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      • When you’re sick, you might notice that you feel much worse at night. Bodily rhythms, hormones, and chemistry can affect the severity of your symptoms. There may also simply be fewer distractions at night to take your mind off your symptoms.
      www.healthline.com/health/why-do-you-feel-sicker-at-night
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    • Overview
    • Why do I feel worse at night when I’m sick?
    • Why do fevers spike at night?
    • Why are COVID-19 symptoms worse at night?
    • How to diminish the effects of illness on your body at night
    • What to do if you feel sick at night but fine during the day
    • When to contact a doctor
    • Takeaway

    When you’re sick, you might notice that you feel much worse at night. Bodily rhythms, hormones, and chemistry can affect the severity of your symptoms. There may also simply be fewer distractions at night to take your mind off your symptoms.

    Read on to learn some of the possible reasons you might feel worse at night when you’re sick, how you can prepare yourself at night to relieve some of your symptoms, and when you should get medical attention.

    Hormones and circadian rhythm

    Your circadian rhythm is like an internal clock that helps control the changes that happen in your body throughout the day. Factors that can affect your circadian rhythm include: •how much sleep you get •the amount of light you’re exposed to throughout the day (both natural and artificial) •how much you exercise •your levels of stress from physical, mental, or emotional factors Your circadian rhythm is also tied to variations in hormone levels throughout the day. And many different hormones in your body rise and fall frequently in response to your circadian rhythm, including: •cortisol •estrogen and progesterone •hormones that regulate hunger, such as insulin, leptin, and ghrelin •melatonin •thyroid hormones •growth hormones Cortisol levels can rise and fall drastically throughout the day in response to stress, lack of sleep, your immune system, and other factors. Cortisol is involved in keeping many other hormones balanced. An imbalance in cortisol can cause other hormones to become imbalanced and make you feel worse at night. Estrogen and progesterone, sex hormones that are involved in many processes like menstruation and pregnancy, may peak during the day and fall during the night. When hormone levels fall at night, they can result in feelings of irritation or anxiety. When you’re sick, this extra stress on your body can make your symptoms feel worse.

    Body positioning

    Your body position during the night can also affect the way you feel when you’re sick. Gravity can act differently on different processes or organs in your body when you sit, lie down, or move from side to side in bed. For example, you may feel worse when you lie down to sleep because mucus buildup from a cold or the flu can cause congestion or pressure in your sinuses that result in a headache or sinus pain. If you’re a side sleeper, you might feel most of this pain or pressure on one side of your head. Your body position can also put pressure on areas of your body that may be affected by your illness. Let’s say you have pain in your left hip. If you’re used to sleeping on your left side, the extra pressure and compression on that hip caused by your bed can make the pain feel worse, even after you’ve changed positions.

    Fewer distractions

    During the day, many distractions can occupy your mind, such as work, family, and entertainment. This may help draw your attention away from your symptoms when you’re sick and make them feel less severe. When you’re up and awake, you’re also usually much more willing to move around in order to treat and manage your symptoms. This can include blowing your nose, taking medication, applying cold compresses or heating pads, and so on. But when you’re trying to sleep, you may notice a particular pain, discomfort, or other symptom more than you normally would. And if your symptoms cause you to wake up and move around to do something about it, the combination of interrupted sleep and symptoms can make you feel especially miserable. You might also feel more anxious at night as less occupies your mind. Anxiety can make your symptoms feel more acute and put additional stress on your body, which also throws your hormones out of balance.

    Cortisol is closely linked to your immune system function. Cortisol is higher during the day, and these higher levels suppress your immune activity to a large degree. When cortisol levels go down at night, your immune system is more active in fighting illness or infection.

    This is why fevers spike at night. It’s a sign that inflammation processes are responding to the presence of bacteria, viruses, or other infectious matter in your body and your immune system is actively fighting against an illness.

    Some COVID-19 symptoms can be worse at night for many of the reasons we’ve discussed above.

    Coughing or respiratory symptoms that are common in COVID-19 infections may be made worse by congestion caused by mucus buildup in your lungs and sinuses.

    Your immune system may also be working harder to fight off the viral infection at night when cortisol levels dip. This can make COVID-19 symptoms feel worse, too.

    COVID-19 has also been linked to insomnia. Being unable to sleep at night can make your symptoms feel more uncomfortable. And your lack of sleep can throw your hormones off balance and worsen your symptoms.

    Stay hydrated

    Drinking enough water each day keeps you hydrated and supports your overall health as well as your immune system function. Staying hydrated can also make sure you replenish the body fluids and electrolytes you lose when you sweat during a fever. The exact amount of water you need to stay hydrated is different for every person. But try to drink at least 64 ounces of water throughout the day (about eight 8-ounce glasses). Drink a little more if you’re drinking caffeine or alcohol, live in a hot or dry climate, or are exercising at all while you’re sick.

    Get more sleep during the day

    Make sure you’re getting enough sleep to support your immune system while it’s fighting off an infection. Cortisol levels are lower when you’re sleeping, so sleep supports a healthy and active immune system that’s important while you’re sick. A typical 7 to 9 hours of sleep might not be enough to allow you to heal quickly. Sleep also allows your body to rest and keep your hormones in balance.

    Take supplements

    Some vitamins, minerals, and herbs can help you treat symptoms or help reduce the impact that different causes can have on your body at night. Some supplements boost immune function and may help you feel better at night when you’re sick. A 2018 study suggested that the following supplements may help treat the common cold alongside other medical treatments: •vitamin C •vitamin D •zinc •Echinacea Taking melatonin may also help normalize your sleep cycle and balance other hormones that may become imbalanced from illness or a lack of sleep. Evidence is mixed on how effective melatonin is, but you can ask your doctor about how it can help with insomnia or other sleep issues in combination with other treatments and lifestyle changes.

    You may notice that your symptoms are only present at night but go away during the day almost entirely. This could mean that your sleeping environment might be the cause of your symptoms.

    Common indoor allergens like dust or other air pollution can cause symptoms like:

    •stuffiness

    •coughing

    •sneezing

    •runny nose

    You may be able to treat most symptoms with a combination of rest, hydration, medication, and some changes to your environment.

    But contact a doctor as soon as possible if you’re experiencing:

    •trouble breathing

    •constant pain that doesn’t get better with lifestyle changes, treatments, or time

    •feeling disoriented or confused

    •trouble waking up or staying awake without significant effort

    Some illnesses may make you feel worse at night for numerous reasons, including changes in your hormone levels, immune system activity, and body position.

    Making changes to your lifestyle and environment can help reduce the strain of your symptoms on your body at night. But contact a doctor if you’ve tried to make adjustments and your symptoms aren’t getting better.

  4. Itchy skin at night, also known as nocturnal pruritus, happens when you have the urge to itch and scratch your skin in the middle of the night. This can disturb your sleep. Itchy skin at night can happen because of changes to your body temperature, dry skin or as a symptom of an underlying condition.

  5. Jul 13, 2023 · Itchy skin at night, called nocturnal pruritus, can be severe enough to disrupt sleep regularly. Why this happens can range from natural causes to more serious health concerns.

  6. Oct 29, 2021 · Anxiety can be especially bothersome when it happens at night. You can try these tricks to calm your mind and get a better night's sleep.

  7. Apr 15, 2024 · It’s common for allergies to feel worse at night. This can happen because of in-home irritants such as mold, dust, and pet dander. Sleeping position is another common cause of nighttime allergy...

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