Unusual exercise-induced insomnia

Wow, over the past 5 years I thought I had been to the end of the internet and back and never did find anyone with similar symptoms, until now.

All your stories and symptoms are almost exactly the same as mine. My started 5 years ago with what appears to have been caused by severe overtraining. I wasn't winning bike races one day and could barely turn the pedals the next day. Severe insomnia, chest pains, very low T, messed up cortisol curve etc.

i have seen several specialists and have even travelled to Colorado to meet with a sports doctor who specializes in OT recovery. He reviewed all my blood work from the past 5 years and could identify where my problems started and could see that all parameters had returned to normal. He could not see anything to cause my insomnia and thought it was all mental. He prescribed me high volume, very low intensity riding, with HR less than 115.

Even at this low intensity, my sleep is terrible. Walking for hours is no problem, but any activity, yard work etc, that elevates my HR over one hundred, causes my HR to remain higher for the rest of the day. When I try to sleep, I feel hot and fall asleep for a couple of hours then wake every half hour or so. 

I truely believe that my body is reacting to the stress of exercise and flooding my body with hormones or chemicals. 

 

Welcome. I've had the same feeling for years. Have been visiting allot a specialists who all tell me something different.

Allot of times i get to hear it's all between the ears. I've visited numerous of sleeping clinics but none did ever hear of this condition.

Lately it's been getting better though.

What i noticed is that i hardly sweat during workouts -> so my body has problems with dealing with the temperature.

So i take more time in between sets and do a cooling down (with stretching). Also a "colder" shower after the workout helps allot and drink allot during the workout.

When i don't do this, i get severe night sweats and insomnia. Even though i worked out in the early morning...

Another thing i noticed is that it has something do to with your sleep. If i sleep bad for longer periods of time, these symptoms seem to worsen.

I've been giving hydroxyzine (or atarax) for sleeping now. So my sleep efficiency is allot higher and I'm better rested. This works immensely to solve 80-90% of the symptoms.

I guess it has something to do with HPA axis chronically elevated by bad sleep?

I've been working out on a daily basis again. But started with 20-30 min a day

Welcome. I've had the same feeling for years. Have been visiting allot a specialists who all tell me something different.

Allot of times i get to hear it's all between the ears. I've visited numerous of sleeping clinics but none did ever hear of this condition.

Lately it's been getting better though.

What i noticed is that i hardly sweat during workouts -> so my body has problems with dealing with the temperature.

So i take more time in between sets and do a cooling down (with stretching). Also a "colder" shower after the workout helps allot and drink allot during the workout.

When i don't do this, i get severe night sweats and insomnia. Even though i worked out in the early morning...

Another thing i noticed is that it has something do to with your sleep. If i sleep bad for longer periods of time, these symptoms seem to worsen.

I've been giving hydroxyzine (or atarax) for sleeping now. So my sleep efficiency is allot higher and I'm better rested. This works immensely to solve 80-90% of the symptoms.

I guess it has something to do with HPA axis chronically elevated by bad sleep?

I've been working out on a daily basis again. But started with 20-30 min a day

One is the strangest symptom over the last 5 years has been the sensitivity to any loud noises,especially in the evening. My startle response is crazy and even the slightest noise can make me jump.  Never had this before.

Another symptom that I have been left with is missed heart beats for a few days after any exercise. Maybe every 5 mins or so, I will feel the missed beat that kinda takes my breath away.

I really feel like my HPA has suffered some kind of permanent damage. 

Sounds a bit like hypervigilance (increased state of alertness) due to too much cortisol?

Maybe try rhodiola or Ashwagandha & Magnesium ?

I recently started having this issue as well. Certainly have not been dealing with this as long as the people in this string......I tried a few different things since being only able to sleep 3 hours per night (fall asleep straight away wake up like it was mid day covered in sweat). Last night I tried one of those edible marijuana  gummies. They apparently take awhile to take effect and since I can fall asleep right away I took it right before I went to bed. The hope was it would kick in before and maintain during the 3 hour mark. Slept for a full 7 hours (only up once to pee). First time in over 3 week! That was only n of 1 so excited to see if it works tonight to or just a fluke. Hope this helps.

Has anyone here tried monitoring their blood sugar? I've these exact problems for about 7 years, and have never been able to figure out what was wrong with me. Last week I got a blood test done which showed very low levels of blood sugar, and i decided to investigate its relation to insomnia a bit: 

"You’re exhausted and you need your eight hours of sleep, but you suddenly bolt awake around 3 or 4 a.m., energy coursing through your veins and mind churning anxiously. What gives? Waking up in the middle of the night is simply one of many low blood sugar symptoms.

