How to Fall Back Asleep After Waking Up In Middle Of The Night

Updated Mar 10, 2025 | 03:00 AM IST

SummaryBut there are ways to help your body relax and drift off again without too much effort. Here are ten evidence-based strategies that could help you get the rest you need.
How to Fall Back Asleep After Waking Up In Middle Of The Night

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Waking up in the middle of the night can be frustrating—especially when you struggle to fall back asleep. But there are ways to help your body relax and drift off again without too much effort. Here are ten evidence-based strategies that could help you get the rest you need.

1. Block out disruptive noises

If a disturbing sound outside your window wakes you, try shutting it to block it out. You might also try using earplugs, turning on a fan, or listening to white noise. A 2021 research review found that white noise may improve sleep in some individuals, though results were mixed and more studies are needed.

2. Leave your bed

Try moving into a different room if you haven’t fallen asleep in 15 minutes. Then do something relaxing to distract your mind for a few minutes. This may make it easier to fall asleep when you return to bed.

3. Avoid staring at the clock

Staring at the clock may make you feel anxious about not sleeping. You might even consider getting rid of your alarm clock completely. Research published in 2019 suggests that anxiety and trouble falling asleep are associated. People who manage anxiety often worry about falling asleep, and people who have difficulty falling asleep often feel anxious.

4. Avoid screens

Turn off all your devices. Notification sounds may awaken you. Smartphones and other electronics also emit blue light that may suppress your body’s melatonin production. Melatonin is a hormone that helps regulate your circadian rhythm and sleep cycles. Blue light-blocking glasses are an inexpensive option that may improve sleep, according to a 2021 research review, but research is mixed.

5. Meditate or try breathing exercises

A 2018 research review on the effect of mindfulness meditation indicates breathing exercises or meditating may help treat some aspects of sleep disturbance and improve sleep quality. One useful method is the 4-7-8 breathing technique: inhale through your nose for 4 seconds, hold your breath for 7 seconds, then exhale through your mouth for 8 seconds.

6. Relax your muscles

One technique that some people may find helps them relax and sleep is performing a full body scan. Close your eyes, breathe slowly, and move your attention from your face down to your feet, relaxing each area as you go.

7. Sleep with the lights off

Resist the temptation to turn on the lights, even if you get out of bed. Bright light may interfere with your body’s melatonin production and wake you up.

8. Focus on something boring

Research from 2018 found that many people report feeling sleepy when bored. The classic “counting sheep” technique — or any uninteresting task that occupies your mind — may help distract you and make falling asleep easier.

9. Listen to relaxing music

Relaxing music may help calm your mind and block sounds that may disrupt your sleep. Personal preference plays a large role in determining what type of music is best, so experiment with different styles.

10. Try sleep apps

Sleep apps offer relaxing stories, music, and sounds. Apps like Calm and Headspace offer free trials, allowing you to see what works best for you.

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Doppler Test Explained: From Leg Pain to Pregnancy, When Do You Need One?

Updated Jul 27, 2026 | 04:12 PM IST

SummaryWhile commonly associated with pregnancy, Doppler ultrasound is also used to investigate conditions such as leg pain, swelling, varicose veins, blood clots, peripheral artery disease, and stroke risk.
Doppler Test Explained: From Leg Pain to Pregnancy, When Do You Need One?

Credit: iStock

A Doppler test is a specialized type of ultrasound that uses sound waves to measure blood flow through blood vessels rather than simply creating images of organs and tissues. Unlike a regular ultrasound, which produces pictures of internal structures, a Doppler ultrasound shows how blood moves through arteries and veins, helping doctors detect circulation problems.

While commonly associated with pregnancy, Doppler ultrasound is also used to investigate conditions such as leg pain, swelling, varicose veins, blood clots, peripheral artery disease, and stroke risk. Understanding when this test is needed can help detect serious conditions early and guide timely treatment.

Why Is Doppler Ultrasound Important During Pregnancy?

During pregnancy, a Doppler ultrasound is often recommended in high-risk cases to assess blood flow between the mother, placenta, and baby.

"It helps doctors monitor whether the fetus is receiving adequate oxygen and nutrients, making it especially important in pregnancies complicated by high blood pressure, diabetes, fetal growth restriction, or previous pregnancy-related complications," Dr. Vandana Mittal, Principal Consultant, Obstetrics and Gynecology, Paras Health Panchkula, told HealthandMe.

Dr. Vandana Jain, Principal Consultant - Obstetrics, Gynecology, Infertility & Advanced Laparoscopic Surgery, Yashoda Medicity, added that the test is commonly recommended in high-risk pregnancies, including fetal growth restriction, preeclampsia, hypertension, gestational diabetes, oligohydramnios, multiple pregnancies, and decreased fetal movements.

"By evaluating how effectively oxygen and nutrients are reaching the baby, the test helps detect signs of fetal compromise at an early stage, enabling timely monitoring, appropriate medical intervention, and informed decisions regarding the timing and mode of delivery."

