Common Family Medicine Questions: Cold Sensitivity, Sleep Issues, and More - Family Medicine

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Hello, doctor.
I have a few questions to ask:
1.
When the temperature drops below 16 degrees Celsius, I tend to have cold hands and feet, speak more rapidly, and my body feels tense, appearing anxious.
However, I don't actually feel anxious; I just feel a bit rushed.
This sensation disappears when the temperature rises.

2.
In a sleep study, everything was normal except for the absence of slow-wave sleep (SWS).
Is it possible for a normal person to not have SWS?
3.
When I wake up or get out of bed, I often experience a dull headache, a feeling of pressure and discomfort in my eyes, and redness in my eyes, without feeling well-rested.
There is only very mild respiratory obstruction.
Is there a condition related to this in psychosomatic medicine? Thank you.

Niming, 40~49 year old female. Ask Date: 2016/05/20

Dr. Chen Zonglin reply Family Medicine


1.
If this situation is causing you distress, you may consider seeking an evaluation from a psychiatrist.
2.
It is uncommon for individuals to lack slow-wave sleep; it is advisable to discuss with the physician who arranged your sleep study whether there are any underlying issues.
3.
You may want to first visit an ophthalmologist to check for any issues related to intraocular pressure or other conditions.

Reply Date: 2016/05/20

More Info


Hello! Thank you for your questions regarding cold sensitivity, sleep issues, and related concerns. Let's break down your inquiries and provide some insights based on medical knowledge.

1. Cold Sensitivity: Experiencing cold sensitivity, especially in temperatures below 16°C (60°F), can be attributed to several factors. When exposed to cold, the body naturally constricts blood vessels to preserve heat, which can lead to cold extremities (hands and feet). This physiological response can sometimes trigger a feeling of anxiety or urgency, even if you don’t consciously feel anxious. This phenomenon may be linked to the body's sympathetic nervous system activation, which prepares the body for a "fight or flight" response. If this sensation is frequent and bothersome, it may be worthwhile to discuss it with a healthcare provider to rule out conditions such as Raynaud's phenomenon or other circulatory issues.

2. Sleep and Slow Wave Sleep (SWS): Slow Wave Sleep (SWS), also known as deep sleep, is crucial for restorative sleep and overall health. While it is uncommon for a healthy individual to completely lack SWS, variations can occur due to several factors, including stress, sleep disorders, or lifestyle choices. If your sleep study indicates the absence of SWS but other parameters are normal, it may suggest an underlying issue that needs further exploration. Factors such as anxiety, depression, or even certain medications can impact sleep architecture. Consulting with a sleep specialist could provide more tailored insights and potential interventions.

3. Waking with Headaches and Eye Discomfort: Waking up with a headache, eye discomfort, and a feeling of not being well-rested can be indicative of several conditions. The symptoms you describe, including the sensation of pressure in the eyes and mild breathing obstruction during sleep, could suggest a form of sleep apnea or other sleep-related disorders. Sleep apnea can lead to fragmented sleep and insufficient oxygenation, resulting in morning headaches and fatigue. Additionally, conditions like tension-type headaches or migraines could be exacerbated by poor sleep quality or sleep disturbances. It’s essential to discuss these symptoms with a healthcare provider, who may recommend further evaluation, such as a sleep study or a thorough examination of your sleep hygiene practices.

In summary, your symptoms warrant a comprehensive evaluation by a healthcare professional. Addressing cold sensitivity may involve lifestyle adjustments or further investigation into circulatory health. For sleep issues, particularly the absence of SWS and morning headaches, a sleep specialist can provide valuable insights and treatment options. Lastly, if you suspect a connection between your physical symptoms and psychological factors, consulting with a mental health professional could also be beneficial. Sleep is a complex interplay of physical and mental health, and addressing these concerns holistically can lead to significant improvements in your overall well-being.

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