Feeling sleepy at work, driving even with good sleep.

Resolved question:
Hello,

For the last few weeks I feel sleepy , at work , and even while driving. I tend to doze of suddenly. My eyes starts to close suddenly.
I have a very good sleep from 2300 - 0700 hrs
On weekends when I keep on sleeping it could be even more than 20 hrs without food or water. I sometimes get up for the bathroom .

I stay in Mumbai,India.

Could you advise me on this

Regards
Anup

Submitted: 4 Days
Category: Internal Medicine Specialist

Expert:  Dr. Jaydeep Tripathy replied 4 Days.

Hello
Thanks for using Doctor Spring for posting your query.
I have gone through your question in detail and I can understand what you are going through.
You are definitely sleeping a lot especially the weekends where-in you are sleeping for more than 20 hours a day. The cause of increased need for sleep need to be evaluated. The most common causes are hypothyroidism and Obstructive Sleep Apnoea. Hypothyroidism is due to the deficiency of thyroid hormone and can be diagnosed with assessing the thyroid hormone levels using a blood test. The same if present can be corrected by supplementing thyroid hormone. The other condition, obstructive sleep apnoea results in a disturbed night sleep resulting in day time drowsiness. This can also be diagnosed by a (sleep study) using polysomnography. There are medicines available which can promote wakefulness and reduce drowsiness but both these conditions should first be ruled out before other causes can be considered.
Hope this helps,
In case if you have any further query, do let me know.
Kind regards

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Patient replied :

Dear Doctor,
Further to my below email just wanted to know if this has any thing to do if I am a smoker and an occasional drinker too.
What kind of blood test would you suggest for this.
Could you suggest some medicines for awakeness or to reduce drowsiness.

Bregards
Anup


Expert:  Dr. Jaydeep Tripathy replied 3 Days.

Hello Anup
No. It is not related to you taking smoke or alcohol. Mostly I prescribe my patients 200mg of modalert containing modafinil. But this is a prescription drug and getting yourself evaluated before hand is advisable. The blood test required is thyroid profile test and the sleep study is called polysomnography.

Regards

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