Waking up early in the morning and unable to fall back asleep
Introduction
Introduction End-stage insomnia means waking up early in the morning and can't fall asleep again. These types can occur alone or in combination, but it is rare to have overnight insomnia if the environment allows sleep.
Cause
Cause
There are many causes of sleep problems, such as certain sleep disorders, physical illnesses, emotional factors, lifestyle (too much coffee and tea), and environmental factors (noise, crowding or pollution).
Physical cause
Physical illness and medication can affect sleep. Such as indigestion, headache, back pain, arthritis, heart disease, diabetes, asthma, sinusitis, ulcer disease, or taking some drugs that affect the central nervous system.
2. Mental reasons
Possible causes are stress, excessive anxiety, nervousness or anxiety, sadness or depression, anger, and prone to sleep problems.
3. Lifestyle
Sleep problems are also common due to lifestyle. Such as drinking coffee or tea, drinking in the evening, sleeping on food or late dinner, causing full food to be digested, mass smoking, vigorous physical activity before bedtime, excessive mental activity before bedtime, night shift work, daytime nap, irregular bedtime, The time of getting up is not regular.
4. Environmental factors
Noisy sleep environment, sleeping environment is too bright, polluted, overcrowded.
Examine
an examination
Related inspection
CT examination of blood routine
The most important way to understand insomnia is to use the EEG multi-lead tracing device to monitor the nighttime sleep process. Because of the various causes of sleep uneasiness and daytime sleepiness, EEG multi-lead tracing is essential for accurate diagnosis. On the basis of medical history and key neurological examinations, in order to identify insomnia caused by organic lesions, the necessary selective auxiliary examination items include:
1. CT and MRI examinations.
2. Blood routine, blood electrolytes, blood sugar, urea nitrogen.
3. ECG, abdominal B ultrasound, chest penetration.
Diagnosis
Differential diagnosis
A differential diagnosis that wakes up early in the morning and can no longer fall asleep:
1) Secondary insomnia: Common causes of secondary insomnia are as follows:
1 any physical illness affecting the central nervous system;
2 physical pain or discomfort, such as itching or pain of skin diseases, cancer pain, etc., often cause insomnia;
3 insomnia caused by alcohol, coffee, vegetables or drugs;
4 mental illness. Most people with mental disorders have symptoms of insomnia, especially in patients with anxiety and depression. As long as the clinical manifestations (including medical history, physical examination, and various examination results) are sufficient to diagnose one of the above diseases, the diagnosis of primary insomnia is not considered.
2) Other sleep disorders: such as night terrors, nightmares patients may have insomnia, if there is a typical night terror and nightmare symptoms, do not consider insomnia.
3) Transient insomnia disorder: This is common in daily life, without any treatment, the body can be naturally adjusted, so those with insufficient disease will not diagnose insomnia.
