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.
47 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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Are there prescription drugs for childhood insomnia?
Sleeping medicine should never be used in children. Insomnia is a symptom and the cause needs to be considered. Anxiety and depression are frequent causes. There are also a large READ MORE
Sleeping medicine should never be used in children. Insomnia is a symptom and the cause needs to be considered. Anxiety and depression are frequent causes. There are also a large number of behavioral causes of insomnia. In general, treatment requires a formal evaluation with your pediatrician or a referral to a sleep specialist or psychiatrist depending on the details of the story.
Can sleep apnea cause irregular breathing and chest pain?
Sleep apnea would never cause chest pains.It also would not cause daytime or weak breathing symptoms unless it has caused chronic respiratory failure which is somewhat unusual. READ MORE
Sleep apnea would never cause chest pains.It also would not cause daytime or weak breathing symptoms unless it has caused chronic respiratory failure which is somewhat unusual. You should consult yo usual physician for evaluation
How fast does sleep apnea progress?
I do not think that is the best way to think of the problem. Apnea in children is generally related to size of the tonsils, shape of the mouth and nose, and weight. Those things READ MORE
I do not think that is the best way to think of the problem. Apnea in children is generally related to size of the tonsils, shape of the mouth and nose, and weight. Those things do not change very quickly on average and so apnea tends not to change much over a short to medium term. Losing or gaining a lot of weight would affect apnea with weight gain making it worse. The anatomy of tonsils and nose is generally pretty stable. If there is apnea in children, there are multiple reasons to get it treated including better school performance and lower long-term health risk.
Does lack of dopamine make you sleep more?
This is not really a fair way to look at the problem. Depression makes people sleep more or it can cause them to have insomnia. Medication can also cause both sleepiness and sleeplessness READ MORE
This is not really a fair way to look at the problem. Depression makes people sleep more or it can cause them to have insomnia. Medication can also cause both sleepiness and sleeplessness depending upon the medication for depression. It is more complex than just dopamine levels or interventions. Treatment can be tailored to try to cause better sleep or better wakefulness depending upon the patient.
Is there a surgery to cure sleep apnea?
Children are very different than adults. In children, tonsillectomy is the intervention of choice. It is generally effective. Treatment of obesity with weight may also be helpful. READ MORE
Children are very different than adults. In children, tonsillectomy is the intervention of choice. It is generally effective. Treatment of obesity with weight may also be helpful.
Can lack of sleep cause blurred vision?
It is possible. A formal ophthalmologic eye exam should be done to be sure there is correct muscle balance and no need for corrective lenses. Being tired can make underlying eye READ MORE
It is possible. A formal ophthalmologic eye exam should be done to be sure there is correct muscle balance and no need for corrective lenses. Being tired can make underlying eye problems more bothersome.
Is sleep apnea genetic?
There can be a genetic component. Your son should be screened if he has symptoms
Does watching tv before bed cause insomnia?
Watching television exposes is to light. That light can be quite bright. Exposure to light in the evening tends to delay sleep and so bright environments can make going to sleep READ MORE
Watching television exposes is to light. That light can be quite bright. Exposure to light in the evening tends to delay sleep and so bright environments can make going to sleep much more difficult. It's hard to know what else might be going on. In general there should be a set bedtime and a set wake time. Bright lights and bright screens should be avoided for 2 hours or so before sleep if possible The cell phone ought not to be anywhere near her bedroom. Depression and anxiety can frequently disrupted sleep and if there are reasons for stress or depression, medical help is needed.
My daughter keeps having nightmares. What can we do?
There is not a simple answer here. Nightmares and night terrors can be developmental phenomena which are normal but there is obviously a spectrum including significantly abnormal READ MORE
There is not a simple answer here. Nightmares and night terrors can be developmental phenomena which are normal but there is obviously a spectrum including significantly abnormal events. I would discuss the matter with your pediatrician. Depression and anxiety can be associated with this behavior. If your daughter is old enough to consider it, drug and alcohol use can also play a role.
I have hallucinations at night and now I am unable to sleep. What should I do?
Yes you should definitely see your physician.Both psychiatric and neurologic illnesses might cause this problem. Certain medications can cause this as well.
Why do I feel so drowsy in the mornings?
There are disorders of sleep, most often sleep apnea, that can result in non-restorative sleep. It would be appropriate to speak to your physician and perhaps to be referred to READ MORE
There are disorders of sleep, most often sleep apnea, that can result in non-restorative sleep. It would be appropriate to speak to your physician and perhaps to be referred to a sleep specialist.
What medicine is good for children's sleeping issues?
There are better ways to deal with this. In general, medication would be strongly discouraged. Talk to your internist. If necessary get referred to a sleep specialist who specializes READ MORE
There are better ways to deal with this. In general, medication would be strongly discouraged. Talk to your internist. If necessary get referred to a sleep specialist who specializes in pediatric sleep or, if appropriate, a pediatric psychiatrist.
Can acupuncture help with sleep problems?
While it is possible that it might be of benefit it is neither standard nor well studied studied. Almost all insomnia 1n 16-year-old's is addressable with a conventional approach READ MORE
While it is possible that it might be of benefit it is neither standard nor well studied studied. Almost all insomnia 1n 16-year-old's is addressable with a conventional approach and can relate to some mixture of poor sleep habits, poor sleep environment, anxiety, medical illness or depression.It would make far better sense to have him evaluated by a pediatric sleep specialist.
Will a chiropractor help my baby sleep?
Your pediatrician would be a much better resource for addressing this problem. There are pediatric sleep specialist should one be required.
Do all children experience bed-wetting around age 9?
This is not a usual behavior and there is a well-defined path for evaluating this. You should start by discussing the problem with your family pediatrician.
Why does my son wet the bed?
This is a common but not normal behavior as you know. There can be many reasons for this and it would be appropriate to visit your pediatrician who will direct a workup and treat READ MORE
This is a common but not normal behavior as you know. There can be many reasons for this and it would be appropriate to visit your pediatrician who will direct a workup and treat based on the findings. There are both medical and psychiatric causes possible.
How to recover your relationship with your family after cheating?
This needs to be directed to a family therapist. It is a completely reasonable question but outside the realm of sleep medicine. The sleep difficulty is simply a symptom of the READ MORE
This needs to be directed to a family therapist. It is a completely reasonable question but outside the realm of sleep medicine. The sleep difficulty is simply a symptom of the underlying stress/anxiety/anger disorder.
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.