By identifying potential issues early, Doppler studies help doctors monitor pregnancies more closely and intervene when necessary. However, the test is performed only for specific medical indications and is not a replacement for routine pregnancy ultrasounds.

What Other Conditions Can a Doppler Ultrasound Detect?

According to the Mayo Clinic, a Doppler ultrasound can help diagnose:

  • Blood clots
  • Venous insufficiency, where poorly functioning vein valves cause blood or fluid to pool in the legs
  • Heart valve defects and congenital heart disease
  • Arterial occlusion (blocked arteries)
  • Peripheral artery disease
  • Aneurysms
  • Carotid artery stenosis, which increases stroke risk

How Doppler Ultrasound Can Help People With Leg Pain

Dr. Jain said Doppler ultrasound is also commonly advised for patients with suspected Deep Vein Thrombosis (DVT), peripheral arterial disease, carotid artery narrowing, or chronic venous insufficiency.

"It is commonly advised for patients with suspected Deep Vein Thrombosis (DVT), peripheral arterial disease, carotid artery narrowing, or chronic venous insufficiency," she told HealthandMe.

The expert added that people with persistent leg pain while walking, unexplained swelling, non-healing wounds, or symptoms of poor circulation may require a Doppler evaluation.

Recently, gastroenterologist Dr. Pal Manickam highlighted the importance of Doppler ultrasound during a podcast discussion. He urged people not to ignore sudden leg pain or swelling, noting that these symptoms could indicate deep vein thrombosis (DVT) and require prompt evaluation.

How Is a Doppler Test Done?

The procedure is painless, non-invasive, and usually takes 30 to 60 minutes, depending on the area being examined. It is also radiation-free.

A Doppler ultrasound is performed by a trained sonographer using a hand-held device called a transducer. The transducer sends sound waves into the body and measures how they bounce off moving blood cells, allowing the machine to assess blood flow in real time.

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Prostate Cancer: NHS England's New Precision Radiotherapy Offers Hope In Just 5 Sessions

Updated Jul 27, 2026 | 05:00 PM IST

SummaryAccording to NHS England, stereotactic ablative radiotherapy (SABR) delivers highly targeted radiation to the tumor from multiple angles, helping reduce the risk of the cancer returning or spreading.
Prostate Cancer: NHS England's New Precision Radiotherapy Offers Hope In Just 5 Sessions

Credit: iStock

A new high-precision radiotherapy treatment introduced by NHS England is set to offer a faster and more convenient treatment option for thousands of men with prostate cancer.

Known as stereotactic ablative radiotherapy (SABR), the treatment delivers high-dose radiation in just five sessions over two weeks, compared with the 20 or more sessions typically required with conventional radiotherapy. This means eligible patients can complete treatment with 15 fewer hospital visits, reducing the burden of travel and time spent in care.

Prostate cancer is the most common cancer among men in the UK. More than 55,000 men are diagnosed with the disease each year, while around 12,300 die from it annually.

According to NHS Chief Executive Sir Jim Mackey, the new therapy will "transform" treatment for thousands of men with localized prostate cancer while enabling the NHS to provide "far more powerful and more convenient" cancer care.

How Does SABR Work?

According to NHS England, stereotactic ablative radiotherapy (SABR) delivers highly targeted radiation to the tumor from multiple angles, helping reduce the risk of the cancer returning or spreading.

The treatment delivers a higher dose of radiation with pinpoint accuracy, minimizing damage to surrounding healthy tissue and reducing the likelihood of side effects.

"This technology lets us focus a powerful and precise beam of radiotherapy directly onto the cancer, limiting the damage to healthy cells – and the fact it can be delivered in 15 fewer doses will help men get back to living their lives far more quickly," said Professor Peter Johnson, NHS National Clinical Director for Cancer.

Also known as stereotactic body radiotherapy (SBRT), SABR is already used to treat certain lung and brain cancers. It is now being offered on the NHS to eligible men with low- and intermediate-risk localized prostate cancer.

Also read: Minimally Invasive Focal Therapy For Prostate Cancer Promises Fewer Side Effects Than Surgery Or Radiotherapy

Who Can Benefit?

Around 17,500 men in England are diagnosed with low- or intermediate-risk prostate cancer each year and could be eligible for SABR.

NHS modeling suggests that nearly one in five of these patients—around 3,500 men annually—may choose the treatment to help reduce the risk of their cancer spreading.

The treatment is expected to be available across all 48 NHS radiotherapy centers in England, with the first hospitals beginning to offer it from next week.

Could Reduce Waiting Times

The NHS estimates that introducing SABR for prostate cancer could free up around 50,000 treatment appointments each year.

By shortening treatment schedules and reducing the number of hospital visits, the rollout is expected to improve capacity across radiotherapy services while helping bring down waiting times for cancer patients.

However, SABR is not suitable for everyone with localized prostate cancer. Experts advise patients to discuss their treatment options with their specialist team, while ongoing research continues to evaluate the therapy in different patient groups.

What Is Prostate Cancer?

