Medical Center of North Broward - Improving Patient Care
Professional Medical Center Physician
 
Medical Center of North Broward is focused on providing high-quality service and customer satisfaction - we will do everything we can to meet your expectations.
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38 NE 20TH AVE Ste # 1 Pompano Beach FL 33060
800.710.4790 Toll Free
954.781.3306 Phone
954.781.3307 Fax
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When Pain Interrupts Your Sleep
 
 
Whether it’s from a sore lower back or throbbing tooth, pain is hard enough to deal with in the light of day. But pain at night that robs you of your much-needed sleep can be downright exhausting.“An individual simply cannot get comfortable to fall asleep due to the discomfort of pain,” says Frank. J. Falco, MD, who specializes in pain management and sleep problems in Newark, Del. Plus, pain causes anxiety, which disrupts sleep even more.In addition to preventing a person from falling asleep, pain also results in difficulty staying asleep. And once pain keeps you awake one night, it is likely to do the same thing again and again. Pain-related insomnia gets worse over time.If pain keeps you up, take comfort in knowing you are not alone. According to the National Sleep Foundation, two out of three people with chronic pain have trouble sleeping.Many types of pain can interrupt sleep, from the chronic pain of arthritis to the acute pain that follows surgery.“But no matter what the cause, it is the intensity and quality of the pain, not necessarily the type, that determines the impact on a person’s quality of life, including sleep,” says Falco, who heads Mid-Atlantic Spine and Pain.
 
Tests Used to Diagnose Depression
 
If you are planning to see your doctor about depression, here is information about the kinds of tests your doctor might ask for. First, keep in mind that not every test is a "depression test." Some tests aren't used to diagnose clinical depression but rather to rule out other serious medical conditions that may cause similar symptoms.
In most cases, the doctor will do a physical exam and ask for specific lab tests to make sure your depression symptoms aren't related to a condition such as thyroid disease or cancer. If your symptoms are related to another serious illness, treating that illness may also help ease the depression.
Diagnosing Depression and the Physical Exam
Again, the goal with a physical exam is usually to rule out a physical cause for depression. When performing the physical exam, the doctor may focus primarily on the nervous and hormonal systems. The doctor will try to identify any major health concerns that may be contributing to symptoms of clinical depression. For example, hypothyroidism -- caused by an underactive thyroid gland -- is the most common medical condition associated with depressive symptoms. Other hormone disorders associated with depression include hyperthyroidism -- caused by an overactive thyroid -- and Cushing's disease -- a disorder of the adrenal gland.
Many central nervous system illnesses and injuries can also lead to depression. For example, depression might be associated with any of the following conditions:
  • central nervous system tumors
  • head trauma
  • multiple sclerosis
  • stroke
  • syphilis
  • various cancers (pancreas, prostate, breast)
Corticosteroid medications such as prednisone, which people take for diseases such as rheumatoid arthritis or asthma, are also associated with depression. Other drugs, including illegal steroids and amphetamines and over-the-counter appetite suppressants, may cause depression on withdrawal.
Diagnosing Depression and Lab Tests
Your doctor can usually tell if you have depression by asking you specific questions and doing a physical exam. Your doctor may, however, ask for lab tests to rule out other diagnoses. Your doctor will likely do blood tests to check for medical conditions that may cause depressive symptoms. He or she will use the blood tests to check for such things as anemia, and thyroid, hormone, and calcium levels.
Diagnosing Depression and Other Testing Methods
The doctor may include other standard tests as part of the initial physical exam. Among them may be blood tests to check electrolytes, liver function, and kidney function. Because the kidneys and liver are responsible for the elimination of depression medications, impairment to either of these two organs may cause the drugs to accumulate in the body.
Other tests may include:
  • CT scan or MRI of the brain to rule out serious illnesses such as a brain tumor
  • electrocardiogram (ECG), which is used to diagnose some heart problems
  • electroencephalogram (EEG), which uses an apparatus for recording electrical activity of the brain
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