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What Causes Uncontrollable Urge To Close Eyes Despite Having Proper Sleep?

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Posted on Tue, 31 May 2016
Question: Why do I feel as if my eyes are never fully rested? I can be wide awake and yet my eyes have an uncontrollable urge to close on me. There are also times when I feel wide awake and yet my legs want to give out from under me in pure exhaustion for no reason. What could be the cause for this? And, what can I do to keep this from happening?
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Answered by Dr. Olsi Taka (5 hours later)
Brief Answer:
Read below.

Detailed Answer:
I read your question carefully and I understand your concern.

The answer to your question is not so straightforward. That is because there can be several causes to that fatigue you describe.
Anemia is a common cause which is often under-recognized.
Metabolic issues such as diabetes, thyroid hormone deficit, liver or kidney issues, addison's disease can also manifest this way.
Some neurological disorders such as myasthenia gravis present with palpebral muscle weakness and fatigue.
Sleep apnea is another common issue manifesting with daytime fatigue (but usually in overweight people or those with nasal malformation who snore at night, so if not your case it's unlikely).

So given the many possible causes some tests are necessary, starting with more routine ones which can be easily prescribed by your primary physician, such as blood count, inflammation markers (ESR, CRP), blood glucose, liver and kidney function, electrolytes, thyroid function. If all results normal and the symptoms persist then a neurological visit to check for other neurological signs may be necessary.

I remain at your disposal for further questions.
Above answer was peer-reviewed by : Dr. Sonia Raina
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Answered by
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Dr. Olsi Taka

Neurologist

Practicing since :2004

Answered : 3673 Questions

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What Causes Uncontrollable Urge To Close Eyes Despite Having Proper Sleep?

Brief Answer: Read below. Detailed Answer: I read your question carefully and I understand your concern. The answer to your question is not so straightforward. That is because there can be several causes to that fatigue you describe. Anemia is a common cause which is often under-recognized. Metabolic issues such as diabetes, thyroid hormone deficit, liver or kidney issues, addison's disease can also manifest this way. Some neurological disorders such as myasthenia gravis present with palpebral muscle weakness and fatigue. Sleep apnea is another common issue manifesting with daytime fatigue (but usually in overweight people or those with nasal malformation who snore at night, so if not your case it's unlikely). So given the many possible causes some tests are necessary, starting with more routine ones which can be easily prescribed by your primary physician, such as blood count, inflammation markers (ESR, CRP), blood glucose, liver and kidney function, electrolytes, thyroid function. If all results normal and the symptoms persist then a neurological visit to check for other neurological signs may be necessary. I remain at your disposal for further questions.