What causes frequent twitching when falling asleep, and what should be done about it?

Frequent twitching when falling asleep may be caused by physiological factors, or it could result from conditions such as calcium deficiency or upper respiratory tract infections. In such cases, medication should be used according to the specific underlying cause. The details are as follows:

1. Physiological Factors

This commonly occurs in individuals who habitually stay up late or overwork. Sleep deprivation can impair the cerebral cortex's ability to regulate lower-level nerves, leading to muscle twitching. This type of twitching usually does not come with other symptoms and is considered normal, so there is generally no need for concern.

2. Disease-Related Factors

2.1 Calcium Deficiency

If a patient lacks calcium, nerve excitability may be affected, causing twitching just before falling asleep. This may also be accompanied by joint pain and osteoporosis. Under medical guidance, patients should take supplements such as calcium carbonate D3 tablets or calcium lactate tablets for treatment.

2.2 Upper Respiratory Tract Infection

This is usually associated with bacterial or viral infections, which can affect the central nervous system that regulates body temperature, leading to fever and subsequently causing twitching and chills. Symptoms such as nasal congestion and cough may also occur. Patients should follow their doctor’s instructions and take medications like amoxicillin capsules or compound paracetamol alkamine tablets for treatment.

Besides the common causes mentioned above, other possible factors include anemia, epileptic seizures, and peripheral neuropathy. Patients should seek timely medical attention to avoid delays in diagnosis and treatment.