How JustAnswer Works:

  • Ask an Expert
    Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional Answer
    Via email, text message, or notification as you wait on our site.
    Ask follow up questions if you need to.
  • 100% Satisfaction Guarantee
    Rate the answer you receive.

Ask Anthony Bray, MD Your Own Question

Anthony Bray, MD
Anthony Bray, MD, Doctor
Category: Health
Satisfied Customers: 6945
Experience:  14 years as clinician in the field of Family Practice
13781349
Type Your Health Question Here...
Anthony Bray, MD is online now
A new question is answered every 9 seconds

I am constantly dehyrdrated.

Resolved Question:

I am constantly dehyrdrated. I am peeing more than I take in. My eyes are dry and even my lips are badly chapped. A VA doctor says the dryness is caused by nt meds but I have taken them for years and never had this peroblem.
Submitted: 1 year ago.
Category: Health
Expert:  Anthony Bray, MD replied 1 year ago.

Anthony Bray MD :

Hello!

Anthony Bray MD :

What medications are you taking, exactly??

Anthony Bray MD :

With your history I would be concerned that this could represent the presentation of onset of type 2 diabetes...

Anthony Bray MD :

I would think it would be best idea to rule this out by checking BOTh your fasting glucose (no food for > 6 hours..) and by checking a hemoglobin A1C (this latter test checks what your blood sugar has been doing for the past 3 months)

Customer:

Gabapentin, Bupropion 20mg twice a day. Seroquel 25 mg for sleeping.Simvastatin 40 mg a day. Fish oil and vitamin D3

Customer:

200 mg on the Bupropion

Anthony Bray MD :

I see.. I agree with you that none of these would be expected to cause you to have frequent urination...

Anthony Bray MD :

The Seroquel is low dose but could have some potential to push up your blood sugars.. this is a potential side effect of this medication....

Anthony Bray MD :

If your blood sugar was noormal then I think checking for normal kidney function would be a good idea...

Anthony Bray MD :

You may be checked directly for dehydration based on your blood tests....

Anthony Bray MD :

The BUN /creatinine ratio is helpful in making this determination....

Customer:

Weeks ago I had dehydration due to diahearrea and took an atropine based drug but it was only the one pill. I was hydrated at the hospital

Anthony Bray MD :

OK, well you may have been dehydrated just due to your diarrhea at that time.. I could not tell from that if you have any such ongoing problem...

Customer:

So what test do I request at the VA??

Customer:

Yeah because afteward there was a period of no problems

Anthony Bray MD :

I would advise that you have fasting blood glucose checked, hemoglobin Aic, a metaboklic profile (this would include electrolytes, BUN and creatinine and the ratio (greater than 20 on this ratio would support you being dehydrated...)

Anthony Bray MD :

A simple urinalysis would also help together with the blood work to see if your urine had approriate concentration....

Customer:

recently had glucose checked. It was good at 83, less than before at 112.

Anthony Bray MD :

Too dilute could indicate kidney disease....

Customer:

Too dilute what

Customer:

the piss

Customer:

??

Anthony Bray MD :

The most common cause of your presentation would be diabetes. Your recent fasting blood sugar was normal so this piece of evidence would not appear to support you having problem with diabetes but I would advise checking the hemoglobin A1 C as well >> more accurate as it covers what has happened for 3 month period. Even diabetic could have some normal fasting values of blood sugar....

Customer:

Do you have a specific name for the tests I would ask for??

Anthony Bray MD :

Yes urine being too dilute could be caused by certain renal disease > example would be diabetes insipidus >> this is not a common illness however...

Anthony Bray MD :

Yes I have listed these above...

Anthony Bray MD :

Hemoglobin A1c , metabolic profile (these may vary and some include the liver function as well but your doctor would know what you meant to say this...) Any metabolic profile would include tests of kidney function (BUN and creatinie) and the electrolytes.

Anthony Bray MD :

Serum osmolality may also be requested to check you for being dehydrated >> this equals a measure of the concentrration of the salts in your blood vs water content....

Anthony Bray MD :

I hope that this information helps! Let me know if you have further questions and I will be happy to get back wtih you!

Anthony Bray MD :

If my answers have been helpful and to your satisfaction then please remember to leave positive feedback. That would be very much appreciated! Thank You and Best Regards,

Anthony Bray MD :

Anthony Bray MD

Customer:

OK will try to have this prinyed out

Anthony Bray MD :

PS >> also ask your doctor to check a urinalysis of the urine... this could be further investrigated witha 24 hour urine if there was supicion of there being kidney disease as a potential problem...

Anthony Bray MD :

Good luck >> I hope that you get improvement! Take Care!

Anthony Bray MD :

I will switch mode to Q and A >> I think this may help in your printing attempt....

Anthony Bray, MD, Doctor
Category: Health
Satisfied Customers: 6945
Experience: 14 years as clinician in the field of Family Practice
Anthony Bray, MD and other Health Specialists are ready to help you
Expert:  Anthony Bray, MD replied 1 year ago.
Our chat has ended, but you can still continue to ask me questions here until you are satisfied with your answer. Come back to this page to view our conversation and any other new information.

What happens now?

If you haven’t already done so, please rate your answer above. Or, you can reply to me using the box below.
Customer: replied 1 year ago.


I paid with paypal and believe I have a confirmation but you guys were saying I was refunded

Expert:  Anthony Bray, MD replied 1 year ago.