Sleeping through the night represents a long period without food when blood sugar can drop too low. This is bad news for the brain, which depends on glucose for energy. The brain is highly active at night, transforming short-term memory into long-term memory,[1] and carrying out repair and regeneration.[2]

In response, the adrenal glands, two walnut-shaped glands that sit atop the kidneys, release stress hormones. These stress hormones raise blood sugar back to a safe level. Unfortunately, stress hormones also raise, well, stress. Hence the anxious awakening during night’s darkest hours." 

From: https://universityhealthnews.com/daily/diabetes/do-you-bolt-awake-at-3-a-m-low-blood-sugar-symptoms-may-be-to-blame/

"On the opposite end of the spectrum, if your blood glucose is too low, hypoglycemia, you may also wake up during the night.  Every cell in your body needs sugar to work properly. It’s your body’s main source of energy.  When your sugar levels fall too low it can cause a variety of problems within your central nervous system which can include: [Hypoglycemia Sleep Issues]

Hunger

Weakness

Dizziness

Nervousness

Anxiousness

Irritability

Chills

Sweating

Tingling or numbness of mouth

Blurred Vision

Headache

Confusion

Nightmares

Sleepwalking

Restlessness

The next time you wake up during the night with these symptoms, check your blood glucose. When there is a drop in the blood glucose level, it causes the release of hormones that regulate glucose levels, such as adrenaline, glucagon, cortisol, and growth hormone. These compounds stimulate the brain. They are a natural signal that it is time to eat. 

Good bedtime snacks to keep blood sugar levels steady throughout the night are oatmeal and other whole grain cereals, whole grain breads and muffins, and other complex carbohydrates. These foods will not only help maintain blood sugar levels, they actually can help promote sleep by increasing the level of serotonin in the brain." [2]

From: http://www.alaskasleep.com/blog/blood-sugar-and-sleep-problems

There is also this page regarding the issue: https://marshanunleymd.wordpress.com/2011/12/23/sugar-and-insomnia/ 

All doctors I've spoken to found it weird (or didn't even believe me) when I told them that cutting out all exercise except for walking made me sleep much much better. But it sounds like the insomnia could have something to do with issues regulating blood sugar, leading to too low blood sugar during the night after even small amounts of exercise during the day, which then leads to these "stress"-episodes in the middle of the night keeping me/us awake. I've found that on top of exercise, even small amounts of sugar and alcohol are the worst things i can eat/drink during the day regarding my insomnia at night. They both have a significant impact on the blood sugar balance, so that might further acknowledge that the issue could be related to this. 

I'll dig deeper into this and try different diets to stabilize my blood sugar, but if anyone has already tried this, feel free to share.

I've also been having these issues recently (waking up with insomnia after 3 hours despite getting to sleep easily) and can see from the foregoing discussion exercise could well be the problem. I am 66 and have been exercising for many years, swimming since I was 50, though over the last 8 years it has been jogging and weight training 3-5 times a week. I am very fit for my age - maybe too fit! Simultaneously to these episodes starting in March this year (now May) I was worrying about work (yes I know why should I at my age?) but had shifted to doing more intense exercises using kettle bells in particular. I seem to take to doing the crunches. Perhaps too much. They seem to get easier during the session, which is odd.

I then avoided the most high intensity stuff for a few weeks and the insomnia symptoms seemed to go away. But recently I have returned to the high intensity sessions and the insomnia (waking up after 3 hours in a state of alertness) has returned. I am definitely going to cut out all exercises now and if that works I will then return to gradually reintroduce less intense workouts.

This is exactly what I am facing. Exercise/no exercise, I get up exactly 5 hours after I sleep(whatever may be the time), exercise makes it worse, I get real alert after exercise so I can't sleep immediately. Less sleep increases my food/sugar cravings. I am going nuts trying to get a grip on this. I am frustrated listening and getting comments from all sorts of people about how less I have to eat and get a grip on my food habits. This is happening to me whose health records a couple of years back were so good that my doctor refused to do the routine physical checkup because she thought I am wasting insurance money by going to checkups every year and getting tests done. I am so so fed up. How the hell do I get back my sleep?

It is really great to find this thread.  I have been suffering with exercise induced insomnia for over three years and it sounds very much like what several of you report.  The most repeatable symptom is that if I exercise vigorously during the day, I will awaken with an "adreneline rush" after 3 to 5 hours of sleep.  This insomnia came on fairly suddenly in my mid 40s.  I have always enjoyed exercising, was a distance runner and soccer player in high school and college, and have remained fit.  

