EXPERT
Dr. Srinivas Ganji, M.D.
Sleep Medicine Specialist
Dr. Srinivas Ganji practices Sleep Medicine in Covington, LA. Dr. Ganji studies, diagnoses, and treats sleep disturbances and disorders due to varying factors. Sleep Medicine Physicians are trained to treat many different conditions, including insomnia, narcolepsy, sleep apnea, idiopathic hypersomnia, menstrual-related hypersomnia, and circadian rhythm disturbances, among others.
58 years
Experience
Dr. Srinivas Ganji, M.D.
- Covington, LA
- Andhra Med Coll- Univ Hlth Sci- Visakhapatnam- Ap- India
- Accepting new patients
No results found
Why is my mom unable to sleep, even when she's taking medications?
it is important to determine the triggers for anxiety. Adding the pills would not help.- A psychiatric eval would help. Cognitive behaviour therapy helps better than pills
How can I treat my husband's snoring habit?
Snoring is not benign always. The person needs to be investigated for external pressures and internal reasons in the upper airway (ENT exam and CT scan/MRI scan or neck to rule READ MORE
Snoring is not benign always. The person needs to be investigated for external pressures and internal reasons in the upper airway (ENT exam and CT scan/MRI scan or neck to rule out surgically treatable conditions). If there is a suggestion of daytime sleepiness, fatigue, stop breathing episodes in sleep, the person should consult a sleep specialist to look into obstructive sleep apnea. Just stopping the snoring (noise) is similar to cutting the trees to kill the "hurricane" induced noise. Try to treat the cause of snoring, then there can be meaningful health benefit
What medicines are normally recommended to treat sleep apnea?
There are no "pills" that can cure sleep apnea. The gold standard of sleep apnea has been positive pressure (CPAP.BI-Level, etc.). Must talk to a sleep specialist.
I need something non addictive for sleep?
Good quality of sleep at night is "addictive". If there are no mental health issues underlying the symptoms and if there no symptoms of circadian rhythm problems, then one could READ MORE
Good quality of sleep at night is "addictive". If there are no mental health issues underlying the symptoms and if there no symptoms of circadian rhythm problems, then one could consider Melatonin 2 mg (Remfresh) 2 hours before habitual bed time and Restoril 7.5 mg 1/2 before bed time. Avoid alcohol, smoking, caffeine, and vigorous exercise. Establish a dependable sleep schedule with a total bedtime of 9 hours and sleep time of 7.5 hours. No cell phones, videos, or computers before the bedtime.
What is the treatment for hypopnea syndrome?
Hypopnea is a finding in sleep studies. If snoring and breathing pauses are noted, a review by a physician is a reasonable way to determine the presence of sleep apnea. If hypopnea READ MORE
Hypopnea is a finding in sleep studies. If snoring and breathing pauses are noted, a review by a physician is a reasonable way to determine the presence of sleep apnea. If hypopnea is a clinical description of patient's breathing without other features of sleep apnea, then a full night recording of oxygen saturation would help. Rule out primary pulmonary and cardiovascular conditions underlying hypopneas.
When is a person recommended to take sleeping tablets?
Sleeping pills in seniors can cause problems. Careful analysis of sleep habits is needed, other heath conditions should be reviewed, and a careful analysis of insomnia is needed READ MORE
Sleeping pills in seniors can cause problems. Careful analysis of sleep habits is needed, other heath conditions should be reviewed, and a careful analysis of insomnia is needed as well. A sleep specialist can help with this. Indiscriminate use of sleeping pills is harmful.
Can snoring be associated with a health problem?
Yes, snoring can be harmful. If snoring is the beginning symptom of obstructive apnea, it should be evaluated. Proactive approach is better than a waiting and watching attitude. READ MORE
Yes, snoring can be harmful. If snoring is the beginning symptom of obstructive apnea, it should be evaluated. Proactive approach is better than a waiting and watching attitude.
How can I manage sleep apnea for my mother who is 70 years old?
The gold standard in the management of obstructive sleep apnea has been positive pressure treatment. If there are no significant cognitive issues, the management of OSA with positive READ MORE
The gold standard in the management of obstructive sleep apnea has been positive pressure treatment. If there are no significant cognitive issues, the management of OSA with positive pressure treatment is not hard. Insomnia can be a feature of sleep apnea and treatment of OSA can resolve this issue. Compliance with treatment is very important. The ideal thing would be 7 to 8 hours of usage of PAP every night for 7-8 hours. Use PAP during day time naps. Nap is a sleep.
