Medical

Have Medical Questions? Ask a Doctor Online!

Ask a Doctor,
Get an Answer ASAP!

Medical

My wife is 45 and having a problem staying awake the whole

Customer Question
day and complains about being...
My wife is 45 and having a problem staying awake the whole day and complains about being constantly sleepy. She wakes up at 5am and takes a nap at 3pm to 4pm- after work and picking up the three teens from school. By 9:30 pm she can't stay awake and is totally drained and can barely drive anywhere. There are times she calls me even before lunch complaining she is very sleepy and wants to go home to nap. It is common for her to fall asleep on demand. For example if I'm driving or she lays down somewhere - she can fall asleep pretty much anywhere in 5 minutes
She is relatively healthy with no signs of depression. Gets exercise by walking about a mile or two a day (walking the dog) as well as taking karate classes 3 times per week. She is fit looking at 5 feet and 120 lbs. She doesn't drink alcohol or any kind of drug and eats well.
The only medication she takes is thyroxin for thyroid. Each time she goes to the doctor for past 5 years her prescription is increased and now she is at 100 micrograms. She's concerned that if she goes to the doctor now, the dose will be increased even more, which will work for about 3 months and then she will be back to struggling to have energy throughout the day again. Also, if she doesn't take the med for one day she swells up particularly in the fingers. She's been taking the med for 5 years and doesn't think its the right answer for her problem. She has had blood tests to track her thyroid etc.
Any thoughts on what else she might want to look into and/or should she consider trying to ween off the med? She's been taking the thyroxin for 5 years and it just isn't giving her the energy she wants to make it through the day. She's been seeing the same doc that whole time so is there something else the doc may need to look into?
Submitted: 1 year ago.Category: Medical
Show More
Show Less
Ask Your Own Medical Question
Answered in 4 minutes by:
4/30/2016
Doctor: Dr. D. Love, Doctor replied 1 year ago
Dr. D. Love
Dr. D. Love, Doctor
Category: Medical
Satisfied Customers: 18,888
Experience: Family Physician for 10 years; Hospital Medical Director for 10 years.
Verified

Hello from JustAnswer.

Do you have the results of the last thyroid blood tests?

Ask Your Own Medical Question
Customer reply replied 1 year ago
but I will need to provide them tomorrow.
Doctor: Dr. D. Love, Doctor replied 1 year ago

The first issue is adjustment of the thyroid ills to achieve normal thyroid blood tests, but we can discuss this more tomorrow.

The other considerations are whether there are other conditions that may be causing her symptoms. There are some other metabolic conditions that can cause these symptoms, such as adrenal disease, but these conditions are far less common to present as daytime drowsiness.

It is more common for daytime sleepiness to be due to conditions that interfere with getting adequate sleep. In some of these conditions, there is a decrease in the number of hours of sleep, but in others, the problem is that the sleep that does occur is not able to achieve deeper levels of sleep that are restorative.

For example, a common condition to cause daytime drowsiness is sleep apnea. People with sleep apnea will usually appear to sleep for a full night, but they are unable to get into a normal amount of the deeper levels of sleep. There are also two types of sleep apnea - obstructive and central sleep apnea. Obstructive sleep apnea is much more common in overweight people, although it can occur in people of normal weight. Central sleep apnea is not associated with excessive weight. The proper test to evaluate for these conditions would be a sleep study, or polysomnogram, which can detect these common conditions as well as other less common primary disorders of sleep.

There are a variety of conditions that interfere with getting a good number of hours of sleep. Some are physical conditions, such as acid reflux, which frequently will get worse when lying down, and others are mental health conditions, such as depression or anxiety.

So, after first addressing the thyroid blood tests, which we can discuss more tomorrow, the next test that I would typically consider would be a sleep study, unless there are other findings on history and physical examination that would suggest another medical condition.

If I can provide any clarification about these conditions, please let me know. Otherwise, we can discuss the thyroid blood tests tomorrow.

Ask Your Own Medical Question
Ask Dr. D. Love Your Own Question
Dr. D. Love
Dr. D. Love
Dr. D. Love, Doctor
Category: Medical
Satisfied Customers: 18,888
18,888 Satisfied Customers
Experience: Family Physician for 10 years; Hospital Medical Director for 10 years.

