Being constantly tired despite having sufficient sleep could be a source of frustration and can negatively affect your everyday day. Sleep deprivation is the most common reason for tiredness, with many other aspects ranging from health conditions to habits of life to constant insomnia.
In this thorough guide, we’ll explore the potential causes of an excessive level of daytime sleepiness, the best way to determine the cause as well, and the actions to take to increase your levels of energy.
Sleep is vital to maintaining mental and physical health, yet many struggle with chronic daytime sleepiness (EDS) regardless of having enough sleep at the time they need. If you often ask yourself, “Why am I always tired?” You’re not alone.
Why do I feel sleepy all the time, even when I get enough sleep? This blog will explore the scientific basis behind your sleepiness that causes sleepiness, the most common causes, as well as practical solutions to make you feel more awake.
Understanding Sleep and Sleepiness
The Sleep Cycle
Sleep is not a single state. Instead, it is a continually changing process that involves multiple phases:
NREM (Non-Rapid Eye Movement) Sleep (Stages 1-3)
- Stage 1: Transition between the state of wakefulness and sleeping.
- Stage 2: Deeper relaxation, body temperature drops, and heart rate slows.
- Stage 3: Sleep deep (slow-wave sleep) is essential to re-establish physical health.
REM (Rapid Eye Movement)
Sleep is involved with dreaming, memory consolidation, and the cognitive process.
The length of a whole night’s sleep is around 90 minutes. Generally, we go through about 4 to 6 cycles every night. The disruptions in these cycles can result in poor quality sleep, regardless of whether the total time seems sufficient.
How Much Sleep Is “Enough”?
The amount of sleep recommended is dependent on age:
- Adults (18-64 years): 7-9 hours
- Older adults (65+): 7-8 hours
The requirements for sleeping differ for each person. Some individuals function perfectly at 6 hours while others require more than 9 hours to get rested. If you’re consistently asleep within your recommended amount of sleep and still experience fatigue, it could be due to a problem with your sleep or a condition that is underlying.
Potential Causes of Excessive Sleepiness
Poor Sleep Quality
If you do get eight hours of sleep, the quality of your sleep may cause you to feel exhausted. Some of the factors that affect the quality of sleep are:
- Recurrent awakenings (due to sound, discomfort, or even stress)
- Irregular sleep schedule (shift work, inconsistent bedtimes)
- Exposure to blue light (phones and computers at night)
- Insomniacally uncomfortable sleeping environment (poor mattress, frigid temperatures)
Sleep Disorders
Many sleep disorders can lead to an excessive amount of daytime sleepiness:
Sleep Apnea
- The condition in which breathing continuously ceases and resumes during the night, resulting in the loss of oxygen and frequent awakenings.
- Symptoms: The sound of snoring is loud, you’re struggling for breath, and you have early morning headaches.
Narcolepsy
- A brain disorder that can affect the regulation of sleep and wake.
- Symptoms: Cataplexy, sudden sleep attacks (loss of muscle strength), and sleep paralysis.
Restless Legs Syndrome (RLS)
A constant urge to stretch legs and move them, usually causing sleep disruption.
Insomnia
Trouble falling asleep or remaining in bed, can cause a lack of sleep.
Medical Conditions
Many health problems can lead to chronic fatigue:
- Hypothyroidism (underactive thyroid)
- Anemia (low iron levels decrease the flow of oxygen)
- The condition is known as diabetes (blood glucose fluctuations that cause fatigue)
- Chronic Fatigue Syndrome (CFS)
- Autoimmune diseases (e.g., lupus, multiple sclerosis)
- Lung or heart conditions (reduced circulatory oxygen)
Diet and Nutrition
Food choices affect the energy levels of your body:
- Diets high in carbs and sugars can cause a crash in energy.
- Iron deficiency (anemia) reduces oxygen transport, causing fatigue.
- Vitamin D, as well as B12 deficiencies, affect the metabolism of energy.
Mental Health Factors
The psychological causes of insomnia can affect sleeping patterns and energy levels:
- Depression (linked with excessive sleeping or sleepiness)
- Anxiety (racing thoughts which prevent sleep)
- The chronic stress (elevated cortisol levels disrupt sleep patterns)
Lifestyle and Dietary Influences
- Lifestyle of sedentary (lack of exercise can reduce the amount of energy)
- A poor diet (high consumption of processed and sugary food items causes energy crash)
- Insufficiency (even moderate dehydration can cause fatigue)
- Alcohol and caffeine disrupt sleep patterns.
Medications and Substances
Certain medicines can lead to the following symptoms:
- Antidepressants (e.g., SSRIs, tricyclics, etc.)
- Antihistamines (allergy medications)
- Medicines for blood pressure (beta-blockers)
- Opioids and sedatives
Diagnosing the Underlying Issue
When to See a Doctor
Consult a healthcare provider if:
- Your sleepiness persists despite good sleep habits.
- Then you experience gasps for air or sudden sleeping episodes.
- It can hinder the work environment, interpersonal relationships, and daily activities.
Common Sleep Tests
- Polysomnography (Sleep Study) – The system monitors breathing patterns, brain activity, and movement.
- Multiple Sleep Latency Test (MSLT) – The test measures the speed at which you fall asleep in bed during the day (used to diagnose narcolepsy).
- Blood Tests – Examine for thyroid issues or vitamin deficiency.
How to Combat Excessive Sleepiness
Improving Sleep Hygiene
- Maintain a consistent sleeping routine (even during weekends)
- Make a bedtime routine that is relaxing (reading or meditating)
- Optimize your sleep environment (dark, calm, quiet).
- Be sure to limit screen time prior to bedtime (reduce the exposure to blue light).
Dietary Adjustments
- Consume balanced meals that are balanced (protein as well as healthy fats, and complex carbohydrates).
- Keep hydrated (dehydration increases fatigue).
- Beware of eating large meals prior to the time you go to bed (digestion interferes with sleep).
- Avoid drinking too much caffeine or limit alcohol and caffeine (especially late in the afternoon or evening).
Exercise and Physical Activity
- Regular workout (improves sleeping quality and increases energy).
- Beware of intense training before bed (can cause stress).
Stress Management
- Try relaxation techniques (deep breath or yoga).
- Cognitive Behavioral Therapy to treat insomnia (CBT-I) – helps to reframe negativity in sleep.
Medical Treatments
- CPAP Machine (for the treatment of sleep apnea).
- Medicines (for Narcolepsy, RLS, or thyroid disorders).
- Supplements (iron, Vitamin D, iron, B12 in the event of deficiency).
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Conclusion
The persistent sleepiness, despite getting enough sleep, may be caused by a myriad of causes, such as inadequate sleep, illnesses, or routines. Recognizing the root of the problem is crucial for a successful treatment.
If your lifestyle choices don’t work, take a visit to a physician to rule out any medical or sleep-related disorders. If you take the proper approach, whether it’s improved sleep hygiene, diet changes, or medical interventions — you are able to boost your energy levels and increase your general health.