Is sleep medicine safe?
Safe only if the reason for the sleep problem is analyzed. Non-medical approach like CBT has been shown to be superior to pills.
I always fall into a deep sleep, but sometimes I experience nightmares. Is this normal?
Sometimes nocturnal asthmatic episodes could present as different types of parasominas, and nightmares is one of them. You may want to talk to a sleep physician.
How to help a 12 year old with insomnia?
Should be seen by a sleep specialist. OTC meds can be harmful.
Child wakes up screaming every 40 minutes
Assuming the child's general health is normal with no history of nocturnal asthma or abdominal colic, one should look into the possibility of limit setting insomnia in children READ MORE
Assuming the child's general health is normal with no history of nocturnal asthma or abdominal colic, one should look into the possibility of limit setting insomnia in children of this group. If the parent can experiment with sleeping in the same room with the child, and if that makes a difference, then the child may be having sleep onset and/or limit setting insomnia - no need for medication. Just behavior modification can make a difference. It is important to know what triggers the child's behavior.
Is it better for your neck to sleep without a pillow?
I don't see any harm in sleeping without a pillow. Severe flexion of the neck is not good.
Why is my 16 year old always sleeping?
This should be investigated. If the general health is good, one should look into narcolepsy, idiopathic hypersomnia, etc. Sleep studies may help to resolve this. Some kids are READ MORE
This should be investigated. If the general health is good, one should look into narcolepsy, idiopathic hypersomnia, etc. Sleep studies may help to resolve this. Some kids are just long sleepers - more than 10 hours is normal for them.
How do you know if you have sleep apnea?
Snoring, stop breathing episodes in sleep, choking episodes in the middle of night, someone witnessing the stop breathing episodes, frequent visits to the restroom at night, a READ MORE
Snoring, stop breathing episodes in sleep, choking episodes in the middle of night, someone witnessing the stop breathing episodes, frequent visits to the restroom at night, a neck size 16 inches and obesity, poor sleep at night, waking up tired and with foggy head, feeling like taking a nap...and a lot more. A sleep test will help.
How much deep sleep is enough?
The monitoring of stages of sleep is unreliable with the wrist watch-like devices. Do a sleep log for 2 weeks. Actigraphy if available. Collect info about symptoms and do not depend READ MORE
The monitoring of stages of sleep is unreliable with the wrist watch-like devices. Do a sleep log for 2 weeks. Actigraphy if available. Collect info about symptoms and do not depend on wrist devices.
always tired
Option 1: Repeat the sleep study and titration.
Option 2: A week trial of Auto-bipap to determine the pressure requirements. Mask leaks are a problem, this needs to be addressed READ MORE
Option 1: Repeat the sleep study and titration.
Option 2: A week trial of Auto-bipap to determine the pressure requirements. Mask leaks are a problem, this needs to be addressed as a priority.
Option 2: A week trial of Auto-bipap to determine the pressure requirements. Mask leaks are a problem, this needs to be addressed as a priority.
Does removing adenoids help sleep apnea?
If adenoids and tonsils are large (kissing tonsils), then one could go for in-lab sleep study (not home study). If these are causing upper airway obstruction, removal of tonsils READ MORE
If adenoids and tonsils are large (kissing tonsils), then one could go for in-lab sleep study (not home study). If these are causing upper airway obstruction, removal of tonsils and adenoids would help. If symptoms persist, a repeat study in 3 months be done in-lab to determine the need for positive pressure treatment.
Could a child have sleep apnea?
Yes, if the tonsils and adenoids are enlarged.
Cpap pressure
If the CPAP pressure is high and causing arousals and if that leads to daytime sleepiness, fatigue, and elevation of BP, it is better to subject the patient to a 4-week trial of READ MORE
If the CPAP pressure is high and causing arousals and if that leads to daytime sleepiness, fatigue, and elevation of BP, it is better to subject the patient to a 4-week trial of autopap 5-15 cms of water pressure and then determine 95% percentile pressure reading. This pressure can be used to reset the pressure on her cpap. Also, get a 4-week sleep log.
