Sleep problems are present in 13% of cases 12 weeks after the initial infection. This symptom can include difficulty going to sleep, waking up in the middle of the night and having difficulty getting back to sleep or, conversely, experiencing hypersomnia (needing more sleep). Your sleep may also be disrupted by nightmares or strange dreams. A fatigue assessment and investigations for neurological disorders, metabolic disorders (e.g. thyroid problems) and post-traumatic stress disorder, anxiety or depression should be done.
How is it treated ?
- Avoid stimulants, such as caffeinated beverages (e.g., tea, coffee, carbonated drinks and Red Bull).
- Avoid extreme temperatures in the bedroom, which should be kept quiet and dark.
- Exercise regularly, but do not go to sports practice late in the evening.
- Lie in bed only to sleep.
- Prefer a light meal in the evening.
- Do something relaxing for at least an hour before bedtime.
- Avoid screens before going to bed and do not look at them at all when in bed.
As with non-COVID-related insomnia, relaxation exercises, mindfulness meditation and self-hypnosis improve sleep. Current research suggests that aromatherapy (lavender or camomile) can improve sleep quality.
In addition to sleep hygiene measures, medications may be indicated for the treatment of post-COVID insomnia. In this case, discuss the matter first with your paediatrician or primary care physician.
If these measures prove inadequate, it is suggested that you discuss your sleep problems with your paediatrician and, as a second step, consult a somnologist.
