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wieyedoc, Board Certified MD
Category: Endocrinology
Satisfied Customers: 12083
Experience:  Over two decades of clinical practice. Completed a medical internship in New York City
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I feel like I am going crazy. I don’t sleep at all anymore.

Customer Question

Hi. I feel like I am going crazy. I don’t sleep at all anymore. As in, not one minute even. My heart is pounding all the time, especially at night. I have the driest mouth ever, despite drinking loads, my menstrual cycle is really ‘off’ too....I’m 43, so maybe perimenopause, or a thyroid issue, or an endocrine tumour? I don’t know, but if I don’t sleep soon I don’t think I can carry on. Any ideas? Please?
Submitted: 4 months ago.
Category: Endocrinology
Expert:  wieyedoc replied 4 months ago.

Hi. My name is***** have over two decades of experience, and I'm online and available to help you today.

We can also chat by hone and skype.

Expert:  wieyedoc replied 4 months ago.

How long has this been going on?

Has it ever happened before?

Does it occur during your normal daily activities?

Do you have any other medical problems or take any medications?

This is not an answer, but an Information Request. I need this information to answer your question. Please reply, so I can answer your question. I look forward to helping you.

Customer: replied 4 months ago.
The pounding heart has been going in for about two years, and the chronic insomnia for about eighteen months. The insomnia is worse in the week or ten days before menstruation. The heart pounding is worse at night, but yes it can happen at any time during the day also.
I have no known other conditions, and take no medications.
Expert:  wieyedoc replied 4 months ago.

Thank you for that additional information.

Well, first you should have a complete evaluation and some blood work done by your GP looking for possible physiologic causes such as endocrine abnormalities, diabetes etc.

If all of your physical exam and tests come back normal then you should meet with a team who is experienced in dealing with anxiety and sleep disorders.

As you can see your treatment really involved a two-pronged approach.

The good news? Once all the data are available your doctors should be able to get you back to sleeping normally ad feeling better.
Unfortunately, your issues are not something that can be dealt with on your own at home or using over the counter (or off the internet) remedies.

Does this make sense to you?

I am happy to be able to help you today. If you would be so kind, please help me get credit for my efforts in answering your questions and press the excellent feedback button for this encounter. And, don’t forget, I work for tips. I would also be happy to continue to answer any more questions you have until we have resolved your concern.

Dr. Rick MD FACS

Does this make sense to you?