[49F] Experiencing prolonged sleep episodes and related symptoms

Patient Description

A 49-year-old female has been experiencing prolonged sleep episodes lasting approximately 38 hours, occurring at least once a week for the past six months. This has led to anxiety about sleeping, fearing she won't wake up normally. Alongside this, she reports weight loss, decreased appetite, and significant hair thinning on the crown area. She also experiences severe dry skin, thickened skin, neck swelling, and increased sweating on her head, despite not being sensitive to cold. Her mood and energy levels are negatively affected during waking hours. She has a history of Crohn's disease, diagnosed in 2008, and is currently taking Renvoiq 30 mg, levothyroxine 37.5 mcg, and omeprazole 40 mg daily. She underwent a hysterectomy years ago, and recent tests indicated high thyroid levels. She has no known drug allergies and does not take over-the-counter medications.

Arora's Assessment

What might be happening

Your symptoms could be related to a few different conditions:

Thyroid Dysfunction: Your high thyroid levels and symptoms like hair thinning, sweating, and neck swelling suggest hyperthyroidism. This condition can cause increased metabolism, leading to weight loss, anxiety, and changes in appetite. Treatment often involves medication to regulate thyroid hormone levels, and your doctor might adjust your levothyroxine dosage.
Nutritional Deficiencies: Crohn's disease can lead to malabsorption of nutrients, which might contribute to hair thinning, skin issues, and fatigue. Blood tests can help identify deficiencies, and supplements or dietary changes might be recommended.
Sleep Disorders: The prolonged sleep episodes could be related to a sleep disorder or another underlying condition. A sleep study might be necessary to understand this better.

What you can do

Thyroid Dysfunction:

Follow up with your healthcare provider to discuss your thyroid levels and medication adjustments.
Keep track of your symptoms using MDandMe to share with your doctor.

Nutritional Support:

Consider a consultation with a nutritionist to ensure you're getting adequate nutrients.
Maintain a balanced diet rich in vitamins and minerals.

Sleep Concerns:

Establish a regular sleep schedule and create a calming bedtime routine.
Monitor your sleep patterns and symptoms with MDandMe to provide insights to your healthcare provider.

Skin and Hair Care:

Use gentle, moisturizing skin products to help with dryness.
Consider seeing a dermatologist for specialized care.

What you should look out for

Worsening of symptoms like increased neck swelling, difficulty breathing, or significant weight changes.
New symptoms such as heart palpitations or severe anxiety.
Any signs of infection or severe fatigue.

Please consult with a healthcare professional for a formal diagnosis and treatment plan. If you have more questions or need further assistance, feel free to reach out.

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3 mo ago

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