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Suggest Treatment For Dry Mouth And Constant Thirst

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Posted on Mon, 7 Sep 2015
Question: Hi my name is XXXXXXX I am 39yrs old I have a dry mouth and I am extremely thirsty every night I am a diabetic I check my blood sugar at 4 today and it was 138 I don't know if it goes up at night but all I do is drink I always have a dry mouth what should I do
doctor
Answered by Dr. Shehzad Topiwala (32 minutes later)
Brief Answer:
Endocrine

Detailed Answer:
Sorry to learn about your dry mouth and thirst.

There can be quite a few causes for this. It requires a systematic evaluation and physical examination which is possible only in person. So I urge you to get checked by an internist/endocrinologist.

Some medications can result in dry mouth. But it appears you are no medications.

Then there are some endocrine (hormone related) reasons we can consider here:

1 Uncontrolled diabetes

Your glucose was 138 recently. Now although it is just one reading, one gets the impression that your diabetes is not poorly controlled. However to be certain, some tests are required such as
Frequent self monitoring with a glucose meter
HbA1c (a random blood test done at a laboratory which gives the previous 3 months' glucose average)

2 Diabetes Insipidus
This is a completely different type of diabetes in which the affected person is constantly thirsty and drinking water, also is passing large amounts of urine.
This diagnosis requires special testing called Water Deprivation test, which also requires a special medication called ADH (also called Vasopressin)

This specialised testing is performed typically by an endocrinologist.

3 General tests
When I see someone like you in my practice I order the following tests as well :

CBC
Electrolytes
Calcium
Kidney function tests
Liver function tests
TSH
Free T4

Further testing (such as Prolactin, Serum Cortisol, FSH, LH and Estradiol) can be considered based findings on physical examination and results of preliminary rounds of tests
Note: For further follow up on related General & Family Physician Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Shehzad Topiwala

Endocrinologist

Practicing since :2001

Answered : 1663 Questions

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Suggest Treatment For Dry Mouth And Constant Thirst

Brief Answer: Endocrine Detailed Answer: Sorry to learn about your dry mouth and thirst. There can be quite a few causes for this. It requires a systematic evaluation and physical examination which is possible only in person. So I urge you to get checked by an internist/endocrinologist. Some medications can result in dry mouth. But it appears you are no medications. Then there are some endocrine (hormone related) reasons we can consider here: 1 Uncontrolled diabetes Your glucose was 138 recently. Now although it is just one reading, one gets the impression that your diabetes is not poorly controlled. However to be certain, some tests are required such as Frequent self monitoring with a glucose meter HbA1c (a random blood test done at a laboratory which gives the previous 3 months' glucose average) 2 Diabetes Insipidus This is a completely different type of diabetes in which the affected person is constantly thirsty and drinking water, also is passing large amounts of urine. This diagnosis requires special testing called Water Deprivation test, which also requires a special medication called ADH (also called Vasopressin) This specialised testing is performed typically by an endocrinologist. 3 General tests When I see someone like you in my practice I order the following tests as well : CBC Electrolytes Calcium Kidney function tests Liver function tests TSH Free T4 Further testing (such as Prolactin, Serum Cortisol, FSH, LH and Estradiol) can be considered based findings on physical examination and results of preliminary rounds of tests