Dr. D. Love is online now

A new question is answered every 9 seconds

How JustAnswer works:

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

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 feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me from a serious, even life threatening situation. I am very grateful to the experts who answered me.

Susan O.USA

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 MollPretoria, 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!

ClaudiaAlbuquerque, NM

Outstanding response time less than 6 minutes. Answered the question professionally and with a great deal of compassion.

KevinBeaverton, 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.

ElanorTracy, 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.

JulieLockesburg, 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 StefanieTucson, AZ

< Previous | Next >

Meet the Experts:

Family Physician

Family Physician

Doctor

2,592 satisfied customers

Emergency Medicine and Family Practice for over 26 years

Dr. Ketch

Dr. Ketch

Board Certified Physician

76 satisfied customers

Medical Degree, Former Assistant Professor at School of Medicine at Yale University

DrRussMD

DrRussMD

Board Certified Physician

51,160 satisfied customers

Internal Medicine--practice all of internal medicine, all ages, family, health, prevention, complementary medicine, etc.

Dr Basu

Dr Basu

Experienced Specialist

20,734 satisfied customers

MD

Dr. David

Dr. David

Board Certified Physician

224 satisfied customers

Treat children/young adults, former chief resident, multiple publications

Dr. D. Love

Dr. D. Love

Doctor

18,888 satisfied customers

Family Physician for 10 years; Hospital Medical Director for 10 years.

Dr Chip (M.D.)

Dr Chip (M.D.)

Doctor

13,486 satisfied customers

20 yrs. in practice, includinge surgery, general medicine, addiction medicine and pain.

