Why Does Alzheimer’s Get Worse at Certain Times of the Day?

February 7, 2025

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Alzheimer’s symptoms can fluctuate throughout the day, with many individuals experiencing heightened confusion and agitation in the late afternoon and evening - a condition known as sundowning. At Synaps Dx, we offer advanced diagnostic tools to help detect Alzheimer’s early, giving caregivers the insights needed to manage symptoms effectively. Understanding why symptoms worsen at certain times can lead to better care strategies.

What Is Sundowning?

Sundowning refers to increased restlessness, confusion, and irritability that often occur later in the day. This can be triggered by:

  • Changes in natural light and shadows.
  • Fatigue from daytime activities.
  • Disruptions in the body’s internal clock (circadian rhythm).
  • Sensory overload from a busy or noisy environment.

Common Signs of Sundowning

  • Increased anxiety and confusion as the sun sets.
  • Pacing, wandering, or repetitive behaviors.
  • Difficulty recognizing surroundings.
  • Irritability and mood swings.
  • Trouble sleeping or staying asleep at night.

How to Manage Evening Agitation

Although sundowning can’t always be prevented, certain strategies can help minimize its impact:

  • Maintain a Consistent Routine: Predictability reduces stress and anxiety.
  • Optimize Lighting: Keeping rooms well-lit in the evening can prevent confusion.
  • Encourage Daytime Activity: Physical exercise and social engagement can improve sleep patterns.
  • Limit Stimulants: Reduce caffeine and screen time before bedtime.
  • Create a Calming Environment: Soft music, familiar objects, and a quiet setting can be soothing.

The Importance of Early Detection

By identifying Alzheimer’s in its early stages, families can plan ahead and implement effective strategies to manage symptoms. Synaps Dx provides cutting-edge diagnostic tools to help detect Alzheimer’s sooner, allowing caregivers to make informed decisions and improve quality of life.

Want to learn more about Alzheimer’s research and best practices for care? Visit Synaps Dx for expert insights and updates.