Drowsiness is the easiest form of quantitative disorders of consciousness. Frequently there is a name confusion with dizzy spells. The sufferers are sleepy. The state of drowsiness can also occur during waking, under hypnosis, during meditation and relaxation exercises.

What is dizziness?

Under dizziness the doctors understand a quantitative disturbance of consciousness. This means that the level of alertness of the patient is limited.

Under dizziness the doctors understand a quantitative disturbance of consciousness. This means that the level of alertness of the patient is limited. In combination with dizziness disturbances in thinking, acting and concentration disturbances can occur.

The attention is lowered. The patients are responsive and respond spontaneously to speech. If drowsiness occurs, this indicates a mental disorder with an organic cause.

causes

The causes of dizziness are mostly of organic origin and require more frequent consultation with a doctor.

The causes of dizziness include fluid loss, medication, drugs, alcohol and poisoning. Also metabolic disorders (diabetes) and environmental toxins can lead to dizziness. Diseases or injuries to the brain can also be responsible for drowsiness.

Patients often suffer from dizziness after a stroke. Acute heart problems such as heart attack can cause a drowsiness. Another cause may be meningitis or meningitis caused by a tick bite. Drowsiness can also occur after a sunstroke. Blockages on the upper cervical spine rarely cause drowsiness.

Diseases with this symptom

  • aneurysm
  • drug allergy
  • brain edema
  • Heart attack
  • Circulatory disorders
  • alcohol intoxication
  • heatstroke
  • sunstroke
  • concussion
  • stroke
  • Diabetes mellitus
  • poisoning
  • Meningitis
  • mushroom poisoning
  • Metabolic disorder
  • epilepsy
  • hypotension
  • hypoglycemia

Diagnosis & History

When diagnosing drowsiness, it must be clearly distinguished whether it is a quantitative disorder of consciousness or a vertigo attack. Furthermore, the doctor will investigate whether the patient reacts to the response and to pain stimuli. Stretch and flexor flexes are tested by the physician. They provide the doctor with information about the severity of the quantitative disturbance of consciousness.

The course of dizziness depends on the cause and the therapy. Is it possible to correct the cause, the drowsiness disappears. If no adequate therapy is used, somnolence (morbid drowsiness), sopor, pre-coma or coma may occur. In the case of morbid drowsiness, the patient can only be awakened to loud speech or touch. Here also the breathing is slowed down.

Sopor is characterized by the fact that the patient can only be woken up for a short time by strong wake-up stimuli. In pre-coma and coma, the patient is no longer aroused. Here the differentiation takes place through the pupil reflex to incident light, which is still present in the pre-coma, and no longer in coma. In addition, breathing is slowed down or breathing pauses occur.

complications

Drowsiness affects the ability to properly assess everyday situations and make sensible decisions. For their own safety, for example, after anesthesia or under the influence of certain medications, patients are asked to stop using heavy machinery or to drive on the road. Drowsiness may otherwise result in severe accidents in these situations.

Even in the home, patients should be careful of lightheadedness and do not touch sharp objects, do not cook by themselves and only move slowly and carefully until the drowsiness has improved. Drowsiness complications are often caused by the fact that the patient is at home with medication but has no accompanying person to help him in this condition. On the other hand, if the drowsiness is not drug-induced but occurs unpredictably, it is often downplayed by the person affected and not properly recognized by his or her environment.

Injecting drowsiness usually arises so slowly that the person concerned is not sure what is happening to him and whether there is any problem at all. If it occurs, for example, through nerve damage, the person living lives despite dizziness on his everyday life and exposes himself and others to various risks. As a result, it is not uncommon for the patient to be taken to the hospital as an accident patient, stating that he has already felt dizzy the entire day and probably should not have left the house at all.

When should you go to the doctor?

A more frequent dizziness should always be scrutinized. The walk to the doctor gives security about the cause. If the drowsiness becomes stronger or faint, the person concerned necessarily belongs in specialist hands. Either the partner calls the emergency doctor or the patient, after he wakes up, immediately activates the emergency call himself.

