Q. I have excessive daytime sleepiness. Why and how to treat it?

Answered by
Dr. Sagar Ramesh Makode
and medically reviewed by iCliniq medical review team.
This is a premium question & answer published on May 29, 2019

Hi doctor,

I am a 16-year-old female. My weight is 85 kilograms, and I have a height of 5 feet 3 inch. I have excessive daytime sleepiness for the past three years. It got started in me before three years, and my parents took me to the local GP immediately. They did blood tests and told that I have iron and folic deficiency. But I am still suffering even after the deficiency is gone. I always get sleep during the daytime. I try myself to stay awake for daily activities. I struggle extremely. It is interfering me in my day to day life. When I go to GP, they keep recommending me blood tests. I need a solution for my problem. Please help.

#

Hi,

Welcome to icliniq.com.

You have obstructive sleep apnea. Please say about other symptoms whether you had snoring, interrupted sleep, unrefreshed sleep, and morning headaches. If you had these symptoms, it supports the diagnosis. It is a condition characterized by obstruction of upper airway especially during sleep due to narrowing of airway due to obesity.

Obstruction of upper airway leads to temporary stoppage of respiration, increased sympathetic drive, and increased pulse rate. Also, another reason for pulse rate rise is deconditioning as you are not accustomed to activities.

You can do ENT examination if you have nasal stiffness, and recurrent tonsillitis to rule out the nasal causes of obstruction. You can also do a thyroid function test, lipid profile, sugar, Hba1c, vitamin D, and polysomnography. Polysomnography is a sleep study used to confirm the diagnosis and to know the extent of the disease. CPAP (continuous positive airway pressure) is needed.

You have to reduce weight. It is the first line of treatment. You need to have low fat, and a low-calorie diet to lose weight. Secondly, CPAP is a mask and device, and the pressure during inspiration and expiration during sleep keeps your airways patent and avoid this from happening. Also, regular exercise is essential. Chest physiotherapy and yoga will be helpful. So you can follow these steps, or you can visit a nearby sleep specialist or pulmonologist.


Was this answer helpful?

 | 


Related Questions:
What is the reason for chest pain after using CPAP?

Hi doctor, I have obstructive sleep apnea and using CPAP for a year ... Chest pain while on a CPAP machine (continuous positive airway pressure) is usually related to the machine setting if no o...   Read full

Why am I devoid of quality sleep?

.. that you might have developed some sleep issues mounting for insomnia. As you have mentioned that you are using continuous positive airway pressure (CPAP) and your apnea-hypopnea index (AHI) is well maintained, this sleep issue might be related...   Read full

I wake up coughing at night and swallow water to relieve this. Please advise.

.. are most likely due to gastroesophageal reflux disease, that is, acid reflux from the stomach to the food pipe in the chest. This happens more in the night hours which results in cough and sleep disturbances. Occasionally, it can also result in ba...   Read full

 

This is a sponsored Ad. icliniq or icliniq doctors do not endorse the content in the Ad.

Also Read Answers From:

Comprehensive Medical Second Opinion.Submit your Case

Also Read


COVID-19 Vaccines
A COVID-19 vaccine provides acquired immunity against the new Coronavirus. Read the article to know everything about the...  Read more»
The Perils of Social Media Addiction
Social media addiction affects both physical and mental health. Read this article to know more.  Read more»
COVID-19 - Second Wave
The second wave of COVID-19 is a red flag. Read more to know about the precautionary measures.  Read more»

Ask your health query to a doctor online?

Ask an Internal Medicine Physician Now

* guaranteed answer within 4 hours.

Disclaimer: No content published on this website is intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek advice from your physician or other qualified healthcare providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website.