< Previous | Next >

Related Medical Questions
Had my thyroid checked this morning tshl level was5.73 is
Had my thyroid checked this morning tshl level was5.73 is this high enough to go on medication… read more
Dr. Muneeb Ali
Dr. Muneeb Ali
Senior Registrar Critical Care Medicine
Doctoral Degree
6,801 satisfied customers
My thyroid gland is atrophied. because i had to take a
my thyroid gland is atrophied. because i had to take a thyroid pill from the age of 18. i was about 40 yrs of age when i was told it had atrophied . i take 125 mg levothyroxine and 25 mcg cytomel dail… read more
Dr. Scott
Dr. Scott
Doctor
877 satisfied customers
My thyroid count was 0.5.Is this dangerously low? Just took
Just took some blood work,'m not taking any medication. … read more
DrRussMD
DrRussMD
Board Certified Physician
51,160 satisfied customers
Took some vinegar and water forgot my thyroid medicine how
Took some vinegar and water forgot my thyroid medicine how long should I wait to take my pill … read more
Dr. Ravoof
Dr. Ravoof
Doctoral Degree
1,880 satisfied customers
I take high bood pressure medicatiom,along with thyroid and
I take high bood pressure medicatiom,along with thyroid and liptor/ My hair is shedding a lot and my hair dresser says it is from my medicine. Mydoctor says to keep my hair moist and conditioned. Plea… read more
Dr. Amir
Dr. Amir
Post-Doctoral Degree
1 satisfied customers
Is there a natural, vegan medicine for under active thyroid?
Is there a natural, vegan medicine for under active thyroid? … read more
DrRussMD
DrRussMD
Board Certified Physician
51,160 satisfied customers
I'm nervous that I have an overactive thyroid but I'm not
I'm nervous that I have an overactive thyroid but I'm not 100% can someone give me some insight on it… read more
Dr Uzair
Dr Uzair
FCPS (R) General Surgery
M.B.,B.S. FCPS
3,656 satisfied customers
Thyroid globulin antibodies of 845. what does that mean,
thyroid globulin antibodies of 845. what does that mean … read more
DrRussMD
DrRussMD
Board Certified Physician
51,160 satisfied customers
I've been diagnosed with Hashimoto's Thyroiditis, and after
I've been diagnosed with Hashimoto's Thyroiditis, and after an ultra sound on neck and throat, was also diagnosed with heterogeneous echotexture thyroid. Concurrently have had raspy voice for over 3 m… read more
Dr. Arun Phophalia
Dr. Arun Phophalia
Consultant Surgeon and Sports Medicine
Post-Doctoral Degree
32,360 satisfied customers
Today's thyroid ultrasound showed that the right side of my
Today's thyroid ultrasound showed that the right side of my fibroid has a nodule that increased from 9 mm to 11 mm – should I be concerned? Also, are thyroid nodules I've no real concern until they ar… read more
Dr.Saleem
Dr.Saleem
Consultant Cardiologist
Doctoral Degree
729 satisfied customers
What is the number range for thyroid function? Is a higher
What is the number range for thyroid function? Is a higher number good? … read more
Dr. Muneeb Ali
Dr. Muneeb Ali
Senior Registrar Critical Care Medicine
Doctoral Degree
6,801 satisfied customers
I had an ultrasound of my thyroid findings are the
I had an ultrasound of my thyroid findings are the following: right lobe measures 4.9x1.9x1.6 cm, left measures 4.0x1.3x1.3. The sthmus measures 0.3 cm in diameter … read more
Dr. David
Dr. David
Radiation Oncology Attending Director
Post-Doctoral Degree
13,033 satisfied customers
Is the combination of thyroid disorder, alopecia areata, and
is the combination of thyroid disorder, alopecia areata , and herpes simplex symptoms of a more serious autoimmune illness? … read more
Dr Uzair
Dr Uzair
FCPS (R) General Surgery
M.B.,B.S. FCPS
3,656 satisfied customers
If you're not taking your thyroid could that have caused
If you're not taking your thyroid could that have caused liver and crp levels to be high … read more
Dr Uzair
Dr Uzair
FCPS (R) General Surgery
M.B.,B.S. FCPS
3,656 satisfied customers
Received results from a ultrasound of my thyroid. It says
received results from a ultrasound of my thyroid. It says there is midpole 3x2 mm cyst, left lope a 2mm hypoechoic nodule & parathyroid tissue 1.1x.7 cm inferior left lobe. what does this mean … read more
Dr. David
Dr. David
Radiation Oncology Attending Director
Post-Doctoral Degree
13,033 satisfied customers
Is this thyroid, pituitary tumor, or adrenal in nature? The
Is this thyroid, pituitary tumor, or adrenal in nature?The last week, my heart rate has dropped about ten points. Off and on, I get these tones of terrible nausea and fatigue. I got dizzy with headach… read more
Dr. Ravoof
Dr. Ravoof
Doctoral Degree
1,880 satisfied customers
I have a history of thyroid cancer. I had my thyroid removed
I have a history of thyroid cancer. I had my thyroid removed in 2013. The last 3 days I have had numbness in the back part of the roof of my mouth and the back of my tongue. Was wondering what could c… read more
Dr. David
Dr. David
Radiation Oncology Attending Director
Post-Doctoral Degree
13,033 satisfied customers
I have Obstructive Sleep Apnea and recently had a sd card
I have Obstructive Sleep Apnea and recently had a sd card download of my bipap machine that indicated an AHI of 5.3 seen my pulmonologist and he doesn't want to raise the pressure until a sleep trilat… read more
Vakul Aren
Vakul Aren
Consultant Physician
Post graduation (Liverpool, U.K.)
3,902 satisfied customers
Disclaimer: Information in questions, answers, and other posts on this site ("Posts") comes from individual users, not JustAnswer; JustAnswer is not responsible for Posts. Posts are for general information, are not intended to substitute for informed professional advice (medical, legal, veterinary, financial, etc.), or to establish a professional-client relationship. The site and services are provided "as is" with no warranty or representations by JustAnswer regarding the qualifications of Experts. To see what credentials have been verified by a third-party service, please click on the "Verified" symbol in some Experts' profiles. JustAnswer is not intended or designed for EMERGENCY questions which should be directed immediately by telephone or in-person to qualified professionals.

Disclaimer: Information in questions, answers, and other posts on this site ("Posts") comes from individual users, not JustAnswer; JustAnswer is not responsible for Posts. Posts are for general information, are not intended to substitute for informed professional advice (medical, legal, veterinary, financial, etc.), or to establish a professional-client relationship. The site and services are provided "as is" with no warranty or representations by JustAnswer regarding the qualifications of Experts. To see what credentials have been verified by a third-party service, please click on the "Verified" symbol in some Experts' profiles. JustAnswer is not intended or designed for EMERGENCY questions which should be directed immediately by telephone or in-person to qualified professionals.

Show MoreShow Less

Ask Your Question

x