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Vertigo and that spinning feeling in the head: Is your lack of sleep the reason?

Sleep disturbances, including sleep apnea, insomnia and sleep deprivation have been linked to an increased risk of vertigo and dizziness. Lack of quality sleep can affect the brain’s ability to regulate balance and spatial perception, contributing to these symptoms, says Dr PN Renjen, Senior Consultant, Neurology, Indraprastha Apollo Hospitals, Delhi

vertigoVertigo is a specific type of dizziness characterised by a false sensation of spinning or movement, even when you’re stationary. (Source: Getty Images)

A recent study has dispelled the idea that vertigo can cause sleep disturbances and found that it is, in fact, insufficient sleep or its poor quality that can bring on symptoms of vertigo.

The study titled “Sleep Disturbances and Vertigo: A Bidirectional Relationship,” published in the Journal of Vestibular Research, said that poor sleep is inversely associated with vertigo outcome in patients who have co-morbid cardiometabolic diseases. The study added that there is evidence to suggest a bidirectional relationship between sleep disturbances and vertigo. According to Dr PN Renjen, Senior Consultant, Neurology, Indraprastha Apollo Hospitals, Delhi the mechanisms underlying this connection are not fully understood, but it is hypothesized that sleep deprivation can affect the vestibular system, which plays a crucial role in maintaining balance and spatial orientation. Further research is needed to explore the precise mechanisms involved in the relationship between lack of sleep and vertigo.

How to differentiate vertigo from dizziness?

Vertigo is a specific type of dizziness characterised by a false sensation of spinning or movement, even when you’re stationary. To identify vertigo, there are a few key signs and symptoms to look for: Spinning or whirling sensation is the primary characteristic of vertigo. This sensation may be mild or intense and can occur when you change positions or move your head. Vertigo often accompanies feelings of nausea and may lead to vomitting in severe cases. Individuals with vertigo may experience difficulty maintaining balance, leading to unsteadiness or stumbling. In many cases of vertigo, involuntary eye movements called nystagmus occur. These eye movements can be rapid, jerky, or even rhythmic. Some forms of vertigo, such as Ménière’s disease, can cause hearing loss, tinnitus (ringing in the ears), or a feeling of fullness in the affected ear.

How is vertigo and dizziness related to cardiometabolic diseases, sleep disturbance, anxiety and depression?

Vertigo and dizziness can be related to several underlying conditions, including cardiometabolic diseases, sleep disturbance, anxiety and depression. Cardiometabolic diseases, such as hypertension and atherosclerosis, can disrupt blood flow to the inner ear or affect the function of the vestibular system, leading to vertigo and dizziness. Additionally, conditions like diabetes and high cholesterol can cause damage to the blood vessels and nerves that support proper balance and spatial orientation.

Sleep disturbances, including sleep apnea, insomnia, and sleep deprivation, have been linked to an increased risk of vertigo and dizziness. Lack of quality sleep can affect the brain’s ability to regulate balance and spatial perception, contributing to these symptoms.

Anxiety and depression are psychological factors that can also impact the vestibular system and trigger or exacerbate vertigo and dizziness. Emotional stress and mood disorders can lead to increased muscle tension, altered neurotransmitter levels, and heightened sensitivity to sensory input, all of which can influence the perception of dizziness. It is important to note that the relationship between vertigo, dizziness and these conditions is complex and multifactorial.

Does anxiety cause vertigo?

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Anxiety can contribute to the onset or exacerbation of vertigo symptoms. While anxiety itself may not directly cause vertigo, the physiological and psychological effects of anxiety can trigger or intensify the sensation of dizziness and imbalance.

When a person experiences anxiety, their body releases stress hormones like adrenaline, which can affect various bodily systems, including the vestibular system responsible for balance and spatial orientation. This can lead to a heightened sensitivity to motion and changes in body position, resulting in feelings of vertigo.

Furthermore, anxiety can cause muscle tension and hyperventilation, which can disrupt the flow of oxygen and blood to the brain. These physical responses can further contribute to dizziness and light-headedness.

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It is important to note that anxiety-induced vertigo is a complex interaction between psychological and physiological factors. If you experience persistent or severe vertigo symptoms, it is recommended to consult with a healthcare professional, such as a doctor or a mental health specialist, to determine the underlying causes and develop an appropriate treatment plan.

What to do in order to get an eight-hour sleep if one has anxiety?

Getting a good night’s sleep can be challenging when dealing with anxiety, but there are strategies that can help promote better sleep hygiene and improve the chances of an eight-hour restful sleep. Create a relaxing routine before bed to signal to your body and mind that it’s time to wind down. This may include activities like reading a book, taking a warm bath, or practising relaxation techniques such as deep breathing or meditation. Make your bedroom conducive to sleep by keeping it cool, dark and quiet. Consider using earplugs, eye masks, or white noise machines to block out any disruptive sounds or lights, Limit exposure to screens. Incorporate stress management techniques into your daily routine. Reduce or eliminate the consumption of caffeine, nicotine and alcohol, as these substances can interfere with sleep patterns. Maintain a consistent sleep schedule.

What things to avoid before going to sleep and what are the ideal timings?

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To promote better sleep, it’s important to avoid certain activities and substances before bedtime. Avoid consuming caffeine-containing beverages like coffee, tea and energy drinks at least six hours before sleep. Stimulants can disrupt sleep patterns and make it harder to fall asleep. Avoid heavy meals and spicy foods, avoid using electronic devices such as smartphones, tablets and computers at least an hour before bed. The blue light emitted by screens can interfere with the production of melatonin, a hormone that regulates sleep. While regular exercise is beneficial for sleep, engaging in vigorous exercises too close to bedtime can stimulate the body and make it difficult to unwind.

First published on: 15-06-2023 at 12:30 IST
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