Decreased energy after waking up

Posted by aliali @aliali, Jun 27, 2019

I am diagnosed with depression. If I wake up, I feel very exhausted. I feel like pulling myself from the bed ! Before I sleep, I feel much better. Sleep should make me full of energy, butI see the opposite. Exercise helps a lot to deal with that. But I want to solve this issue radically.
1. What is causing me to feel exhausted after waking?
2. What is the solution of that?

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@contentandwell

@aliali For me, the problem is most often simply that I have so many nighttime bathroom calls. That really disrupts my sleep. When I am anxious about something that causes me to have problems getting to sleep also, so when I have both of those I wake up exhausted. I generally get up, do whatever such as dressing, having breakfast, and my fatigue is generally relieved to an extent that I can continue with my day. On the days when I get up and find myself continuing to really drag, and almost feel woozy from inadequate sleep, I go back and take a nap. If I go two or three nights with inadequate sleep I have a tiny prescription of lorazepam (my PCP gives me about 10, lowest dosage, pills a year!) and I will take one. That does help.

There are things that can help with sleep but if you are getting enough sleep then your problem is entirely different. I do occasionally use Benadryl (the generic labeled as a sleep aid) or 3mg of melatonin. I do not like to use anything too regularly though because everything is habit forming.
JK

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You’ve mentioned the issue of nocturia to your MD?

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@gingerw

@aliali Sometimes when we do not get restful sleep, we awaken and feel tired. What would cause the bad sleep? Eating the wrong foods, not being able to relax, perhaps thinking about problems or upcoming events, too much exercise in the hours before sleeping, poor sleeping environment (noisy, light). Do any of these sound like it might be part of your sleeping problems?
Ginger

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@gingerw
In fact, I would say it is due to thinking (worrying or anxiety)

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@renwald

There are any number of things affecting sleep patterns. One of the areas to consider is apnea. I got a cpap and was much better off for it. That being said, one needs a doc to send you for a sleep study to determine the time in each stage of sleep. I gained weight and that likely was a major contributing factor but it’s not always the only one.

There are plenty of things to tinker with before that to rule out other causative or contributory factors.

Dark room: so your body registers it’s time to sleep. City lights and other sources can interfere. I use blackout curtains.

Silence though that varies. I like a white noise like a fan.

No stimulation before bed. I’m shaky on the time gap between activity and sleep but television and the like ramps up the mind for hours.

Stimulants like sugars and caffeine certainly don’t help and I’ve read that those can take six hours or more to run their course.

Despite having a sedative effect, alcohol disrupts sleep.

I take melatonin and theanine because they’re otc and don’t interact with Rx. Melatonin only signals the body it’s time to sleep but doesn’t help you sleep well. Theanine supposedly helps improve sleep itself.

My psychiatrist warned against using Benadryl for any length of time as it can disrupt things if you stop.

If the neurotransmitters are off, none of this make make that much difference, but they are worth exploring as relatively simple fixes, save the sleep study which is more involved.

As always, mention what your doing to the MD so that they can give feed back should something about these change.

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@renwald ;
I cannot describe how depression changed my life. Every issue I experience was due to depression. For instance, backache, headache, oversleeping and overeating, having an overly oily skin etc are all caused by depression. I remember when I better controlled depression in the past. I slept much better. I can confidently attribute my pool sleep to depression and anxiety without hesitance! I never changed my mattress or the adjust the lighting and noise in my bedroom. However, if my mood is good, I sleep calmly!

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@lorirenee1

Only my opinion, but I feel that when you are depressed, your issues just hit you like a ton of bricks upon arising. Its like your mood, right there, is in your face. When this happens to me, I tell myself something positive, immediately. If that does not work, I tell myself another positive thing, immediately. Then I get going. I start my day. I shower, first thing, because that helps to shake out the cob webs, so to speak. I don't know if you can really change this, but what I do, helps. Good luck, Lori Renee

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@lorirenee1 I truly agree with you. Depression could cause you several negative results. I have to better control my depression to sleep much better

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@contentandwell

@aliali For me, the problem is most often simply that I have so many nighttime bathroom calls. That really disrupts my sleep. When I am anxious about something that causes me to have problems getting to sleep also, so when I have both of those I wake up exhausted. I generally get up, do whatever such as dressing, having breakfast, and my fatigue is generally relieved to an extent that I can continue with my day. On the days when I get up and find myself continuing to really drag, and almost feel woozy from inadequate sleep, I go back and take a nap. If I go two or three nights with inadequate sleep I have a tiny prescription of lorazepam (my PCP gives me about 10, lowest dosage, pills a year!) and I will take one. That does help.

