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Many people often find it difficult to wake up in the morning and feel sleepy during the day despite getting enough sleep at night. This condition is called excessive daytime sleepiness or narcolepsy. This is a sleep disease caused by internal factors or external factors affecting sleep.
1. What is excessive daytime sleepiness?
Many people often find it difficult to wake up in the morning and feel sleepy during the day despite getting enough sleep at night. This condition is called excessive daytime sleepiness or narcolepsy . This is a sleep disease caused by internal factors or external factors affecting sleep. The disease is characterized by easily falling asleep at any time of the day such as studying, driving, meeting and even eating at the table.
Excessive daytime sleepiness causes poor wakefulness. What is more troublesome is that the patient feels lack of clarity, memory loss, difficulty concentrating, long-term psychological disorders such as stress or anxiety, depression and reduced quality of life.
2. What causes excessive daytime sleepiness?
Excessive daytime sleepiness is currently on an increasing trend. There are many causes of daytime sleepiness, but most are due to insufficient sleep or from mental disorders.
2.1. Intrinsic causes These causes may include:
Physical conditions that can disrupt sleep, causing insomnia and excessive daytime sleepiness. Physical conditions that cause pain or discomfort such as osteoarthritis, arthritis, herniated discs, and cancer cause poor sleep quality. Nighttime seizures also interfere with sleep. Neuropsychiatric disease. Most neuropsychiatric conditions can cause insomnia and excessive daytime sleepiness. About 80% of patients with major depression have symptoms such as difficulty falling asleep, poor sleep, loss of sleep maintenance, or excessive daytime sleepiness. In contrast, 40% of patients with chronic insomnia develop severe mental illness, often emotional disturbances. If a depressed patient has symptoms of insomnia, taking an antidepressant with a sedative effect (eg, mirtazapine, citalopram, paroxetine) may help the patient sleep better. These drugs are often used in low doses to treat depression. If depression is accompanied by excessive daytime sleepiness, an active antidepressant may be selected (eg, venlafaxine, bupropion, certain selective serotonin reuptake inhibitors such as sertraline) and fluoxetine).
2.2. External causes External causes of excessive daytime sleepiness include:
Insufficient sleep syndrome (also known as sleep deprivation): Patients with this syndrome will be unable to sleep. enough sleep at night. The cause is often due to day-to-day work and social problems. Inadequate sleep syndrome is possibly the most common cause of excessive daytime sleepiness that subsides with increased sleep duration (eg, rest days or weekends). Sleep is affected by certain behaviors including: use of caffeine or other stimulants (especially when taken near bedtime or even in the afternoon for sensitive individuals); working out a lot or getting too excited at the end of the day; irregular bedtime schedule. This causes the body to not get enough sleep, so the patient will find himself sleepy during the day. Sleep regulation disorders: Extrinsic factors such as acute illness requiring hospitalization, loss of employment, grief, and sudden emotional stress can cause insomnia and excessive daytime sleepiness . Symptoms, as well as insomnia and daytime sleepiness, are usually short-lived, disappearing on their own as the stress subsides. However, if excessive daytime sleepiness and fatigue appear, especially when affecting life activities, the patient should be treated with sleeping pills for a short time. Anxiety and stress sometimes also require specific medication. Drug-induced sleep disorders: Insomnia and excessive daytime sleepiness may result from the use of sleeping pills (eg, benzodiazepines), tranquilizers, and nervous system stimulants. centrally (eg, caffeine, amphetamine), anticonvulsants, hormone preparations, antimetabolites, oral contraceptives, propranolol, methyldopa, alcohol. In addition, problems with insomnia and excessive daytime sleepiness may occur when abrupt discontinuation of tricyclic antidepressants, monoamine oxidase inhibitors, central nervous system depressants (eg, tranquilizers) , opioids, barbiturates) or using stimulants such as marijuana, heroin, cocaine, phencyclidine).
In summary, excessive daytime sleepiness causes poor wakefulness. What is more troublesome is that the patient feels lack of clarity, memory loss, difficulty concentrating, long-term psychological disorders such as stress or anxiety, depression and reduced quality of life. Therefore, if you experience prolonged sleep during the day, you should see a doctor for appropriate treatment and balance your life.
Currently, Vinmec International General Hospital is one of the most prestigious medical treatment units for neurological diseases in Vietnam. The Department of Neurology at Vinmec has the function of examining, diagnosing, consulting and treating diseases related to neurological factors, including headaches, vestibular syndrome, cerebellar syndrome, dementia The typical method of the department is to use intravenous and arterial fibrinolytic drugs for stroke cases, along with the combination with paraclinical means such as electroencephalography, electromyography. ST Scan, MRI,...
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