Read More: Over 40% Prostate Cancer Patients in India Diagnosed After Cancer Has Spread: ICMR study

The prostate is a small, walnut-shaped gland in men that produces seminal fluid, which nourishes and transports sperm. Prostate cancer develops when abnormal cells begin to grow uncontrollably in the gland.

Experts say not all prostate cancers are life-threatening. Many are slow-growing and may never affect a man's lifespan. In fact, such cancers are found in around one in three men over the age of 50. However, a smaller number of prostate cancers are aggressive, spread quickly, and require prompt treatment, making early detection and regular screening important.

Symptoms of Prostate Cancer

Early-stage prostate cancer may cause:

  • Blood in the urine or semen
  • Difficulty urinating
  • Erectile dysfunction

More advanced prostate cancer may lead to:

  • Decreased force of the urine stream
  • Bone pain
  • Unexplained weight loss.

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Grade-1 Fatty Liver: More Indians Are Developing It at Lower BMIs. What's Behind the Shift?

Updated Jul 27, 2026 | 02:00 PM IST

SummaryThe doctors highlighted that many Indians develop visceral fat despite having a normal BMI, making them vulnerable to metabolic disorders. This means a healthy weight alone does not always translate to a healthy liver.
Grade-1 Fatty Liver: More Indians Are Developing It at Lower BMIs. What's Behind the Shift?

Credit: iStock

For years, excess weight has been considered one of the biggest risk factors for fatty liver disease. However, doctors are now seeing a growing number of Indians being diagnosed with Grade-1 fatty liver despite having a normal or only slightly elevated body mass index (BMI).

The emerging pattern is challenging the long-held belief that only people with obesity are at risk. Ahead of the World Hepatitis Day, observed every year on July 28, the health experts said it highlights the need to look beyond the number on the weighing scale, as excess abdominal fat, insulin resistance, poor diet, sedentary lifestyles, and genetic predisposition are increasingly being linked to early liver damage.

Hidden Metabolic Problems, Not Just Obesity

Speaking to HealthandMe, Dr. Pankaj Sharma, Director of Dept. Robotics, Bariatric, Laparoscopic and General Surgery, Fortis Hospital, Shalimar Bagh, said the trend reflects the rise of hidden metabolic problems rather than visible obesity.

"Many Indians develop excess fat around internal organs even when their BMI is within the normal range. Sedentary lifestyles, processed foods, sugary drinks, poor sleep and insulin resistance all contribute to fat accumulation in the liver. Grade-1 fatty liver is often the body's first signal that metabolic health is beginning to suffer," he said.

The doctors highlighted that many Indians develop visceral fat despite having a normal BMI, making them vulnerable to metabolic disorders. This means a healthy weight alone does not always translate to a healthy liver.

Also read: 1 In 4 Diabetic Patients in India Suffer from Liver Fibrosis, Finds Lancet Study

Fatty Liver Can Affect Fertility Too

The effects of fatty liver may extend beyond liver health, said Dr. Shobha Gupta, Medical Director and Infertility Specialist at Mother's Lap IVF Centre, Pitampura, New Delhi. She noted that metabolic disorders are increasingly affecting fertility in younger adults.

"Fatty liver is often part of a larger metabolic imbalance. In women, it may coexist with insulin resistance and PCOS, affecting ovulation, while in men, poor metabolic health can compromise sperm quality. Improving metabolic fitness before conception can support both fertility and a healthier pregnancy," she told HealthandMe.

Doctors also recommend assessing liver and overall metabolic health early during fertility treatment.

Is the Condition Reversible?

The experts emphasized that Grade-1 fatty liver is one of the few lifestyle-related conditions that can often be reversed if detected early.

"Instead of waiting for symptoms, people should pay attention to routine health check-ups, stay physically active and make sustainable lifestyle changes. Prevention is always easier than treating advanced liver disease," Dr. Sharma said.

Doctors recommend regular exercise, a balanced diet, maintaining a healthy waistline, and controlling blood sugar and cholesterol to prevent further liver damage.

What Is Grade-1 Fatty Liver?

Read More: NAFLD to MASLD: Experts Explain Why This Common Yet Dangerous Liver Condition Got Renamed

Grade-1 fatty liver, also known as mild steatosis, is the earliest and usually reversible stage of fatty liver disease. In this stage, about 5-10% of the liver contains excess fat.

If left untreated, the disease can progress to liver fibrosis, where scar tissue gradually replaces healthy liver tissue due to chronic inflammation. Advanced fibrosis can eventually lead to irreversible liver damage (cirrhosis), increasing the risk of liver failure and liver cancer.

Grade-1 Fatty Liver: Key Symptoms

The doctors warned that liver disease often remains unnoticed until it has significantly progressed. But some people may experience:

  • Fatigue
  • Discomfort in the upper right abdomen
  • High triglyceride levels
  • Unexplained weight gain
  • Impaired blood sugar control

Grade-1 Fatty Liver: How Is It Diagnosed?

Doctors may diagnose fatty liver using a combination of:

  • Blood tests, including liver enzymes (ALT and AST)
  • Lipid profile
  • Blood sugar tests
  • Ultrasound
  • CT or MRI scan
  • FibroScan.

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