Sleep Maintenance Insomnia
Sleep Medicine Meera•Gender: Female•Age: 42 years (Adult)• Chronicity: 18 months
Presenting Complaints & History
- Waking up 3-4 times every night, unable to return to sleep quickly
- Restlessness, heat flashes, and night sweating
- Severe fatigue, brain fog, and headache by afternoon
- Irregular bowel habits and abdominal bloating during the day
Clinical Assessment
Experienced sleep fragmentation linked to perimenopausal vasomotor changes and high stress, seeking to restore sleep continuity.
Diagnostic Investigations: Hormone profile showed early perimenopausal transition; renal and thyroid checks normal.
Homeopathic Therapeutics & Management
Constitutional remedies to stabilize vasomotor flushed feelings, reduce nighttime waking triggers, and support circadian continuity.
Selected Constitutional Remedies: Lachesis and Sepia
Lifestyle & Nutritional Support
Keeping bedroom cool, cotton nightwear, avoiding heavy dinners after 7:30 PM, and evening stretching.
Clinical Outcome
Follow-up Period: 6 months- Sleep maintenance improved significantly, with zero to one brief waking
- Complete resolution of night hot flashes and sweating
- Resolved afternoon fatigue and morning headaches
- Normalized digestion with resolved bloating
✓Medically reviewed by Dr. Navaneeth K. Unni
View credentials →#SleepMaintenance#Perimenopause#HotFlashes#SleepFragmentation#Lachesis
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