Sudden Insomnia: Causes and Solutions for Sleep Disturbances - Psychiatry

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Sudden insomnia?


A few days ago, after catching a cold, I started experiencing severe insomnia and a strong heartbeat.
I thought that after taking cold medicine, my symptoms would improve, but it has been three to four days since I stopped the medication, and my condition has not improved.
I keep tossing and turning in bed until dawn without feeling sleepy, yet during the day, I don't seem to feel overly fatigued.
I usually use my phone to help me fall asleep, taking about an hour to do so; however, I have never experienced a night without sleep before, which makes me quite anxious.
Additionally, I have been feeling occasional palpitations these past few days, so I would like to ask the doctor how I can improve this situation.
Thank you.

Ms. Chen, 20~29 year old female. Ask Date: 2018/09/18

Dr. Huang Jiabin reply Psychiatry


Hello: I hope your cold has improved a bit.
Sometimes, a cold with fever or the use of cold medications can disrupt your routine, and it may take some time to get back to normal.
The blue light emitted by electronic devices can interfere with the secretion of melatonin, thereby affecting sleep.
Additionally, anxiety about not being able to sleep can actually make the problem worse.
I recommend avoiding the use of electronic devices before bedtime and practicing diaphragmatic breathing or muscle relaxation techniques (there are many tutorials available on YouTube).
If your condition does not improve, you should consider consulting a doctor for a thorough evaluation to identify the underlying issues.
Furthermore, if you experience palpitations and subsequent feelings of anxiety after a cold (some people may experience palpitations), and if you are not typically prone to palpitations but they persist, it is advisable to see a cardiologist to check for any heart-related issues.

Reply Date: 2018/09/18

More Info


Sudden insomnia can be a distressing experience, especially when it follows an illness like a cold. Your symptoms of severe insomnia and palpitations after taking cold medication may be linked to several factors, including the effects of the medication, anxiety, and changes in your body’s normal rhythms. Here’s a comprehensive look at potential causes and solutions for your sleep disturbances.


Causes of Sudden Insomnia
1. Medication Side Effects: Many over-the-counter cold medications contain stimulants or other ingredients that can disrupt sleep. For example, pseudoephedrine, a common decongestant, can lead to insomnia and increased heart rate. If you’ve recently stopped taking these medications, your body may still be adjusting.

2. Anxiety and Stress: The experience of being sick can lead to anxiety, especially if you are concerned about your health or the implications of your symptoms. Anxiety can create a cycle where the worry about not sleeping leads to further insomnia.

3. Changes in Routine: Illness often disrupts our daily routines, including sleep patterns. If you’ve been resting more during the day or sleeping at irregular hours, this can affect your ability to fall asleep at night.

4. Physical Symptoms: Symptoms like palpitations or a racing heart can be both a cause and a consequence of anxiety. If you are feeling unwell, your body may be in a heightened state of alertness, making it difficult to relax and fall asleep.

5. Screen Time: Using your phone before bed can interfere with your sleep. The blue light emitted by screens can suppress melatonin production, making it harder to fall asleep.


Solutions for Improving Sleep
1. Establish a Sleep Routine: Try to go to bed and wake up at the same time every day, even on weekends. This helps regulate your body’s internal clock and can improve the quality of your sleep.

2. Create a Relaxing Bedtime Environment: Make your bedroom conducive to sleep. This includes keeping the room dark, quiet, and cool. Consider using blackout curtains, earplugs, or a white noise machine if necessary.

3. Limit Screen Time: Reduce the use of electronic devices at least an hour before bedtime. Instead, engage in calming activities such as reading a book, practicing relaxation techniques, or taking a warm bath.

4. Mindfulness and Relaxation Techniques: Practices such as deep breathing, progressive muscle relaxation, or meditation can help reduce anxiety and prepare your body for sleep. Apps that guide you through these techniques can be beneficial.

5. Monitor Your Diet: Avoid caffeine and heavy meals close to bedtime. Instead, consider a light snack if you’re hungry. Herbal teas, such as chamomile or valerian root, may also promote relaxation.

6. Physical Activity: Regular exercise can help improve sleep quality. However, try to avoid vigorous workouts close to bedtime, as they can have the opposite effect.

7. Consult a Healthcare Professional: If your insomnia persists, it may be beneficial to consult a healthcare provider. They can assess your symptoms, review any medications you are taking, and provide tailored advice or treatment options. Cognitive Behavioral Therapy for Insomnia (CBT-I) is a highly effective treatment that focuses on changing thoughts and behaviors that contribute to sleep problems.

8. Monitor Your Symptoms: Keep a sleep diary to track your sleep patterns, daily activities, and any factors that may be affecting your sleep. This information can be valuable for your healthcare provider.

In conclusion, sudden insomnia can stem from various factors, including medication side effects, anxiety, and changes in routine. By implementing healthy sleep habits, creating a calming bedtime environment, and seeking professional guidance if necessary, you can work towards improving your sleep quality. Remember, it’s essential to be patient with yourself as you navigate this challenging time.

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