Sleep Issues: Causes, Quick Fixes, and When to Seek Help

Can’t sleep? You’re not alone. Trouble falling or staying asleep sneaks up on people for lots of reasons—stress, meds, allergies, restless legs, or an irregular schedule. The good news: a few clear steps can help most people sleep better tonight and build long-term habits that actually work.

Common causes you can fix quickly

Start with the obvious stuff. Caffeine after lunch, late-night screens, and inconsistent bedtimes wreck sleep. Light at night tells your brain it’s daytime. Even short naps late in the day can stop you sleeping at night. Also check medications—some antidepressants or allergy meds change sleepiness. If you take drugs and notice a new sleep problem, mention it to your prescriber.

Physical issues matter too. Restless Legs Syndrome can make sleep impossible; there’s growing interest in treatments like amantadine for RLS relief. Allergies and nasal congestion make breathing noisy and break sleep—if you use antihistamines, know some make you drowsy while others don’t. Pain, reflux, and bathroom trips from drinking too much late fluids are simple but common culprits.

Simple things to try tonight

1) Routine: go to bed and wake up at the same time every day, even weekends. Your body learns it.
2) Wind-down: stop screens 60 minutes before bed. Try reading, gentle stretching, or deep breathing instead.
3) Light: expose yourself to bright light when you wake and keep nights dim. That resets your sleep clock.
4) Caffeine and alcohol: avoid both later in the day—alcohol can help you fall asleep but fragments it later.
5) Environment: cool, dark, and quiet beats a warm, bright room. Earplugs, blackout curtains, and a fan can do wonders.

If racing thoughts keep you awake, try a five-minute brain dump—write the next day’s tasks on paper and close it. If your mind still races, use a short relaxation track or a guided breathing exercise.

Some people need short-term help from a doctor. Cognitive Behavioral Therapy for Insomnia (CBT-I) is one of the best non-drug treatments and works for long-term change. Short courses of medication can help while you fix habits, but don’t rely on pills long term without a plan.

When should you see a doctor? Get help if sleep problems last more than a month, cause daytime sleepiness that affects work or safety, include loud snoring and choking (possible sleep apnea), or if you suspect a medication or medical condition is the cause. Also seek advice if you experience odd behaviors while asleep or sudden overwhelming sleep attacks.

Want deeper reading? Check articles on this site about how certain meds like mirtazapine affect sleep, emerging RLS treatments, and allergy meds that do or don’t make you drowsy. Use practical tips first and then talk to your clinician if problems don’t improve.

Small changes are often the fastest route to better sleep. Try one or two fixes tonight, stick with them for a week, and you’ll often notice real improvement.

Dolutegravir and Sleep: How to Minimize Insomnia and Other Sleep Issues
June 27, 2023
Dolutegravir and Sleep: How to Minimize Insomnia and Other Sleep Issues

In my latest blog post, I delve into the topic of Dolutegravir, a medication used in HIV treatment, and its potential side effects on sleep. Many patients have reported insomnia and other sleep-related issues while on this drug. However, there are several strategies that can be implemented to minimize these side effects. We discuss lifestyle changes, alternative therapies, and even the possibility of adjusting the medication regimen. It's crucial to remember that any changes should be discussed with a healthcare provider to ensure safety.

Health and Wellness