Why do I feel anxious and uncomfortable around 10 p.m. every night, and what should I do about it?
Jun 04, 2023
Source: Cainiu Health
Dr. Tian Hongbo
Introduction
Palpitations and discomfort occurring around 10 p.m. each night may be caused by factors such as diet, cardiomyopathy, or obsessive-compulsive disorder, and can be improved through general treatments or medication. Other possible causes include coronary atherosclerotic heart disease, hyperthyroidism, and myocardial infarction. Additionally, attention should be paid to diet, with increased intake of fresh fruits and vegetables recommended.
Palpitations and discomfort occurring around 10 p.m. every night may be caused by factors such as diet, cardiomyopathy, or obsessive-compulsive disorder (OCD). These symptoms can be improved through general treatments or medication. Specific analyses are as follows:
1. Dietary factors
Drinking excessive strong tea or coffee before bedtime may stimulate the nerves in the heart area, causing cardiac discomfort. If no other symptoms are present, special treatment is usually unnecessary. It's advisable to avoid consuming stimulants like strong tea before sleeping.
2. Cardiomyopathy
Cardiomyopathy may impair the heart's contractile function, leading to insufficient blood supply and affecting normal cardiac function, resulting in discomfort in the heart area. Patients may take medications such as hydrochlorothiazide tablets or furosemide tablets under medical supervision.
3. Obsessive-Compulsive Disorder (OCD)
OCD is a mental health condition characterized by intrusive thoughts and repetitive behaviors. At night, patients may feel loneliness and anxiety more intensely, which could exacerbate OCD symptoms. Under a doctor’s guidance, patients may use medications such as paroxetine hydrochloride tablets or sertraline hydrochloride tablets.
In addition to the above causes, similar symptoms might also result from conditions such as coronary atherosclerotic heart disease, hyperthyroidism, or myocardial infarction. If physical discomfort occurs, it is recommended to seek timely medical consultation to determine the underlying cause and receive appropriate treatment. Additionally, attention should be paid to diet—consuming more fresh fruits and vegetables can help provide essential nutrients, supporting overall recovery.
