Nocturnal Awakening: Causes & Reasons

Possible Causes for Nocturnal Awakening

The patient may experience a history of frequent nocturnal awakenings and unrefreshing sleep. [sleepdisordersguide.com]

As a result, they have difficulty falling asleep, repeated nocturnal awakenings, or both. Symptoms may be worsened by stress. [merckmanuals.com]

Anxiety and depression can also be produced with the nocturnal myoclonus. [sleepdisordersguide.com]

Nocturnal Leg Cramp

Health Nocturnal Leg Cramps: Night-time Calf Muscle Pain Nocturnal leg cramps can lead to a rude awakening: You’re suddenly sleepless and in pain in the middle of the night [dummies.com]

Nocturnal leg cramps can lead to a rude awakening: You’re suddenly sleepless and in pain in the middle of the night. [olympichottub.com]

Symptoms of nocturnal leg cramps include excruciating contractions of the calf muscles, and sometimes of the foot muscles as well. [dummies.com]

Central Sleep Apnea

Recurrent cessation and resumption of respiration leads to sleep fragmentation, which causes excessive daytime sleepiness, frequent nocturnal awakenings, or both. [ncbi.nlm.nih.gov]

In others, they present with symptoms of morning fatigue, daytime sleepiness, morning headache, and recurrent nocturnal awakenings. [queenslandsleep.com.au]

In others, they present with symptoms of daytime sleepiness, morning tiredness, recurrent nocturnal awakenings and morning headache. [sleepdisordersguide.com]

Sleep Disorder

NES is characterized by consumption of excessive amounts of food either before bed or during nocturnal awakenings. [emedicine.com]

Restless Legs Syndrome

As a result, they have difficulty falling asleep, repeated nocturnal awakenings, or both. Symptoms may be worsened by stress. [merckmanuals.com]

Our data also showed that in these populations nightmares must be considered as a primary cause of frequent nocturnal awakening. [doi.org]

awakenings. [merckmanuals.com]

Insomnia

Insomniacs should adhere to a regular awakening time and avoid naps regardless of the amount of nocturnal sleep. [merckmanuals.com]

Disorders that cause pain or discomfort (eg, arthritis, cancer, herniated disks), particularly those that worsen with movement, cause transient awakenings and poor sleep quality [msdmanuals.com]

Thus, the presence of a long sleep latency, frequent nocturnal awakenings, or prolonged periods of wakefulness during the sleep period or even frequent transient arousals [ncbi.nlm.nih.gov]

Mixed Anxiety and Depressive Disorder

Frequent nocturnal awakening and feeling shallow sleep. [drdoping.com]

[…] fall asleep; difficulty falling asleep; Difficulty falling asleep in children; persistent insomnia; Worsening sleep; Chronic insomnia; Frequent night and / or early morning awakening [drdoping.com]

Obstructive Sleep Apnea

In adults, the most common symptoms are snoring, witnessed breathing cessations during sleep, excessive sleepiness, awakening headaches, nocturnal awakenings, and (less commonly [clinicaladvisor.com]

Frequent nocturnal awakening in early life is associated with nonatopic asthma in children. Eur Respir J. 34, 1288–95 (2009). 19. Shen, T. C. et al. [nature.com]

Symptoms of OSAS, including excessive sleepiness, nocturnal awakenings, and morning headaches, improve with treatment. [clinicaladvisor.com]

Allergic Asthma

The main reasons for being uncontrolled according to GINA criteria were nocturnal awakenings and activity limitations in combination with daytime symptoms, an FEV 1 below [jamanetwork.com]

The nocturnal awakenings decreased in the intervention group and the odds of experiencing awakenings decreased in this group. [pio.uad.ac.id]

Criteria for a moderate asthma exacerbation included (1) nocturnal awakening(s) due to asthma requiring SABA use for at least 2 consecutive nights or an increase of at least [jamanetwork.com]

Bronchial Asthma

However, these differences were also associated with superiority with regard to some relevant clinical outcomes (e.g., number of exacerbations or nocturnal awakenings), a [dx.doi.org]

Only one comparison reported data on change in nocturnal awakening ( Analysis 2.11 ) and quality of life ( Analysis 2.12 ), preventing aggregation. [doi.org]

awakenings; to minimize the need for emergency department visits or hospitalizations; to maintain baseline (normal) pulmonary function and activity levels; and to avoid adverse [merckmanuals.com]

Sleep Apnea

Nocturnal palpitations or a racing heart rate Night sweats Nocturnal heartburn Frequent nighttime awakenings and insomnia Excessive daytime sleepiness Morning headache Short-term [verywellhealth.com]

awakenings or a long nighttime awakening (30 min or more) or early morning awakening (30 min or more before the usual time) at least 3×/week], or non-restorative sleep, for [respiratory-research.biomedcentral.com]

