woundedsatellite said:

Dr. Cranquis! I just discovered your blog today and needless to say I find it very interesting.

Well, to the point. Thing is, I am a very thin 19 year old (my BMI is 17) and my weight had never given me any problems (except in the wardrobe department) but lately I have been suffering from moderate fatigue and low blood pressure.

Now, I sleep more than the regular person, that's always been me, but I have been gradually messing my sleep schedule and feeling tired at random hours of the day. Then, no matter how much I eat I am always hungry and if I don't eat more my blood pressure drops and I want to faint. As soon as I get something like a soda or candy the feeling goes away but I would want to know if this is normal or a sign of something else.

Or maybe I'm just a lazy glutton?

Another thing: lately I have been feeling very, very thirsty. I'm drinking 1 liter or more of water everyday and even that is not enough.

What is going on?

Hello there! Welcome to my blog, glad you’re enjoying it.

Well, I hope you saw my comment about this question in my Weekly Summary — because I really think you need to be tested for blood sugar problems, such as diabetes! You have many of the “classic” symptoms: meal-related dizziness/fatigue/blood-pressure changes, constant hunger, increased thirst, fatigue, and possibly even your skinny body size! See a doctor soon.

***Pending Cranquis-Mails: 24; Ask Box: Closed***

Hypernatremia– Causes, Symptoms, Diagnosis, Treatment and Ongoing care

Serum sodium (Na) concentration level >145 mEq/L often represents a state of hyperosmolality;Hypernatremia results from primary Na+ gain or water deficit;Hypernatremia may exist with hypo-, hyper-, or euvolemia.
Hypernatremia– Causes, Symptoms, Diagnosis, Treatment and Ongoing care

help how do i explain the trauma center series to an actual physician assistant because i went and shadowed today and i told her about it and i feel like she didn’t believe me XDDDDD

well gabriel cunningham and roni taught me about tachycardia and brachycardia and how to read blood work and jaundice and looking at MRIs and X rays and CTs for HOURS FINDING THAT LITTLE BULGE OR TINY LITTLE SPOT AGH

*sniff* polydipsia and polyuria *sniff*

TSH levels. viral hemorrhagic fevers. billirubin. Crohn’s disease.

(and of course we talked about endoscopy and i was like “ugh” and she was all “yeah it’s not very fun” and i was thinking “oh you got no idea gurl”)

「飲水量が3Lを超えたら注意せねばならない」

 通常の飲水量は1日に3L未満とみなされている。3L以上飲水する場合を多飲polydipsiaと定義される(心因性多飲psychogenic polydipsiaと表現されることもある)。さらに、強迫飲水compulsive water drinking、自己誘発性水中毒self-induced water intoxicationへと発展し、慢性水中毒chronic water intoxicationとなり固定し、毎日多量の飲水を行うようになる。一部は、多飲を示さずに、ある日突然にいっきに何Lもの水を飲み、急性水中毒となり、重篤な低ナトリウム血症となり、生命の危険が生じる病態に陥る患者もいる。なお、腎機能が正常であれば、人は1時間に1L(~1.2L)の尿を排泄できる。すなわち1日に10L以上もの尿をしている水中毒の患者もいることになる。

当院には各病棟ごとに冷水器が2台設置されており、冷水は原則飲み放題である。おまけに冷たい緑茶まで飲み放題である。コップを置いてボタンを押せばすぐにコップに冷水が満タンに注がれる。多飲polydipsiaの患者は常にコップを肌身離さず持ち歩き、一日に何杯も飲んでいる。コップを満タンにして2・3杯をいっき飲み干している。そんな光景が当たり前のようになっており、当院の冷水器は水中毒製造装置という悪魔のマシーンとなっている。
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