Lying down brings no sleepiness, but standing up makes one drowsy.

Jun 05, 2023 Source: Cainiu Health
Dr. Yang Jun
Introduction
Feeling sleepy when getting up but not when lying down may be related to overexertion, autonomic nervous dysfunction, or neurasthenia, and can be treated through daily care, medication, and other interventions. Besides these common causes, it might also be associated with conditions such as cardiac neurosis or peripheral neuritis. Patients should visit a hospital for proper diagnosis and receive standardized treatment after identifying the underlying cause.

Feeling sleepy upon standing up but alert when lying down may be related to overexertion, autonomic nervous system dysfunction, or neurasthenia. This condition can be managed through daily self-care, medication, and other interventions. Specific analyses are as follows:

1. Overexertion

If the body remains in a state of excessive fatigue for a prolonged period, it may produce an excess of stress hormones, placing the body in a highly tense state, which can lead to difficulty falling asleep or insomnia. This condition does not require special treatment and usually improves with adequate rest.

2. Autonomic Nervous System Dysfunction

The autonomic nervous system consists of the sympathetic and parasympathetic nerves, which regulate the body's stress responses and relaxation responses, respectively. If the sympathetic nervous system is overly excited or the parasympathetic nervous system is underactive, the body may remain in a state of tension, thereby disrupting sleep. Patients may take medications such as Oryzanol tablets or Vitamin B1 tablets as directed by a physician for regulation.

3. Neurasthenia

Neurasthenia refers to dysfunction of the nervous system, characterized by symptoms such as anxiety, depression, and fatigue. These symptoms can impair sleep quality, leading to difficulty falling asleep, light sleep, or frequent awakenings. Patients may follow medical advice to take medications such as Anshen Bunao Liquid or Oryzanol tablets for symptom management.

In addition to the common causes listed above, this condition may also be associated with cardiac neurosis, peripheral neuritis, or other conditions. Patients should seek medical evaluation at a hospital to determine the underlying cause and receive standardized treatment accordingly.


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