Can't sleep past 4AM

[NoZZZZs]

For the past month, since sinus surgery and multiple courses of steroids and antibiotics, I have been unable to sleep past 4AM.  Not only an I awake, but I am jolted awake and then am completely wired/stressed (think 10 Venti Starbucks) for the rest of the morning.  Slight nausea/ No interest in food in the morning.  Things usually calm down for the day after lunch.  Here are the details:

Diagnoses:
Obstructive Sleep Apnea (2013)
Deviated septum (2013)
Chronic sinusitis (2013)
Airborne allergies (Oak, Grasses, Mold, etc.) (2013)
Sinus Infection (2013)
Gilberts Syndrome (1996)
Vitamin D deficiency (2014)

Procedures/Fixes:
SUAD dental device (5/2015)
Sinus surgery (9/2014)
3 CT scans of sinuses
Weekly allergy shots/year (ongoing)
Neti Pot (2X daily for 1+ year)


Drugs:
6 courses antibiotics (4 in the last 3 months)
Augmentin/Avelox last courses
9 prednisone taper courses
Dymista/Flonase (daily for 1+ year) stopped last month
Ibuprofen
Lipitor
Vitamin D supplement

Symptoms:
Since surgery:
Cannot sleep past 4 AM
-Wired/adrenaline rush, can’t fall back to sleep
-Afternoon crash
Shaky/nervous (made much worse by antibiotics/prednisone?)
-Worse in morning, better as the day goes on
Hard to concentrate
Frequently sweaty at night
Coated tongue
Position sensitive (prone better, upright worse)
Burning sensation in forehead/top of scalp.  Comes and goes.
Lost 15 Lb. in months, loss of appetite,
Coughing spells after getting up in morning
Eating can make symptoms come/go
Blood specks in snot

Doc(s) say "take a sleeping pill and it will get better".  My thoughts:  (a) the long term steroid use/stop screwed up Cortisol levels, (2) the heavy antibiotics screwed up my intestines (c) all of the above.  Has anyone had similar issues?  What's the cause/resolution?  What should I tell my doc?























Symptoms:
Since surgery:
Cannot sleep past 4 AM
-Wired/adrenaline rush, can’t fall back to sleep
-Afternoon crash
Shaky/nervous (made much worse by antibiotics/prednisone?)
-Worse in morning, better as the day goes on
Hard to concentrate
Frequently sweaty at night
Coated tongue
Position sensitive (prone better, upright worse)
Burning sensation in forehead/top of scalp.  Comes and goes.
Lost 15 Lb. in 2 months, loss of appetite,
Coughing spells after getting up in morning
Eating can make symptoms come/go


  

[ggreg]

Hi NoZZZs,

I know a little about general good health issues, so I'm just going to list off what I think you should do, and you can ask your doc why.  But I'M SURE at this time in your life, you should do these things I list, which they will not hurt you.  And I think your basic trouble came from your nose issues and deviated septum and what all they did about it.  You WILL get better:

(a) lack of sleep is partly causing many symptoms, so take sleep pill*
(b) get a foam pillow, lay on side when resting, tilt head up some
(c) drink water & take weekly long, hot soak & do mild stretching
(d) stop taking Lipitor for now -- very dangerous interaction w/your drugs
(e) eat probiotics like yogurt, bananas -- do not eat grapefruit
(f) doc should gradually increase time between allergy shots!
(g) if you work for a living, get temp disability at Social Security
(h) year-round keep a warm humidifier going in your house, few hrs
(I) keep a few low-light plants in your home
          *Soma is a good sleeping pill

I might add that many of these tips you should do for only perhaps six months or so, or some a couple years, until you begin to feel better in diff ways.  But I am POSITIVE about the Lipitor, you must go off it and find other ways to eat right to fix cholesterol, until you are completely well.
Regards, Gail  

[rumpled]

Do you crave salt? How are your sodium and potassium readings?

AI /Addison's is a salt wasting disease so you would have abnormal readings there.