I have another strange exercise induced problem:  I get urticaria (hives) after a hard workout.  That has been occurring for a few years more than the insomnia.  Doctors say it is not uncommon.  Of course, for that they recommend antihistimines which also solve the sleep problem that day, but I can't think straight for a day and then my sleep is messed up the next few days.  I have been guessing there is some auto-immune component to my insomnia.  Combine immune, endocrine and neurological issues, and it is not hard to see why doctors can't figure this one out.

I also have tachycardia, and am somewhat prone to fainting.

There is also some connection with my digestive system.  About the same time my insomnia started, my digestive system became much less stable.  A spicy or greasy meal can give me loose stools for a day or two and my insomnia happens even without exercise then.   The worst was the first month or two when I thought the insomnia was caused by digestive instability and I tried more exercise to help me sleep better.  That left me totally exhausted until I figured out the exercise was the most clear cause of the insomnia.

It is also stress related.  But everybody guesses that.  More stress makes it worse.  The problem is that even without much stress, a good workout means waking up in the middle of the night.  If I am not stressed, I am better at relaxing and going back to sleep an hour later.  If I am stressed and do a workout, I wake at 3am and am up the rest of the night.  

Sorry I don't have any answers to add.  Hopefully people will report here some things that work for them.

 

A correction to my comment above:  I see in the middle of the night I got tachycardia and brandycardia mixed up.  I have slow heart rate (brandycardia) and so the hypothesis in an earlier post that it might be related to low oxygen availability is interersting.

I found this thread because I have been having similar issues. But I'm not super fit, am just trying to be healthier. I have just been trying to reach 10k steps a day (my neighborhood is a bit hilly) with walking, and also lift weights 3 times a week for 30 minutes and this is resulting in my not being able to go to sleep and not being able to stay asleep, as well as feeling hot and waking every 2 or 3 hours. I also get restless leg symptoms now at night which I think is the result of some kind of overactivity in my brain despite being physically tired. I do have anxiety and am on medication for it so I'm sure it has to do with my cortisol levels. I noticed that taking mucinex made me instantly start having restless leg symptoms then read that antihistamines block the absorption of dopamine which causes the restless leg symptoms, and decongestants can also cause it. It almost sounds like you guys have the hyperactivity of RLS without the leg sensations. I try to take a hot bath or shower to get myself to relax and into a state where I can fall asleep and where my legs stop being idiots. If you haven't tried that then maybe it will help. And maybe if any of you are on antihistamines or decongestants that may be something to look at.

Hi Mekin,

I have been going through this exact same thing recently.  I am a 50 year old woman in very good physical condition and I also eat very clean and healthy.  I have exercised all my life with only occasional sleep issues.  I notice I only seem to have issues when I do an intense, long cardio workout on my elliptical (indoors) where I am sweating a lot.  (I don't notice it as much with long distance running outdoors).  So I am wondering if the problem could have something to do with dehydration.  I drink a lot of water before, during and after my workouts, and I try to take in the appropriate electrolytes, but I think the body still gets dehydrated and takes a few days to fully recover.

I am usually able to have a cup of coffee with my dinner without it effecting me, but I am wondering if in a dehydrated state, the caffeine effects me more as my body absorbs it more.  Also, I am wondering if my supplements are effecting my sleep more when dehydrated.  One other idea is that since dehydration causes constipation, this may be disrupting my sleep too.

I am currently going to test these theories, but I was wondering Mekin if you sweat a lot when working out and how much water you are taking in.  Also, are you consuming any alcohol?  Even a little bit in a dehydrated state is going to exacerbate sleep disturbances and will probably effect your sleep.  I don't drink at all because it always causes sleep issues for me.

These are some suggestions.  If anyone has any luck with these theories please share.

We may be over analyzing this if it's just in fact dehydration.  Also, Lucas 14544, I'm not trying to be mean, but when I read your comment about how much coffee and tea you're drinking I had to laugh and ask "is this guy serious?". I can almost guarantee if you cut way back on the caffeine and drink water instead you'll notice an improvement in your sleep.  I think all the caffeine is probably making dehydration worse rather than helping you.  Also, the person who mentioned a tremor, I wonder if it could be caffeine combined with possible dehydration.

Everyone please come back and update us all when you find successful remedies.

