terminal insomnia

Patients with terminal insomnia also known as late insomnia or early morning wakening insomnia wake up sooner than necessary. This symptom is commonly linked to serious depression.

Insomnia is having difficulty going asleep, staying asleep, or getting poor-quality sleep You will not feel relaxed or rejuvenated in the morning if your sleep is of low quality.

EDS (excessive daily drowsiness) makes it difficult to stay awake during the day.

EDS is most commonly caused by sleeplessness, however, it can also be caused by other factors.

Insomnia and EDS can be caused by poor sleeping habits or by a medical condition.

If you’re suffering from mild insomnia, a regular sleep routine or other minor changes could help.
If you’ve had insomnia for a long period, you’re more likely to develop additional health issues.

What causes insomnia or drowsiness during the day?

Poor sleeping habits, for example, are a common cause of insomnia:

Taking a lot of sleep during the day

Caffeine use in the afternoon or evening

Watching an exciting TV

Exercising within a few hours of going to bed is a good idea.

  • Anxiety, despair, or stress
  • Physical pain as a result of health issues or injuries
  • Use of some prescription pharmaceuticals or illegal drugs


The following are some of the most common causes of EDS:

  • I’m having trouble sleeping (insomnia from any cause tends to make you sleepy during the day)
  • Changing shifts at your employment on a regular basis
  • When you travel to a different time zone, it’s important to keep in mind that you’ll be
  • Frequently staying up late
  • Sleep apnea
  • Sleep disorders, such as narcolepsy or restless legs syndrome

What are the signs and symptoms of EDS and insomnia?

  • You may have difficulty falling asleep at night.
  • You may fall asleep regularly but awaken too soon, making it difficult to fall back asleep.
  • You’re more likely to develop EDS if you suffer sleeplessness. You can catch up by napping during the day. Napping, on the other hand, produces a vicious circle. Napping makes falling asleep at night much more difficult. The next day, you want to nap even more.

You’re sleepy during the day if you have EDS

  • You might feel irritable or have difficulty concentrating.
  • It’s possible that you’ll fall asleep at work or school.
  • Have a higher chance of being involved in an automobile accident.

When should I consult a doctor if I’m having trouble sleeping?

If your sleep problem is interfering with your everyday life, or if you have any of the warning indications listed below, see a doctor:

  • Sleeping while driving or in other potentially risky scenarios
  • Frequently falling asleep without warning
  • Choking for air as you wake up
  • When you stop breathing while sleeping, your partner notices.
  • During sleep, moving aggressively or injuring yourself or others
  • Sleepwalking

If you’re in good health and have had symptoms for less than two weeks, you can try to change your sleeping habits. You should consult a doctor if these modifications don’t help after a week.

Is it possible for doctors to identify if I have insomnia or EDS?

Doctors may ask you to complete a drowsiness questionnaire. They might ask you to keep a sleep journal. In a sleep journal, you record how and how long you slept. If your doctors are unsure of the nature of your problem or the severity of it, they may refer you to a sleep specialist. The expert may do the following tasks:

Asleep test

If your doctor suspects a medical condition, you may be subjected to blood testing or brain imaging examinations such as an MRI.

What are sleep tests?

Doctors have devices that can monitor you while you sleep because you can’t tell them what’s going on when you’re sleeping. There are several types of sleep tests that can be performed:

  • In your own bed, at home
  • In a hospital or doctor’s office sleep lab

You go to bed with sensors under your nose, around your chest, and on your finger for the home test. The sensors are connected to a small gadget that monitors your breathing patterns and oxygen levels. It delivers the data to a sleep specialist.

You’ll spend the night in the lab for the sleep lab test. This test employs a greater number of sensors. Sensors, for example, track your brain waves and eye muscle movements. The asleep technician also monitors your movements and breathing while you sleep with a video camera. People are concerned that wearing all of the sensors in the lab will prevent them from sleeping. However, most individuals sleep just as well as they do at home.

What methods do doctors use to treat insomnia and EDS?

If your doctor can determine the source of your condition, they will treat it.

If your insomnia is minor, your doctor may advise you to:

  • Every day, going to bed and waking up at the same time (even on weekends)
  • Having a nightly routine is important.
  • Maintaining a dark and calm environment in your bedroom
  • During the day, spending time in bright light
  • Exercise on a regular basis
  • Taking no naps during the day (these can make it harder to fall asleep at night)
  • Limiting alcohol and caffeine intake, as well as avoiding a large meal before bedtime

If basic modifications are ineffective, therapy options include:

Sleep aids, both prescription and over-the-counter (sleeping pills)

Sleeping tablets come in a variety of forms. Most are safe if you work with your doctor to choose one that’s suited for you and keep an eye out for side effects. Both prescription and non-prescription sleep aids, particularly those containing antihistamines, are more likely to cause negative effects in older adults.

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