Understanding the differences between sleepiness is important for finding an effective treatment, especially in insomnia.For example, many patients with insomnia try to fall asleep when they feel tired but not sleepy. Due to lack of refreshing sleep, insomnia will also cause excessive daytime sleepiness, which can affect important activities such as driving or working.For more info on insomnia, see Insomnia Disorder. Delayed Sleep Phase Syndrome (DSPS) causes extreme fatigue mainly in the morning, because the person with DSPS has sleep onset and waking times delayed by couple of hours compared to normal people.This person feels sleepy and goes to bed very late, at about 2 - 6 am, and wakes up at 10 am to 1 pm. Chronic Obstructive Pulmonary Disease (COPD) causes extreme fatigue and sleepiness during the day, by breathing less during sleep.If your breathing less, the oxygen level drops and carbon dioxide levels build up, causing morning headaches, nausea, fatigue and sleepiness in daytime. Type 2 Respiratory Failure is responsible for causing extreme fatigue, shortness of breath, loss of energy, sleepiness, insomnia, nightmares, and headaches in the morning.Type 2 Respiratory Failure is a condition where your oxygen levels are low and carbon dioxide levels are high.
In the second trimester of pregnancy, many women experience a great improvement in their sleep quality and daytime energy levels. Cancer has many factors that causes excessive fatigue, such as:weight loss,breakdown of the tissues with release of energy,hormonal imbalances,depression and anxiety, which by themselves can cause fatigue,sleep disruption can also lead to sleepiness and fatigue,cancer treatments, such as radiation and chemotherapy can also cause extreme fatigue. Parkinson causes sleep disturbances, which can lead to fatigue and sleepiness during the day.
Post Polio Syndrome causes extreme fatigue by increasing the weakness of the muscles that control breathing. A patient with extreme fatigue associated with a sleep disorder often takes naps, but are usually non-refreshing.

This self-rated test can help you assess the severity of your fatigue symptoms in different aspects of your life.
ESS is used to diagnose the severity of daytime sleepiness, or the tendency to fall asleep during the day.
Sleep Apnea Death Read Real Stories about Sleep Apnea Death from families who submitted on our site their Sad Experiences. Diagnosing Sleep Apnea at HomeSimple Methods for Diagnosing Sleep Apnea at Home, with or without the help of your partner. Moreover, they take sleeping pills to which do not cure their problem, but it may aggravate it.
Fatigue is found in 3 to 4 in 10 patients with stroke, but excessive daytime sleepiness is also common in about 2 to 4 patients.Furthermore, people who have a stroke may develop shortness of breath during sleep, or pauses in breathing, which can lead to extreme fatigue and sleepiness during the day. Many medications used to treat Parkinson can worsen these sleep disturbances.If the patient snores or have sleep apnea, this can increase the levels of fatigue. However, fatigue is also common in any other major surgery, and it may take months to recover your energy levels.Some medications used after surgery can also increase the fatigue and sleepiness levels. This can affect the normal breathing during sleep, lowering the level of O2 and increasing CO2 levels.Feelings of morning headaches, daytime fatigue and low appetite are common in patients with post-polio syndrome.
In fact, no amount of sleep relieves these symptoms of extreme fatigue.Mild sleep apnea can also cause fatigue and sleepiness.

If you have a score of 10 or above, then you have an abnormal level of daytime sleepiness.Furthermore, if the test shows 10 or more, you should avoid driving. However, people with excessive sleepiness have the tendency to fall asleep at inappropriate times and circumstances (at work, while driving, etc). Treating OSA will help tremendously in alleviating depression.For more info on depression in sleep apnea patients, see Sleep Apnea and Depression. The higher the score, the greater the fatigue.It was established that a score of 3 is the limit between normal and abnormal fatigue levels.
Daytime sleepiness peaks during the mid-afternoon hours, and traffic accidents are usually common during these times.For more info on sleepiness questionnaire, see Epworth sleepiness scale. However, the most effective treatments are weight loss (in overweight patients) and CPAP.To learn how to treat sleep apnea, see Sleep Apnea Treatment.

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