i have gone through your query. you are suffering from two problems. one is nasal block and the other is sleep disturbance which may be insomnia. you can stop xaria plus (combination of montelukast and fexofenadine). instead of that you can take flutiflo-ft - fluticasone nasal spray once daily along with nasoclear nasal drops as and when required. sleep disturbance may be due to insomnia and so need sleep hygiene. stop drinking coffee or tea in the evening do regular exercises in the evening and sleep in the lateral position. try simple changes to your daytime and pre-bedtime routine. keep a regular sleep schedule go to sleep and get up at the same time each day including the weekends. set aside enough time for sleep. most people need at least seven to eight hours each night in order to feel good and be productive. make sure your bedroom is dark cool and quiet. cover electrical displays use heavy curtains or shades to block light from windows or try a sleep mask to shield your eyes. turn off your television smartphone and computer a few hours before your bedtime. the type of light these screens emit can stimulate your brain suppress the production of melatonin and interfere with your body’s internal clock. will try conservative management initially and if not improving then you may need sleep study and medications like melatonin. i want to know whether you have snoring. the probable causes:stress related sleep disorder. investigations to be done:sleep study after one month. differential diagnosis:obstructive sleep apnea (osa). probable diagnosis:insomnia. treatment plan:conservative management like sleep hygiene avoid coffee and tea and do regular exercises. regarding follow up:revert back after a month to a sleep medicine physician online. ---> <link>
what is the reason for my disturbed sleep and morning drowsiness?