Sleep Issues After Fever: Causes and Solutions

Insomnia

Subject: Inquiry Regarding Health Issues
Dear Director Yeh,
I hope this message finds you well.
I am writing to inform you that I have experienced high fever twice, with a day in between.
After receiving antipyretic injections, I was still diagnosed with myocarditis.
Following the prescribed treatment, I have been unable to sleep, feeling mentally unwell, anxious, and requiring a sleeping pill to sleep for only 3-4 hours, after which I cannot fall back asleep.
This situation has persisted for over 30 days, leaving me physically and mentally exhausted, with occasional localized muscle pain and anxiety.

Before the fever, I used to dream every night, but now I cannot sleep without medication, and even then, I only manage 2-4 hours of sleep before being unable to rest again.
My mental and physical health has deteriorated.

I have the following questions:
1.
Could this be caused by antibiotics, anxiety disorders, or other conditions?
2.
Are there any medications or alternative treatments available? (I am currently in mainland China; do you have any recommendations?) If there are medications, how can I obtain them?
3.
I am constantly worried about my inability to sleep, which is affecting my family.
I have thoughts of self-harm but lack the courage to act on them.
The pain of not being able to sleep or eat is overwhelming.
4.
Do you have a direct phone number for consultation?
Thank you very much for your assistance.
Best regards,
Doctor Q&A Teams

Chai na, 30~39 year old female. Ask Date: 2004/10/07

Dr. Ye Baozhuan reply Psychiatry

1.
Insomnia can sometimes be difficult to explain with a single factor; however, you clearly have a strong sense of anxiety and some depression.
2.
In fact, simple insomnia is not hard to manage; what is challenging is the anxiety, frustration, or various psychological issues it causes, which in turn affect sleep and leave one feeling restless throughout the day.
3.
Therefore, those suffering from insomnia should try to relax and keep an open mind, thinking positively (after all, the worst-case scenario is already here, and it can provide more time to utilize!).
Do not focus all your attention on the insomnia itself.
4.
Short-term use of anxiolytics and antidepressants can help with sleep.
5.
Try to maintain a regular lifestyle and exercise regularly!

Reply Date: 2004/10/07

More Info

Dear Patient,
Thank you for reaching out with your concerns regarding your sleep issues following your recent fever and diagnosis of myocarditis. It sounds like you are experiencing a challenging time, and I want to provide you with some insights and recommendations based on your situation.

1. Understanding the Causes: Your difficulty sleeping could be attributed to several factors. After experiencing a high fever and myocarditis, your body is under significant stress, which can lead to anxiety and restlessness. The medications you are taking, including antibiotics and possibly other treatments for myocarditis, can also have side effects that impact sleep. Common side effects of antibiotics may include gastrointestinal discomfort, which can disrupt sleep, while anxiety and stress can lead to insomnia. It’s important to differentiate whether your sleep issues are primarily due to medication side effects or if they stem from anxiety related to your health condition.

2. Potential Treatments: There are various approaches to managing your sleep issues. First, I recommend discussing your symptoms with your healthcare provider, as they can evaluate whether your current medications need adjustment. If anxiety is a significant factor, cognitive-behavioral therapy (CBT) for insomnia could be beneficial. This therapy focuses on changing the thoughts and behaviors that contribute to sleep problems. Additionally, practicing good sleep hygiene is crucial. This includes maintaining a consistent sleep schedule, creating a comfortable sleep environment, and avoiding stimulants like caffeine and screens before bedtime.

If you are considering medication, there are non-benzodiazepine sleep aids that may be less habit-forming than traditional sleeping pills. However, these should only be used under the guidance of a healthcare professional.

3. Addressing Anxiety and Mental Health: It’s concerning to hear that you are feeling overwhelmed and having thoughts of self-harm. It’s essential to talk to someone who can help, such as a mental health professional. They can provide support and coping strategies to manage your anxiety and improve your overall mental health. If you are in crisis or feeling suicidal, please seek immediate help from a local mental health service or hotline.

4. Consultation and Support: While I cannot provide a direct phone number for consultation, I encourage you to reach out to a healthcare provider in your area. They can offer personalized advice and treatment options. If you are in mainland China, consider visiting a local hospital or clinic specializing in mental health or sleep disorders. Many hospitals have departments that can address both physical and psychological health issues.

In summary, your sleep issues are likely multifaceted, involving both physical and psychological components. It’s crucial to address both aspects to improve your sleep quality and overall well-being. Please take care of yourself, and do not hesitate to seek help from professionals who can provide the support you need.

Wishing you better health and restful nights ahead.

Best regards.

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