A 28-year-old woman presents for evaluation of excessive daytime sleepiness since she was a teenager. She complains of falling asleep at traffic lights, and she has had five to six near-miss accidents. She admits to three naps per day, two in the afternoon and one in the evening. Associated symptoms choking sensation at night, morning headaches, and vivid dreams at sleep onset. Her sleep habits include going to bed around 12 AM with a latency to sleep within 5 minutes, and getting out of bed at 7 AM. Past medical history is significant only for hyperlipidemia. She is not presently taking any medications. Investigation: PSG -Total sleep time: 474 minutes; Time in bed: 479 minutes; Sleep efficiency: 99% Latency to sleep onset: 1 minute; Latency to REM sleep 58.5 minutes %Stage 1: 8.3, %Stage 2: 72.3, %Slow wave 3.4, %REM 16.0 AHI 7.5/hr (NREM AHI 10.3/hr; REM AHI 6.9/hr; supine AHI 7.5/hr; non-supine AHI 7.0/hr) %TST spent with SaO2<90%: 0% PLMI 0.0/hr Please guide what can be done?

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I Think Case Of Anxiety.. Panchakarma Like Shirodhara With Bramhi Tailam Along With Sarvanga Snehana With Ksheera Bala Tailam Followed By Naadi Sweda... Counseling Should Be Done Internally Ashwagandharishtham Bramhi Vati Saraswatarishtham

Sleep Apnea  In my personal opinion, this might be happening due to the Pranavaha Strotorodh due to the disturbed Udan Vayu. There should be Rasa, Rakta & Mansa Dhatu shaithilya leading to the Kha-Vaigunya of Pranavah Strotas making the Udan vayu in disturbed mode. Use of Vamana & nasya & treating the dhatvagnimandya with deepana & pachana should be the treatment.

If paint suffering from any any type of anexity patient can sleep day or night,The most common causes of excessive daytime sleepiness are sleep deprivation, obstructive sleep apnea, and sedating medications. Other potential causes of excessive daytime sleepiness include certain medical and psychiatric conditions and sleep disorders, such as narcolepsy.is not sleep apnea,I confirm The most common causes of excessive daytime sleepiness are sleep deprivation, obstructive sleep apnea, and sedating medications. Other potential causes of excessive daytime sleepiness include certain medical and psychiatric conditions and sleep disorders, such as narcolepsy.

रोगी मानसिक तनाव से ग्रस्त है। चिकित्सा संबंधी योग,,,,, तगर 50 ग्राम जटामांसी 25 ग्राम लेकर दोनों का पाउडर बनाकर 5 ग्राम सुबह-शाम खाने से पहले दें। अनुलोम-विलोम प्राणायाम कराएं कपालभाती प्राणायाम कराएं। भद्रिका प्राणायाम कराएं। योग परिक्षित है। पिछले 40 वर्ष से प्रयोग कर रहा हूं।

Anxiety neurosis Consolation & meditation Avoid stress

Yogasanas,Pranayamas,meditation, music Therapy are more helpful with medhya Ayurvedic medicines and Shirodhara.

Consultation c sleep analyst and neurologist needed. This case is shared from neurology. Not Ayurveda case

PassifloraQ helpful Regular BP check Meditation helpful also And constitutional medicine indicated..this type of case especially mental history need ..

Yog, shilajeet and nasya will help surely.

China Q Nat mur 200

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