It feels normal, then gets bad, then normal again like nothing happened and in the end it's heavenly, let me walk you through it. I'm miserable. I feel your pain..! I havent slept in 4-5 days, and by that I don't mean poor sleep, I mean I have NOT slept at all for 4 days. I'm tired, but I just cannot get to sleep. sleep effects the chemistry of the body so a dramatic shift in sleep pattern will produce the effect you describe. I'm not really anxious or stressed. Does your doctor have you on any type of steroid medication? I tried switching on the TV, hoping I'd get sleepy and just doze off. Science says this is actually a good thing to do occasionally. I don't know what to do. … after a few years you graduate with a degree in medicine. I've layed in bed for hours. It got harder and harder to stay awake, By day three I started hallucinating. I haven't slept in about 48 hours. After the first night, I couldn’t sleep. My body is ready for bed, but my brain is not. No big deal. Seriously, though, welcome to the world of quite a few professions during their university years. If you have been able to sleep well before, the first thing to do is to figure out what may recently have changed. Lots of coffee, loud music, brisk walks, and utter desperation. Some people said I looked like death others just did a double take stare like they saw a zombie. I've tried laying down and going to sleep, but its like trying to go to bed when you're totally wide awake. For the first 17-18 hours, you don't really feel much except a little routine tiredness. I like the answers you received and just have one question. I remember one time I had to take steroids for a week. Also you will be hungry. Although you should avoid going longer than 3-4 days without sleep, you can safely stay up for a few days as long as you plan to get full nights of sleep for 1-2 days afterwards. Scott Kelley, a 10-year Army veteran, knows about sleep deprivation. And those changes should help you survive the day. Don’t binge eat after. TLDR: Not a whole heck of a lot that you can tell. I slept but only about 15-20 minutes a day of real sleep. X Research source With a little bit of preparation and a regular schedule, you'll be able to stay awake and push through to the end. At this point the muscle fatigue is really bad to the point that even sitting up is just... heavy. So I actually have recent experience with this. Is this still a problem ?! I have been taking Melatonin or Lorazepam and neither seems to work for me. Lasted about 3-4 weeks. I once stayed up for four days in grad school to finish some projects. With multiple deployments under his belt, Kelley has had many instances of … Been there myself many times... As for the 'dire consequences' of a lack of sleep, as a medical layman I say to you: don't worry about it excessively. You probably will lose some mental and physiological defense systems. 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