Sleep apnea, narcolepsy, nocturnal myoclonus, obstructive sleep apnea, isolated sleep paralysis, central sleep apnea, idiopathic hypersomnia, respiratory muscle weakness [medical-dictionary.thefreedictionary.com]

Dementia

[…] assessed with: actigraphy follow‐up: 2 weeks The mean number of nocturnal awakenings in the placebo group was 26 The number of nocturnal awakenings was, on average, 3.71 [doi.org]

awakenings (MD -3.71, 95% CI -8.2 to 0.8; N = 30; one study). [ncbi.nlm.nih.gov]

[…] assessed with: actigraphy follow‐up: 10 weeks The mean number of nocturnal awakenings in the placebo group was 34 The number of nocturnal awakenings was, on average, 6 fewer [doi.org]

Narcolepsy

awakenings (WMD -1.33; 95% CI -1.78/-0.88, p < 0.00001), daytime sleep attacks on a weekly basis (WMD -9.30; 95% CI -15.92/-2.68, p = 0.006), subjective daytime sleepiness [ncbi.nlm.nih.gov]

Frequent sleep-wake transitions were identified in nocturnal sleep with all sleep stages switching to wakefulness, with more awakenings and time spent in wakefulness after [ncbi.nlm.nih.gov]

In people with narcolepsy, however, the nocturnal sleep pattern is much more fragmented and typically involves numerous awakenings. [narcolepsy.org.uk]

Endogenous Depression

A person with signs of this disease is prone to early awakenings and lack of nocturnal sleep. [scopeheal.com]

Towards night the symptoms diminished, but the nocturnal dreams already awaken a person of an ailment. There is a slowness of body movements and mental activity. [scopeheal.com]

Pulmonary Edema

Further questioning revealed a history of nocturnal snoring, frequent awakening, and daytime fatigue, suggesting a possible sleep apnea syndrome (SAS). [edm.bioscientifica.com]

Review of systems was remarkable for lethargy, cold intolerance, constipation, menorrhagia for 5 years, nocturnal snoring, frequent awakening, and daytime fatigue for about [edm.bioscientifica.com]

Benign Prostatic Hyperplasia

[…] urinary frequency (> 2 nocturnal micturitions, excluding those at bedtime and on awakening) of at least 8 weeks; maximum urinary flow > or equal to 5 mL/s Interventions Control [ncbi.nlm.nih.gov]

215 Baseline IPSS: NA Baseline prostate volume: NA Mean age: 66.3 Age range: NA Race: White Diagnostic criteria: Mild-moderate (stage I or II) BPH; Dysuria: daytime and nocturnal [ncbi.nlm.nih.gov]

Congestive Heart Failure

While at rest With activity or exertion While lying flat (orthopnea) While awakening the person from sleep (paroxysmal nocturnal dyspnea); or Due to fluid (water, mainly) [medicinenet.com]

In paroxysmal nocturnal dyspnea (PND), dyspnea awakens patients several hours after they lie down and is relieved only after they sit up for 15 to 20 minutes. [msdmanuals.com]

Similarly, patients with sleep apnea without heart failure have frequent awakenings, nocturia and may wake up short of breath due to the apnea. [web.archive.org]

Primary Alveolar Hypoventilation

[…] apnea · Sleep deprivation · Sleepeating · Sleeping sickness · Sleeptalking · Sleepwalking Benign phenomena Dream · Nightmare · Exploding head syndrome · Lucid dream · False awakening [bionity.com]

· Sleep paralysis · Hypnagogia · Hypnic jerk · Nocturnal emission · Somnolence Bedding Pillow · Sheet · Duvet · Blanket · Quilt · Sleeping bag Nightwear Babydoll · Blanket [bionity.com]

[…] syndrome · Automatic behavior · Circadian rhythm sleep disorder · Delayed sleep phase syndrome · Dyssomnia · Hypersomnia · Insomnia · Narcolepsy · Night terror · Nocturia · Nocturnal [bionity.com]

Carpal Tunnel Syndrome

This outcome measure was based on rating the severity of five symptoms (pain, numbness, paresthesia, weakness/clumsiness and nocturnal awakening) on a scale from 0 to 10. [doi.org]

Duodenal Ulcer

A history of episodic or epigastric pain, relief of pain after food intake, and nighttime awakening because of pain with relief following food intake are the most specific [aafp.org]

FEATURES Typical symptoms of peptic ulcer disease include episodic gnawing or burning epigastric pain; pain occurring two to five hours after meals or on an empty stomach; and nocturnal [aafp.org]

