Health & Spirit

Recurring UTI or reinfection? Treatments differ

By Keith Roach, M.D. on

--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 or request an order form of available health newsletters at 628 Virginia Dr., Orlando, FL 32803. Health newsletters may be ordered from

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