor about [modafinil] &[fluoxetine] Do few lifestyle modifications like this- 1)Go to sleep and wake up at the same time every day, including weekends. Take naps. Schedule short naps at regular intervals during the day. Naps of 20 minutes at strategic times during the day may be refreshing and reduce sleepiness for one to three hours. Some people may need longer naps. 2)Try to avoid nicotine and alcohol. Using these substances, especially at night, can worsen your signs and symptoms. 3)Do regular exercise. Moderate, regular exercise at least four to five hours before bedtime may help you feel more awake during the day and sleep better at night. Hope that helps