If people experience constant fatigue or sleepiness during the day, or if they have a sleep disorder, they should see their doctor for advice. A person may not realize that they have sleep problems. For example, a person who has obstructive sleep apnea may not have easily recognizable waking symptoms, but it affects the quality of their sleep and can leave the person feeling tired throughout the day.
Anxiety is a common trigger for yawning. Anxiety affects the heart, respiratory system, and energy levels. These can all cause breathlessness, yawning, and feelings of stress. If a person experiences a lot of anxiety, they may find themselves yawning more often than other people, or more often than when they are not feeling as anxious.
Anxiety-related yawning often gets worse when a person feels more anxious, but it can also arise with no obvious trigger. People may experience excessive yawning if they take certain medications. Fatigue or drowsiness is a common side effect of many over-the-counter and prescription drugs. Depression can cause or exacerbate yawning due to either side effects of antidepressants or fatigue that comes with depression. If a person with depression is finding themselves yawning frequently, or more than usual, they can discuss this with their doctor, who may then be able to change medication doses or check for any other causes.
Excessive yawning can be related to the vagus nerve, which runs from the bottom of the brain down to the heart and stomach. In some cases, excessive yawning may indicate bleeding around the heart or even a heart attack. People who have had a stroke may yawn excessively. Some research suggests that the process of yawning involves the brain stem, the base area of the brain that connects to the spinal cord.
Excessive yawning may happen before or after a stroke. People with epilepsy may yawn excessively, such as before, during, or after seizures that begin in the temporal lobe. This is called temporal lobe epilepsy. People with epilepsy may also experience excessive yawning due to the fatigue that epilepsy can cause.
People with multiple sclerosis MS may experience excessive yawning due to MS-related fatigue, or to address the disrupted temperature regulation caused by MS. Excessive yawning may also arise with other central nervous system disorders.
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