Whipple disease, concern for relapse (MRI)

Inadequate sleep hygiene

Inadequate sleep hygiene can result in sleep onset or maintenance difficulties, unrefreshing sleep, chronic sleep complaints, and daytime fatigue and sleepiness, and can also worsen other comorbid psychiatric and neurologic disorders. It may be transient, intermittent, or chronic, with insomnia usually being the presenting symptom. Daytime napping, maintaining a highly variable sleep/wake schedule, exposure to light, using sleep-disruptive substances, or engaging in mentally or physically activating activities too close to bedtime can all cause sleep-onset difficulties.