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What illness could cause someone to feel drowsy as soon as they sit down?

Apr 04, 2023 Source: Cainiu Health
Dr. Yang Shuwen
Introduction
In general, feeling sleepy immediately after sitting down may be caused by conditions such as chronic fatigue syndrome, narcolepsy, neurasthenia, anemia, or hypertension. It is recommended to seek medical attention promptly and receive treatment according to the specific condition. Maintaining healthy lifestyle habits in daily life—such as regular sleep patterns, moderate exercise, and a balanced diet—can help alleviate symptoms and enhance immune function.

Sitting down and immediately feeling sleepy may be caused by conditions such as chronic fatigue syndrome, hypersomnia, neurasthenia, anemia, or hypertension. It is recommended to seek timely medical attention and receive appropriate treatment based on the specific condition. Detailed explanations are as follows:

1. Chronic Fatigue Syndrome

If there is excessive workload and physical exhaustion, the body tends to relax once seated, leading to falling asleep easily. This situation is generally not a cause for concern. Adjusting daily routines, ensuring adequate sleep, and avoiding overexertion are recommended.

2. Hypersomnia

Insufficient cerebral blood flow can lead to drowsiness due to brain hypoxia—for example, when cervical spine problems compress the vertebral artery, causing irritation or narrowing. Clinically, this may be accompanied by hemodynamic abnormalities, arrhythmias, increased blood viscosity, and microthrombi. Treatment may include medications such as lorazepam tablets, methylphenidate tablets, or oryzanol tablets, taken as directed by a physician.

3. Neurasthenia

Excessive physical or mental labor can disrupt the balance between excitation and inhibition in the cerebral cortex, leading to symptoms such as drowsiness, fatigue, and low spirits. Patients may take medications such as mecobalamin tablets, Yangxin Anshen Wan (nourishing heart and calming spirit pills), or Tianwang Buxin Dan under medical guidance.

4. Anemia

Anemia may result from insufficient red blood cell production, excessive red blood cell destruction, or malnutrition. Due to reduced oxygen delivery, symptoms such as fatigue, excessive sleepiness, and lethargy may occur. Treatments may include taking Donkey-hide Gelatin Granules for Blood Enrichment, Compound Ejiao Syrup, or ferrous sulfate tablets, as directed by a doctor.

5. Hypertension

Hypertension, caused by elevated blood pressure in the vessels, may also lead to symptoms such as limb weakness and drowsiness. Patients may use antihypertensive medications such as nifedipine tablets, nimodipine tablets, or compound reserpine tablets under medical supervision.

Maintaining healthy lifestyle habits—such as regular作息 (daily routines), moderate exercise, and a balanced diet—can help alleviate symptoms and enhance overall immunity.


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