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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Headache And Sleepy All The Time?

Hi :) I am an 18 year old girl and I have been suffering headaches for a while now. I get them a lot at school but like they are bearable, but it can be really annoying. I also feel thirst a lot. I normally have 1 or 2 500mg of water a day, 3 cups of very very milky tea, and lots of orange juice. Like some days i could drink 8 bottles of water throughout the day but still feel thirsty.i also feel really tired and sleepy the majority of the time. Do you have any idea why? I for sure that it is not diabetes, as I have been checked out for that.
Tue, 14 Feb 2017
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General & Family Physician 's  Response
Hello,
Thank you for the query and welcome to healthcare magic.

To give a definite answer I want to know more about your history like
When did the symptoms start?
Pattern of headache,frequency,quality of pain,any morning headache
Any change in urinary symptoms like frequent urination associated with excessive thirst
nausea,vomit
History of similar symptoms in past
Any change in menstrual cycles/heavy or decreased bleeding
any medications used currently
recent trauma , surgery
Stress in life
Dietary habits

excessive thirst can be due to Diabetes Mellitus (Increased blood sugar) which I assume has already been looked for in your case and was normal

Other possibility is Diabetes Insipidus which is due to decreased amount of a hormone resulting in excessive loss of water in urine.
Diabetes Insipidus can result in headache due to dehydration, excessive thirst, tiredness etc

You will need lab investigations like Anti diuretic hormone levels, Water restriction tests, blood electrolyte levels ,thyroid hormone levels
More investigations may also be warranted depending on the history and initial results.

I strongly recommend that you follow up with your doctor.

Hope I answered your question
please feel free to address any more concerns

Regards,
Dr.Lekshmi
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What Causes Headache And Sleepy All The Time?

Hello, Thank you for the query and welcome to healthcare magic. To give a definite answer I want to know more about your history like When did the symptoms start? Pattern of headache,frequency,quality of pain,any morning headache Any change in urinary symptoms like frequent urination associated with excessive thirst nausea,vomit History of similar symptoms in past Any change in menstrual cycles/heavy or decreased bleeding any medications used currently recent trauma , surgery Stress in life Dietary habits excessive thirst can be due to Diabetes Mellitus (Increased blood sugar) which I assume has already been looked for in your case and was normal Other possibility is Diabetes Insipidus which is due to decreased amount of a hormone resulting in excessive loss of water in urine. Diabetes Insipidus can result in headache due to dehydration, excessive thirst, tiredness etc You will need lab investigations like Anti diuretic hormone levels, Water restriction tests, blood electrolyte levels ,thyroid hormone levels More investigations may also be warranted depending on the history and initial results. I strongly recommend that you follow up with your doctor. Hope I answered your question please feel free to address any more concerns Regards, Dr.Lekshmi