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Excessive daytime sleepiness

Causes of Excessive Daytime Sleepiness: – Insufficient quality or quantity of night time sleep – Misalignments of the body’s circadian pacemaker with the environment – […]

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Causes of Excessive Daytime Sleepiness:
– Insufficient quality or quantity of night time sleep
– Misalignments of the body’s circadian pacemaker with the environment
– Underlying sleep disorders like narcolepsy, sleep apnea, idiopathic hypersomnia, or restless legs syndrome
– Disorders such as clinical depression or atypical depression
– Health conditions like tumors, head trauma, anemia, kidney failure, hypothyroidism, or central nervous system injury
– Medications such as antihistamines
– Lifestyle factors including excessive alcohol consumption
– Neurological disorders such as Parkinson’s disease

Diagnosis of Excessive Daytime Sleepiness:
– Distinguishing between occasional daytime sleepiness and chronic excessive daytime sleepiness
– Epworth Sleepiness Scale for screening
– Multiple Sleep Latency Test (MSLT)
– Maintenance of Wakefulness Test (MWT)
– Polysomnography
– Actigraphy
– Clinical history and physical examination
– Electroencephalography (EEG) for objective diagnosis

Treatment Options for Excessive Daytime Sleepiness:
– Identifying and treating the underlying disorder
– Drugs like modafinil, armodafinil, and Xyrem for EDS symptoms
– Stimulant medications like modafinil
– Declining usage of other drugs due to adverse effects
– Personalized treatment plans based on diagnosis
– Lifestyle modifications including regular exercise
– Continuous positive airway pressure (CPAP) therapy for sleep apnea
– Cognitive-behavioral therapy for insomnia
– Avoiding caffeine and heavy meals close to bedtime

Impact of Excessive Daytime Sleepiness:
– Increased risk of accidents and injuries
– Impaired cognitive function and memory
– Reduced quality of life
– Negative effects on work performance
– Higher risk of developing chronic health conditions

Preventive Measures for Excessive Daytime Sleepiness:
– Maintain a consistent sleep schedule
– Create a comfortable sleep environment
– Limit screen time before bed
– Practice relaxation techniques like meditation
– Avoid napping for extended periods during the day

Excessive daytime sleepiness (Wikipedia)

Excessive daytime sleepiness (EDS) is characterized by persistent sleepiness and often a general lack of energy, even during the day after apparently adequate or even prolonged nighttime sleep. EDS can be considered as a broad condition encompassing several sleep disorders where increased sleep is a symptom, or as a symptom of another underlying disorder like narcolepsy, circadian rhythm sleep disorder, sleep apnea or idiopathic hypersomnia.

Daytime hypersomnia
Other namesEDS
SpecialtyPsychiatry, neurology

Some persons with EDS, including those with hypersomnias like narcolepsy and idiopathic hypersomnia, are compelled to nap repeatedly during the day; fighting off increasingly strong urges to sleep during inappropriate times such as while driving, while at work, during a meal, or in conversations. As the compulsion to sleep intensifies, the ability to complete tasks sharply diminishes, often mimicking the appearance of intoxication. During occasional unique and/or stimulating circumstances, a person with EDS can sometimes remain animated, awake and alert, for brief or extended periods of time. EDS can affect the ability to function in family, social, occupational, or other settings. [irrelevant citation] A proper diagnosis of the underlying cause and ultimately treatment of symptoms and/or the underlying cause can help mitigate such complications. According to the National Sleep Foundation, around 20 percent of people experience excessive daytime sleepiness.

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