Dizzy and sleepy as soon as evening comes

Dizziness and sleepiness occurring every night may be related to factors such as excessive fatigue, iron-deficiency anemia, and autonomic nervous system dysfunction. Treatment can be achieved through daily care and oral medications. Specific analyses are as follows:

1. Excessive Fatigue

Long-term engagement in heavy physical labor may lead to bodily overexertion, resulting in symptoms such as dizziness and sleepiness every night. It is recommended to improve work patterns and ensure adequate sleep to alleviate these discomforts.

2. Iron-Deficiency Anemia

If the balance between iron absorption and excretion in the body is disrupted, iron levels may become too low to meet the body's needs, leading to iron-deficiency anemia. Clinically, this condition presents symptoms such as fatigue, dizziness, and shortness of breath. Treatment may include medications such as ferrous sulfate syrup or ferrous lactate oral solution, used under a doctor’s guidance.

3. Autonomic Nervous System Dysfunction

Prolonged mental stress, excessive psychological pressure, or similar factors may stimulate the autonomic nervous system, causing autonomic dysfunction. Clinical manifestations include dizziness, fatigue, and chest tightness. Medications such as fluoxetine hydrochloride dispersible tablets or doxepin hydrochloride tablets may be used under medical supervision.

In addition to the above common causes, nighttime dizziness and sleepiness may also be associated with hypertension, cervical spondylosis, or Ménière's syndrome. It is important to seek timely medical evaluation and undergo appropriate examinations, followed by treatment as directed by a physician.