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Mon, April 22

Rosenberg: Bed-wetting could be due to sleep apnea

Dear Dr. Rosenberg: My 12-year-old son still wets the bed. He has had all types of tests and there is nothing wrong with his urinary tract. He is overweight and he snores. His doctor thinks he should get a sleep study. What do you think?

Answer: I agree with that completely. Many cases of bed-wetting are due to sleep apnea and respond positively when it is treated.

Dear Dr. Rosenberg: I recently got married. My wife goes to bed at 8:30. Try as I might, I can’t get to sleep that early. Is there anything you can suggest? I’m afraid it will hurt our relationship.

A: The best advice I can give you is do not try to go to bed at 8:30 anymore. Your circadian rhythms are different from your spouse, and you both need to accept that.

I see this often in my practice and people end up on all kinds of sleeping pills in an effort to go to sleep earlier. Unfortunately, they do not work for very long and it only leads to more frustration and eventually severe insomnia.

Dear Dr. Rosenberg: I have REM Behavior Disorder. I act out my dreams during sleep and have injured my wife. My doctor put me on clonazepam, which worked but it left me so sleepy during the day I could not function. Is there anything else available to treat this sleep condition?

A: Actually, there are other options to treat this disorder. Several studies have demonstrated that melatonin can be an effective alternative. I would urge you to discuss this with your health care provider.


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