Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties

186 Doctors Online
Doctor Image
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

I will be looking into your question and guiding you through the process. Please write your question below.

What is the causing extremely rapid heart rate and sweating after waking up?

Answered by
Dr.
Dr. Jonas Sundarakumar

Psychiatrist

Practicing since :2003

Answered : 2190 Questions

default
Posted on Mon, 28 Jan 2013 in Sleep Disorders
Question: I am 42 year old female. Every time I wake up from sleeping, I have an extremely rapid heart rate, am sweating and very irritated. What could be causing this?
doctor
Answered by Dr. Jonas Sundarakumar 2 hours later
Hello and welcome to Healthcare Magic. Thanks for your query.

From the description of your symptoms, the most likely possibility is a form of disordered sleep arousal called "Sleep Inertia". In this condition, persons can become, groggy, irritable, confused or even agitated when they wake up from sleep. This can be accompanied by signs of autonomic nervous arousal such as palpitations (rapid heart beats), increased sweating, increased blood pressure, etc.

Now a slight degree of grogginess or sleep inertia is found in everyone, but it becomes a disorder, when the symptoms become excessive and disturbing. There is no single or specific cause identified for this problem of disordered sleep arousal, but it has often been associated with two factors:
- poor sleep habits
- stress

Treatment is predominantly by following strict sleep hygiene and by minimizing stress levels. In some cases, where symptoms are severe and don't respond to conservative management, medication may be used. There are certain medication like tricyclic antidepressants, melatonin agonists, etc. which can be effective in regulating sleep.

I would suggest the following sleep hygiene techniques:
- Fix a specific bedtime and an awakening time. Do not allow bedtime and awakening time to drift.
- Avoid napping during the day.
- Avoid coffee, tea or any caffeinated drinks or alcohol 4 hours before bedtime.
- Avoid heavy, spicy, or sugary foods for dinner. Have a gap of at least 1 hour between dinner and bedtime.
- Exercise regularly, preferably in the early evening, at least 4 hours before bedtime.
- Set up a comfortable environment which is dark, quiet and disturbance-free. Block out all distracting noise, and eliminate as much light as possible.
- Practice relaxation techniques before bed. Relaxation techniques such as yoga, XXXXXXX breathing and others may help relieve anxiety and reduce muscle tension.
- Don't take your worries to bed. Leave your worries about studies, work, daily life, etc., behind when you go to bed. Some people find it useful to assign a "worry period" during the evening or late afternoon to deal with these issues.


If these simple sleep techniques don't work, then you have to consult a pyschiatrist in person for a detailed evaluation (which may include a sleep study - "polysomnography") and further treatment.

Wish you all the best.

Regards,
Dr. Jonas Sundarakumar
Consultant Psychiatrist

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
premium_optimized

The User accepted the expert's answer

Share on
Question is related to
Diseases and Conditions ,  
Treatment/Therapy
Lab Tests
Medical Topics

Recent questions on  Sleep disorder

doctor1 MD

Hi Doc. I have a bloodclot in my brain, caused by a major stroke, causing problems with my vains not getting enough oxygen to my brain. Does have severe sleep apnee. Do I need to go for the brain op to remove the clot, as it is giving me strong headaches and short memory. I have learnt there is risks involved?

doctor1 MD

Yes I have been taking Viibryd for one week. Ivejust finished my 10 mg side. I ve have a few side effect such as vision problem and a little tiredness and sleepiness. Do you think that will change the longer I m on it? My main question is could I increase bruising

doctor1 MD

Since March I have had level II pitting edema in my legs and feet (about 8-15 of fluid) twice. My cardiologist refers to this as right-sided heart failure. My liver and kidneys are fine, EKG and echo normal and no blood clots. I had a right heart catheter that revealed a pulmonary wedge pressure of 20. They did not check the left side of my heart. I was prescribed Lasix and told take it from time to time as needed, and Spiranolactone to take indefinetly. I have mild obstructive sleep apnea and was told this may be causing the elevated right-sided pressure which eventually leads to the edema. I wear a CPAP every night. I feel very tired at points in the day to where I cannot hold my eyes open, and I am also extremely bloated in my stomach. I feel pressure near my sternum. A tight band sensation wraps from my back around to chest at the sternum level, which makes wearing a bra complete torture. The last thing is that most mornings upon waking I will gag until I vomit. Please help me I am desperate for answers and have been to ten doctors. Stacie

doctor1 MD

I suffered a compound fractured patella requiring surgery/wiring 8 weeks ago. Since then I have struggled to get back into any sort of normal sleeping pattern resulting in about 4-6 interrupted hours of sleep at different times over the course of the day. I have been taking 10mg diazepam that has helped with anxiety but not sleeping

doctor1 MD

SIR I HAVE BEEN TAKING 2MG CLONAZEPAM SINCE 1998. MAY I BE TOLERENT TO IT? WITH IT I HAVE BEEN TAKING 400MG QUTIAPIN PLAIN +10MG ZOLFRESH+ 600MG GABANEURON SR AT NIGHT.I M OKAY WITH THIS DOSE FOR MY BIPOLAR/ SLEEP DISORDER . IS GABANEURO ADDICTIVE...

doctor1 MD

Hi. I have a 27 year old son, who appears healthy...very strong, good nutrition etc, drinks occasionally....he has episodes that are increasing in frequency now, where he feels tingly and foggy, then becomes really disoriented, angry, confused and...

doctor1 MD

A few years ago I began falling asleep at inappropriate times. I was so sleepy that I had to quit my teaching job because I would fall asleep in the middle of teaching a lesson, reading a story, grading papers, in the middle of lunch, etc. I...