Hyperventilation: When to Seek Medical Attention? - Psychiatry

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Hyperventilation


Today, I was sent to the emergency room due to hyperventilation.
The nurse administered a small dose of a sedative, and after my condition improved, I was discharged.
This seems normal, but after going to sleep at night, I have been sleeping continuously for at least 24 hours and very deeply.
When I am called to wake up, I feel excessively drowsy and even fall asleep while eating.
Is this normal? Should I seek medical attention immediately?

Miss Peng, 30~39 year old female. Ask Date: 2020/05/31

Dr. Wu Enliang reply Psychiatry


Hello, netizen: It is likely just the effect of a sedative, and there is no need to seek medical attention.
However, if hyperventilation occurs repeatedly, it is advisable to consult a mental health facility.
Dr.
Wu Enliang

Reply Date: 2020/05/31

More Info


Hyperventilation is a condition characterized by rapid or deep breathing that can lead to a decrease in carbon dioxide levels in the blood, resulting in various symptoms such as dizziness, tingling in the extremities, and even fainting. It can be triggered by anxiety, panic attacks, or other stressors. When someone experiences hyperventilation and is subsequently treated in an emergency department, it is common for medical staff to administer a mild sedative to help calm the patient and stabilize their breathing.

In your case, it seems that after receiving treatment, you experienced an extended period of sleep, lasting around 24 hours. While it is not unusual to feel fatigued or sleepy after a stressful event or medical intervention, sleeping for such an extended period can raise some concerns. Here are a few points to consider regarding your situation:
1. Post-Treatment Fatigue: After experiencing a medical episode like hyperventilation, it is common for individuals to feel exhausted. The body may require additional rest to recover from the stress and physiological changes that occurred. However, sleeping excessively, especially if it interferes with your normal routine, could indicate that your body is still under stress or that there may be another underlying issue.

2. Sedative Effects: The sedative administered in the emergency department could also contribute to prolonged drowsiness. Depending on the type and dosage of the medication, it may take some time for the effects to wear off completely. If you were given a benzodiazepine or another sedative, it is not uncommon to feel drowsy for an extended period afterward.

3. Monitoring Symptoms: While some drowsiness can be expected, it is essential to monitor your symptoms. If you continue to feel excessively sleepy, have difficulty waking up, or experience other concerning symptoms such as confusion, difficulty breathing, or changes in heart rate, it is crucial to seek medical attention promptly.

4. When to Seek Help: If you find that your excessive sleepiness persists beyond a day or two, or if you experience any new or worsening symptoms, it is advisable to contact your healthcare provider or return to the emergency department. It is better to err on the side of caution, especially after a significant health event.

5. Underlying Conditions: In some cases, prolonged drowsiness can be a sign of an underlying condition, such as an electrolyte imbalance, dehydration, or other metabolic issues that may need to be addressed. If you have any pre-existing health conditions or are taking other medications, these factors could also play a role in your current state.

In conclusion, while some degree of fatigue and sleepiness after an episode of hyperventilation is normal, sleeping for an extended period (like 24 hours) warrants careful consideration. If you are concerned about your symptoms or if they persist, it is essential to seek medical advice. Your health and well-being should always be your top priority, and healthcare professionals are there to help you navigate any uncertainties you may have regarding your condition.

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