 

Not to sound a know-it-all, but what's wrong with my drinking habits?

I drink max 2 cups of coffee in the morning and about 1.5L herbal tea (no caffeine). Mostly ginger/grean tea, rooibos and sleep inducing brew's at night...

 

I've been reading some studies about ammonia buildup when exercising rigourisly. Also eating a protein-rich dieet can result in ammonia buildup in the muscles. Which i do both...

The body converts ammonia to urea during the breakdown of protein for a muscle energy source, but during exercise the amount of ammonia produced in the metabolic processes outstrips the conversion system and the ammonia level builds up in the body. Ammonia is toxic, so the body reverts to the more primitive removal system through sweat.  But what happens when you hardly sweat?

Symptoms:

Nausea, loss of appetite, back pain, muscle cramps are common physical symptoms caused by higher amount of ammonia in our bodies. Anxiety, insomnia, irritability, confusion and depression are just some of the mental symptoms of ammonia toxicity. Less recognized effects of ammonia toxicity are brain fog, low motivation, inability to focus,… all the symptoms people are complaining about nowadays but almost nobody talks about ammonia as cause of these problems.

Ammonia toxicity may cause serious physical changes in the brain which are long-term and even irreversible.[2]

The simple cure is to increase the carbohydrate in your diet a bit and maybe drink a little more water during the day to dilute the ammonia. I've also been reading about the amino acid "Ornithine" which removes excess ammonia and aid indirectly with insomnia by reducing stress and anxiety and the stress response.

What do you guys think?

 

Hello mekin and everyone else,

I have this exact same problem as well - so frustrating. I believe I can shed a little light on it.

A couple of years ago I developed overtraining syndrome. I had had symptoms on and off for a few years as I came to the end of my Australian Rules football career (amateur - don't get excited) and I retired to karate. Overtraining syndrome is when you damage your symptom in a permanent/semi-permanent way, as result of your body not being able to recover from the training load.

I had a lot of treatment, it took 2 years to overcome and will never entirely go away.

Basically what happens is, in the case of high intensity athletes (martial arts football players, lifting etc) your sympathetic nervous system gets over stimulated. During my OTS, if I did even a fairly mild workout, I would likely get heart pounding and palpitations. After about 2 to 3 hours after finishing the workout, my heart rate would go from slightly elevated to over 100 bpm, whilst sitting quietly on a sofa watching TV. I would also feel incredibly wired, like I had just drunk 10 cups of coffee or something. Needless to say, sleeping in such a condition was nearly impossible. I would also wake up bathed in sweat.

Your SNS (Sympathetic Nervous system) is part of your ANS (autonomic nervous system) and is involved in getting you alert, ready to fight or flee, it suppresses your immune system increases your heart rate and sweat production, and gets your organs ready for doing stuff. Your PNS (para-symathetic) is involved in calming you down, repairing organs and muscles etc.

In my case, what happened was, I was trained too many times beyond my bodies ability cope, triggering a 'survival mode' response. You have 3 basic modes of metabolism - your everyday metabolism, metabolic processes when you exercise or are active, and extreme processes when your under very great stress, such as in an injury, a fight, or you push beyond what your body THINKS it can cope with. Your body is an adaptive mechanism, so it remembers how it responded to survive the last encounter. So if I trained in a way that made it think it was being pushed it would reach for the extreme response inappropriately soon. That meant my training was becoming counter-productive. Because I wasn't seeing the results, I assumed I was either soft physically or mentally - either way, train harder.

The most effective treatment I had for this was GET - graded exercise therapy. It took a lot of patience. You had to exercise very regularly but not to any great intensity. If you over stimulate your SNS, it won't come back down and for me it could trigger days of fatigue, nausea, irritability, brain fog, and of course insomnia.

I just want to stop and remark how difficult emotionally I have found all this. It's extremely confronting, and I bitterly bitterly resent it. It has made me lose confidence in my body and constantly worry about whether I am over doing things. It has also coincided with osteoarthritis (feet, hands and knees). I travel to Kilimanjaro in 1 week doing the longest trail. I am almost as fit as I've ever been but I worried about my body letting me down. Again.

Someone asked regarding blood sugar level: during my OTS I started getting post-prandial hypoglycemia. It's actually not true hypoglycemia, but your brain thinks you are hypo because it is unable to regulate insulin properly (OTS really fries your endocrine system). So I WAS testing my blood sugar levels. Yes my blood sugar level got low, and it woke me up with intense and unnatural hunger, but it wasn't low enough to be graded as true hypoglycemia.

