How to Fall Asleep When You’re Sick

When illness strikes, the body needs increased sleep to focus energy on recovery. During rest, the immune system actively produces proteins like cytokines, which help target infection and inflammation. However, common symptoms like body aches, coughing, and congestion often make falling and staying asleep challenging. Taking targeted steps to control these disruptive symptoms is the most effective way to ensure the body gets the rest required to fight off illness.

Physical Relief Strategies for Congestion and Cough

One of the most effective non-pharmacological methods for easing nighttime congestion is elevating the head and shoulders. Lying flat allows mucus to pool in the sinuses and throat, which can trigger post-nasal drip and coughing fits. Propping the upper body up with a wedge pillow or two to three extra firm pillows uses gravity to encourage sinus drainage. Aiming for a slight incline helps prevent the backflow that causes discomfort.

Before settling into bed, using steam can help loosen thick respiratory secretions. Taking a warm shower for about ten minutes allows the inhaled steam to add moisture to the nasal passages and airways. This process helps thin the mucus, making it easier to expel before lying down.

Clearing the nasal passages using a saline rinse or neti pot is highly effective. Flushing the nasal cavity with a sterile saline solution removes mucus and irritants that block breathing when lying down. Perform the rinse shortly before bedtime to maximize the effect of clear airways.

Optimizing the Sleep Environment

Managing the sleep environment is important when dealing with fever and fluctuating body temperature. The ideal bedroom temperature for restorative sleep is between 60 and 67 degrees Fahrenheit (15.6 and 19.4 degrees Celsius). Maintaining this cool range counters the internal heat generated by a fever, making it easier for the body to settle.

The choice of bedding and sleepwear should support temperature regulation to manage chills and night sweats. Using layers of light, breathable fabric, such as cotton, allows for quick adjustments if a sweat breaks or a chill sets in. This layering prevents the need to fully wake up to change clothes or throw off a heavy comforter.

Minimizing sensory input helps the body relax into sleep. Ensure the room is as dark as possible, using blackout curtains if necessary, and reduce noise from external sources. A quiet, dark, and cool environment provides a consistent signal to the brain that it is time to rest.

Timing Medications for Restful Sleep

Strategic use of over-the-counter (OTC) medications can significantly reduce symptoms that interfere with sleep. Pain and fever reducers, such as acetaminophen or ibuprofen, have an onset of action between 20 and 30 minutes and reach their peak effectiveness within one to two hours of ingestion. Taking one of these medications approximately 30 to 60 minutes before the intended bedtime ensures the strongest fever and ache relief coincides with the attempt to fall asleep.

When selecting multi-symptom cold remedies, choose formulas specifically labeled for nighttime use. Daytime cold medications often contain stimulating decongestants, which should be avoided before sleep as they cause wakefulness. Nighttime versions substitute these with a sedating antihistamine or cough suppressant, which aids in initiating sleep.

Always read the active ingredients list to avoid accidentally doubling up on medications. Acetaminophen, in particular, is a common ingredient in many pain relievers and cold formulas. If relying on a sedating antihistamine for sleep, be aware that these may cause next-day drowsiness.