Strange Symptoms When Falling Asleep
Hello, Doctor Gao: I've been experiencing a noticeable symptom for about the past six months.
When I lie down to sleep, just as I'm about to fall asleep, I encounter what I can only describe as a sort of "dream," although my awareness is clear, and there is no narrative.
I believe this may be an abnormal brain phenomenon affecting my entire physiology.
I start to see a multitude of colorful spots emerging from a black backdrop (with my eyes closed), followed by a rapid spinning sensation.
This is soon accompanied by a feeling of suffocation, as if I can't breathe (though I later realized that the sensation of not being able to breathe is likely just an illusion of the "dream." In that moment of suffocation, I consciously remind myself that it's not real, and that I am indeed breathing.
I try to see if I can control this sensation and smoothly fall asleep.
However, despite my mind being calm, the spinning and suffocating sensations persist without any relief).
Throughout this process, I am unable to move; my awareness is very clear, but my brain does not allow me to wake up.
I can only open my eyes briefly, and while I can see the reality around me, it is not very clear.
I cannot keep my eyes open for long because it becomes uncomfortable.
During the spinning, I feel increasing pain and numbness in my fingers, limbs, and even in my open eyes.
As the pain intensifies and the spinning accelerates, I often have to concentrate intensely and mentally command myself within the dream, saying, "You must wake up quickly, move!" only then can I fully awaken.
Essentially, I lie in bed trying to sleep but wake up in less than ten minutes.
However, after waking, I feel quite good, my mood is pleasant, and my heartbeat is normal, although my limbs do feel somewhat numb.
I would like to ask you, based on your professional judgment, could this be related to sleep apnea? (I have observed my father, who snores loudly but often stops snoring for about a minute before suddenly gasping for air and then continues snoring, all while in deep sleep, so I wonder if I might have a similar issue.) Or could it be related to the slightly heavy blanket I use while sleeping? Is there a possibility of any brain lesions or vascular neurological issues? Or is this something quite normal? Thank you, Doctor.
Niming, 30~39 year old female. Ask Date: 2015/12/25
Dr. Gao Chunde reply Neurology
Based on your description, it is likely a type of rapid eye movement (REM) sleep disorder that occurs upon falling asleep, where one transitions directly into the dreaming phase, experiencing sleep paralysis and hypnagogic hallucinations.
Many people occasionally experience this, especially those with sleep deprivation, irregular sleep patterns, shift work, psychological stress, and excessive fatigue.
Occasional occurrences are not a concern and can be managed by adjusting lifestyle habits and stress levels.
However, if it happens consistently, one should be cautious of potential sleep disorders, particularly symptoms associated with narcolepsy, and seek further medical evaluation for a sleep study to confirm the diagnosis.
Reply Date: 2015/12/25
More Info
Hello! Thank you for sharing your concerns about your sleep symptoms. Based on your description, it seems you are experiencing a combination of sleep disturbances that could be linked to various sleep disorders, including sleep apnea, sleep paralysis, or even a form of hypnagogic hallucinations.
Firstly, the sensations you describe—seeing colors and experiencing a spinning sensation while on the verge of sleep—could be indicative of hypnagogic hallucinations. These are vivid sensory experiences that occur during the transition from wakefulness to sleep. They can be accompanied by feelings of pressure or difficulty breathing, which might feel very real and distressing. It's important to note that while these experiences can be alarming, they are not uncommon and are often benign.
The sensation of being unable to move while feeling awake is known as sleep paralysis. This phenomenon occurs when you wake up before your REM (rapid eye movement) sleep cycle is complete. During REM sleep, your brain sends signals to inhibit most voluntary muscle activity, which prevents you from acting out your dreams. If you wake up during this phase, you may find yourself conscious but unable to move, often accompanied by a feeling of pressure on your chest or difficulty breathing. This can be exacerbated by sleep deprivation, irregular sleep patterns, or high levels of stress.
Regarding your concerns about sleep apnea, it is characterized by repeated interruptions in breathing during sleep, often accompanied by loud snoring and gasping for air. Given your father's history of severe snoring and episodes of breathing cessation, it is reasonable to consider that you might also be at risk for sleep apnea. Symptoms can include excessive daytime sleepiness, difficulty concentrating, and mood disturbances, which could explain some of your experiences.
The thickness of your bedding could also play a role in your sleep quality. Heavy blankets can sometimes lead to overheating during sleep, which may disrupt your sleep cycles and contribute to feelings of discomfort or anxiety as you try to fall asleep.