There are things that can help with sleep but if you are getting enough sleep then your problem is entirely different. I do occasionally use Benadryl (the generic labeled as a sleep aid) or 3mg of melatonin. I do not like to use anything too regularly though because everything is habit forming.
JK

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@contentandwell;
Regarding melatonin, it helped my fall asleep, but didn’t help me sleep calmly and soundly. The countless issues in my life are easily dealt with if I control my depression and stress

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@aliali

@renwald ;
I cannot describe how depression changed my life. Every issue I experience was due to depression. For instance, backache, headache, oversleeping and overeating, having an overly oily skin etc are all caused by depression. I remember when I better controlled depression in the past. I slept much better. I can confidently attribute my pool sleep to depression and anxiety without hesitance! I never changed my mattress or the adjust the lighting and noise in my bedroom. However, if my mood is good, I sleep calmly!

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Really I never thought of that

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@aliali

@contentandwell;
Regarding melatonin, it helped my fall asleep, but didn’t help me sleep calmly and soundly. The countless issues in my life are easily dealt with if I control my depression and stress

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@aliali I agree. Getting to sleep is one thing, staying asleep is another. I have incontinence so I am up frequently during the night and often it is impossible to get back to sleep. Recently I seem to be waking sometime between 3:00 and 4:00 and it takes me a couple of hours to get back to sleep. That happened last night so I am tired this morning and plan to go back to bed shortly.
JK

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@contentandwell For you incontinence do you do the Keegle exercises? Also the Dr. gave me a sample for I was having ffrequency up 3-4 times at night Its called Myrbetriq but expensive my co-pay was more then I could handle so I just stay with the Keegle execises.

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@lioness

@contentandwell For you incontinence do you do the Keegle exercises? Also the Dr. gave me a sample for I was having ffrequency up 3-4 times at night Its called Myrbetriq but expensive my co-pay was more then I could handle so I just stay with the Keegle execises.

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@lioness I do Kegels, yes. I went to pelvic floor PT and she had me doing them in a variety of ways and told me to not skip more than a day or it will regress. I have found that to be true, and right now because of my fracture I am finding them more difficult to do. She gave me such a variety of exercises to do, while doing the Kegels that I said to her I think she did that to make sure the patient does a very large number of Kegels. If she just said do 100 or 150 Kegels most people would not do that many. She sort of smiled so I think I was right!

I never tried Myrbetriq for the same reason, it was extremely costly. I was on Vesicare once but then got off of it, we thought it was causing a different problem. I would have gotten back on that but that too is very expensive with Medicare. I was on Trospium which was affordable (about $60 a month) but I want to get off of that because it can contribute to getting Alzheimer's, which is the last thing I want. I had Botox injections this week to help, and plan to report that on another stream.
JK

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@contentandwell

@lioness I do Kegels, yes. I went to pelvic floor PT and she had me doing them in a variety of ways and told me to not skip more than a day or it will regress. I have found that to be true, and right now because of my fracture I am finding them more difficult to do. She gave me such a variety of exercises to do, while doing the Kegels that I said to her I think she did that to make sure the patient does a very large number of Kegels. If she just said do 100 or 150 Kegels most people would not do that many. She sort of smiled so I think I was right!

I never tried Myrbetriq for the same reason, it was extremely costly. I was on Vesicare once but then got off of it, we thought it was causing a different problem. I would have gotten back on that but that too is very expensive with Medicare. I was on Trospium which was affordable (about $60 a month) but I want to get off of that because it can contribute to getting Alzheimer's, which is the last thing I want. I had Botox injections this week to help, and plan to report that on another stream.
JK

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@contentandwell I just research T-cream saw its all naturel there are with the traumel the usual ones of rashl allergic to it breathing problems but I gather you checked it with your team. With just the arnica montana there is no side effects .

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