Asked 10/12/2009
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Do I have a sleep or anxiety disorder? Several times, for no apparant reason and with no regularity, I will awake from a deep sleep and feel completely startled. I feel as though I have been scared out of my wits. My heart is throbbing (pulse is 100-115) and my blood pressure is higher than normal(usually 150/100). Normal BP for me is 115/73. It usually takes 10-20 minutes for me to calm down and return to normal. I am a 46 year old female. I am 5'4" and my weight is 163. My BMI is 27. My CBC is completely normal with the exception of having orderline hypothryoidism. I have seen a cardiologist and have several tests only to find a very small leak in one of my heart valves. My spouse has not experienced anything abnormal about my sleep patterns and I don't usually feel tired during the day. These disturbing episodes are very troubling to me. Can you please help me identify the culprit? |
Answer 1/5 - Submitted 10/12/2009
Answer 2/5 - Submitted 2/24/2010
Establish a night time routine. Determine how much sleep you need to have optimum levels of energy. If you need eight hours of sleep a night and you've determined you need to wake up at 6 a.m., you'll need to be in bed by ten. Give your new routine a full three weeks and see how you're feeling at the end of that time.
No TV, computer, or monitors two hours before bed. Sorry. But, there are studies showing that all that light can make it a lot harder to go to sleep. Don't read anything that makes it hard to fall asleep. Try new approaches to what you eat. Warm milk might help. Alcohol will probably not. Experiment and see what works best for you.
Avoid daytime sleep if possible. Avoid caffeine, nicotine and alcohol: Caffeine, a stimulant, is found in coffee, chocolate, some soft drinks, nonherbal teas, diet drugs and some pain relievers. Avoid alcohol before going to bed at night. Warm milk is good. Do some exercises before you go to sleep.
Answer 3/5 - Submitted 4/6/2011
I too suffer from hypothyroidismm and have in the past few months experienced anxiety while sleeping. I believe this is a direct corelation of my thyroid issue. I awake feeling totally disoriented as you also described.
You should get your thyroid levels checked as thyroid is linked to anxiety. If it is not your thyroid, you may need to seek a mental health professional for further evaluation.
Answer 4/5 - Submitted 4/6/2011
Discuss the borderline hypothyroidism with your doctor and ask if your sleep is being affected negatively by this. With hypothyroidism, patients often sleep well but feel tired, although it sounds like you're having nightmares you don't remember. At age 46, there's something else you might to bring up with your doctor that may be contributing to your symptoms and that's pre-menopause.
Since hypothyroidism and pre-menopause issues are tied to hormones, it may be that your body's response has something to do with one or both. You also might simply be going through a very worried or anxious time and having bad dreams.
You may not have an anxiety disorder, but you certainly could be experiencing enough stress to disturb your rest. If your waking life doesn't seem to be any more stressful than it usually is and you aren't overly worried about what's going on during the day, your symptoms may point to a medical condition and it would be worthwhile to discuss all these possibilities with a doctor.
Answer 5/5 - Submitted 4/6/2011
You describe exactly what happened to me. It got to the point where I was afraid to go to sleep at night. I was fine during the day. Sometimes I would remember having a nightmare, but most of the time I would not. It was random and I never knew when it would happen. I went to several different doctors, including a cardiologist. My heart was healthy. Like you, I did have a minor leak in one of my heart valves. It was determined that it was not a problem. One of the physicians decided it was anxiety and sent me for counseling. That was a waste of time and money. There is no question that these nightly episodes of panic could have been caused by stress. I believe these are a type of panic attack, but not the usual kind that you hear about.
I finally decided to try and help myself, since I was not getting much help from the medical community. When I would wake up at night with my heart pounding, I would tell myself that I was okay and that it was nothing to worry about. It was difficult to talk my way through it at first. After a while, they started happening less and less. I will still have it happen once in a while, but not very often. Since that time, I too, have been found to have hypothyroid problems. I am on medication for that. I hope that you have been put on thyroid replacement therapy. The correct dose for me was not given until I saw an endocrinologist. A lot of doctors do not check all of the thyroid levels and end up either not prescribing or not giving the right dosage of thyroid hormone replacement. You can suffer from it for a while without being diagnosed properly. It could be the reason you have these episodes at night.
Good Luck!
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