What Is Excessive Sleepiness?

Research shows that around 20% of adults in the United States experience excessive sleepiness to the point that it affects their daily functioning. 

Excessive daytime sleepiness commonly occurs in older people, teenagers, and people who work shifts. If you’ve been experiencing symptoms of excessive sleepiness, that could be your body’s way of telling you that you are not getting enough sleep.

People with excessive daytime sleepiness often struggle to stay awake or alert during the day. They experience a strong desire to sleep and feel they’ll be unable to function properly if they don’t.

Experiencing this once in a while is normal and typically nothing to worry about; however, if you experience it frequently and over an extending period of time, you may have clinically significant excessive daytime sleepiness. 

Symptoms of Excessive Sleepiness 

Excessive daytime sleepiness might sometimes be confused with fatigue or weariness. It’s not unusual to feel sleepy the day after a restless or late night. Still, it’s unusual for this to occur several days in a row. If you are familiar with any of these symptoms, they may be part of excessive daytime sleepiness: 

• Feeling irritable throughout the day 
• Having difficulty concentrating 
• Finding it difficult to remember certain things 
• Finding it difficult to learn new things 
• Having slower reflexes 
• Difficulty waking up in the morning 
• Loss of appetite 
• Fatigue 
• Sleeping for more than ten hours a day
• Headaches

Complications of Excessive Sleepiness

Excessive sleepiness has far-reaching effects on the quality of your day-to-day life. It significantly reduces your quality of life, affects your academic and work performance, and disrupts your social life.

Research shows that children who have excessive sleepiness may also have developmental problems. In adults, it increases the risk of cognitive decline and memory loss.

Diagnosis of Excessive Sleepiness 

The most telling sign of excessive sleepiness is feeling sleepy, tired, and sluggish during the day. For your doctor to determine that you have excessive daytime sleepiness and not another condition or issue, they may take you through a series of evaluations and tests to better characterize your symptoms.

Sleeping Tests

The Epworth Sleepiness Scale and the Stanford Sleepiness Scale are both questionnaires used as screening tests to determine whether your symptoms may reflect excessive daytime sleepiness or something else. With the Epworth Sleepiness Scale, you may have excessive daytime sleepiness if you have a score higher than 10.

Causes of Excessive Sleepiness 

There is no single cause of excessive sleepiness. In many cases, it’s linked to other sleep disorders. A leading cause of the condition is sleep deprivation, which people with conditions such as insomnia often experience.

However, excessive sleepiness isn’t only experienced by people with sleep disorders. Other disruptions to your sleep pattern could cause excessive daytime sleepiness.

If you stay up late, catching only a few hours of sleep a night, you may feel sluggish, drowsy, and tired the following day, all signs of excessive sleepiness.

For many, this can be rectified by simply getting enough sleep and fixing your sleep schedule.

In other cases, medical intervention may be required. Other causes of excessive sleepiness include side effects of certain medications and mental health conditions like depressive and substance use disorders. Antihistamines, antipsychotics, anticonvulsants, benzodiazepines, and anti-depressants have all been linked to excessive daytime sleepiness. 

Sleep Disorders 

Excessive daytime sleepiness has commonly been linked to obstructive sleep apnea. Obstructive sleep apnea is a condition that causes a person to breathe abnormally while they are asleep. This, in turn, disrupts and reduces the quality of their sleep and can lead to daytime sleepiness.

Other sleep disorders that can cause excessive daytime sleepiness include insomnia disorders, hypersomnolence disorder, sleep related movement disorders, narcolepsy, parasomnias, and circadian rhythm sleep-wake disorders.

Treatment for Excessive Sleepiness 

In most cases, excessive sleepiness is a sign of an underlying condition. Addressing the condition is typically the key to resolving excessive daytime sleepiness. If your doctor determines that it’s caused by your medication, you might either be switched to an alternative or have your dosage adjusted.

Stimulants

If your doctor determines that you need medication to help with your symptoms, they are most likely to prescribe a medication like Provigil (modafinil).

Provigil is approved by the United States Food and Drug Association (FDA) for treating excessive sleepiness in people with obstructive sleep apnea and shift work disorder. Sometimes conventional stimulants like methylphenidate (Ritalin) or amphetamines (Adderall) will be prescribed, however, they may also come with greater risks.

Coping With Excessive Sleepiness 

Excessive daytime sleepiness can severely disrupt your daily functioning to varying degrees. As you work with your doctor to find a cause and treatment plan for your sleepiness, you can also employ specific coping techniques to make living with the condition more manageable.

Some great tips for dealing with excessive sleepiness include: 

• Get enough sleep: To optimally function, the average adult may need between seven to nine hours of sleep every night. If you are getting less than this regularly, it may cause daytime sleepiness. 
• Have a sleep schedule: Going to bed and waking up at the same times daily helps your body to learn your sleep-wake cycle. 
• No blue lights before you sleep: When the quality of your sleep is disrupted, this can cause daytime sleepiness. One way to avoid this is by avoiding all blue light-emitting devices at least 30 minutes before bedtime.
• No caffeine at night: Caffeine is a stimulant that can keep you up and wired for hours. You should avoid drinking caffeinated drinks at least three to five hours if not longer before you sleep. 
• Get going in the morning: When you wake up, go outside if you can to get some sunlight, or do a quick stretch to get your body moving to take on the day.

A Word From Verywell

It’s not unusual to feel a little sleepy during the day occasionally. If you had a late night or slept fitfully, you are likely to catch yourself yawning more than a few times at work or school. A good night’s sleep should resolve this. However, if you often find yourself sleepy during the day, no matter what measures you take to fix it, disrupting your daily functioning, you should speak to your doctor about it. They’ll do an evaluation and potentially run tests to determine the underlying cause of your sleepiness.