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Fall Asleep from fatigue wake up thirsty ?

Discussion in 'General Symptoms' started by gettinbetter, Aug 24, 2017.

  1. gettinbetter

    gettinbetter Senior Member

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    I will be amazed if this happens to others
    I get very sleepy and go to sleep for a nap I wake up a little while later very thirsty with my heart pounding and a strong desire to urinate.

    This thirst occurs even if I was well hydrated before I went to sleep.
     
    Richard7 likes this.
  2. Wonko

    Wonko Senior Member

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    The other side.
    I'd advise you to get your blood glucose levels checked when this occurs.
     
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  3. Skippa

    Skippa Anti-BS

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    Why surprised?

    I get "similar" stuff, no heart pounding, but strange insatiable thirst around sleepy times.
     
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  4. gettinbetter

    gettinbetter Senior Member

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    That is a thought but it happens at very inconvenient times and places
    I did not think it was a blood sugar problem but maybe

    I have not ever heard of anyone with these symptoms
    Is your thirst upon awakening?
    Thanks
     
  5. Solstice

    Solstice Senior Member

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    Might have something to do with the way you breath? Mouth get's dry because of it? I think that's it for me anyway, I usually have a dry mouth/thirst upon waking up aswell.
     
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  6. arewenearlythereyet

    arewenearlythereyet Senior Member

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    possibly orthostatic intolerance?

    towards the end of the day (about 4pm onward) I feel more thirsty and tired. I find that if I put my feet up fully reclined for 20 minutes or so, the tiredness feeling sometimes subsides. Sometimes I'm actually tired. There seems to be a correlation for me between how long I've been stood or sat in one place. I'm mild\moderate but find that periods of relative inactivity does make this worse. I try and alternate activities (gentle walking\pottering vs cognitive stuff) during the day.
     
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  7. Wonko

    Wonko Senior Member

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    The other side.
    Thirsty even after drinking, even drinking excessive amounts and still thirsty, sudden sleepiness, even falling asleep, waking up thirsty with an urgent need to urinate, even if it's only 20 minutes since this was done, screams possible blood glucose issues at me, and should do to most doctors. Given the ease and cheapness of doing so, a simple finger prick test, repeated a few times, at different times, seems like a good way to rule in/out diabetes/pre-diabetes as a contributory factor.

    BTW as diabetes should have been tested for before an ME/CFS diagnosis was made........

    A sudden change in blood glucose can lead to waking up panicked, as can adrenalin or cortisol spikes (which could be caused by a sudden drop in BG), but as BG is cheap and easy to test for at home, and cortisol or adrenal testing is much more expensive......

    Or it could be something completely different, but probably a good idea to rule out the common stuff first, if it hasn't already been excluded.

    BTW I am not medically trained, but I have decades of experience at being ill ;)
     
    Last edited: Aug 24, 2017
  8. gettinbetter

    gettinbetter Senior Member

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    Okay How do you get a blood glucose device?
    Ha
     
  9. Wonko

    Wonko Senior Member

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    The other side.
    Local pharmacist, amazon etc.

    edit - they seem to run around $35 for a complete kit in the US
     
  10. ryan31337

    ryan31337 Senior Member

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    Experienced all of the above and agree with sentiments. Be aware though that a simple fasting blood test won't necessarily rule out glycemic control issues - they will probably satisfy a clueless GP but a good endocrinologist will know there's a lot more to it. Proper testing is very involved.

    In my case I was experiencing significant reactive hypoglycemia, probably due to rapid gastric emptying (POTS linked). If there's any suggestion of orthostatic intolerance I'd go down this road and hopefully you'll find the OI specialists will be aware of the complications.
     
  11. msf

    msf Senior Member

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    KDM explains this in one of his videos. There is an alteration in ADH (anti-diuretic hormone), or its precursor, CRH (I´m not sure about the acronym for this one). From what I´ve worked out, using my own experience and what I´ve read, all the symptoms you list are just a stress response, most likely to increased levels of LPS in the blood after an alteration in gut permeability. Since I have adopted the FODMAP diet and undergone gut treatment (and found the right dose of trazodone), I get these symptoms far less frequently; I generally only get them now if I do something stupid like getting electrotherapy (I´ve forgotten the correct name) for physio.
     
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  12. Wonko

    Wonko Senior Member

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    The other side.
    @ryan31337

    Yep - I had reactive hypoglycemia for years before I was diagnosed with type 2, during which time my doctor told me several times I definitely did not have diabetes. Not sure about now but at the time reactive hypoglycemia was not a recognised condition in the UK, neither was pre-diabetes according to my GP.

    Another possible cause of the symptoms in my experience is a bad reaction to an SSRI (or possibly other meds) but good luck with getting a doctor to acknowledge that one, and I still think getting your BG levels checked, normal levels, levels after eating, levels an hour after eating, levels 2 hours after eating, morning (fasting) levels and immediately after symptoms (if you can't manage/remember to during) would be a good idea - I have no idea what units US meters are calibrated to but in the UK a non diabetic should not exceed 7 mmol at any time - higher than this and you're likely pre-diabetic - higher than 10 mmol and you're diabetic - most of the time levels should be between 4 and 6.5 mmol.

    Obviously these levels are dependant on circumstances, a fasting level of 6.5 after a morning workout session, whilst still being within range, would indicate a potential issue.
     
    Last edited: Aug 24, 2017
  13. ryan31337

    ryan31337 Senior Member

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    Yeah, my experience with a run of the mill Endo was a refusal to acknowledge it, he just wrote "symptoms of hypoglycemia" in letters and in a frank conversation with me said its 'self-correcting' and not an issue. This was despite having a number of objective measurements showing how sick I was post-prandial (ECG, blood pressure, sleep centre MSLT etc.).

    I guess the text books say if you haven't had stomach surgery or anything significant like that there should be no concern that compromised GI motility might be causing an issue.

    Then I saw an Endo who understood the complications of OI/POTS/Hypermobility, and well, you can probably guess the rest :)

    Ryan
     
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  14. gregh286

    gregh286 Senior Member

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    used to get this pretty often.
    brutal thirst and peeing like a racehorse. was like body couldnt hold onto it.
    ADH alteration.
    Blood sugar was always rock solid.
     
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  15. gettinbetter

    gettinbetter Senior Member

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    What does ADH alteration have to do with CFS?
     
  16. gregh286

    gregh286 Senior Member

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    HPA axis dysfunction is one of the most consistent findings in CFS!!
     
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  17. msf

    msf Senior Member

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    Read my post.
     
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  18. notmyself

    notmyself Senior Member

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    did you rule out diabetis? sound a lot like it..
     
  19. msf

    msf Senior Member

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    It sounds a lot like ME to me.
     
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  20. notmyself

    notmyself Senior Member

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    only if diabetes is rule out!
     

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