Recurring UTI or reinfection? Treatments differ
--Keep light and sound levels low for the two hours before bedtime (this also means little or no screen time -- computer, tablet, phone, reader, etc.).
--Avoid daytime naps: If you do nap, make it no more than 20-30 minutes, and not in the late afternoon.
--Don't force sleep: If you know you can't sleep, get out of bed. You don't want to associate your bed with frustration or worry.
--Keep similar sleep and wake times throughout the week.
People who still need help despite good sleep hygiene may benefit more from cognitive-behavioral therapy than from medications. If this is unavailable or ineffective, then medication trial should be based on the person's medical condition and the type of insomnia. I'm afraid I can't give a specific medication recommendation that would be appropriate for all of my readers.
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Dr. Roach regrets that he is unable to answer individual letters, but will incorporate them in the column whenever possible. Readers may email questions to ToYourGoodHealth@med.cornell.edu or request an order form of available health newsletters at 628 Virginia Dr., Orlando, FL 32803. Health newsletters may be ordered from www.rbmamall.com.
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