What should I do if I'm constantly feeling drowsy?

Oct 13, 2022 Source: Cainiu Health
Dr. Yang Jun
Introduction
Constant drowsiness may be caused by conditions such as hypertension, sleep apnea syndrome, or cervical spondylosis, which can lead to elevated blood pressure and cerebral arterial spasm, resulting in insufficient blood supply to the brain and persistent drowsiness. Patients who snore at night and have impaired airway通畅 (patency) remain in a state of hypoxia throughout the night, leading to excessive daytime sleepiness the next day. In patients with cervical spondylosis, insufficient blood supply to the vertebrobasilar arterial system can also cause similar symptoms.

Generally, persistent drowsiness may be caused by conditions such as hypertension, sleep apnea syndrome, or cervical spondylosis. Symptomatic treatment should be administered according to the underlying cause.

1. Hypertension: In patients with poorly controlled blood pressure, elevated blood pressure can lead to cerebral arterial spasm and insufficient blood supply to the brain arteries, resulting in persistent drowsiness and dizziness. Timely antihypertensive treatment is necessary. Medications such as nifedipine or amlodipine can be taken as prescribed by a doctor.

2. Sleep Apnea Syndrome: Patients who snore at night and have obstructed airways often remain in a state of hypoxia throughout the night, leading to persistent drowsiness the following day. Correcting sleeping posture may help; for severe cases, surgical treatments such as uvulopalatopharyngoplasty or nasal cavity expansion surgery may be required.

3. Cervical Spondylosis: If the transverse foramen is compressed in patients with cervical spondylosis, it may lead to insufficient blood supply in the vertebrobasilar arterial system, causing persistent drowsiness. As directed by a physician, neurotrophic medications such as oryzanol or mecobalamin tablets may be taken to relieve symptoms, or local physical therapies such as massage and acupuncture may be performed.