EXPERT
Dr. Gary H. Miller, M.D.
Pulmonologist
Dr. Gary H. Miller M.D. is a top Sleep Medicine Specialist in Washington, . With a passion for the field and an unwavering commitment to their specialty, Dr. Gary H. Miller M.D. is an expert in changing the lives of their patients for the better. Through their designated cause and expertise in the field, Dr. Gary H. Miller M.D. is a prime example of a true leader in healthcare. As a leader and expert in their field, Dr. Gary H. Miller M.D. is passionate about enhancing patient quality of life. They embody the values of communication, safety, and trust when dealing directly with patients. In Washington, DC, Dr. Gary H. Miller M.D. is a true asset to their field and dedicated to the profession of medicine.
48 years
Experience
Dr. Gary H. Miller, M.D.
- Washington, DC
- New York Univ Sch of Med, New York Ny
- Accepting new patients
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Is sleep medicine safe?
Taking sleep medication at age 17 would not be a wise act. There are many kinds of insomnia and each has its own cause. Insomnia might include difficulty falling asleep or difficulty READ MORE
Taking sleep medication at age 17 would not be a wise act. There are many kinds of insomnia and each has its own cause. Insomnia might include difficulty falling asleep or difficulty staying asleep or difficulty going back to sleep or difficulty with early awakenings and all of those are somewhat different. It would be far preferable to see your physician or obtain a referral to a sleep specialist for more detailed evaluation. Anxiety and depression as well as lifestyle and schedule demands often manifest as depression and it would be worth exploring this in detail.
How to help a 12 year old with insomnia?
There is a series of behavioral rules and interventions. Evaluation and treatment includes looking for anxiety and depression. Apnea may need to be considered. Fixed bed and wake READ MORE
There is a series of behavioral rules and interventions. Evaluation and treatment includes looking for anxiety and depression. Apnea may need to be considered. Fixed bed and wake times are important. Screens and internet and phones need to be turned off and the phone removed from the bedroom. Daytime naps and sleeping late on weekends need to go away. A sleep specialist or a general pediatrician with an interest in sleep should be able to guide you through this.
Could a child have sleep apnea?
While children can often have sleep apnea, the symptom you describe will almost never be from childhood sleep apnea. Usual symptoms would be snoring. There may also be daytime READ MORE
While children can often have sleep apnea, the symptom you describe will almost never be from childhood sleep apnea. Usual symptoms would be snoring. There may also be daytime inattention or learning difficulties. A pediatric evaluation would be appropriate.
How do you know if you have sleep apnea?
Sleep apnea is normally manifest by snoring often with audible pauses as well as daytime sleepiness. It is most common in people who are overweight or who have large tonsils or READ MORE
Sleep apnea is normally manifest by snoring often with audible pauses as well as daytime sleepiness. It is most common in people who are overweight or who have large tonsils or narrow nasal passages.
It is much less common in young women Than any other age group. It would be worth talking with a physician knowledgeable in sleep disorders.
It is much less common in young women Than any other age group. It would be worth talking with a physician knowledgeable in sleep disorders.
Is insomnia treatable?
Insomnia is extremely treatable. The basic technique is called cognitive behavioral therapy. It is important to be sure that there is not associated anxiety or depressive illness. READ MORE
Insomnia is extremely treatable. The basic technique is called cognitive behavioral therapy. It is important to be sure that there is not associated anxiety or depressive illness. At age 27 I would really try to avoid taking medication. There are a number of online resources available to patients to try without prescription. If you google search CBT for insomnia you will find several of these. Please be aware that they are not completely free but represent a good value to patients. There are many free sites listing basic sleep hygiene as well.
My child hardly sleeps and I don't know why?
Screens and telephones and Internet need to be turned off by 9 p.m. Under no circumstances should the cell phone or computer be in the bedroom at bedtime.A relatively constant READ MORE
Screens and telephones and Internet need to be turned off by 9 p.m. Under no circumstances should the cell phone or computer be in the bedroom at bedtime.A relatively constant sleep and wake schedule is important. Naps in the day should be avoided ,at least until sleep gets itself regulated. Avoid caffeine and be sure there is no issue with depression, anxiety, or drug use.Your family doctor can likely help with this.
Can children get sleep paralysis?
Sleep offset paralysis can definitely happen at any age and in general is normal. It represents a defect of awakening during dream sleep. It doesn't need of treatment and is harmless READ MORE
Sleep offset paralysis can definitely happen at any age and in general is normal. It represents a defect of awakening during dream sleep. It doesn't need of treatment and is harmless though frightening when it happens. I would reassure your daughter that this is not serious. It may vanished as she gets older. Good sleep habits and regular bed and wake times may be of some value. Sleep onset paralysis however is a very different thing and deserves medical evaluation if it occurs.
What kind of surgery is done for sleep apnea?
Surgery might include tonsillectomy or removing part of the soft palate or surgery on the nose to straighten the septum. There are many ways to do each of these. Moving the tongue READ MORE
Surgery might include tonsillectomy or removing part of the soft palate or surgery on the nose to straighten the septum. There are many ways to do each of these. Moving the tongue forward by moving the hyoid bone might also be considered. In general, surgery is not a best option for sleep apnea in most patients as fewer than half are cured.