Hello !!

 

I don't know!! ?? I can refer you to customer service to check with them... I do not have access directly to your payment information from my perspective...

Expert:  Anthony Bray, MD replied 1 year ago.
Hello again!

Sorry for the apparent confusion! Let me know if you have further questions! I will be happy to get back with you if this should be the case. I would be happy to hear from you as you proceed with evaluation into this issue.

Take care !

Anthony Bray MD
Customer: replied 1 year ago.

It is cleared up.

Expert:  Anthony Bray, MD replied 1 year ago.
Hello again ,

Well that is great news! I'm glad that you are feeling back to normal. That is the main thing. Let me know anytime if you have further questions!

Take care and best regards XXXXX XXXXX

Anthony Bray MD

JustAnswer in the News:

 
 
 
Ask-a-doc Web sites: If you've got a quick question, you can try to get an answer from sites that say they have various specialists on hand to give quick answers... Justanswer.com.
JustAnswer.com...has seen a spike since October in legal questions from readers about layoffs, unemployment and severance.
Web sites like justanswer.com/legal
...leave nothing to chance.
Traffic on JustAnswer rose 14 percent...and had nearly 400,000 page views in 30 days...inquiries related to stress, high blood pressure, drinking and heart pain jumped 33 percent.
Tory Johnson, GMA Workplace Contributor, discusses work-from-home jobs, such as JustAnswer in which verified Experts answer people’s questions.
I will tell you that...the things you have to go through to be an Expert are quite rigorous.
 
 
 

What Customers are Saying:

 
 
 
  • I can go as far as to say it could have resulted in saving my sons life and our entire family now knows what bipolar is and how to assist and understand my most wonderful son, brother and friend to all who loves him dearly. Thank you very much Corrie Moll Pretoria, South Africa
< Last | Next >
  • I can go as far as to say it could have resulted in saving my sons life and our entire family now knows what bipolar is and how to assist and understand my most wonderful son, brother and friend to all who loves him dearly. Thank you very much Corrie Moll Pretoria, South Africa
  • I thank-you so much! It really helped to have this information and confirmation. We will watch her carefully and get her in for the examination and US right away if things do not improve. God bless you as well! Claudia Albuquerque, NM
  • Outstanding response time less than 6 minutes. Answered the question professionally and with a great deal of compassion. Kevin Beaverton, OR
  • Suggested diagnosis was what I hoped and will take this info to my doctor's appointment next week.
    I feel better already! Thank you.
    Elanor Tracy, CA
  • Thank you to the Physician who answered my question today. The answer was far more informative than what I got from the Physicians I saw in person for my problem. Julie Lockesburg, AR
  • You have been more help than you know. I seriously don't know what my sisters situation would be today if you had not gone above and beyond just answering my questions. John and Stefanie Tucson, AZ
  • I have been dealing with an extremely serious health crisis for over three years, and one your physicians asked me more questions, gave me more answers and encouragement than a dozen different doctors who have been treating me!! Janet V Phoenix, AZ
 
 
 

Meet The Experts:

 
 
 
  • Nurse Milli, RN

    Nurse (RN)

    Satisfied Customers:

    4043
    20 years experience in many areas of Nursing. Both Hospital and Private Practice experience.
< Last | Next >
  • http://ww2.justanswer.com/uploads/NU/nursescare4u/2013-3-31_03429_JApic.64x64.jpg Nurse Milli, RN's Avatar

    Nurse Milli, RN

    Nurse (RN)

    Satisfied Customers:

    4043
    20 years experience in many areas of Nursing. Both Hospital and Private Practice experience.
  • http://ww2.justanswer.com/uploads/agketch/2008-7-14_184046_drketchresized.jpg Dr. Ketch's Avatar

    Dr. Ketch

    Doctor

    Satisfied Customers:

    102
    Medical Degree, Former Assistant Professor at School of Medicine at Yale University
  • http://ww2.justanswer.com/uploads/FA/FamilyPhysician/2013-8-31_191624_JA550x500Photo.64x64.jpg Family Physician's Avatar

    Family Physician

    Doctor (MD)

    Satisfied Customers:

    5622
    Emergency Medicine and Family Practice for over 26 years
  • http://ww2.justanswer.com/uploads/drphophalia/2007-08-23_095626_dr._arun_phophalia.jpg Dr. Arun Phophalia's Avatar

    Dr. Arun Phophalia

    Doctor (MD)

    Satisfied Customers:

    17025
    MBBS, MS (General Surgery), Fellowship in Sports Medicine
  • http://ww2.justanswer.com/uploads/VA/VANP/2012-6-6_235535_Skye2.64x64.jpg A. Schuyler, NP's Avatar

    A. Schuyler, NP

    Nurse Practitioner

    Satisfied Customers:

    12170
    Board Certified NP, MS, RN. Private practice & hospitalist
  • http://ww2.justanswer.com/uploads/TA/tazechip/2012-6-7_135230_drpic.64x64.png Dr. Chip's Avatar

    Dr. Chip

    Doctor (MD)

    Satisfied Customers:

    10029
    Over 20 yrs of Family Practice
  • http://ww2.justanswer.com/uploads/neurosurg/2009-10-06_120923_profile.jpg Dr. Mark's Avatar

    Dr. Mark

    Doctor (MD)

    Satisfied Customers:

    6234
    U.S. Physician/Surgeon in Neurosurgery