The solution is to really cut back on carbs and eliminate sugar altogether. Eat as much healthy fat and protein as you can at a meal. Anything that can broken down easily to glucose spikes your blood sugar, causing your brain to inaccurately produce too much insulin. This mismatch causes catecholomines to be released (part of your SNS axis) one of which is epinephrine - adrenaline. And we know what that does to us physiologically. In fact, if your spike your BS and your belly is still full, your brain can misinterpret the signals as (quite often) depression. You then dwell on what might be making you depressed and then - hey presto! - you're depressed.

My guess is, if you are having these symptoms without having to go through full overtraining, or developing chronic fatigue, then your SNS is over-stimulated as result of the combination factors that can cause it to be aroused - stress, exercise, diet, inflammation. Biochemically much the same thing happens in all of these, and they are cumulative.

I hope that gives you some idea of what might be going on with you. I don't profess to be an expert, or have definitive answers - I am still struggling with the EXACT same things you guys are still. I know what I can do to manage it - it's just deeply frustrating and I resent it. If anyone is interested, I kept records of my blood sugar levels and of my HR during the worst of the OTS which I would be happy to make available.

Lucas,

You don't sound like a Know-it-all and I'm sorry for making fun of you smile.  I didn't realize you were drinking herbal tea.  However, make sure these beverages are in addition to the recommended guidelines for water intake for athletes (which is a lot)..  These beverages should not replace water (especially the coffee).  Try drinking one cup of coffee then switching to decaf.  Also, before, your first cup of coffee drink some water first thing in the morning.  I bet you'll be surprised at how parched you really are and how good it tastes.  Be sure to get filtered water because tap water tastes awful.  (at least in California).

Dude, I seriously think you are over analyzing your sleep problems.  You are not drinking enough water!  You can check the color of your urine, but that doesn't always turn dark until you are in a critical state of dehydration.  I always pee clear even when I'm slightly dehydrated.  By drinking the coffee first thing without hydrating yourself with water, you are absorbing that caffeine more.

Please try my recommendation.  It will take a few days for you to see the benefits, but you'll eventually start sleeping better.

Hello beaniebye,

I've been having sleep problems since my childhood.... My doctor recently send me to another sleeping clinic (after visiting 3 already), but none of them seem to have a solution... Apart from medication, which puts me in a zombie like state non stop. Life sucks when you're always tired. I already drink allot. Around 2liters water or herbal tea. So that's 2.5liters in total. But it has no significance on my sleep whatsoever. The problem is that I wake up allot of times during the night and its hard to fall back to sleep again. Everyday I feel lethargic and tired because of this. I'm just searching for something to alliviate my insomnia since doctors don't know how to help me...

Thanks for your contribution. Seems familiar...

But I hardly even eat sugar or things that spike my sugar levels. I mostly eat clean, high in fat and protein. How are you doing right now?

Hi Lucas,

One thing I wanted to say was check your herbal teas and make sure the label states "caffeine-free". Not all herbal teas are.  It should state that they are, and if it doesn't contact the company or search the web.  (i'm sure the sleepy time probably is, but green teas typically contain caffeine.)

Also, I would really try to cut way back on your coffee.  I know you drink it in the morning, but some people are just more sensitive to caffeine and can be affected by that morning dose.  Start by cutting back to just one cup in the morning, and see if it helps at all (drink water first so you aren't absorbing it so fully and try to eat something with it).  

See if you even miss it.  (You probably won't.) Then maybe try switching to a coffee blend that is 1/2 decaf and still having only one cup, or only drink half of a cup.  You may not even notice the difference.  It's really that first little bit of caffeine that gives you the "kick" that you need.  Your tolerance is probably high since two cups really does have a high level of caffeine.  You may struggle a bit at first, but it will get easier.

Please try this.  You have nothing to lose and everything to gain.

I did an experiment the other night.  I did my most high intensity cardio workout where I sweat like a mother ****** and usually can only sleep three hours after.  (Even though I go to bed exhausted).  

Afterwards, I drank loads of water and had all the necessary electrolytes.  However, the one thing I did differently was I skipped the evening coffee (which doesn't usually effect my sleep unless I have done this particular workout).  Also, I made sure to take all my meds and supplements in the morning.  And I slept like a baby.  I found when I got up I still needed to take in loads of water and electrolytes.  However, I had energy throughout the day.

Good luck!  Please report back.  I am taking my own advice on this since I had such positive results giving up my evening caffeine and switching my meds and supplements to morning.