Sometimes people are dizzy and feel dizzy because they have been kneeling longer and got up too quickly. Both usually go quickly, a doctor's visit is not necessary. If the feeling of not being completely alone with one another, or if it occurs again and again without any apparent cause, looks different.

Dizziness also occurs in high fever. It should be noted that children often have a relatively cool forehead despite elevated temperature. The fever thermometer is indispensable here, as well as the (often hot) belly can be felt. If children (and old people) drink too little, they are also often dizzy.

First stop is usually the family doctor. Likewise, an internist can be interviewed. The drowsiness may also be an issue for the orthopedist if the brain is no longer properly supplied by jammed blood vessels. This is often due to strong tension and postural damage.

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Treatment & Therapy

The therapy of dizziness should be very fast and depends on the cause.

If the cause is a circulatory disorder, a circulation-promoting therapy is required. If drowsiness occurs due to toxic substances, they must be stopped or eliminated. Here is the alcohol withdrawal or drug withdrawal as an example.

Dizziness due to metabolic imbalances can only be treated by a proper adjustment of the blood sugar level. If infectious diseases are the cause of dizziness, the therapy is carried out by suitable drugs, which are administered orally and by infusions.

The drowsiness caused by increases in intracranial pressure requires the use of the neurosurgeon, who reduces the intracranial pressure through surgical measures. If heart disease is responsible for dizziness, further treatment should be provided by a cardiologist attempting to normalize cardiac function through drug or surgical therapy.

If drowsiness is the result of cervical spine obstruction, patients should consult an orthopedic surgeon or a physical therapist who uses certain mobilization techniques to remove the blockage.

Outlook & Forecast

A dizziness does not necessarily have to be treated by a doctor. It can occur temporarily in many people and even disappear, so no special treatment is necessary. The success of treating a drowsiness depends very much on the mental and physical characteristics of the patient and can not be individually predicted.

Relatively often, there is a delayed reaction to the environment. This can lead to severe restrictions in everyday life. The exercise of an activity is no longer possible with many people with a daze. In many cases, dizziness develops during the aging process and can not be completely prevented.

A drowsiness can occur even at a young age due to an accident or other mental disorder and the life of the person affected heavily. A cure is only possible in a few cases. Most of the time, the patient relies on outside help and support to master everyday life.

Often sufferers are treated by drugs that are to prevent a craniocerebral trauma. This is often responsible for the dizziness itself. In addition to drowsiness, there are usually sleep problems and metabolic problems, which are exacerbated by the intake of alcohol and other drugs.

Whether the drowsiness can be completely cured depends greatly on the general condition of the patient.

prevention

By a healthy lifestyle with sufficient and varied movement and the correct adjustment of the blood sugar level, disturbances that accompany drowsiness can be partially avoided. Furthermore, alcohol should not be consumed at all or only to a limited extent.

Substance abuse, in addition to dizziness, leads to further damage, and should be avoided. When trades or house building should be dispensed with toxic substances, as these toxins are constantly released into the room air. In addition, long periods of persistence in certain positions should be avoided to prevent cervical spine obstruction.

You can do that yourself

Drowsiness is a widespread symptom that may indicate various conditions. Often drowsiness is associated with fluid deprivation, which is why it can help to drink plenty of cold water. The blood circulation is stimulated and the nutrients in the body are better processed. With sufficient hydration, a cold shower can promote blood circulation and counteract the feeling of drowsiness.

Generally, attention should be paid to the correct sitting position. The shoulder and neck muscles are relaxed in an upright posture. For predominantly sedentary activities, loosening and relaxation exercises should be carried out at regular intervals, which promote blood circulation and keep the body active through the movement. Regular exercise is also suitable for reducing drowsiness and avoiding it in advance.

Stress can also be a factor that causes drowsiness. After a hard day's work, it is not absolutely necessary to complete the closing time with housework. Body and mind need sufficient time for relaxation. Additional, often self-made, stress should be avoided. This is also accompanied by a healthy sleep rhythm. An adult requires an average of 8 hours of sleep.

If the drowsiness is accompanied by depression, then it is advisable to spend sufficient time outdoors. Sun and fresh air stimulate the metabolism and increase the vitamin D intake.

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