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Senile Sleep Fragmentation

Sleep Medicine
Thomas PillaiGender: MaleAge: 79 years (Elderly) Chronicity: 3 years

Presenting Complaints & History

  • Waking up at 2 AM, unable to return to sleep
  • Fragmented, light sleep easily disturbed by noise
  • Daytime sleepiness and fatigue during daily tasks
  • Nocturia requiring 3 bathroom trips every night

Clinical Assessment

Elderly gentleman presenting with senile insomnia and nocturia. Wanted to improve sleep duration without daytime dizziness or fall risk.

Diagnostic Investigations: Prostate volume at 38 cc; PSA normal; kidney functions normal.

Homeopathic Therapeutics & Management

Remedies to soothe senile brain hyper-excitability, improve bladder capacity, and support deep sleep.

Selected Constitutional Remedies: Coffea Cruda and Sabal Serrulata

Lifestyle & Nutritional Support

Restricting liquids after 7 PM, keeping room quiet, morning walk, and avoiding long daytime naps.

Clinical Outcome

Follow-up Period: 6 months
  • Sleep duration increased to 6 hours of continuous sleep
  • Nocturia episodes reduced to a single time per night
  • Resolved daytime fatigue and improved focus
  • Safety and mobility preserved with no daytime drowsiness
Medically reviewed by Dr. Navaneeth K. Unni
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#SenileInsomnia#Nocturia#ElderlyCare#SabalSerrulata#SleepQuality
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