Sleep Paralysis

Abstract We elicited isolated sleep paralysis (ISP) from normal subjects by a nocturnal sleep interruption schedule. [ncbi.nlm.nih.gov]

This cycle may also cause future episodes of SP as the individual acquires conditioned fear of the experience; leading to more nighttime awakening (due to increased nocturnal [journal.frontiersin.org]

On four experimental nights, 16 subjects had their sleep interrupted for 60 minutes by forced awakening at the time when 40 minutes of nonrapid eye movement (NREM) sleep had [ncbi.nlm.nih.gov]

Adenoid Hypertrophy

Nocturnal sleep study was therefore undergone and confirmed the previous findings. [hindawi.com]

Clinical examination was normal during wakefulness, while numerous obstructive apneas, with repeated oxyhemoglobin desaturation (with SpO2 <75%) followed by frequent awakenings [hindawi.com]

Narcolepsy-Cataplexy Syndrome

A subgroup of patients (about 1/3), especially among those with narcolepsy type 1, have disrupted nocturnal sleep with many short awakenings. [hypersomniafoundation.org]

[…] complaints such as blurred vision, double vision, or droopy eyelids Other signs and symptoms include: Disturbed nocturnal sleep with frequent awakenings and increased body [medicinenet.com]

Signs and symptoms of narcolepsy include: Excessive daytime sleepiness Cataplexy Hypnagogic hallucinations Sleep paralysis Disturbed nocturnal sleep Automatic behavior Other [medicinenet.com]

Epilepsy

The patient also experienced nocturnal seizures lasting about 10 seconds. [ncbi.nlm.nih.gov]

The patient died at the age of 27, after a prolonged nocturnal seizure. 3.1.4. II‐3 This patient had normal psychomotor development. [ncbi.nlm.nih.gov]

These latter episodes started with a scream, which awakened the patient, and were characterized by tonic eye deviation and deviation of head and mouth to the right. [ncbi.nlm.nih.gov]

Cluster Headache

In contrast, primary headache disorders which often occur during nocturnal sleep or upon awakening, such as migraine, cluster headache, chronic paroxysmal hemicrania, and [doi.org]

A cluster headache typically awakens a person from sleep 1 to 2 hours after going to bed. These nocturnal attacks can be more severe than the daytime attacks. [my.clevelandclinic.org]

Patients are awakened from sleep by pain paroxysms in about 50 percent of cases, usually within 2 hours of falling asleep (Lance and Anthony, 1971; Hornabrook, 1964). [clusterheadaches.com]

Ankylosing Spondylitis

Figures and Tables - Analysis 1.8 Comparison 1 Sulfasalazine versus placebo, Outcome 8 Frequency of nocturnal awakening (change from baseline). [doi.org]

awakening, function index, Schober's test, fingers‐to‐floor test, chest expansion and ESR Drop‐out: 21.7%. [doi.org]

awakening (change from baseline) Show forest plot 1 Mean Difference (IV, Random, 95% CI) Totals not selected 9 Score of daily NSAIDs (change from baseline, usual dosage as [doi.org]

Diabetes Insipidus

Zoom Clinical diagnosis Clinical work-up should assess the onset and duration of the symptoms, nocturnal awakening, medication used and the familial background to address [em-consulte.com]

Progressive Myoclonic Epilepsy

[…] and Seizure Onset In Nocturnal Partial Seizures,J NEUROL. [hastane.hacettepe.edu.tr]

TARsyndrome associated with cortical dysplasia and epilepsy TURKISHJOURNAL OF NEUROLOGY, 2011, 17: 55-57. 84) Yıldız G, Tezer Filik İ, SAYGI S Temporal Relationship Between Awakening [hastane.hacettepe.edu.tr]

REM Sleep Behavior Disorder

nocturnal awakenings; item 9, general disturbances of sleep; and item 10, the presence of any neurological disorder. [bmcneurol.biomedcentral.com]

[…] motor behavior, e.g., questions on nocturnal vocalization (6.1), sudden-limb movements (6.2), complex movements (6.3) or bedding items that fall down (6.4); items 7 and 8 [bmcneurol.biomedcentral.com]

[…] dreams and their relationship to nocturnal movements and behavior; item 5, self-injuries and injuries to the bed partner; item 6, four sub-items that more specifically assess nocturnal [bmcneurol.biomedcentral.com]

Peptic Ulcer

A history of episodic or epigastric pain, relief of pain after food intake, and nighttime awakening because of pain with relief following food intake are the most specific [aafp.org]

FEATURES Typical symptoms of peptic ulcer disease include episodic gnawing or burning epigastric pain; pain occurring two to five hours after meals or on an empty stomach; and nocturnal [aafp.org]