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  1. #1
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    Constant sleepiness

    Hello,

    I've a pretty busy schedule working, teaching, studying, and going to class.

    I feel sleepy a lot of times during the day. I feel like I need a nap every three hours, if not I start feeling sleepy and my productivity falls. I can be facing an interesting thing to do and still my eyes close.

    Is there any disease or syndrome I could try to discard before assuming I just need to sleep more?

    Thanks!

  2. #2
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    Are you taking anything like oxybutynin or baclofen?
    If you can get your doc to prescribe modenifil that prevents sleepiness with zero speediness.
    T3 complete since Sept 2015.

  3. #3
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    Quote Originally Posted by Mize View Post
    Are you taking anything like oxybutynin or baclofen?
    If you can get your doc to prescribe modenifil that prevents sleepiness with zero speediness.
    10mg per day of oxybutynin... would this still make a sleepy effect? It's a very low dose

    today I had a 20-min nap after lunch in the bathroom (can't find a place to nap in college), I woke up, got a coffee, and was with ZERO sleepiness for the rest of the day

    I'll certainly consult my doc to do a sleep study...

  4. #4
    I have been dealing with an extreme sleep disturbance for the last two years, I have spoken to a couple different docs about it including sleep specialist. Sleep apnea is the first item they want to rule out.
    Naps are great, start looking for places to take a nap during the day, 20 to 30 minutes is supposed to be prime. I used my car as my napping place many times. Sleep is very important, I need to work on mine.
    I have also been Rx'd 10mg oxybutynin for the last 5 months, which is not making the problem any better
    cauda equina

  5. #5
    You may have sleep apnea. Your dr could order a sleep study to see if this is the case. If so, problem can often be easily corrected by sleeping with a C PAP mask.

  6. #6
    Senior Member air ohs's Avatar
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    Quote Originally Posted by ancientgimp View Post
    You may have sleep apnea. Your dr could order a sleep study to see if this is the case. If so, problem can often be easily corrected by sleeping with a C PAP mask.
    i was going to post same
    i was like that till i had the study done and found i have sleep apnea .
    do you snore

  7. #7
    Quote Originally Posted by ancientgimp View Post
    You may have sleep apnea. Your dr could order a sleep study to see if this is the case. If so, problem can often be easily corrected by sleeping with a C PAP mask.
    Yes, this is common in sleep apnea, which is also more common on those with SCI. Best to get a sleep study done and be assessed for this. Untreated sleep apnea puts a lot of stress on your heart as well.

    (KLD)
    The SCI-Nurses are advanced practice nurses specializing in SCI/D care. They are available to answer questions, provide education, and make suggestions which you should always discuss with your physician/primary health care provider before implementing. Medical diagnosis is not provided, nor do the SCI-Nurses provide nursing or medical care through their responses on the CareCure forums.

  8. #8
    Another possibility is Narcolepsy. https://www.ninds.nih.gov/Disorders/...psy-Fact-Sheet

    What is narcolepsy?

    Narcolepsy is a chronic neurological disorder that affects the brain’s ability to control sleep-wake cycles. People with narcolepsy usually feel rested after waking, but then feel very sleepy throughout much of the day. Many individuals with narcolepsy also experience uneven and interrupted sleep that can involve waking up frequently during the night.
    Narcolepsy can greatly affect daily activities. People may unwillingly fall asleep even if they are in the middle of an activity like driving, eating, or talking. Other symptoms may include sudden muscle weakness while awake that makes a person go limp or unable to move (cataplexy), vivid dream-like images or hallucinations, and total paralysis just before falling asleep or just after waking up (sleep paralysis).
    In a normal sleep cycle, a person enters rapid eye movement (REM) sleep after about 60 to 90 minutes. Dreams occur during REM sleep, and the brain keeps muscles limp during this sleep stage, which prevents people from acting out their dreams. People with narcolepsy frequently enter REM sleep rapidly, within 15 minutes of falling asleep. Also, the muscle weakness or dream activity of REM sleep can occur during wakefulness or be absent during sleep. This helps explain some symptoms of narcolepsy.
    If left undiagnosed or untreated, narcolepsy can interfere with psychological, social, and cognitive function and development and can inhibit academic, work, and social activities.

  9. #9
    Quote Originally Posted by gjnl View Post
    Very unlikely. His pattern does not fit that of narcolepsy.

    Also, when you hear hoof beats, don't assume zebras! It is much more likely to be horses!

    (KLD)
    The SCI-Nurses are advanced practice nurses specializing in SCI/D care. They are available to answer questions, provide education, and make suggestions which you should always discuss with your physician/primary health care provider before implementing. Medical diagnosis is not provided, nor do the SCI-Nurses provide nursing or medical care through their responses on the CareCure forums.

  10. #10
    Quote Originally Posted by SCI-Nurse View Post
    Very unlikely. His pattern does not fit that of narcolepsy.

    Also, when you hear hoof beats, don't assume zebras! It is much more likely to be horses!

    (KLD)
    What kind of a pattern can you discern in five sentences?
    Last edited by gjnl; 11-08-2018 at 07:06 PM.

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