Mujhe afsos hai ki aapki ammi ko neend nahi aa rahi; neeche main mukhya karan aur agle kadam saaf taur par bata raha hoon.

⚕️ Neend na aane ke aam kaaran

• Tanaav/Chinta: agar aapki ammi din bhar chintit rehti hain to raat ko neend ruk sakti hai.
• Sharirik dard ya asuvidha: kamar, jod ya anya dard se neend tut sakti hai.
• Dawaon ka prabhav: agar ammi ne koi nayi dawa shuru ki ho to uska asar neend par pad sakta hai.

⚕️ Sambandhit medical sthitiyan

• Neend mein saans rukna (sleep apnea): raat ko bar-bar jagna ya saans ki pareshani se sambandhit.
• Restless legs ya manasik avsad/chinta: pairon ki bechaini ya udaasi neend ko prabhavit karte hain.
• Agar aapne dekha ho ki ammi raat mein chidak/jagti rehti hain, to yeh sambhav hai.

🏥 Jeevan shailee ke karan

• Raat mein caffeine ya madhur padarth: agar ammi raat ko chai/coffee leti hain to neend kam ho sakti hai.
• Aniyamit sone ka samay aur pradarshani upkaran (door darshan ya haath ka yantra) ka upyog raat ko: sone se pehle inka istemal neend rok sakta hai.

🩺 Kab chikitsak se milna zaroori hai

• Lambi avdhi tak neend na aana aur din bhar thakan ya kaam mein prabhav ho.
• Saans rukna, behoshi, tez dil ki dhadkan jaise gambhir lakshan ho to turant madad lein; turant madad ke liye 1066 par call kar sakte hain.
• Salah: pehle neend visheshagya ya manochikitsak se salah lein.

🩺 Agle kadam (practical)

• Neend patrika rakhen: 1–2 hafton ke liye sone jaane aur jagne ka samay likhen.
• Dawaon ki samiksha: kisi chikitsak se dawaon ka punaravalokan karwayen.
• Neend sudharne ki aadatein: niyamit sone ka samay, raat ko caffeine kam, sone se kam se kam 1 ghanta pehle pradarshani upkaran band.
• Agar aap chahein, main ghar par turant upay aur doctor ke liye tayar karne layak sankshipt note bata sakta hoon.

Stress is your body's natural response to demands or perceived threats and it affects your thoughts, emotions, and body function.

🩺 Symptoms

• When you ask "What is stress?", common signs include emotional (irritability, anxiety), cognitive (difficulty concentrating, racing thoughts), physical (headache, muscle tension, sleep changes), and behavioural (changes in appetite, social withdrawal).

⚕️ What this is

• Stress is a normal short-term (acute) or long-term (chronic) reaction to pressures such as work, relationships, health, or major life change; it mobilizes energy but becomes harmful if persistent.

🏥 Self-care steps

• Practice brief breathing or relaxation exercises (5–10 minutes daily).
• Prioritize sleep, regular activity, and balanced meals.
• Set boundaries and break tasks into small steps; ask for support from friends/family.
• Limit caffeine, alcohol, and late-night screen time.

⚠️ When to see a doctor

• Seek urgent help and call Apollo Emergency - 1066 if you have thoughts of harming yourself or others.
• See a psychiatrist if stress is persistent, severely interferes with daily life, or you need medication; consider a clinical psychologist for therapy like cognitive-behavioural therapy.

If you want, I can explain specific coping exercises or when medication might be considered.