Is it possible for children to have sleep apnea?
It is definitely possible to have sleep apnea at age 13. A formal evaluation with a sleep specialist or a sleep educated ENT physician would be the place to start. A study of overnight READ MORE
It is definitely possible to have sleep apnea at age 13. A formal evaluation with a sleep specialist or a sleep educated ENT physician would be the place to start. A study of overnight sleep is likely going to be needed. Snoring and the presence of large tonsils often are clues that sleep apnea is present
Really bad insomnia and hardly sleep?
This does not have a simple answer. Insomnia is usually related to environmental and behavioral problems. Having a fixed, constant sleep and wake time, avoiding alcohol and caffeine READ MORE
This does not have a simple answer. Insomnia is usually related to environmental and behavioral problems. Having a fixed, constant sleep and wake time, avoiding alcohol and caffeine late in the day and having a comfortable cool environment to sleep are basic interventions. An evaluation for anxiety or depression may be appropriate. Avoiding screens late at night is useful. Phones and tablets produce bright white light which tends to disrupt sleep. It would be appropriate to see a sleep specialist for an initial evaluation.
What could be the cause of my insomnia?
Most common causes of insomnia and 25-year-old patients would relate to behavioral problems such as anxiety, stress and depression. Poor sleep habits may contribute. This needs READ MORE
Most common causes of insomnia and 25-year-old patients would relate to behavioral problems such as anxiety, stress and depression. Poor sleep habits may contribute. This needs a formal evaluation and seeing a sleep specialist which surely be appropriate.
Will I be hooked up to a machine during my sleep study?
I assume here that you are referring to an in lab sleep study. There will be electrodes (wires) attached to head and chest and legs. A breathing sensor will be placed near the READ MORE
I assume here that you are referring to an in lab sleep study. There will be electrodes (wires) attached to head and chest and legs. A breathing sensor will be placed near the nose and mouth. Most people have no particular trouble sleeping even in the odd environment that the monitoring leads cause. Also, every sleep lab has a low light camera to see what is going on during sleep. You are sleeping in a monitored environment, so don't do anything you would not want recorded.
Why do some kids get restless leg syndrome?
RLS in children and adults is characterized by leg discomfort which keeps the sufferer from falling asleep. It is usually worse at night and always improves with movement.Restless READ MORE
RLS in children and adults is characterized by leg discomfort which keeps the sufferer from falling asleep. It is usually worse at night and always improves with movement.Restless legs is a neurologic condition with a genetic component. A general look for other illnesses and a detailed look at iron and ferritin levels would be appropriate to start.
Do kids need a sleep test for sleep apnea?
A sleep test and examination of the nose and throat would be appropriate. Enlarged tonsils and obesity are the most frequent causes of sleep apnea in children.
What medications can I take for sleep issues?
These are all prescription drugs with the exception of melatonin. They would need to be prescribed by a physician and several classes are available. Evaluation of insomnia take READ MORE
These are all prescription drugs with the exception of melatonin. They would need to be prescribed by a physician and several classes are available. Evaluation of insomnia take some time end does not lend itself to brief answers. You should consider behavioral therapy for insomnia as well. That is available at online sites without prescription but with cost. A Google search will show several providers.Anxiety and depression and stress are among the most common causes of insomnia and should be considered and perhaps treated to help you.
What can I do for restless leg syndrome?
Restless legs is a specific medical illness . Blood tests for iron and ferritin and thyroid function and kidney function and chemistry and look for neuropathy are needed. It would READ MORE
Restless legs is a specific medical illness . Blood tests for iron and ferritin and thyroid function and kidney function and chemistry and look for neuropathy are needed. It would be worth seeing a Sleep specialist or a neurologist. Alcohol makes this worse. Certain medications make it worse. Stress does not have a huge effect in most patients
What are the best home remedies for snoring?
Snoring happens because your throat is not stiff enough. Things that make that worse include gaining weight and drinking alcohol so avoid both of those please. Treat any nasal READ MORE
Snoring happens because your throat is not stiff enough. Things that make that worse include gaining weight and drinking alcohol so avoid both of those please. Treat any nasal stuffiness. You could consider a nonprescription device called Provent, or a boil and bite dental guard if needed. If you are unusually tired or there are pauses in your asleep breathing, please seek medical attention to look for sleep apnea.
What causes restless leg syndrome?
There is actually a fairly long list including disc disease in the back, kidney disease, medications, iron deficiency and some cases that have no obvious cause. This is a diagnosis READ MORE
There is actually a fairly long list including disc disease in the back, kidney disease, medications, iron deficiency and some cases that have no obvious cause. This is a diagnosis based on story. The story should include leg anemia, discomfort of some sort relieved by motion, typically worse as the day goes on.
Can enlarged adenoids cause childhood sleep apnea?
Absolutely. In fact this is the most common cause of childhood sleep apnea and is considered to be the treatment of choice when combined with tonsillectomy
Are home sleep tests accurate?
Home sleep studies have a role in diagnosing obvious apnea. If they are equivocal, an in-lab study should then be done, assuming there is a clinical suspicion of sleep apnea.