In terms of neurological concerns, while your symptoms are not typical of a specific brain disease or vascular issue, it is always wise to consult with a healthcare professional if you have ongoing concerns. They may recommend a sleep study (polysomnography) to monitor your sleep patterns and assess for conditions like sleep apnea or other sleep disorders.
To improve your sleep quality, consider the following strategies:
1. Sleep Hygiene: Establish a regular sleep schedule by going to bed and waking up at the same time every day. Create a calming bedtime routine to signal to your body that it's time to wind down.
2. Sleep Environment: Ensure your sleeping environment is conducive to rest. This includes a comfortable mattress and pillows, a cool room temperature, and minimal noise and light.
3. Limit Stimulants: Avoid caffeine and heavy meals close to bedtime. Alcohol may also disrupt your sleep cycle, so moderation is key.
4. Relaxation Techniques: Engage in relaxation exercises such as deep breathing, meditation, or gentle yoga before bed to help reduce anxiety and prepare your mind for sleep.
5. Consult a Specialist: If your symptoms persist or worsen, consider seeking help from a sleep specialist. They can provide a thorough evaluation and recommend appropriate treatments or interventions.
In conclusion, while your symptoms may be concerning, they are not uncommon and can often be managed with lifestyle changes and professional guidance. Don't hesitate to reach out to a healthcare provider for further evaluation and support. Wishing you restful nights ahead!
Similar Q&A
Understanding Sleep Disorders: Dreams, Fatigue, and Mental Health Concerns
Hello Doctor: I dream every time I sleep, and I am very aware during my dreams. In the quiet of the night, my brain seems to make a sound like a generator. My sleep schedule is irregular, and I find it difficult to fall asleep. Sometimes I can control the content of my dreams, wh...
Dr. Xie Qingzhou reply Psychiatry
Hello! Based on your description, you are experiencing sleep disorders characterized by difficulty falling asleep and poor sleep quality. In addition to establishing a regular sleep routine, your symptoms of being "very anxious" and "easily irritable" suggest ...[Read More] Understanding Sleep Disorders: Dreams, Fatigue, and Mental Health Concerns
Understanding Sleep-Related Brain Issues: Causes and Concerns
Hello Doctor: When I was in middle school, I often stayed up late without taking medication or drinking coffee. I don't know the reason, but I frequently experienced increased pressure in my brain accompanied by persistent noise, which would suddenly wake me up, making me fe...
Dr. Jiang Junyi reply Neurology
Hello: Since your symptoms occur during sleep, it may be necessary to consider sleep disorders such as REM Sleep Behavior Disorder, abnormal brain discharges during sleep, etc. It is recommended that you consult a sleep medicine specialist to discuss examinations (including multi...[Read More] Understanding Sleep-Related Brain Issues: Causes and Concerns
Understanding Excessive Sleepiness: Causes and Solutions
1. I feel dizzy, have weak limbs, want to sleep, and experience vivid dreams, but I usually go to bed before 11 PM and wake up around 7 AM. 2. If there is loud noise, I get headaches, or if there are people sleeping nearby, it also affects me. 3. Sometimes I have difficulty catch...
Dr. Du Haojie reply Neurology
The aforementioned symptoms are primarily psychosomatic, and it is advisable to have a psychiatrist evaluate the condition.[Read More] Understanding Excessive Sleepiness: Causes and Solutions
Understanding Sleep Disorders: Exploring the Link Between Memory Issues and Mental Health
Hello Doctor, since elementary school, I have noticed that I dream a lot, often forgetting things during class, misplacing items, and being forgetful at work. The literature suggests that individuals with a perfectionist personality who are more prone to anxiety may experience th...
Dr. Li Zhengfeng reply Psychiatry
Hello: According to your letter, poor sleep quality and vivid dreaming can lead to daytime fatigue and excessive sleepiness. Since you have experienced poor sleep quality since childhood, it may be related to your constitution, and sleep apnea could also be a possibility. I recom...[Read More] Understanding Sleep Disorders: Exploring the Link Between Memory Issues and Mental Health
Related FAQ
(Neurology)
Drowsiness(Neurology)
Insomnia(Neurology)
Eeg(Neurology)
Psychoneurosis(Neurology)
Sleepwalking(Psychiatry)
Dizziness(Neurology)
Autonomic Nervous System Dysfunction(Neurology)
Body Tremors(Neurology)
Facial Twitching(Neurology)